Warning Issued for Inadequate Oversight of High-Risk Online Ozempic Prescribing Service by Superintendent Pharmacist
Date of Decision: October 9, 2025
Registrant's Role: Pharmacist
Allegations:
- Failure to risk assess or audit an online prescribing service involving high-risk medicines
- Failure to verify prescriber adherence to UK prescribing guidelines
- Failure to audit online questionnaire-based consultations
- Failure to confirm whether patients’ GPs were contacted prior to issuing prescriptions
Outcome: Warning issued
GPhC Standards Breached:
- Standard 1 – Provide person-centred care
- Standard 2 – Work in partnership with others
- Standard 3 – Communicate effectively
- Standard 4 – Maintain, develop and use their professional skills and knowledge
- Standard 5 – Use professional judgement
- Standard 9 – Demonstrate leadership
Case Summary
Allegations
This case concerns a superintendent pharmacist who was issued a warning by the GPhC’s Investigating Committee for serious governance failures surrounding the operation of an online prescribing service. The registrant, who is the Director and Superintendent of My London Pharmacy, initiated the service through the domain mylondonpharmacy.com around June 2022.
The key allegation centred on the pharmacist’s failure to ensure that the service operated safely and in accordance with professional and legal standards. Specifically, high-risk medications such as Ozempic (semaglutide), Rybelsus, and antibiotics for sexually transmitted infections (STIs) were prescribed and dispensed through an online system that relied entirely on patient-completed questionnaires. No robust checks were in place to confirm whether these prescriptions were clinically appropriate or safe.
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- Full allegations considered by the GPhC
- Panel findings and reasoning
- Outcome of the investigation
- Sanctions considered and imposed on the Pharmacist
- Key professional learning points
Original Case Document
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The original determination transcript is available to registered users.
- Download the official GPhC determination
- Full hearing transcript
- Detailed findings of fact
- Sanction reasoning
- Details of the pharmacy professionals involved