Pharmacist Issued Warning for Unsafe Dispensing Linked to Online Prescribing Platform

Date of Decision: April 28, 2025

Registrant's Role: Pharmacist

Allegations:

  • Dispensed high-risk and prescription-only medicines based on online questionnaires alone, without proper clinical safeguards.
  • Failed to conduct due diligence on the online prescribing service and its prescribers.
  • Did not ensure appropriate risk assessments, GP involvement, or monitoring systems were in place.
  • Failed to properly maintain the private prescriptions register and did not uphold patient safety standards.

Outcome: Formal warning issued

GPhC Standards Breached:

  • Standard 1 – Provide person-centred care
  • Standard 2 – Work in partnership with others
  • Standard 3 – Communicate effectively
  • Standard 5 – Use professional judgement
  • Standard 8 – Speak up when things go wrong

Case Summary

The registrant was the Superintendent and Responsible Pharmacist of a pharmacy that, from September 2021 to August 2022, provided dispensing services to an online prescribing platform. The platform issued prescriptions based almost entirely on patient questionnaires, without any clinical consultation or contact with the patient’s GP.

The pharmacy dispensed medicines such as:

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