Pharmacists and PTAs have several things to consider when supplying discharge prescriptions from hospitals as follow-up medication. The most important in brief: To guarantee a seamless transitional supply, there are prescriptions within the discharge management of hospitals which are to be supplied with the smallest package size, usually the standard size N1. If this is not on the market, the N2 package is dispensed. Substitute health insurance funds require the imprint of a special PZN with 06460731. Everything must be documented exactly. Otherwise, the rules agreed by the statutory health insurance funds in accordance with the regional supply contracts apply, otherwise the prescribing hospital must be consulted. Re-taxation can also be the result if the packaging unit is too large. However, N3 is in any case the upper limit. Pharmacists and employees must also make an exchange, if not the smallest unit has been prescribed. In addition, corresponding discount contracts with health insurance companies apply for discharge prescriptions, where the package content of the dispensed package may be larger than the prescribed product, for example in the case of thrombosis syringes with 10 and 12 syringe contents. Prescriptions are also only valid for a short period of time, i.e. three working days including the date of issue. The same applies to special prescriptions such as BtM prescriptions and T prescriptions. For medical devices, dressings and test strips, other regulations apply in accordance with Annex V of the Pharmaceutical Directive. In this case, a period of seven days is not to be exceeded, even without consulting a physician. This also applies to aids for consumption, but not to aids that are not consumed and are not subject to any limitation. Special cases are (breast pumps which have no limitation on the duration of the prescription. They can be prescribed on discharge prescriptions on loan for up to four weeks. The pharmacy that lends must be able to prove that it has joined the medical aids supply contract and must have a pre-qualification. The prescription itself must also meet certain visual requirements, such as a print in the personal data field with „Discharge management“, status indicator „4“, care-specific facility number of the prescribing hospital starting with „75“, and a doctor or hospital doctor number.
