What is NOT considered a prescription adaptation?
- Contacting the Original Prescriber for Changes:
If a pharmacist identifies a drug-therapy problem and contacts the original prescriber to discuss changes, any adjustments authorized by the prescriber are not considered adaptations. This is because the pharmacist is seeking prescriber authorization prior to dispensing rather than making an independent adaptation decision.
- Following Hospital-Approved Protocols:
In environments where a hospital governing body has approved a therapeutic interchange program or a protocol intended to optimize therapeutic outcomes, any prescription changes made in accordance with this program or protocol do not count as adapting.
- Providing Emergency Supplies:
If the situation/issue presented does not meet the requirements for an adaptation under PPP-58, the pharmacist may consider providing emergency supplies to the client to ensure continuity of care under PPP-31.
- Dispensing Interchangeable Drugs:
Dispensing an “interchangeable drug” as defined in the Health Professions Act is not adaptation. Any changing of formulation in the dispensing of interchangeable drugs (i.e., generic products) is being done for a different purpose than formulation changes permitted in adapting.