The Human Medicines Regulations 2012
| Column 1: Force or service by whom or on whose behalf the health care is provided | Column 2: Person by whom or on whose behalf direction must be signed |
|---|---|
| A police force in England and Wales | The chief officer of police for that police force (within the meaning of the Police Act 1996[^f00114]) |
| A police force in Scotland | The chief constable of that police force (within the meaning of the Police (Scotland) Act 1967[^f00115]) |
| The Police Service of Northern Ireland | The Chief Constable of the Police Service of Northern Ireland |
| The prison service in England and Wales | The governor of the prison in relation to which the health care in question is being provided |
| The prison service in Scotland | The Scottish Prison Service Management Board |
| The prison service in Northern Ireland | The Northern Ireland Prison Service Management Board |
| Her Majesty’s Forces | the Surgeon General, a Medical Director General, or a chief executive of an executive agency of the Ministry of Defence |
PART 4 — Classes of individuals by whom supplies may be made
- Pharmacists.
- Registered chiropodists and podiatrists.
- Registered dental hygienist.
- Registered dental therapist.
- Registered dietitians.
- Registered midwives.
- Registered nurses.
- Registered occupational therapists.
- Registered optometrists.
- Registered orthoptists.
- Registered orthotists and prosthetists.
- Registered paramedics.
- Registered physiotherapists.
- Registered radiographers.
- Registered speech and language therapists.
SCHEDULE 17 — Exemption for sale, supply or administration by certain persons
PART 1 — Exemption from restrictions on sale and supply of prescription only medicines
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| Persons exempted | Prescription only medicines to which the exemption applies | Conditions |
| 1. Persons selling or supplying prescription only medicines to universities, other institutions concerned with higher education or institutions concerned with research. | 1. All prescription only medicines. | 1. The sale or supply shall be— subject to the presentation of an order signed by the principal of an institution concerned with educational research or the appropriate head of department in charge of a specified course of research stating— the name of the institution for which the prescription only medicine is required, and the purpose for which the prescription only medicine is required, and the total quantity required; and for the purpose of the education or research with which the institution is concerned. |
| 2. Persons selling or supplying prescription only medicines to any of the following— a public analyst appointed under section 27 of the Food Safety Act 1990[^f00116] or article 27 of the Food Safety (Northern Ireland) Order 1991[^f00117]; an authorised officer within the meaning of section 5(6) of the Food Safety Act 1990[^f00118]; a sampling officer within the meaning of article 38(1) of the Food (Northern Ireland) Order 1989[^f00119]; an inspector acting under regulations 325 to 328; a sampling officer within the meaning of Schedule 31. | 2. All prescription only medicines. | 2. The sale or supply shall be subject to the presentation of an order signed by or on behalf of any person listed in column 1 stating the status of the person signing it and the amount of prescription only medicine required, and shall be only in connection with the exercise by those persons of their statutory functions. |
| 3. Persons selling or supplying prescription only medicines to any person employed or engaged in connection with a scheme for testing the quality and checking the amount of the drugs and appliances supplied under the National Health Service Act 2006[^f00120], the National Health Service (Scotland) Act 1978[^f00121], the National Health Service (Wales) Act 2006[^f00122] and the Health and Personal Social Services (Northern Ireland) Order 1972[^f00123], or under any subordinate legislation made under those Acts or that Order. | 3. All prescription only medicines | 3. The sale or supply shall be— subject to the presentation of an order signed by or on behalf of the person so employed or engaged stating the status of the person signing it and the amount of the prescription only medicine required; and for the purposes of a scheme referred to in column 1 in this paragraph. |
| 4. Registered midwives. | 4. Prescription only medicines containing any of the following substances— Diclofenac; Hydrocortisone Acetate; Miconazole; Nystatin; Phytomenadione; | 4. The sale or supply shall be only in the course of their professional practice. |
| 5. Persons lawfully conducting a retail pharmacy business within the meaning of section 69 of the Medicines Act 1968. | 5. Water for injection. | 5. The sale or supply is to a person— for a purpose other than parenteral administration; or who has been prescribed dry powder for parenteral administration but has not been prescribed the water for injection that is needed as a diluent. |
| 6. Persons lawfully conducting a retail pharmacy business within the meaning of section 69 of the Medicines Act 1968. | 6. Items which are— prescription only medicines which are not for parenteral administration and which— are eye drops and are prescription only medicines by reason only that they contain not more than 0.5 per cent of Chloramphenicol, or are eye ointments and are prescription only medicines by reason only that they contain not more than 1.0 per cent Chloramphenicol, or are prescription only medicines by reason only that they contain any of the following substances— Cyclopentolate hydrochloride, Fusidic Acid, Tropicamide; the following prescription only medicines— Amorolfine hydrochloride cream where the maximum strength of the Amorolfine in the cream does not exceed 0.25 per cent by weight in weight, Amorolfine hydrochloride lacquer where the maximum strength of Amorolfine in lacquer does not exceed 5 per cent by weight in volume, Amoxicillin, Co-Codamol, Co-dydramol 10/500 tablets, Codeine Phosphate, Erythromycin, Flucloxacillin, Silver Sulfadiazine, Tioconazole 28%, Topical hydrocortisone where the maximum strength of hydrocortisone in the medicinal product does not exceed 1 per cent by weight in weight. | 6. The sale or supply shall be subject to the presentation of an order signed by— a registered optometrist for a medicine listed under item (a) in column 2; a registered chiropodist or podiatrist for a medicine listed under item (b) in column 2. |
| 7. Registered optometrists. | 7. Prescription only medicines listed in item (a) of paragraph 6 column 2. | 7. The sale or supply shall be only— in the course of their professional practice, and in an emergency. |
| 8. Persons lawfully conducting a retail pharmacy business within the meaning of section 69 of the Medicines Act 1968. | 8. Medicinal products not for parenteral administration which are prescription only medicines by reason only that they contain any of the following substances— Acetylcysteine, Atropine sulphate, Azelastine hydrochloride, Diclofenac sodium, Emedastine, Homotropine hydrobromide, Ketotifen, Levocabastine, Lodoxamide, Nedocromil sodium, Olopatadine, Pilocarpine hydrochloride, Pilocarpine nitrate, Polymyxin B/bacitracin, Polymyxin B/trimethoprim, Sodium cromoglycate. | 8. The sale or supply shall be subject to the presentation of an order signed by an additional supply optometrist. |
| 9. Additional supply optometrists. | 9. Prescription only medicines specified in paragraph 8 column 2. | 9. The sale or supply shall be only— in the course of their professional practice, and in an emergency. |
| 10. Holders of marketing authorisations, product licences or manufacturer’s licences. | 10. Prescription only medicines referred to in those authorisations or licences. | 10. The sale or supply shall be only— to a pharmacist, so as to enable that pharmacist to prepare an entry relating to the prescription only medicine in question in a tablet or capsule identification guide or similar publication, and of no greater quantity than is reasonably necessary for that purpose. |
| 11. Registered chiropodists or podiatrists against whose names are recorded in the relevant register annotations signifying that they are qualified to use the medicine specified in column 2. | 11. The following prescription only medicines— Amorolfine hydrochloride cream where the maximum strength of the Amorolfine in the cream does not exceed 0.25 per cent by weight in weight, Amorolfine hydrochloride lacquer where the maximum strength of Amorolfine in lacquer does not exceed 5 per cent by weight in volume, Amoxicillin, Co-Codamol, Co-dydramol 10/500 tablets, Codeine Phosphate, Erythromycin, Flucloxacillin, Silver Sulfadiazine, Tioconazole 28%, Topical hydrocortisone where the maximum strength of hydrocortisone in the medicinal product does not exceed 1 per cent by weight in weight. | 11. The sale or supply shall be only in the course of their professional practice. |
PART 2 — Exemption from the restriction on supply of prescription only medicines
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| Persons exempted | Prescription only medicines to which the exemption applies | Conditions |
| 1. Royal National Lifeboat Institution and certified first aiders of the Institution. | 1. All prescription only medicines | 1. The supply shall be only so far as is necessary for the treatment of sick or injured persons in the exercise of the functions of the Institution. |
| 2. The owner or master of a ship which does not carry a doctor on board as part of the ship’s complement. | 2. All prescription only medicines. | 2. The supply shall be only so far as is necessary for the treatment of persons on the ship. |
| 3. Persons authorised by licences granted under regulation 5 of the Misuse of Drugs Regulations 2001[^f00124] or regulation 5 of the Misuse of Drugs Regulations (Northern Ireland) 2002[^f00125] to supply a controlled drug. | 3. Such prescription only medicines, being controlled drugs, as are specified in the licence. | 3. The supply shall be subject to such conditions and in such circumstances and to such an extent as may be specified in the licence. |
| 4. Persons employed or engaged in the provision of lawful drug treatment services. | 4. Ampoules of sterile water for injection that contain no more than 2ml of water each. | 4. The supply shall be only in the course of provisions of lawful drug treatment services. |
| 5. Persons requiring prescription only medicines for the purpose of enabling them, in the course of any business carried on by them, to comply with any requirements made by or in pursuance of any enactment with respect to the medical treatment of their employees. | 5. Such prescription only medicines as may be specified in the relevant enactment. | 5. The supply shall be— for the purpose of enabling them to comply with any requirements made by or in pursuance of any such enactment, and subject to such conditions and such circumstances as may be specified in the relevant enactment. |
| 6. Persons operating an occupational health scheme. | 6. Prescription only medicines sold or supplied to a person operating an occupational health scheme in response to an order in writing signed by a doctor or a registered nurse. | 6. The supply of the prescription only medicine shall be— in the course of operating an occupational health scheme, and made by— a doctor, or a registered nurse acting in accordance with the written directions of a doctor as to the circumstance in which such medicines are to be used in the course of an occupational health scheme. |
| 7. The operator or commander of an aircraft. | 7. Prescription only medicines which are not for parenteral administration and which have been sold or supplied to an operator or commander of an aircraft in response to an order in writing signed by a doctor. | 7. The supply shall be only so far as is necessary for the immediate treatment of sick or injured persons on the aircraft and shall be in accordance with the written instructions of a doctor as to the circumstances in which prescription only medicines of the description in question are to be used on the aircraft. |
| 8. Persons employed as qualified first-aid personnel on off-shore installations. | 8. All prescription only medicines. | 8. The supply shall be only so far as is necessary for the treatment of persons on the installation. |
| 9. Persons who hold a certificate in first aid from the Mountain Rescue Council of England and Wales, or from the Northern Ireland Mountain Rescue Co-ordinating Committee. | 9. Prescription only medicines supplied to a person specified in column 1 in response to an order in writing signed by a doctor. | 9. The supply shall be only so far as is necessary for the treatment of sick or injured persons in the course of providing mountain rescue services. |
| 10. Persons (“P”) who are members of Her Majesty’s armed forces. | 10. All prescription only medicines. | 10. The supply shall be— in the course of P undertaking any function as a member of Her Majesty’s armed forces; and where P is satisfied that it is not practicable for another person who is legally entitled to supply a prescription only medicine to do so; and only in so far as is necessary— for the treatment of a sick or injured person in a medical emergency, or to prevent ill-health where there is a risk that a person would suffer ill-health if the prescription only medicine is not supplied. |
PART 3 — Exemptions from the restriction on administration of prescription only medicines
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| Persons exempted | Prescription only medicines to which the exemption applies | Conditions |
| 1. Registered chiropodists or podiatrists against whose names are recorded in the relevant register annotations signifying that they are qualified to use the medicines specified in column 2. | 1. Prescription only medicines for parenteral administration that contain— Adrenaline, Bupivacaine hydrochloride, Bupivacaine hydrochloride with adrenaline where the maximum strength of adrenaline does not exceed 1 mg in 200 ml of bupivacaine hydrochloride, Levobupivacaine hydrochloride, Lidocaine hydrochloride, Lidocaine hydrochloride with adrenaline where the maximum strength of adrenaline does not exceed 1 mg in 200 ml of lignocaine hydrochloride, Mepivacaine hydrochloride, Methylprednisolone, Prilocaine hydrochloride, Ropivacaine hydrochloride. | 1. The administration shall only be in the course of their professional practice and where the medicine includes a combination of substances in column 2, those substances shall not have been combined by the chiropodist or podiatrist. |
| 2. Registered midwives and student midwives. | 2. Prescription only medicines for parenteral administration containing any of the following substances but no other substance that is classified as a product available on prescription only— Adrenaline, Anti-D immunoglobulin, Carboprost, Cyclizine lactate, Diamorphine, Ergometrine maleate, Gelofusine, Hartmann’s solution, Hepatitis B vaccine, Hepatitis immunoglobulin, Lidocaine hydrochloride, Morphine, Naloxone hydrochloride, Oxytocins, natural and synthetic, Pethidine hydrochloride, Phytomenadione, Prochloperazine, Sodium chloride 0.9%. | 2. The medicine shall— in the case of Lidocaine and Lidocaine hydrochloride, be administered only while attending on a woman in childbirth, and where administration is— by a registered midwife, be administered in the course of their professional practice; by a student midwife— be administered under the direct supervision of a registered midwife; and not include Diamorphine, Morphine or Pethidine hydrochloride. |
| 3. Persons who are authorised as members of a group by a group authority granted under regulations 8(3) or 9(3) of the Misuse of Drugs Regulations 2001[^f00126] or, regulations 8(3) or 9(3) of the Misuse of Drugs Regulations (Northern Ireland) 2002[^f00127], to supply a controlled drug by way of administration only. | 3. Prescription only medicines that are specified in the group authority. | 3. The administration shall be subject to such conditions and in such circumstances and to such extent as may be specified in the group authority. |
| 4. The owner or master of a ship which does not carry a doctor on board as part of the ship’s complement. | 4. All prescription only medicines that are for parenteral administration. | 4. The administration shall be only so far as is necessary for the treatment of persons on the ship. |
| 5. Persons operating an occupational health scheme. | 5. Prescription only medicines that are for parenteral administration sold or supplied to the person operating an occupational health scheme in response to an order in writing signed by a doctor or a registered nurse. | 5. The prescription only is administered in the course of an occupational health scheme, and the individual administering the medicine is— a doctor, or a registered nurse acting in accordance with the written instructions of a doctor as to the circumstances in which prescription only medicines of the description in question are to be used. |
| 6. The operator or commander of an aircraft. | 6. Prescription only medicines for parenteral administration which have been sold or supplied to the operator or commander of the aircraft in response to an order in writing signed by a doctor. | 6. The administration shall be only so far as is necessary for the immediate treatment of sick or injured persons on the aircraft and shall be in accordance with the written instructions of the doctor as to the circumstances in which prescription only medicines of the description in question are to be used on the aircraft. |
| 7. Persons employed as qualified first-aid personnel on off-shore installations. | 7. All prescription only medicines that are for parenteral administration. | 7. The administration shall be only so far as is necessary for the treatment of persons on the installation. |
| 8. Persons who are registered paramedics. | 8. The following prescription only medicines for parenteral administration— Diazepam 5 mg per ml emulsion for injection, Succinylated Modified Fluid Gelatin 4 per cent intravenous infusion, medicines containing the substance Ergometrine Maleate 500 mcg per ml with Oxytocin 5 iu per ml, but no other active ingredient, prescription only medicines containing one or more of the following substances, but no other active ingredient— Adrenaline Acid Tartrate, Adrenaline hydrochloride, Amiodarone, Anhydrous glucose, Benzlypenicillin, Compound Sodium Lactate Intravenous Infusion (Hartmann’s Solution), Ergometrine Maleate, Furosemide, Glucose, Heparin Sodium, Lidocaine Hydrochloride, Metoclopramide, Morphine Sulphate, Nalbuphine Hydrochloride, Naloxone Hydrochloride, Ondansetron Paracetamol, Reteplase, Sodium Chloride, Streptokinase, Tenecteplase. | 8. The administration shall be only for the immediate, necessary treatment of sick or injured persons and in the case of prescription only medicine containing Heparin Sodium shall be only for the purpose of cannula flushing. |
| 9. Persons who hold the advanced life support provider certificate issued by the Resuscitation Council (UK). | 9. The following prescription only medicines for parenteral administration — Adrenaline 1:10,000 up to I mg; and Amiodarone. | 9. The administration shall be only in an emergency involving cardiac arrest, and in the case of adrenaline the administration shall be intravenous only. |
PART 4 — Exemptions from the restrictions in regulations 220 and 221 for certain persons who sell, supply, or offer for sale or supply certain medicinal products
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| Persons exempted | Medicinal products to which exemption applies | Conditions |
| 1. Registered chiropodists and podiatrists. | 1. Medicinal products on a general sale list which are for external use and are not veterinary drugs and the following pharmacy medicines for external use— Potassium permanganate crystals or solution; ointment of heparinoid and hyaluronidase; and products containing, as their only active ingredients, any of the following substances, at a strength, in the case of each substance, not exceeding that specified in relation to that substance— 9.0 per cent Borotannic complex 10.0 per cent Buclosamide 3.0 per cent Chlorquinaldol 1.0 per cent Clotrimazole 10.0 per cent Crotamiton 5.0 per cent Diamthazole hydrochloride 1.0 per cent Econazole nitrate 1.0 per cent Fenticlor 10.0 per cent Glutaraldehyde 1.0 per cent Griseofulvin 0.4 per cent Hydrargaphen 2.0 per cent Mepyramine maleate 2.0 per cent Miconazole nitrate 2.0 per cent Phenoxypropan-2-ol 20.0 per cent Podophyllum resin 10.0 per cent Polynoxylin 70.0 per cent Pyrogallol 70.0 per cent Salicylic acid 1.0 per cent Terbinafine 0.1 per cent Thiomersal. | |
| 2. Registered chiropodists and podiatrists against whose names are recorded in the relevant register annotations signifying that they are qualified to use the medicines in column 2. | 2. The following prescription only medicines— Amorolfine hydrochloride cream where the maximum strength of the Amorolfine in the cream does not exceed 0.25 per cent by weight in weight, Amorolfine hydrochloride lacquer where the maximum strength of Amorolfine in the lacquer does not exceed 5 per cent by weight in volume, Amoxicillin, Co-Codamol, Co-dydramol 10/500 tablets, Codeine Phosphate, Erythromycin, Flucloxacillin, Silver Sulfadiazine, Tioconazole 28%, Topical hydrocortisone where the maximum strength of the hydrocortisone in the medicinal product does not exceed 1 per cent by weight in weight; and Ibuprofen, other than preparations of ibuprofen which are prescription only medicines. | 2. The sale or supply shall be only in the course of their professional practice, and the medicinal product must have been made up for sale or supply in a container elsewhere than at the place at which it is sold or supplied. |
| 3. Registered optometrists. | 3. All medical products on a general sale list, all pharmacy medicines and prescription only medicines which are not for parenteral administration and which— are eye drops and are prescription only medicines by reason only that they contain not more than— 30.0 per cent Sulphacetamide Sodium, or 0.5 per cent Chloramphenicol, or are eye ointments and are prescription only medicines by reason only that they contain not more than— 30.0 per cent Sulphacetamide Sodium, or 1.0 per cent Chloramphenicol, or are prescription only medicines by reason only that they contain any of the following substances— Cyclopentolate hydrochloride, Fusidic acid, Tropicamide. | 3. The sale or supply shall be only— in the case of medicinal products on a general sale list and pharmacy medicines, in the course of their professional practice; in the case of prescription only medicines, in the course of their professional practice and in an emergency. |
| 4. Additional supply optometrists. | 4. Medicinal products which are prescription only medicines by reason only that they contain any of the following substances— Acetylcysteine, Atropine sulphate, Azelastine hydrochloride, Diclofenac sodium, Emedastine, Homotropine hydrobromide, Ketotifen, Levocabastine, Lodoximide, Nedocromil sodium, Olopatadine, Pilocarpine hydrochloride, Pilocarpine nitrate, Polymyxin B/bacitracin, Polymyxin B/trimethoprim, Sodium Cromoglycate. | 4. The sale or supply shall be only in the course of their professional practice and only in an emergency. |
| 5. Holders of manufacturer’s licences where the licence in question contains a provision that the licence holder shall manufacture the medicinal product to which the licence relates only for a particular person after being requested by or on behalf of that person and in that person’s presence to use his own judgement as to the treatment required. | 5. Medicinal products on a general sale list which are for external use and are not veterinary drugs and pharmacy medicines which are for external use in the treatment of hair and scalp conditions and which contain any of the following— not more than 5.0 per cent of Boric acid, Isopropyl myristate or Lauryl sulphate, not more than 0.004 per cent Oestrogens, not more than 1.0 per cent of Resorcinol, not more than 3.0 per cent of Salicylic acid, not more than 0.2 per cent of Sodium pyrithione. | 5. The licence holder shall sell or supply the medicinal product in question only to a particular person after being requested by or on behalf of that person and in that person’s presence to use his own judgement as to the treatment required. |
| 6. Persons selling or supplying medicinal products to universities, other institutions concerned with higher education or institutions concerned with research. | 6. All medicinal products. | 6. The sale or supply shall be— Subject to the presentation of an order signed by the principal of the institution concerned with education or research or the appropriate head of department in charge of the specified course of research stating— the name of the institution for which the medicinal product is required, the purpose for which the medicinal product is required, and the total quantity required, and for the purposes of the education or research with which the institution is concerned. |
| 7. Persons selling or supplying medicinal products to organisations for research purposes. | 7. All medicinal products. | 7. The sale or supply is only for the purposes of research and shall be— subject to the presentation of an order signed by the representative of the organisation concerned stating— who requires the medicine, the purposes for which it is required, the quantity required, and the purposes of the research with which the organisation is concerned; and not for administration to humans. |
| 8. Persons selling or supplying medicinal products to any of the following— a public analyst appointed under section 27 of the Food Safety Act 1990 or under article 27 of the Food Safety (Northern Ireland) Order 1991; an agricultural analyst appointed under section 67 of the Agriculture Act 1970[^f00128], a person duly authorised by an enforcement authority under regulations 325 to 328, a sampling officer within the meaning a sampling officer within the meaning of Schedule 31. | 8. All medicinal products. | 8. The sale or supply is in connection with the exercise of any statutory function carried out by any person listed in sub-paragraphs (a) to (d) of column 1 provided that— the medicinal products are requested on an order signed by or on behalf of a person listed in sub-paragraph (a) to (d) of column 1, and the order gives— the status of the person signing it, the amount of medicinal product required. |
| 9. Holders of a marketing authorisation, a certificate of registration or a manufacturer’s licence. | 9. Medicinal product referred to in the marketing authorisation, certificate of registration or manufacturer’s licence. | The sale or supply shall be only— to a pharmacist, so as to enable that pharmacist to prepare an entry relating to the medical product in question in a tablet or capsule identification guide or similar publication, and of no greater quantity than is reasonably necessary for that purpose. |
| 10. Registered dispensing opticians. | 10. Pharmacy medicines for external use containing chloramphenicol at a strength not exceeding— 0.5 per cent in eye drops; 1 per cent in ointment. | 10. The sale or supply shall only be in the course of their professional practice. |
PART 5 — Exemptions from the restrictions in regulations 220 and 221 for certain persons who supply certain medicinal products
| Column 1 | Column 2 | Column 3 |
|---|---|---|
| Persons exempted | Medicinal products to which exemption applies | Conditions |
| 1. Royal National Lifeboat Institution and certificated first aiders of the Institution. | 1. All medicinal products. | 1. The supply shall be only so far as is necessary for the treatment of sick or injured persons. |
| 2. British Red Cross Society and certificated first aid and certificated nursing members of the Society. | 2. All pharmacy medicines and all medicinal products on a general sale list. | 2. The supply shall be only so far as is necessary for the treatment of sick or injured persons. |
| 3. St John Ambulance Association and Brigade and certificated first aid and certificated nursing members of the Association and Brigade. | 3. All pharmacy medicines and all medicinal products on a general sale list. | 3. The supply shall be only so far as is necessary for the treatment of sick or injured persons. |
| 4. St. Andrew’s Ambulance Association and certificated first aid and certificated nursing members of the Association. | 4. All pharmacy medicines and all medicinal products on a general sale list. | 4. The supply shall be only so far as is necessary for the treatment of sick and injured persons. |
| 5. Order of Malta Ambulance Corps and certificated first aid and certificated nursing members of the Corps. | 5. All pharmacy medicines and all medicinal products on a general sale list. | 5. The supply shall be only so far as is necessary for the treatment of sick or injured persons. |
| 6. Persons authorised by licences granted under regulation 5 of the Misuse of Drugs Regulations 2001 or regulation 5 of the Misuse of Drugs Regulations (Northern Ireland) 2002. | 6. Such prescription only medicines and such pharmacy medicines as are specified in the licence. | 6. The supply shall be subject to such conditions and in such circumstances and to such an extent as may be specified in the licence. |
| 7. Persons employed or engaged in the provision of lawful drug treatment services. | 7. Ampoules of sterile water for injection that contain no more than 5ml of water each. | 7. The supply shall be only in the course of provision of lawful drug treatment services. |
| 8. Persons requiring medicinal products for the purpose of enabling them, in the course of any business carried on by them, to comply with any requirements made by or in pursuance of any enactment with respect to the medical treatment of their employees. | 8. Such prescription only medicines and such pharmacy medicines as may be specified in the relevant enactment and medicinal products on a general sale list. | 8. The supply shall be— for the purpose of enabling compliance with any requirement made by or in pursuance of any such enactment, and subject to such conditions and in such circumstances as may be specified in the relevant enactment. |
| 9. The owner or master of a ship which does not carry a doctor on board as part of the ship’s complement. | 9. All medicinal products. | 9. The supply shall be only so far as is necessary for the treatment of persons on the ship. |
| 10. Persons operating an occupational health scheme. | 10. All pharmacy medicines, all medicinal products on a general sale list and such prescription only medicines as are sold or supplied to a person operating an occupational health scheme in response to an order signed by a doctor or a registered nurse. | 10. The supply shall be in the course of an occupational health scheme. The individual supplying the medicinal product, if not a doctor, shall be— a registered nurse, and where the medicinal product in question is a prescription only medicine, acting in accordance with the written instructions of a doctor as to the circumstances in which prescription only medicines of the description in question are to be used in the course of an occupational health scheme. |
| 11. Persons carrying on the business of a school providing full-time education. | 11. Pharmacy medicines that are for use in the prevention of dental caries and consist of or contain Sodium Fluoride. | 11. The supply shall be— in the course of a school dental scheme, and if to a child under 16 only where the parent or guardian of that child has consented to such supply. |
| 12. Health authorities or Primary Health Trusts. | 12. Pharmacy medicines that are for use in the prevention of dental caries and consist of or contain Sodium Fluoride. | 12. The supply shall be in the course of— a pre-school dental scheme, and the individual supplying the medicinal product shall be a registered nurse, or a school dental scheme, and if to a child under 16 only where the parent or guardian of that child has consented to such supply. |
| 13. The operator or commander of an aircraft. | 13. All pharmacy medicines, all medicinal products on a general sale list and such prescription only medicines which are not for parenteral administration and which have been sold or supplied to the operator or commander of an aircraft in response to an order in writing signed by a doctor. | 13. The supply shall be only so far as is necessary for the immediate treatment of sick or injured persons on the aircraft and, in the case of a prescription only medicine, shall be in accordance with the written instructions of a doctor as to the circumstances in which the prescription only medicines of the description in question are to be used on the aircraft. |
| 14. Persons employed as qualified first-aid personnel on offshore installations. | 14. All medicinal products. | 14. The supply shall be only so far as is necessary for the treatment of persons on the installation. |
| 15. A prison officer. | 15. All medicinal products on the general sale list. | 15. The supply shall only be so far as is necessary for the treatment of prisoners. |
| 16. Persons who hold a certificate in first aid from the Mountain Rescue Council of England and Wales, or from the Northern Ireland Mountain Rescue Co-ordinating Committee. | 16. All pharmacy medicines, all medicinal products on a general sale list and such prescription only medicines which are sold or supplied to a person specified in column 1 of this paragraph in response to an order in writing signed by a doctor. | 16. The supply shall be only so far as is necessary for the treatment of sick or injured persons in the course of providing mountain rescue services. |
| 17. Her Majesty’s armed forces. | 17. All medicinal products. | 17. The supply shall be only so far as is necessary for the treatment of a sick or injured person or the prevention of ill-health. |
SCHEDULE 18 — Substances that may not be sold or supplied by a pharmacist without a prescription in reliance on regulation 225
- Ammonium bromide
- Calcium bromide
- Calcium bromidolactobionate
- Embutramide
- Fencamfamin hydrochloride
- Fluanisone
- Hexobarbitone
- Hexobarbitone sodium
- Hydrobromic acid
- Meclofenoxate hydrochloride
- Methohexitone sodium
- Pemoline
- Piracetam
- Potassium bromide
- Prolintane hydrochloride
- Sodium bromide
- Strychnine hydrochloride
- Tacrine hydrochloride
- Thiopentone sodium
SCHEDULE 19 — Medicinal products for parenteral administration in an emergency
- Adrenaline 1:1000 up to 1mg for intramuscular use in anaphylaxis
- Atropine sulphate and obidoxime chloride injection
- Atropine sulphate and pralidoxime chloride injection
- Atropine sulphate injection
- Atropine sulphate, pralidoxime mesilate and avizafone injection
- Chlorphenamine injection
- Dicobalt edetate injection
- Glucagon injection
- Glucose injection
- Hydrocortisone injection
- Naloxone hydrochloride
- Pralidoxime chloride injection
- Pralidoxime mesilate injection
- Promethazine hydrochloride injection
- Snake venom antiserum
- Sodium nitrite injection
- Sodium thiosulphate injection
- Sterile pralidoxime
SCHEDULE 20 — Herbal medicinal products specified for the purposes of regulation 241
PART 1
| Botanical Source | Common Name |
|---|---|
| Apocynum cannabinum | Canadian hemp |
| Areca catechu | Areca |
| Artemisia cina | Santonica |
| Brayera anthelmintica | Kousso |
| Catha edulis | Catha |
| Chenopodium ambrosioides var anthelminticum | Chenopodium |
| Crotalaria berberoana | Crotalaria fulva |
| Crotalaria spectabilis | Crotalaria spect. |
| Cucurbita maxima | Cucurbita |
| Delphinium staphisagria | Stavesacre seeds |
| Dryopteris filix-mas | Male fern |
| Duboisia leichardtii Duboisia myoporoides | Duboisia |
| Ecballium elaterium | Elaterium |
| Embelia ribes Embelia robusta | Embelia |
| Erysimum canescens | Erysimum |
| Holarrhena antidysenterica | Holarrhena |
| Juniperus sabina | Savin |
| Mallotus philippinensis | Kamala |
| Pausinystalia yohimbe | Yohimbe bark |
| Punica granatum | Pomegranate bark |
| Rhus radicans | Poison ivy |
| Scopolia carniolica Scopolia japonica | Scopolia |
| Strophanthus courmonti Strophanthus emini Strophanthus gratus Strophanthus hispidus Strophanthus kombe Strophanthus nicholsoni Strophanthus sarmentosus | Strophanthus |
| Ulmus fulva Ulmus rubra | Slippery elm bark (whole or unpowdered) |
| Viscum album | Misletoe berry |
PART 2
| Column 1 | Column 1 | Column 2 | Column 3 |
|---|---|---|---|
| Substance | Substance | ||
| Botanical Source | Common Name | Maximum dose and maximum daily dose | Percentage |
| Aconitum balfourni Aconitum chasmanthum Aconitum deinorrhizum Aconitum lycoctonum Aconitum napellus Aconitum spicatum Aconitum stoerkianum Aconitum uncinatum var japonicum | Aconite | 1.3 per cent | |
| Adonis vernalis | Adonis vernalis | 100 mg (MD) 300mg (MDD) | |
| Aspidosperma quebrachoblanco | Quebracho | 50 mg (MD) 150 mg (MDD) | |
| Atropa acuminata Atropa belladonna | Belladonna herb, belladonna root | In the form of belladonna herb: 50 mg (MD) 150 mg (MDD); In the form of belladonna root: 30 mg (MD) 90 mg (MDD) | |
| Chelidonium majus | Celandine | 2 g (MD) 6 g (MDD) | |
| Cinchona calisaya Cinchona ledgerana Cinchona micrantha Cinchona officinalis Cinchona succirubra | Cinchona bark | 250 mg (MD) 750 mg (MDD) | |
| Colchicum autumnale | Colchicum corm | 100 mg (MD) 300 mg (MDD) | |
| Conium maculatum | Conium fruits, conium leaf | 7.0 per cent | |
| Convallaria majalis | Convallaria | 150 mg (MD) 450 mg (MDD) | |
| Datura innoxia Datura stramonium | Stramonium | 50 mg (MD) 150 mg (MDD) | |
| Ephedra distachya Ephedra equisetina Ephedra gerardiana Ephedra intermedia Ephedra sinica | Ephedra | 600 mg (MD) 1800 mg (MDD) | |
| Gelsemium sempervirens | Gelsemium | 25 mg (MD) 75 mg (MDD) | |
| Hyoscyamus albus Hyoscyamus muticus Hyoscyamus niger | Hyoscyamus | 100mg (MD) 300 mg (MDD) | |
| Lobelia inflata | Lobelia | 200 mg (MD) 600 mg (MDD) | |
| Pilocarpus jaborandi Pilocarpus microphyllus | Jaborandi | 5.0 per cent | |
| Rhus toxicodendron | Poison oak | 10.0 per cent | |
| Senecio jacobaea | Ragwort | 10.0 per cent |
SCHEDULE 21 — Medicinal products at high dilutions
PART 1 — Dilutions of unit preparations diluted to at least one part in a thousand (3x)
- Agaricus muscarius
- Ailanthus glandulosa
- Apocynum cannabinum
- Aurum lodatum
- Belladonna
- Bismuth Subgallate
- Bryonia alba dioica
- Calcium Fluoride
- Cantharis
- Cerium oxalicum
- Chelidonium majus
- Chenopodium oil
- Cina
- Colocynthis
- Convallaria majalis
- Gelsemium sempervirens
- Hyoscyamus niger
- Lycopodium
- Manganese acetate
- Ranunculus bulbosus
- Terebinthinae oleum
PART 2 — Dilutions of unit preparations diluted to at least one part in a million (6x)
- Adonis vernalis
- Agaricus bulbosus
- Agaricus muscarius
- Agnus castus
- Ailanthus glandulosa
- Alum
- Amethyst
- Ammonium Iodide
- Amygdalae amarae
- Apatite
- Apocynum androsaemifolium
- Apocynum cannabinum
- Argentite
- Argentum Chloride
- Argentum Iodide
- Arnica
- Artemisia cina
- Aspidium filix-mas
- Aspidium anthelmintica
- Aurum Sulphide
- Balsamum copivae
- Balsamum peruvianum
- Barium Citrate
- Barium Citrate
- Barium Sulphate
- Bismuth Metal
- Bismuth Subgallate
- Bismuth Subnitrate
- Boletus laricis
- Bovista
- Cade Oil
- Calcium Fluoride
- Cantharis
- Carduus marianus
- Cedar Wood Oil
- Cerium Oxalicum
- Chalcocite
- Chalcopyrite
- Chelidonium majus
- Chenopodium Oil
- Colocynthis
- Convallaria majalis
- Copper Silicate, Nat.
- Crotalus horridus
- Cucurbita
- Cucumis melo
- Datura Stramonium
- Derris
- Diamond
- Ephedra vulgaris
- Ferric Acetate
- Ferrous Iodide
- Ferrous Oxalate
- Ferrous Sulphide
- Formic Acid
- Gall
- Gelsemium sempervirens
- Gneiss
- Granatum ( Pomegranate) Bark
- Harmamelis Virginiana
- Hepar Sulfuris
- Hyoscyamus niger
- Iris florentine
- Jaborandi
- Juniperus sabina
- Kalinite
- Lachmanthus tinctoria
- Lapis Albus
- Lycopodium
- Magnesium
- Magnesium Acetate
- Magnesium Chloride
- Magnetite
- Manganese Acetate
- Nicotiana tabacum
- Nicotiana tabacum oil
- Oleander
- Opuntia vulgaris
- Oxalic Acid
- Petroleum
- Phellandrium aquaticum
- Pix Liquida
- Platinum
- Platinum Chloride
- Potassium Hydroxide
- Potassium Silicate
- Pyrethrum
- Pyrolusite
- Ranunculus acris
- Ranunculus bulbosus
- Ranunculus flammula
- Ranunculus repens
- Ranunculus sceleratus
- Rhodium Oxynitrate
- Rhododendron chrysanthemum
- Rhus toxicodendron
- Salicylic Acid
- Scrophularia aquatica
- Sodium Aluminium Chloride
- Sodium Auro-chloride
- Sodium Hypochlorite
- Sodium Nitrate
- Squill
- Stannum Metal
- Staphisagria
- Sulphur Iodide
- Tamus communis
- Tannic Acid
- Terebinthinae Oleum
- Theridion
- Thuja occidentalis
- Topaz
- Uric Acid
- Zinc Hypophosphite
- Zinc Isovalerate
PART 3 — Dilutions of unit preparations diluted to at least one part in ten (1x)
- Abies excelsa
- Abies nigra
- Abies nobilis
- Acalpha indica
- Agate
- Alisma plantago Aq.
- Alstonia scholaris
- Aluminium
- Amber (Succinum)
- Ambra grisea
- Ammonium Phosphate
- Angostura vera
- Anthoxanthum
- Apis mellifera
- Aqua Marina
- Aqua Mellis
- Aralia racemosa
- Aranea diadema
- Arum maculatum
- Arum triphyllum
- Asarum
- Asperula odorata
- Astacus fluviatillis
- Auric Chloride
- Badiaga
- Beech (fagus sylvestris)
- Bellis perennis
- Berberis aquifolium
- Borago officinalis
- Butyric Acid
- Calcium Metal
- Calcium Chloride
- Calcium Oxide
- Calcium Sulphate
- Castoreum
- Ceanothus americanus
- Cedron
- Cerato (Ceratostigma Willmottiana)
- Cherry Plum (Prunus cerasifera)
- Chestnut, Red and Sweet
- Cholesterinum
- Chrysolite
- Cistus canadensis
- Clematis erecta
- Conchae vera
- Conchiolinum
- Corallium Rubrum
- Crab Apple
- Crocus sativus
- Erbium
- Erigeron Canadense
- Fuligo
- Genista tinctoria
- Geum urbanum
- Glycogen
- Gnaphalium leontopodium
- Gold
- Gorse (Ulex europaeus)
- Graphites
- Gratiola officinalis
- Gymnocladus (American Coffee Tree)
- Haematoxylon Campechianum
- Hecla Lava (Ash from Mount Hecla)
- Hedeoma pulegioides
- Hedra helix
- Heliotrope
- Heracleum spondylium
- Herniaria
- Hornbeam (Carpinus betulus)
- Iberis amara
- Impatiens
- Iris germanica
- Iris pseudacorus
- Jacaranda procera
- Jatropha curcas
- Juncus communis
- Justica adhatoda
- Lamium album
- Laurus nobilis oil
- Laurocerasus
- Ledum palustre
- Lilium tigrinum
- Lonicera caprifolium
- Lysimachia vulgaris
- Magnesium Phosphate
- Magnesite
- Magnolia
- Marum verum
- Melilotus officinalis
- Menispermum canadense
- Pephitis putorius
- Mercurialis perennis
- Mimulus (Mimullis guttatus)
- Moschus
- Myrica gale
- Myrtus communis
- Ocimum basilicum
- Olive
- Oxalis acetosella
- Pangamic Acid
- Paullinia cupana
- Penthorum sedoides
- Pollen (mixed)
- Polygonatum multiflorum
- Polygonum aviculare
- Polypodium vulgare
- Primula vulgaris
- Prunella vulgaris
- Ptellea trifoliata
- Ratanhia
- Robinia pseudoacacia
- Rubia tinctorum
- Rumex acetosella
- Sal Marina
- Sarcolactic Acid
- Sarracenia purpurea
- Scleranthus (Scleranthus annuus)
- Silica
- Silphium laciniathum
- Sodium Benzoate
- Spongia marina
- Star of Bethlehem (Ornithogalum umbellatum)
- Ulmus campestris
- Vine
- Walnut (juglerus regia)
- Water Violet (Hottonia palustris)
- Wild Oat
- Wild Rose
PART 4 — Dilutions of unit preparations diluted to at least one part in ten (1x) for external use
- Adonis vernalis
- Agricus bulbosus
- Agricus muscarius
- Agnus castus
- Allanthus glandulosa
- Alum
- Amethyst
- Ammonium Iodide
- Amygdalae amarae
- Apatite
- Apocynum androsaemifolium
- Apocynum cannabinum
- Argentite
- Argentum Chloride
- Argentum Iodide
- Artemisia cina
- Aspidium filix-mas
- Aspidium anthelmintica
- Aurum Sulphide
- Balsamum copaivae
- Balsamum peruvianum
- Barium Citrate
- Barium Sulphate
- Bismuth Metal
- Bismuth Subgallate
- Bismuth Subnitrate
- Boletus laricis
- Bovista
- Cade Oil
- Calcium Fluoride
- Carduus marianus
- Cedar Wood Oil
- Cerium Oxalicum
- Chalcocite
- Chalcopyrite
- Chelidonium majus
- Chenopodium Oil
- Colocynthis
- Convallaria majalis
- Copper Silicate, Nat
- Crotalus horridus
- Cucurbita
- Cucumis melo
- Datura stramonium
- Derris
- Diamond
- Ephedra vulgaris
- Ferric Acetate
- Ferrous Iodide
- Ferrous Oxalate
- Ferrous Sulphide
- Formic Acid
- Gall
- Gelsemium sempervirens
- Gneiss
- Hamamelis virginiana
- Hepar Sulfuris
- Hyoscyamus niger
- Iris florentine
- Jaborandi
- Juniperus sabina
- Kaolinite
- Lachmanthus tinctoria
- Lapis Albus
- Lycopodium
- Magnesium
- Magnesium Acetate
- Magnesium Chloride
- Magnetite
- Manganese Acetate
- Nicotiana tabacum
- Nicotiana tabacum oil
- Oleander
- Opuntia vulgaris
- Oxalic Acid
- Petroleum
- Phellandrium aquaticum
- Pix Liquida
- Platinum
- Platinum Chloride
- Potassium Hydroxide
- Potassium Silicate
- Pyrethrum
- Pyrolusite
- Ranunculus acris
- Ranunculus bulbosus
- Ranunculus flammula
- Ranunculus repens
- Ranunculus scelerantus
- Rhodium Oxynitrate
- Rhododendron chrysanthemum
- Rhus toxicidendron
- Salicylic Acid
- Scrophularia aquatica
- Sodium Aluminium Chloride
- Sodium Auro-chloride
- Sodium Hypochlorite
- Sodium Nitrate
- Squill
- Stannum Metal
- Sulphur Iodide
- Tannic Acid
- Terebinthinae Oleum
- Topaz
- Uric Acid
- Zinc Hypophosphite
- Zinc Isovalerate
SCHEDULE 22 — Classes of person for the purposes of regulation 249
- Doctors
- Dentists
- Persons lawfully conducting a retail pharmacy business within the meaning of section 69 of the Medicines Act 1968.
- Authorities or persons carrying on the business of— an independent hospital, independent clinic or independent medical agency, a hospital or health centre which is not an independent hospital or independent clinic, or in Northern Ireland, a nursing home.
- Holders of wholesale dealer’s licences or persons to whom the restrictions imposed by regulation 18(1) do not apply by virtue of an exemption in these Regulations.
- Ministers of the Crown and Government departments.
- Scottish Ministers.
- Welsh Ministers.
- A Northern Ireland Minister.
- An NHS trust.
- An NHS foundation trust.
- The Common Services Agency.
- A health authority or a special health authority.
- A Primary Care Trust.
- A person other than an excepted person who carries on a business consisting (wholly or partly) of supplying medicinal products in circumstances corresponding to retail sale, or of administering such products, pursuant to an arrangement made with— an NHS trust or an NHS foundation trust; the Common Services Agency; a health authority or a special health authority; or a Primary Care Trust.
- A person other than an excepted person who carries on a business consisting (wholly or partly) of the supply or administration of medicinal products for the purpose of assisting the provision of health care by or on behalf of, or under arrangements made by— a police force in England, Wales or Scotland; the Police Service of Northern Ireland; a prison service; or Her Majesty’s Forces.
- In this Schedule “excepted person” means— a doctor or dentist; or a person lawfully conducting a retail pharmacy business within the meaning of section 69 of the Medicines Act 1968.
SCHEDULE 23 — Particulars in pharmacy records
1
Paragraph 2 applies, subject to paragraph 3, where the sale or supply of a prescription only medicine is—
- (a) in pursuance of a prescription given by—
- (i) a doctor or dentist,
- (ii) a supplementary prescriber,
- (iii) a community practitioner nurse prescriber,
- (iv) a nurse independent prescriber,
- (v) an optometrist independent prescriber,
- (vi) a pharmacist independent prescriber,
- (vii) a podiatrist independent prescriber,
- (viii) a physiotherapist independent prescriber, ...
- (ix) a therapeutic radiographer independent prescriber; or
- (x) a paramedic paramedic independent prescriber; or
- (b) under regulation 224 (emergency sale etc by pharmacist: prescriber unable to provide prescription).
2
In such a case, the particulars referred to in regulation 253(2)(a) are—
- (a) the date on which the prescription only medicine was sold or supplied;
- (b) the name, quantity and, except where it is apparent from the name, the pharmaceutical form and strength of the prescription only medicine sold or supplied;
- (c) the name and address of the person giving the prescription;
- (d) the name and address of the person for whom the prescription only medicine was prescribed;
- (e) the date on the prescription; and
- (f) in relation to the sale or supply of a prescription only medicine under regulation 224 the date on which the prescription relating to that sale or supply is received.
3
Where the sale or supply is in pursuance of a repeatable prescription and is not the first sale or supply in pursuance of that prescription, the particulars referred to in regulation 253(2)(a) are either—
- (a) the date on which the prescription only medicine is sold or supplied and a reference to the entry in the record referred to in regulation 253(1) which was made in respect of the first sale or supply in pursuance of that prescription and which contains the particulars specified in paragraph 2; or
- (b) the particulars specified in paragraph 2.
4
Where the sale or supply of a prescription only medicine is a sale or supply under regulation 225 (emergency sale etc by pharmacist: at patient's request), the particulars referred to in regulation 253(2)(a) are—
- (a) the date on which the prescription only medicine was sold or supplied;
- (b) the name, quantity and, except where it is apparent from the name, the pharmaceutical form and strength of the prescription only medicine sold or supplied;
- (c) the name and address of the person requiring the prescription only medicine; and
- (d) the nature of the emergency.
5
Paragraph 6 applies where—
- (a) the sale or supply of a prescription only medicine is by way of wholesale dealing and no order or invoice or copy of the order or invoice has been retained under regulation 224 or 225; or
- (b) the sale or supply is one to which regulation 214(1) does not apply by reason of an exemption other than that in regulation 224 or 225.
6
In such a case, the particulars referred to in regulation 253(2)(a) are—
- (a) the date on which the prescription only medicine is sold or supplied;
- (b) the name, quantity and, except where it is apparent from the name, the pharmaceutical form and strength of the prescription only medicine sold or supplied;
- (c) the name and address and trade, business or profession of the person to whom the prescription only medicine is sold or supplied; and
- (d) the purpose for which the prescription only medicine is sold or supplied.
SCHEDULE 24 — Packaging information requirements
PART 1 — Outer and immediate packaging
1
The name of the medicinal product.
2
The strength and pharmaceutical form of the product.
3
Where appropriate, whether the product is intended for babies, children or adults.
4
Where the product contains up to three active substances, the common name of each active substance.
5
A statement of the active substances in the product, expressed qualitatively and quantitatively per dosage unit or according to the form of administration for a given volume or weight, using their common names.
6
The pharmaceutical form and the contents by weight, by volume or by number of doses of the product.
7
A list of—
- (a) where the product is injectable or is a topical or eye preparation, all excipients; or
- (b) in any other case, those excipients known to have a recognized action or effect and included in the guidance published under regulation 257D ....
8
The method of administration of the product and if necessary the route of administration.
9
Where appropriate, space for the prescribed dose to be indicated.
10
A warning that the product must be stored out of the reach and sight of children.
11
Any special warning applicable to the product.
12
The product's expiry date (month and year), in clear terms.
13
Any special storage precautions relating to the product.
14
Any special precautions relating to the disposal of an unused product or part of a product, or waste derived from the product, and reference to any appropriate collection system in place.
15
The name and address of the holder of the UK marketing authorisation, ... Article 126a authorisation or traditional herbal registration relating to the product and, where applicable, the name of the holder's representative.
16
The number of the UK marketing authorisation, ... Article 126a authorisation or traditional herbal registration for placing the medicinal product on the market.
17
The manufacturer's batch number.
18
In the case of a product that is not a prescription only medicine, instructions for use.
PART 2 — Immediate packaging: blister packs
19
The name of the medicinal product.
20
The strength and pharmaceutical form of the product.
21
Where appropriate, whether the product is intended for babies, children or adults.
22
Where the product contains up to three active substances, the common name of each active substance.
23
The name of the holder of the UK marketing authorisation, ..., Article 126a authorisation or traditional herbal registration relating to the product.
24
The product's expiry date (month and year), in clear terms.
25
The manufacturer's batch number.
PART 3 — Immediate packaging: small packages
26
The name of the medicinal product.
27
The strength and pharmaceutical form of the product.
28
Where appropriate, whether the product is intended for babies, children or adults.
29
Where the product contains up to three active substances, the common name of each active substance.
30
The method of administration of the product and if necessary the route of administration.
31
The product's expiry date (month and year), in clear terms.
32
The manufacturer's batch number.
33
The contents of the packaging by weight, by volume or by unit.
SCHEDULE 25 — Packaging requirements: specific provisions
PART 1 — Medicines on prescription
1
Where the product is to be administered to a particular individual, the name of that individual.
2
The name and address of the person who sells or supplies the product.
3
The date on which the product is sold or supplied.
4
Unless paragraph 5, applies, such of the following particulars as the appropriate practitioner who prescribed the product may specify—
- (a) the name of the product or its common name;
- (b) directions for use of the product; and
- (c) precautions relating to the use of the product.
5
This paragraph applies if the pharmacist, in the exercise of professional skill and judgement, is of the opinion that the inclusion of one or more of the particulars mentioned in paragraph 4 is inappropriate.
6
Where paragraph 5 applies, the pharmacist may include such particulars, of the same kind as those mentioned in paragraph 4, as the pharmacist thinks appropriate.
PART 2 — Transport, delivery and storage
7
Any special requirements for the storage and handling of the product.
8
The expiry date of the product.
9
The manufacturer's batch number.
PART 3 — Pharmacy and prescription only medicines
10
Paragraph 11 applies if a pharmacy medicine is—
- (a) sold by retail;
- (b) supplied in circumstances corresponding to retail sale;
- (c) in the possession of a person for the purpose of sale or supply as mentioned in paragraph (a) or (b), or
- (d) distributed by way of wholesale dealing.
11
Where this paragraph applies, the capital letter “P” within a rectangle within which there is to be no other matter of any kind.
12
Paragraph 13 applies if a prescription only medicine is—
- (a) sold by retail;
- (b) supplied in circumstances corresponding to retail sale;
- (c) in the possession of a person for the purpose of sale or supply as mentioned in paragraph (a) or (b); or
- (d) distributed by way of wholesale dealing.
13
Where this paragraph applies, the capital letters “POM” within a rectangle within which there is to be no other matter of any kind.
PART 4 — Medicines containing paracetamol
14
If the product contains paracetamol, except where the name of the product includes the word “paracetamol” and appears on the outer and immediate packaging, the words “Contains paracetamol”.
15
If the product contains paracetamol the words “Do not take more medicine than the label tells you to. If you do not get better, talk to your doctor”, which must appear adjacent to either the directions for use or the recommended dosage.
16
If the product contains paracetamol, unless the product is wholly or mainly intended for children twelve years old or younger, the words “Do not take anything else containing paracetamol while taking this medicine” and—
- (a) if a package leaflet accompanying the product includes the words in quotation marks in paragraph 16 of Schedule 27 (package leaflets), the words “Talk to a doctor at once if you take too much of this medicine, even if you feel well”; or
- (b) if no package leaflet accompanies the product or the package leaflet does not include those words, the words “Talk to a doctor at once if you take too much of this medicine, even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage”.
17
If the product contains paracetamol and is wholly or mainly intended for children twelve years old or younger, the words “Do not give anything else containing paracetamol while giving this medicine” and—
- (a) if a package leaflet accompanying the product includes the words in quotation marks in paragraph 17 of Schedule 27 (package leaflets), the words “Talk to a doctor at once if your child takes too much of this medicine, even if they seem well”; or
- (b) if no package leaflet accompanies the product or the package leaflet does not include those words, the words “Talk to a doctor at once if your child takes too much of this medicine, even if they seem well. This is because too much paracetamol can cause delayed, serious liver damage”.
18
If the product is required by this Part of this Schedule to show the words set out in paragraphs 14, 16 or 17, those words must appear in a prominent position.
SCHEDULE 26 — Packaging requirements: special provisions
PART 1 — Supply by doctors, dentists, nurses, midwives and pharmacists
1
Where the product is to be administered to a particular individual, the name of that individual.
2
The name and address of the person who sells or supplies the product.
3
The date on which the product is sold or supplied.
4
Such of the following particulars as the person under whose responsibility the product is sold or supplied considers appropriate—
- (a) the name of the product or its common name;
- (b) directions for use of the product; and
- (c) precautions relating to the use of the product.
PART 2 — Pharmacy exceptions
5
Where the product is to be administered to a particular individual, the name of that individual.
6
The name and address of the person who sells or supplies the product.
7
The date on which the product is sold or supplied.
8
Where the product is prescribed by an appropriate practitioner, such of the following particulars as the appropriate practitioner who prescribed the product may specify, unless paragraph 9 applies —
- (a) the name of the product or its common name;
- (b) directions for use of the product; and
- (c) precautions relating to the use of the product.
9
This paragraph applies if a pharmacist, in the exercise of professional skill and judgement, is of the opinion that the inclusion of one or more of the particulars specified in paragraph 8 by the appropriate practitioner who prescribed the product is inappropriate.
10
Where paragraph 9 applies, the pharmacist may include such particulars, of the same kind as those mentioned in paragraph 8, as the pharmacist thinks appropriate.
11
Where the product is not prescribed by an appropriate practitioner, directions for use of the product, but these may be omitted in circumstances where section 10(3) of the Medicines Act 1968 applies.
SCHEDULE 27 — Package leaflets
PART 1 — General requirements
1
The name of the medicinal product.
2
The strength and pharmaceutical form of the product.
3
Where appropriate, whether the product is intended for babies, children or adults.
4
Where the product contains up to three active substances, the common name of each active substance.
5
The pharmaco-therapeutic group, or type of activity, of the product, in terms easily comprehensible for the patient.
6
The product's therapeutic indications.
7
A list of—
- (a) contra-indications;
- (b) appropriate precautions for use;
- (c) interactions with other medicinal products which may affect the action of the product;
- (d) interactions with other substances, including alcohol, tobacco and foodstuffs, which may affect the action of the product; and
- (e) special warnings, if any, relating to the product.
8
The list mentioned in paragraph 7 must—
- (a) take into account the special requirements of particular categories of users (including, in particular, children, pregnant or breastfeeding women, the elderly and persons with specific pathological conditions);
- (b) mention, if appropriate, possible effects on the ability to drive vehicles or to operate machinery; and
- (c) list any excipients—
- (i) if knowledge of the excipients is important for the safe and effective use of the product, and
- (ii) the excipients are included in the guidance published pursuant to published under regulation 257D ....
9
Instructions for proper use of the product including in particular—
- (a) the dosage;
- (b) the method and, if necessary, route of administration;
- (c) the frequency of administration (including, if necessary, specifying times at which the product may or must be administered);
- (d) the duration of treatment if this is to be limited;
- (e) symptoms of an overdose and the action, if any, to be taken in case of an overdose;
- (f) what to do if one or more doses have not been taken;
- (g) an indication, if necessary, of the risk of withdrawal effects; and
- (h) a specific recommendation to consult a doctor or pharmacist, as appropriate, for further explanation of the use of the product.
10
A description of the adverse reactions which may occur in normal use of the medicinal product and, if necessary, the action to be taken in such a case.
11
A reference to the expiry date printed on the packaging of the product with—
- (a) a warning against using the product after that date;
- (b) if appropriate, details of special storage precautions to be taken;
- (c) if necessary, a warning concerning visible signs of deterioration;
- (d) the full qualitative composition (in active substances and excipients), and the quantitative composition in active substances, using common names, of each presentation of the medicinal product;
- (e) for each presentation of the product, the pharmaceutical form and content in weight, volume or units of dosage;
- (f) the name and address of the holder of the UK marketing authorisation ..., Article 126a authorisation or traditional herbal registration relating to the product and, if applicable, the name of the holder's appointed representative; and
- (g) the name and address of the manufacturer of the product.
12
Where the product is authorised for sale or supply in Northern Ireland and is authorised under different names in different member States in accordance with Articles 28 to 39 of the 2001 Directive, a list of the names authorised in each member State.
13
For medicinal products included in the list referred to in Article 23 of Regulation (EC) No 726/2004 in the case of products for sale or supply in Northern Ireland, or the list referred to in regulation 202A, in the case of products for sale or supply in Great Britain, the symbol and statement: “▼ This medicinal product is subject to additional ... monitoring”.
14
A standardised text relating to adverse event reporting in accordance with the third sub-paragraph of Article 59(1) of the 2001 Directive.
15
The date on which the package leaflet was last revised.
PART 2 — Paracetamol
16
If a medicinal product contains paracetamol, unless the product is wholly or mainly intended for children twelve years old or younger, the words “Talk to a doctor at once if you take too much of this medicine even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage”.
17
If a medicinal product contains paracetamol and is wholly or mainly intended for children twelve years old or younger, the words “Talk to a doctor at once if your child takes too much of this medicine even if they seem well. This is because too much paracetamol can cause delayed, serious liver damage”.
SCHEDULE 28 — Labelling requirements for registrable homoeopathic medicinal products
PART 1 — Outer and immediate packaging
1
The scientific name of the stock or stocks (which may be supplemented by an invented name if the product contains two or more stocks), and the degree of dilution, making use of the symbols of the European Pharmacopoeia or, in the absence of an entry in the European Pharmacopoeia, of the British Pharmacopoeia.
2
The name and address of the holder of the certificate of registration and, if different, the manufacturer.
3
The method and, if necessary, route of administration.
4
The product's expiry date (month and year), in clear terms.
5
The product's pharmaceutical form.
6
The contents of the presentation, specified by weight, volume or number of doses.
7
Special storage precautions, if any.
8
A special warning, if necessary in relation to the product.
9
The manufacturer's batch number.
10
The number of the certificate of registration.
11
The words “homoeopathic medicinal product without therapeutic indications”.
12
A warning advising the user to consult a doctor if symptoms persist.
PART 2 — Blister packs etc contained in outer packaging
13
The scientific name of the stock or stocks (which may be supplemented by an invented name if the product contains two or more stocks), and the degree of dilution, making use of the symbols of the European Pharmacopoeia or, in the absence of an entry in the European Pharmacopoeia, of the British Pharmacopoeia.
14
The name and address of the holder of the certificate of registration.
15
The product's expiry date (month and year), in clear terms.
16
The manufacturer's batch number.
17
The words “homoeopathic medicinal product without therapeutic indications”.
PART 3 — Small immediate packaging
18
The scientific name of the stock or stocks (which may be supplemented by an invented name if the product contains two or more stocks), and the degree of dilution, making use of the symbols of the European Pharmacopoeia or, in the absence of an entry in the European Pharmacopoeia, of the British Pharmacopoeia.
19
The name and address of the holder of the certificate of registration.
20
The method and, if necessary, route of administration.
21
The product's expiry date (month and year), in clear terms.
22
The contents of the presentation, specified by weight, volume or number of doses.
23
The manufacturer's batch number.
24
The words “homoeopathic medicinal product without therapeutic indications”.
SCHEDULE 29 — Labelling of traditional herbal medicinal products
PART 1 — Traditional herbal medicinal products: general
1
A statement to the effect that the product is a traditional herbal medicinal product, for use for specific purposes by reason of long-standing use.
2
A statement that the user should consult a doctor or other health care practitioner if symptoms persist during use of the medicinal product, or if adverse effects not mentioned on the package or package leaflet occur.
PART 2 — Traditional herbal medicinal products not subject to general sale
3
Subject to the provisions of regulation 265(2), paragraph 4 applies where a traditional herbal medicinal product that is a pharmacy medicine is—
- (a) sold by retail;
- (b) supplied in circumstances corresponding to retail sale;
- (c) in the possession of a person for the purpose of sale or supply as mentioned in paragraph (a) or (b); or
- (d) distributed by way of wholesale dealing.
4
Where this paragraph applies, the outer packaging and the immediate packaging of the product must be labelled to show the capital letter “P” within a rectangle, within which there is to be no other matter of any kind.
SCHEDULE 30 — Particulars for advertisements to persons qualified to prescribe or supply
1
The number of the UK marketing authorisation ..., certificate of registration, traditional herbal registration or Article 126a authorisation for the medicinal product.
2
The name and address of the holder of the temporary authorisation or the UK marketing authorisation ..., certificate of registration, traditional herbal registration or Article 126a authorisation for the medicinal product or the business name and address of the part of the holder's business that is responsible for its sale or supply.
3
The classification of the medicinal product as—
- (a) a product that is subject to general sale;
- (b) a prescription only medicine; or
- (c) a pharmacy medicine.
4
The name of the medicinal product.
5
A list of the active ingredients of the medicinal product that uses their common names and is placed immediately adjacent to the most prominent display of the name of the product.
6
One or more of the indications for the medicinal product consistent with the terms of the UK marketing authorisation ..., certificate of registration, traditional herbal registration or Article 126a authorisation for the product or, in the case of a product in relation to which there is in force an authorisation by the licensing authority on a temporary basis under regulation 174, the indications for the medicinal product consistent with the recommendation or requirement of the licensing authority as to the use of that product.
7
The entries or a succinct statement of the entries (if any) in the summary of the product characteristics, or in any equivalent summary published by the holder of a temporary authorisation, relating to—
- (a) adverse reactions, precautions and relevant contra-indications;
- (b) dosage and method of use so far as relevant to the indications shown in the advertisement, and
- (c) where this is not obvious, method of administration so far as relevant to those indications.
8
The cost excluding value added tax of—
- (a) a specified package of the medicinal product; or
- (b) a specified quantity or recommended daily dose of the medicinal product calculated by reference to a specified package of the medicinal product.
9
- (1) The particulars specified in paragraph 7 must be printed in a clear and legible manner.
- (2) Those particulars must be placed in such a position in the advertisement that their relationship to the claims and indications for the product can readily be appreciated by the reader.
SCHEDULE 31 — Sampling
Introductory
1
- (1) This Schedule has effect where a person authorised by an enforcement authority (in this Schedule referred to as a “sampling officer”) obtains a sample of a substance or article—
- (a) in order to determine whether there has been a contravention of any provision of these Regulations which the enforcement authority (“the relevant enforcement authority”) must or may enforce by virtue of regulations 323 and 324; or
- (b) otherwise for a purpose connected with the performance of the relevant enforcement authority of its functions under these Regulations.
- (2) This Schedule has effect whether the sample is obtained by purchase or in exercise of a power conferred by regulation 327.
- (3) In this Schedule “medicines control laboratory” means a laboratory that is—
- (a) designated by the licensing authority in accordance with Article 111(1) of the 2001 Directive for the purpose of the analysis of samples of one or more types of medicinal product; and
- (b) is so designated in relation to a particular medicinal product that is submitted to it for analysis.
Division of sample
2
The sampling officer must as soon as practicable—
- (a) divide the sample into three parts;
- (b) mark each part;
- (c) seal or fasten each part; and
- (d) deal with the parts in accordance with paragraphs 3 to 10.
3
If the sample was purchased by the sampling officer otherwise than from a vending machine the officer must supply one part of the sample to the seller.
4
If the sampling officer obtained the sample from a vending machine—
- (a) if a person's name and an address in the United Kingdom are stated on the machine as being the name and address of the owner of the machine, the sampling officer must supply one part of the sample to that person; and
- (b) in any other case, the sampling officer must supply one part of the sample to the occupier of the premises on which the machine stands or to which it is affixed.
5
If the sample is a sample of goods consigned from outside the United Kingdom, and was taken by the sampling officer before delivery to the consignee, the sampling officer must supply one part of the sample to the consignee.
6
If, in a case not falling within any of paragraphs 3 to 5 of this Schedule, the sample was obtained by the sampling officer at the request or with the consent of a purchaser, the sampling officer must supply one part of the sample to the seller.
7
If, in a case not falling within any of paragraphs 3 to 6 of this Schedule, the sample was taken in transit, the sampling officer must supply one part of the sample to the consignor.
8
In any case not falling within any of paragraphs 3 to 7 of this Schedule, the sampling officer must supply one part of the sample to the person appearing to the sampling officer to be the owner of the substance or article from which the sample was taken.
9
In every case falling within any of paragraphs 3 to 8 of this Schedule, the sampling officer must inform the person to whom the part of the sample in question is supplied that the sample has been obtained for the purpose of analysis or other examination.
10
Unless the sampling officer decides not to submit the sample for analysis or other examination the sampling officer must—
- (a) retain one of the two remaining parts for future comparison; and
- (b) submit the other part for analysis or examination in accordance with the following provisions of this Schedule.
11
Reading this document does not replace reading the official text published on legislation.gov.uk. Contains public sector information licensed under the Open Government Licence v3.0. We assume no responsibility for any inaccuracies arising from the conversion of the original CLML XML to this format.
This text is published under legislation.gov.uk's own terms of reuse, not a Legalize or public-domain licence.
legislation.gov.uk
Open Government Licence v3.0 (attribution required)
© Crown and database right. Derived from content available under the Open Government Licence v3.0 from legislation.gov.uk.