Part 1Preliminary1Short titleThis regulation may be cited as the Medicines and Poisons (Medicines) Amendment Regulation (No. 4) 2023.2Commencement(1)Part 2 commences on 1 December 2023.(2)Part 3 commences on 1 February 2024. 3Regulation amendedThis regulation amends the Medicines and Poisons (Medicines) Regulation 2021.Part 2Amendments commencing on 1 December 20234Amendment of s 6 (Exemption for national blood supply arrangements—Act, s 7)Section 6(2)(b)(ii), ‘section 1.5.5’—omit, insert—section 395Amendment of s 73 (Labels and containers must comply with Poisons Standard or approved alternatives)(1)Section 73(1)(a), ‘section 1’—omit, insert—division 2(2)Section 73(2)(a), ‘section 2’—omit, insert—division 36Amendment of s 221 (Restriction on used containers)Section 221, note, ‘part 1’—omit, insert—section 67Amendment of s 237 (Chief executive may approve alternative ways of labelling or packaging medicines)Section 237(4), note, ‘part 1’—omit, insert—section 68Amendment of sch 1 (Extended practice authorities and departmental standards)Schedule 1, part 1, entry for Queensland Ambulance Service, ‘2’—omit, insert—39Amendment of sch 2 (Categories of medicines)Schedule 2, part 1, division 1, entry for ivermectin—omit.10Amendment of sch 6 (Medical practitioners and assistants)(1)Schedule 6, section 22, items 1 to 4, ‘restricted ivermectin,’—omit.(2)Schedule 6, part 2, division 5A—omit.(3)Schedule 6, section 36, items 1 to 6, ‘hydroxychloroquine, restricted ivermectin’—omit, insert—hydroxychloroquine(4)Schedule 6, section 47, items 1 to 6, ‘hydroxychloroquine, restricted ivermectin’—omit, insert—hydroxychloroquine11Amendment of sch 7 (Nursing and midwifery professions)(1)Schedule 7, section 19, item 1, column 3, ‘for the safety of the patient before, or during,’—omit, insert—before or during(2)Schedule 7, section 19, item 2, column 3, from ‘for’—omit, insert—under the supervision of a dentist, medical practitioner, midwife or registered nurse12Amendment of sch 12 (Other health practitioners)Schedule 12, section 2—omit, insert—2Dealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1administerany medicinethe medicine is administered to a patient at a hospital—•under the direct supervision of a medical practitioner; and•for the patient’s anaesthetic procedure2possessan S4 or S8 medicinethe medicine is possessed under the supervision of a dentist, medical practitioner, midwife or registered nurse3disposewaste from a diversion-risk medicine mentioned in this column13Amendment of s 22 (Dictionary)(1)Schedule 22, definition restricted ivermectin—omit. (2)Schedule 22, note, ‘part 1’—omit, insert—section 6(3)Schedule 22, definition manufacturer’s pack, note, ‘part 1’—omit, insert—section 6Part 3Amendments commencing on 1 February 202414Amendment of s 117 (Amending written prescription)(1)Section 117(4), after ‘amending the prescription’—insert—under subsection (3)(2)Section 117(5)—omit, insert—(5)Also, subsection (6) applies if the dispenser—

(a)is a participating pharmacist practising at a participating pharmacy who is dispensing under the extended practice authority called ‘Pharmacists—community pharmacy scope of practice pilot’; and

(b)is dispensing a medicine of an equivalent therapeutic effect to the medicine stated on the prescription (the original medicine) that—

(i)is a substitute for the original medicine; or

(ii)has a different form, strength or amount from the original medicine; or

(iii)has different instructions for use from the original medicine.

(6)The dispenser may amend the prescription to dispense a medicine mentioned in subsection (5)(b) without obtaining the agreement to the amendment from the prescriber who made the prescription. (7)The dispenser must make an amendment under subsection (3) or (6) as follows—

(a)for subsection (3)—in the way agreed by the prescriber;

(b)for subsection (6)—by recording the following details on the prescription—

(i)the name of the dispenser;

(ii)the place where the dispenser usually practices;

(iii)the dispenser’s phone number;

(iv)the dispenser’s qualifications;

(v)the details of the relevant change made to the original medicine mentioned in subsection (5)(b);

(c)by signing and dating the amendment;

(d)in a way that does not obscure the information originally stated on the prescription before the amendment.

Note—See section 124(1)(m) about records of amendments required to be kept by dispensers.(8)In this section—participating pharmacist, see schedule 9, section 4A.participating pharmacy, see schedule 9, section 4A.15Amendment of s 124 (Dispensing record for dispensed medicine)Section 124(1)(m)—omit, insert—

(m)if the prescription was amended by the dispenser in accordance with section 117—

(i)for an amendment mentioned in section 117(3)—the details of the amendment and the agreement with the prescriber; or

(ii)for an amendment mentioned in section 117(6)—the details of the amendment.

16Amendment of s 159 (Amounts when selling S4 medicine)(1)Section 159—insert—

(ba)for a medicine sold under an extended practice authority—the amount stated for the medicine in the extended practice authority; or

(2)Section 159(ba) and (c)—renumber as section 159(c) and (d).17Amendment of sch 1 (Extended practice authorities and departmental standards)Schedule 1, part 1, after entry for Pharmacists—insert—Pharmacists—community pharmacy scope of practice pilot118Amendment of sch 9 (Pharmaceutical professions)Schedule 9, part 1—insert—Division 2A Participating pharmacists practising at participating pharmacies4ADefinitions for divisionIn this division—community pharmacy scope of practice pilot means the program set up by the department known as the ‘community pharmacy scope of practice pilot’.participating pharmacist means a pharmacist approved by the chief executive to participate in the community pharmacy scope of practice pilot. participating pharmacy means a community pharmacy approved by the chief executive as a place to which the community pharmacy scope of practice pilot applies.4BClass of personA participating pharmacist who is practising at a participating pharmacy.4CDealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1prescribean S4 medicine, other than a restricted medicine or diversion-risk medicine, mentioned in the extended practice authority called ‘Pharmacists—community pharmacy scope of practice pilot’the medicine is prescribed under the extended practice authority2dispensean S4 medicine, other than a restricted or diversion-risk medicine, mentioned in the extended practice authority called ‘Pharmacists—community pharmacy scope of practice pilot’the medicine is dispensed under the extended practice authority3sell, other than on prescriptionan S4 medicine, other than a restricted or diversion-risk medicine, mentioned in the extended practice authority called ‘Pharmacists—community pharmacy scope of practice pilot’the medicine is sold under the extended practice authority