Pharmacist Suspended for Six Months Following Methadone Dispensing Errors and Lack of Integrity

Date of Decision: April 29, 2024

Registrant's Role: Pharmacist

Allegations:

  • Supplied methadone to Patient A without a legally valid prescription
  • Failed to maintain accurate Controlled Drug Register records
  • Acted dishonestly when questioned by Patient A’s GP
  • Demonstrated a lack of integrity by asking the GP not to report a dispensing error
  • Dispensed methadone contrary to the directions on prescriptions

Outcome: Six month suspension

GPhC Standards Breached:

  • Standard 6: Pharmacy professionals must act with honesty and integrity
  • Standard 8: Pharmacy professionals must be open and honest when things go wrong

Case Summary

The GPhC Fitness to Practise Committee reviewed the case of a pharmacist, referred to here as “the registrant,” who faced allegations of serious dispensing errors, failure to maintain controlled drug records, and dishonesty in handling a dispensing error report.

This case highlights significant breaches of controlled drug regulations, professional integrity, and open communication with healthcare professionals.


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  • Full allegations considered by the GPhC
  • Panel findings and reasoning
  • Outcome of the investigation
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  • Key professional learning points

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Original Case Document

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  • Full hearing transcript
  • Detailed findings of fact
  • Sanction reasoning
  • Details of the pharmacy professionals involved

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