Fentanyl Patch

Dispensing

1. Dispensers must confirm that the name and location of the pharmacy is recorded on the prescription by the prescriber, and the pharmacy has been notified by the prescriber of the prescription before any patches are dispensed.
2. Unless a first time prescription, dispensers must only dispense fentanyl in exchange for used patches provided by the patient or his or her authorized representative.
3. Dispensers must examine and document returned patches, and store them in a secure location prior to proper destruction. Returned patches to be fixed to a Patch-for-Patch sheet. Note the date of the patch’s return.
4. Where a dispenser receives a prescription for fentanyl patches but does not collect all of the patient’s used patches, or collects fewer patches than the quantity to be dispensed under the prescription, he or she must:
   i. Use his or her professional judgment to dispense an appropriate number of patches based on an assessment of the patient, including an assessment of the patient’s circumstances and the patient’s medical condition; and
   ii. Notify the prescribing physician of the number of used patches that were collected as well as the number of new patches that were dispensed, if any.
5. Dispensers apply exceptions in the following circumstances:
   i. A prescription has been authorized by a prescriber from outside Ontario, and the prescription is verified by the dispenser; or
   ii. Another pharmacy is listed on the prescription, and the authenticity of the prescription is verified by the dispenser, and no fentanyl patches were dispensed by the other pharmacy.
6. Once a patient Patch-for-Patch sheet is completed, scan a copy to patient’s file under the Attachment tab. Dispose of completed sheets by shredding.

Fentanyl Patch Disposal Sheet