Know Safety regulations while ordering drugs through Canadian Pharmacy

1. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Canadaprescriptionsplus.com

2. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Pharmacist? Canadian International Pharmacy Association (CIPA) is an association of licensed, retail pharmacies. Active CIPA Active members sell prescription based and non-prescription based medications in 90-day quantities to patients in America and Canada. Note – CIPA Active members do not sell controlled substances. For over a decade, tens of thousands of Americans have placed their faith on CIPA certi?ed online pharmacy websites to provide them with safe and low-cost medications. CIPA certi?ed online pharmacy websites adhere to strict standards for dependability and safety in areas such as – • Providing a valid prescription, • Documenting patient health pro?le to avoid undesirable drug interactions • Having a licensed pharmacist on sta? to supervise dispensing • O?ering patient consultations • And having adequate measures in place to ensure patient privacy and con?dentiality. Buying medications from CIPA Active members can save you 80 percent as compared to buying identical medications in the same quantity through American pharmacies. It is imperative that all qualifying online pharmacy websites must meet all the 65 CIPA standards of practice, as well as undergo and pass regular on-site inspections and standards of practice audits. Here are 65 CIPA regulations that every Canadian pharmacy must adhere to: Safety regulation #1 Safety regulation #1 Active members shall provide all required documentation to CIPA to evidence their compliance with these CIPA Standards, on request, and shall make their facilities available for inspection during regular business hours, or reasonable notice. Safety regulation #2 Safety regulation #2 Active members shall be legally constituted and in good standing within the jurisdiction in which they operate. Safety regulation #3 Safety regulation #3 Active members shall have and shall maintain all required licensure within the jurisdiction in which all of their operations and facilities operate. Page 1

3. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #4 Safety regulation #4 Active members shall ensure that all persons in charge of their operations and facilities are appropriately licensed and that their licenses are in good standing. Safety regulation #5 Safety regulation #5 Active members shall comply with all applicable statutes and regulations governing the practice of pharmacy within the jurisdiction(s) where they are licensed. Safety regulation #6 Safety regulation #6 Active members shall ensure that all dispensing activities are carried out under the direct supervision of a licensed pharmacist. Safety regulation #7 Safety regulation #7 Active members shall maintain a health pro?le and medication history for each patient and the following needs to be collected and maintained – date of birth, height, weight, sex, allergies, medical conditions, current medications, current supplements and if female – pregnancy status, due date and if presently nursing. a) In the case of pet medications, species must also be identi?ed. Safety regulation #8 Safety regulation #8 Active members shall dispense in a manner consistent with the prescription and subject to the professional discretion of the pharmacist. Safety regulation #9 Safety regulation #9 Active members shall be responsible for collecting and con?rming that there are no drug interactions in relation to the ful?llment of the patient’s order, based upon a full disclosure by the patient at the time of registration. Safety regulation #10 Safety regulation #10 Active members shall communicate all necessary information to their dispensing partners (should they have any) to ensure that the dispensaries can adequately review the appropriateness of the order prior to ?lling it. Safety regulation #11 Safety regulation #11 Counseling of patients must be available in English and in accordance with the pharmacy regulations where the dispensing takes place. Should questions arise at time of dispensing related to appropriateness of the order, and the patient requires counseling, the member must ensure that the patient has access to a licensed pharmacist that can deliver counseling in a manner appropriate to the patients’ circumstances. Page 2

4. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #12 Safety regulation #12 The roles of the member and the dispensing partners must be clearly de?ned in writing to cover all requirements of the CIPA standards and be included in the member’s standard operating procedures. Safety regulation #13 Safety regulation #13 Active members shall maintain and enforce policies and procedures which are in accordance with statutes and regulations within the jurisdiction where the dispensing partner is licensed regarding the integrity, legitimacy, and authenticity of any prescription. CIPA Active members shall only use dispensing partners that agree to comply with the CIPA Standards and local laws and regulations. Safety regulation #14 Safety regulation #14 Active members shall maintain and enforce policies and procedures that assure the integrity, legitimacy, and authenticity of the Prescription Drug Order and seek to prevent Prescription Drug Orders from being submitted, honored, and ?lled by multiple pharmacies. Active members shall maintain and enforce policies and procedures that assure that prescription medications are not prescribed or dispensed based upon telephonic, electronic, or online medical consultations without there being a pre-existing patient-prescriber relationship that has included an in-person physical examination. Safety regulation #15 Safety regulation #15 Active members shall request full disclosure of, and maintain a current list of, all medications and devices forming part of the patients’ therapy. Active members shall maintain policies and procedures to ensure that routine monitoring of the patient’s medications for potentially harmful drug interactions takes place. Safety regulation #16 Safety regulation #16 In jurisdictions where it is necessary for the original prescription to be converted into a domestic prescription for ful?llment by the dispensing pharmacy, the member shall ensure that the secondary reviewing physician assessing the patient’s personal health information conducts an independent review to determine whether a domestic prescription should be issued. Safety regulation #17 Safety regulation #17 Active members shall maintain appropriate policies and procedures with respect to generic substitution of medications. Active members shall ensure that patients are told if a generic substitution is available. Patients may choose the generic, but if the physician has indicated no substitution, then the physician must be contacted for approval prior to dispensing a generic. If refused by the physician, the pharmacy shall notify the patient that the brand name will be dispensed. Safety regulation #18 Safety regulation #18 Patients must receive medication that will not expire during the course of therapy as indicated on the prescription. Page 3

5. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #19 Safety regulation #19 Active members shall only dispense controlled substances and narcotics within their local or domestic market and only in a manner consistent with their domestic licensure and regulation. For greater certainty, no member shall sell or dispense controlled substances or narcotics into the United States. Safety regulation #20 Safety regulation #20 Active members shall maintain and enforce policies and procedures which are in accordance with the statutes and regulations within the jurisdiction where licensed CIPA Standards March 2016.doc regarding the retention and storage of patient records, reasonable veri?cation of the identity of the patient, the prescriber, and where appropriate, the caregiver. Safety regulation #21 Safety regulation #21 Active members shall maintain and enforce policies and procedures which are in accordance with the statutes and regulations within the jurisdiction where licensed regarding the protection of the personal health information of patients, and shall ensure that there are appropriate safeguards in place to prevent inappropriate or non-essential access or use of a patient’s personal health information. Safety regulation #22 Safety regulation #22 Active members shall ensure that the protection of con?dentiality is an integral part of sta? training and that a written agreement with each sta? member is in place to enforce the protection of patient information. Safety regulation #23 Safety regulation #23 Active members shall use patients’ speci?c health information only to provide pharmaceutical services. Patient health information may be shared with other healthcare providers to enhance patient care and as agreed by the patient. Safety regulation #24 Safety regulation #24 Active members shall maintain and enforce policies and procedures to ensure that patients have the right to reach a pharmacist and a billing department representative with respect to their personal information. Safety regulation #25 Safety regulation #25 Active members shall maintain reasonable and appropriate business hours to ensure patients have access to their personal information and to respond to their healthcare inquiries, which shall be no less than 20 hours per week. Safety regulation #26 Safety regulation #26 Active members shall maintain and enforce policies and procedures that mandate professional sta? to o?er meaningful consultation to patients or caregivers where required. Page 4

6. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #27 Safety regulation #27 Active members shall maintain and enforce policies and procedures establishing a mechanism for patients to report suspected drug- related problems and errors. Safety regulation #28 Safety regulation #28 Active members shall maintain and enforce policies and procedures establishing a mechanism for patients to be informed of the total charges (cost of medication, shipping, handling, etc.) in the currency the order will be billed or where the patient resides, prior to ?nalizing the order. Safety regulation #29 Safety regulation #29 Active members shall maintain and enforce policies and procedures establishing a mechanism for contacting patients, and if necessary, the prescriber, if an undue delay is encountered in delivering the prescribed drug or device. Safety regulation #30 Safety regulation #30 Active members shall maintain and enforce policies and procedures establishing a mechanism for advising patients or caregivers of drug or device recalls. Safety regulation #31 Safety regulation #31 Active members shall maintain and enforce policies and procedures establishing a mechanism for educating patients and caregivers about the appropriate means to dispose of expired, damaged, or unusable medications in accordance with statutes and regulations within the jurisdiction where licensed. Safety regulation #32 Safety regulation #32 Active members shall maintain and enforce policies and procedures establishing a mechanism for patients to have concerns addressed within one (1) business day (based upon the facility’s posted hours). Safety regulation #33 Safety regulation #33 Active members shall ensure that patients shall receive their medication in the time frame promised by the Active members. If a patient does not receive the order within forty-?ve (45) days, they may choose to receive a refund or the member shall have the medication re- shipped to them. Safety regulation #34 Safety regulation #34 Active members shall operate the international pharmacy operations in an open and transparent fashion. At the point of sale Active members must ensure that patients are informed regarding the country where the medication is approved for sale and the country or countries from where it may be dispensed. Page 5

7. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #35 Safety regulation #35 Active members must ensure that patients will receive medication in an appropriate container that is properly labeled and the label includes: a) Patient Name b) Name of medication and strength c) Quantity dispensed d) Clear instructions on how to use the medicine e) Date of dispensing f) Name, city and country of Dispensing partner Safety regulation #36 Safety regulation #36 Member must ensure that the lot number and expiry date is provided with all prescription orders. Safety regulation #37 Safety regulation #37 Packaging material must contain name and phone number of marketing website through which the order was placed. If this information is placed on the dispensed item, it must not obscure the requirements of Section 35 above and should only refer to re?lls and pharmacy consult. Safety regulation #38 Safety regulation #38 At a minimum, the member must establish policies and procedures to ensure that at least one of the following forms of documentation is provided to the patient in English and that the patient is properly informed with respect to their medications: o If available, a copy of drug monograph for the speci?c product dispensed. (i.e. brand for brand, generic for generic), or o Patient drug information lea?et for manufacturer or reputable source like Lexicomp or other licensed software of a similar nature. Safety regulation #39 Safety regulation #39 Active members should ensure that their Quality Assurance standards and Standards of Practice enable full audit of the ful?llment process and allow identi?cation of persons responsible for the dispensing, checking and ful?llment of each order. Safety regulation #40 Safety regulation #40 Active members shall acquire pharmaceuticals only from manufacturers that adhere to World Health Organization GMP standards as a minimum. Safety regulation #41 Safety regulation #41 Active members shall maintain written agreements with their a?liates and dispensary partners to be noti?ed of all product recalls. Page 6

8. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #42 Safety regulation #42 Active members shall acquire pharmaceuticals only from licensed vendors and wholesalers. Safety regulation #43 Safety regulation #43 Active members shall maintain the right to review the supply chain documentation of their a?liates and dispensing partners. Safety regulation #44 Safety regulation #44 Active members must maintain and enforce acceptable comprehensive policies and procedures with respect of the operation of their international prescription service business. Safety regulation #45 Safety regulation #45 Active members shall ensure that all employees are adequately trained and competent to perform their assigned tasks. Active members shall encourage their pharmacists and technicians to maintain competency by attending continuing education programs speci?cally related to the distance-based delivery of pharmaceutical products and services. Safety regulation #46 Safety regulation #46 Active members’ facilities shall be of adequate size for the volume of work being performed. Safety regulation #47 Safety regulation #47 Active members shall ensure that they maintain adequate sta?ng based upon the volume of work performed. Safety regulation #48 Safety regulation #48 Active members shall maintain data integrity, making back-up copies of all computer ?les and records and retaining them o?-site so that they are available in case of a calamity. Safety regulation #49 Safety regulation #49 Active members’ facilities shall be maintained in a clean and orderly fashion with medications stored appropriately to ensure optimal drug quality. No medication shall be stored on the ?oor. Safety regulation #50 Safety regulation #50 Active members shall ensure that all dispensing o compounding counters are neat, clean, and free of clutter. Page 7

9. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #51 Safety regulation #51 Active members shall ensure that temperature and humidity within their facilities are controlled and adequate to store pharmaceuticals as labeled by the manufacturers. Safety regulation #52 Safety regulation #52 Active members shall ensure that a refrigerator and freezer are available to store medications that require such storage. Medication is not to be stored with food, drink, or other non-pharmaceutical items in the same refrigerator or freezer. Safety regulation #53 Safety regulation #53 Active members shall ensure adequate hand washing facilities for all employees. Safety regulation #54 Safety regulation #54 Active members shall ensure that their facilities are secured and have established procedures to avoid theft and tampering including ?rewalls and password protection for all electronic data. Safety regulation #55 Safety regulation #55 Active members shall ensure that their facilities comply with all local building codes and occupancy permits. Safety regulation #56 Safety regulation #56 Active members shall ensure that all medication and dispensing storage areas have adequate lighting and ventilation. Safety regulation #57 Safety regulation #57 Active members shall ensure that adequate packaging materials are used to safeguard medication quality during shipping and handling. Safety regulation #58 Safety regulation #58 Active members shall maintain and enforce policies and procedures regarding the shipping of drugs and devices via a secure means and within appropriate temperature, light, and humidity standards applicable to the item being shipped, in compliance with the latest pertinent data. Safety regulation #59 Safety regulation #59 Active members shall maintain policies and procedures to check incoming stock receipts and make sure that medications in quantities that are ordered have been received. Page 8

10. Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist? Safety regulation #60 Safety regulation #60 Active members shall maintain policies and procedures to avoid shipment errors, including matching shipping names to prescription names. All orders must be veri?ed prior to shipment. Safety regulation #61 Safety regulation #61 Active members shall maintain policies and procedures to document errors and potential errors, and shall review error logs to avoid and minimize errors. Active members shall ensure that all errors are discussed and reviewed to prevent repeat occurrences. Safety regulation #62 Safety regulation #62 Active members shall maintain policies and procedures to avoid dispensing expired or damaged product. Safety regulation #63 Safety regulation #63 Active members do not re-use or resell returned drug products. Safety regulation #64 Safety regulation #64 Active members shall have the obligation to ensure that all dispensaries, a?liates, and business partners providing ful?llment for the member meet or exceed the standards set out in the CIPA Standards. Active members shall be responsible for the dispensing practices of their a?liated businesses. Safety regulation #65 Safety regulation #65 Active members shall maintain appropriate due diligence documentation to evidence that their dispensary partners and a?liates meet the CIPA Standards. These documents shall be produced to CIPA on demand. About About Canadaprescriptionsplus.com is the most respected online canadian  pharmacy intermediary that was founded in the year 2004 to help Americans access safe and a?ordable medications online.  Canada Prescriptions Plus is not a pharmacy but an intermediary site that provides safe and a?ordable access to medications from Pharmacy Checker and CIPA approved suppliers.  .. My Ebook Is Your Canadian Pharmacy Dispensing Medications Under The Direct Supervision of a Licensed Pharmacist?