Controlled drugs Emergency supply of medicines Pharmacist and technician responsibilities Prescription requirements Safe dispensing practices

Prescriber restrictions

Doctors, dentists and veterinary surgeons acquire prescribing powers through their professional registration, although doctors must also hold a licence to practise. They have been joined by independent and supplementary prescribers from several other healthcare professions who may prescribe after completing an approved education programme and obtaining the relevant annotation on their professional register.

The existence of a legal prescribing power does not mean that a prescriber may appropriately prescribe every medicine. All prescribers must:

This article summarises the principal legal restrictions applying to each prescriber group.

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Supplying emergency hormonal contraception as a Pharmacy medicine

Emergency hormonal contraception, often abbreviated to EHC, can be supplied from a registered pharmacy without a prescription where the particular product is legally classified as a Pharmacy medicine.

The two principal oral emergency contraceptives are:

Although these medicines are available without a prescription, they are not general sale medicines. Their sale is subject to the legal controls applying to Pharmacy medicines and to the pharmacist’s professional assessment of whether the medicine is appropriate for the individual patient.

Medicines licensing Pharmacist and technician responsibilities Prescription requirements Safe dispensing practices

Pregnancy Prevention Programmes

Some medicines carry a high risk of causing serious harm if taken during pregnancy. These risks may include congenital malformations, neurodevelopmental disorders, foetal growth restriction, miscarriage or other serious harm to the unborn child.

Pregnancy Prevention Programmes, often shortened to PPPs, are regulatory risk minimisation measures designed to reduce the chance of pregnancy before, during and shortly after treatment with these medicines. They are particularly important for medicines known or suspected to be teratogenic, including oral retinoids, valproate, topiramate, thalidomide, lenalidomide and pomalidomide.

For pharmacy teams, the important legal and practical point is this: a PPP is not usually a standalone piece of legislation called a “pregnancy prevention law”. Instead, the requirement normally arises from the medicine’s marketing authorisation, Summary of Product Characteristics, Patient Information Leaflet and MHRA-approved risk minimisation materials. The MHRA describes Pregnancy Prevention Programmes as measures that may be put in place where a medicine has a known or potential teratogenic effect: https://www.gov.uk/government/publications/risk-minimisation-measures-for-medicines/risk-minimisation-measures-for-medicines

Controlled drugs Emergency supply of medicines Patient group directions (PGDs) Pharmacist and technician responsibilities Record-keeping requirements

Emergency Supply of Medicines

Emergency supply allows a pharmacist to provide a medicine without a prescription in defined circumstances. It is a statutory exemption under UK medicines law and is commonly used in community pharmacy to ensure continuity of care.

Emergency supply is governed by the Human Medicines Regulations 2012:

https://www.legislation.gov.uk/uksi/2012/1916/contents

Pharmacist and technician responsibilities Prescription requirements

Unlicensed Medicines (“Specials”) and Foreign Prescriptions: What Is Allowed in the UK?

Unlicensed medicines—commonly referred to as “specials”—are subject to strict legal controls in the UK. While prescriptions from certain European countries are recognised under UK law, this does not extend to unlicensed medicines.

This article explains when specials can be supplied, and why foreign prescriptions cannot be used for these medicines.

“Specials” are unlicensed medicines supplied to meet the special clinical needs of an individual patient.

Pharmacist and technician responsibilities Safe dispensing practices

Forged Prescriptions

Forged or fraudulent prescriptions present a serious legal and patient safety risk. Pharmacists must be able to recognise potential forgeries, understand the legal implications, and know how to respond appropriately.

Forgery of a prescription is generally prosecuted under the Forgery and Counterfeiting Act 1981:
https://www.legislation.gov.uk/ukpga/1981/45/contents

Under this Act, a person commits an offence if they:

Controlled drugs Pharmacist and technician responsibilities Prescription requirements Safe dispensing practices

Dental Prescriptions

Dental prescriptions can create uncertainty in practice, particularly around what dentists are legally allowed to prescribe and what pharmacists can safely supply. This article clarifies the legal position and the key practical rules.

Dentists are recognised as appropriate practitioners under the Human Medicines Regulations 2012:
https://www.legislation.gov.uk/uksi/2012/1916/regulation/214/made

👉 This means:

Pharmacist and technician responsibilities Prescription requirements

UK Prescription Requirements

For a prescription-only medicine (POM) to be supplied lawfully in the UK, the prescription itself must meet specific legal requirements. These requirements are set out in the Human Medicines Regulations 2012 (HMR 2012), particularly:

https://www.legislation.gov.uk/uksi/2012/1916/contents

If these requirements are not met, the prescription may be legally invalid, and the medicine must not be supplied.

Medicines licensing Over-the-counter (OTC) medicines Pharmacist and technician responsibilities

General Sales List (GSL) Medicines

General Sales List (GSL) medicines are those that may be sold without the supervision of a pharmacist. They are intended for the treatment of minor conditions and are considered sufficiently safe for sale in a wide range of retail settings.

However, their supply is still governed by specific legal requirements under UK medicines legislation.

The legal framework for GSL medicines is set out in the Human Medicines Regulations 2012
https://www.legislation.gov.uk/uksi/2012/1916/contents