Writing a Controlled Drug Prescription
Use the Ministry of Health Controlled Drug Prescription Form (H572) in triplicate.
- This must be used for all class A & B controlled drugs, e.g. morphine, oxycodone, fentanyl, methadone, pethidine.
- Scripts must be written legibly and indelibly in the practitioner’s own handwriting. (DO NOT use patient labels).
- They must include the patient's NHI number and full physical address (e.g. PO Box not acceptable).
- If the patient is under 12 years old, include the date of birth.
- Maximum quantity one month:
- Write as 10 days plus 2 repeats, or 7 days plus 3 repeats.
- For PRN dosing, write a quantity required to ensure the appropriate amount is dispensed.
- Maximum of two items per script (cross out blank section if only one item).
- Elixirs are prescribed in varying strengths (e.g.1 mg/ml, 5 mg/ml, etc) and must be specified as such.
- Write drug name, dose, frequency, and total amount prescribed (PRN is inadequate). Write the strength and quantity in words, e.g. ten milligrams.
- Underline and initial unusual doses and quantities for clarity.
- Clearly print surname and NZMC number.
- Include name of hospital and address, e.g. Christchurch Hospital, 2 Riccarton Ave.
- Sign and date the prescription.
Other useful information:
- All three copies go to the community pharmacy.
- Must be presented to pharmacy within 7 days.
- Can be faxed to the pharmacy and the original sent in the mail.
- Consider ensuring the pharmacy have supply of the medicine for stronger strengths or less frequently used products.
Topic Code: 4203