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CONTINUING PROFESSIONAL DEVELOPMENT
SUPPORTING PHARMACY PRACTICE
1. Which of the following MOST accurately
describes a staged supply service?
a) The pharmacist gives the whole supply of
the prescription at once.
b) The pharmacist supplies only a part of the
prescription quantity at specified intervals.
c) The pharmacist supplies the full quantity
of the prescription to a carer who then
supplies small quantities to the patient.
d) The pharmacist supplies the patient with
daily medicine doses to be taken in-store
2. Which of the following patients would
be LEAST likely to benefit from a staged
a) A middle-aged man reliably taking
atorvastatin every morning.
b) A young female recently admitted to
hospital for accidental overdose of
c) A male living in shared accommodation
who has previously had his diazepam
d) A female who has not been picking up her
escitalopram prescription regularly and
admits to often forgetting to take it.
3. Which of the following options is
CORRECT? To be eligible to receive
staged supply Pharmacy Practice
Incentive programme payments under
6CPA a pharmacy:
a) Does not have to be a Section 90
b) Must be accredited by an approved
Pharmacy Accreditation Program.
c) Does not need to agree to publicly
display and comply with the Community
Pharmacy Service Charter and Customer
d) Does not need to register for the
programme via the 6CPA Registration and
4. As part of the staged supply service
which of the following is NOT
a) A patient’s medicines can be kept
anywhere in the pharmacy even if that
means they are in full view of other
b) An agreement between the pharmacist
and consumer/agent should be signed.
c) A service fee may be applied.
d) A staged supply record should be kept.
A staged supply service can be initiated by multiple people including the
patient, a case worker, or the pharmacist.
The service should be conducted following the PSA standard and
guidelines, and be well documented.
Most medicines on staged supply programs are those with higher abuse
potential, but these are not the only medicines that can be involved.
Pharmacists should consider the costs incurred in providing a staged
supply service, when deciding whether to create a service charge.
Case study continued
After engaging Sally in a conversation about her
diazepam use you discover that she has been taking
two to three tablets daily rather than one tablet daily
as stated on her prescriptions. As she has just started
on methadone, you both agree it would be safer for her
to pick up her diazepam daily. You then call the doctor
to inform him of this arrangement and he agrees,
suggesting that you start off by supplying Sally two
tablets daily and he will review her progress at her next
KEY LEARNING POINTS
A staged supply service when conducted
appropriately can be very beneficial and rewarding
for both the pharmacist and the patient. For some
patients it may increase the safety of their medicine
use, and for others it may just be the help they need
to take their medicines correctly.
1. Pharmaceutical Society of Australia. Standard and guidelines for pharmacists
providing a staged supply service for prescribed medicines. Canberra:
PSA; 2011. At: www.psa.org.au/supporting-practice/professional-practice-
2. The 6CPA. The 6th Community Pharmacy Agreement: Staged supply. 2015. At:
3. The Pharmacy Guild of Australia. Community pharmacy roadmap program
development template: Staged supply. At: www.guild.org.au/docs/default-
4. Nova Public Policy. Review of the staged supply of PBS medicines final report.
Canberra: NPP; 2010. At: www.guild.org.au/docs/default-source/member-
5. Hawkins N. Prescription opiate abuse: managed by GPs with authorized
staged supply. In: RACGP conference; 2015. At: http://racgpconference.com.
6. The Pharmacy Guild of Australia. Quality Care Pharmacy Program P2K Staged
supply procedure; 2011. At: www.qcpp.com/knowledgehub/fast-track2/
7. Australian Government Department of Health. Pharmacy Trial Program. 2016.
8. Australian Government Department of Health. Supporting pharmacist
delivery of primary health care services through the Pharmacy Trial Program:
discussion paper; 2016. At: www.health.gov.au/internet/main/publishing.nsf/
Each question has only one correct answer.
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