Written answers

Monday, 9 September 2024

Department of Health

Medicinal Products

Photo of Danny Healy-RaeDanny Healy-Rae (Kerry, Independent)
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1872.To ask the Minister for Health to review the phased dispensing of prescription medication in blister packs for elderly patients living in rural areas (details supplied); and if he will make a statement on the matter.[35483/24]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Phased dispensing was introduced in 1996 for patient safety reasons. It involves medication being dispensed across multiple supply occasions.

There are several clinical reasons for a patient to receive a medication through phased dispensing. These are as follows:

  1. At the request of a patient's physician.
  2. Due to the inherent nature of a medicinal product i.e. product stability and shelf life.
  3. Where a patient is commencing new drug therapy with a view to establishing patient tolerance and acceptability before continuing a full treatment regime.
  4. In exceptional circumstances where the patient is incapable of safely and effectively managing the medication regimen.
Phased dispensing is only reimbursable by the HSE under the General Medical Services (GMS) scheme, and prior approval is needed for any newly initiated patients. In these circumstances the facility is available for them to seek approval through the Phased Dispensing Application System and outline the clinical risk(s) to the patient.

The use of blister packs to support phased dispensing is a service provided by many pharmacists to ensure that their customers manage their medication in a safe manner.

The medical decision to prescribe or not prescribe any treatment for an individual patient, including whether the dispensing of medication should be phased, is strictly a decision for the treating clinician, in consultation with their patient. I, as the Minister for Health, have no role in this clinical decision-making process.

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