1.  Rules Surrounding E-Scripts?

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In the Australian healthcare system, the prescription of particular Medicines are classified as controlled substances. These medications have a higher potential for abuse, dependence, and misuse. Please note the following rules:

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• Medication types and e-script information cannot be changed.

• Repeat intervals and monthly allowances listed on e-scripts cannot changed.

• A new prescription may ONLY be obtained through a Medical Consultation.

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2.  What is a Dispensing or Repeat Interval?

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A dispensing or repeat interval refers to the time period between consecutive refills of a

prescription medication. It indicates how frequently a patient can obtain a new

supply of the medication without needing a new prescription. The specific repeat

interval is determined by Australian medical governance and compliance guidelines and cannot be altered.

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The purpose of repeat intervals is to prevent excessive or inappropriate use of medications,  reduce the risk of dependence or addiction, and enhance patient safety.  Attempting to refill the prescription before the designated time will lead to refusal by the pharmacist.

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3.  What determines how many repeats are listed on my script?

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Repeats per item on all E- scripts are determined by regulations and guidelines set by

Australian medical governance and compliance  and cannot be altered. For herb, this would equate to 60g per item as listed on the script.

 

10g tubs - 5 repeats = 1 + 5 repeats = 60g

15g tubs will have 3 repeats  = 1 + 3 = 60g

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4. What is a monthly allowance?

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​Monthly allowances  provide a gram limitation across all dispensed products per calendar month. Such limits are based upon recommended medical guidelines.  Decisions to change a patient's monthly allowance are made ONLY by the medical practitioner following  specific protocols and medical guidelines. This process  cannot be altered or negotiated in accordance with the prescribing guidelines of schedule 8 Medications.  Please note:  Monthly allowance applies irrespective of new prescriptions. A new prescription does not change, increase or reset,  the monthly allowance of a patient's E-scripts.

 

Please note: All changes in treatment programs require a repeat consultation with Greenhouse in order to provide sufficient medical justification for dose and treatment plan adjustment.

 

 

5. Expired Scripts

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All Schedule 8 medication scripts have an expiration date of 6 months. This

expiration date cannot be extended or altered under any circumstance. A new

consultation is required for the prescription of new and repeat medications.

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6. Prescribing Guidelines

 

Greenhouse Medical Clinic doctors are bound by prescribing guidelines issued by governing medical bodies and compliance regulations in Australia. Certain medications and medical conditions may be considered contraindicated to holistic medicines. In such circumstances, patients who experience specific symptoms or conditions, or who have been prescribed particular medications, may not be eligible for medications prescribed by Greenhouse Medical Clinic.

 

Patients  who are prescribed Schedule 8 and or certain Schedule 4 medications outside of this clinic may not be eligible for medications prescribed by Greenhouse Medical Doctors.  At the doctors discretion a patient may be asked to provide the following documents to be eligible for alternative health care through Greenhouse Medical Clinic. These documents MUST be issued by the prescriber of those medications:

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(1).  A patient Health Summary  listing your Medical Diagnoses
(2). A Letter of Support for your medical cannabis treatment program

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7. Requesting an increase of 60g per month,or 30g per month in WA.​​​​

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In accordance with medical governance, compliance and the latest prescribing guidelines in Australia, we regret we are unable to provide an increased monthly allowance of 60g per month or 30g per month for WA residents. 

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8.   The prescription  and dispensing of non psychoactive C8D products.​​​

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As a condition of receiving medicinal cannabis prescriptions from our practitioners, all patients must incorporate a form of C8D and medication into their treatment plan. These mandatory forms include oral liquids, edibles, vaporisers, or medicinal herbs.

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Patients who refuse to use non psychoactive C8D will regrettably become ineligible for any form of medical cannabis prescriptions, in adherence to our established prescribing guidelines and treatment protocols.
 

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9   Patient Conduct 

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We remind patients of the terms and conditions with respect to patient conduct. 

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Our clinic STRICTLY adheres to the guidelines of the TGA and Australian Government Regulatory Bodies and we will NOT engage with patients in the negotiation of such laws.​​

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Our staff and medical professionals are committed to helping people which is the very reason they choose medicine as their profession. Attempting to negotiate prescribing guidelines and medical governance, will lead to a discharge from the clinic and cancellation of all scripts.

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Patients who choose to engage in aggressive behaviour through phone, in person, email or text  towards any staff or ancillary staff  will be subject to a discharge and cancellation of all scripts. medication.

 

Our practice has a duty to provide a safe physical and psychological environment free from aggression, abuse, intimidation, swearing or any abusive language, towards all our staff, medical staff affiliates, pharmacists and their colleagues, and any medical professional who works with Greenhouse Medical Clinic. Behaviour others may find bullying or threatening, or contains the use of swearing, threatening or abusive language will result in discharge as a patient of Greenhouse Medical Clinic.  ​

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It is a criminal offence in Queensland to threaten another person. A threat is any communication indicating an intention to do harm.​​ Please note:  Threats of violence or harm to any staff member will be reported directly to the police. 

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Greenhouse Medical Clinic reserves the right to cancel all electronic prescriptions (E-Scripts) in instances of unethical conduct. Unethical behavior includes, but is not limited to:

• Non-Disclosure of History: Failure to disclose current or historical medical diagnoses.

• Medication Transparency: Withholding information regarding current or historical prescribed medications.

• Safety Risk Concealment: Failure to disclose hospital admissions that may provide contraindications to the prescribing of Schedule 8 medications.

• Financial Misconduct: The unauthorised cancellation of payments made for medical consultations.

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10.  Product Substitutions

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Product substitutions are dictated by the prescriber, prescribing guidelines and provided with the following contingencies:​

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• The product MUST be Out of Stock with the Supplier or Discontinued.

• Replacement items  must have the same medicine % and must be of an equal strain.​

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Products deemed to be OUT of stock with the supplier or discontinued, will be replaced via a pharmacy which has access to these products and may be delivered via POSTAL mail. If they are unable to secure the product because it is OUT OF STOCK  at the wholesalers, or DISCONTINUED, a  replacement script will be issued and sent to your local pharmacy. Unfortunately the patient may not request to select the substitution item as this would require a medical consultation in accordance with prescribing guidelines 

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We regret that we are UNABLE to substitute Medications that ARE AVAILABLE for order because a pharmacy does not have an account with a wholesaler or the patient does not wish to wait for the order to arrive.  In such a case this would require a Medical Consultation in accordance with medical prescribing guidelines.  Our practitioners select substitution medications that are supplied by the the larger wholesalers to prevent this outcome, and reduce the burden on the prescribers workload. We are happy to contact the pharmacy and provide the details for the product to be ordered. 

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Patients who request to select a product from a small supplier, of their own volition, forgo the opportunity for substitution should that product be discontinued or no longer available. The extremely high frequency of OUT OF STOCK products from small suppliers creates an increased burden on our health care staff. In such a case the patient will be required to book in for a consultation with a practitioner. We suggest patients who choose to request specific products, check the availability of those products with the pharmacy they choose to dispense it.

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All requests to provide a substitute medication MUST be executed via the patient portal. We regret that we are unable to process substitutions without completing the form on the Patient Portal - My e-script is discontinued or out of stock​.

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Patient Portal 

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