Methadone Maintenance Treatment
Policies and Procedures
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Contents
Introduction .................................................................................................................................... 4
Methadone for Maintenance Checklist .......................................................................................... 5
Education of Non-Pharmacist Staff................................................................................................. 6
Pharmacy Operating Hours .............................................................. Error! Bookmark not defined.
Accepting New Methadone Maintenance Treatment Patients....... Error! Bookmark not defined.
Terminating a Pharmacist-Patient Relationship .............................. Error! Bookmark not defined.
Privacy and Confidentiality .............................................................. Error! Bookmark not defined.
Premises Security ............................................................................. Error! Bookmark not defined.
Methadone Maintenance Controlled Prescription Forms............... Error! Bookmark not defined.
Faxed Methadone Maintenance Controlled Prescription Forms .... Error! Bookmark not defined.
Methadone Maintenance Controlled Prescription Forms - Alterations......... Error! Bookmark not
defined.
Out-of-Province Prescriptions.......................................................... Error! Bookmark not defined.
Processing and Preparing Methadone for Maintenance Prescriptions ......... Error! Bookmark not
defined.
Submitting Methadone Maintenance Claims to PharmaNet .......... Error! Bookmark not defined.
PharmaCare PINs ............................................................................. Error! Bookmark not defined.
Methadone for Maintenance Treatment Equipment ...................... Error! Bookmark not defined.
Methadone in Tablet Form for Air Travel ........................................ Error! Bookmark not defined.
Releasing Methadone: Daily Witnessed Ingestion .......................... Error! Bookmark not defined.
Releasing Methadone: Carries (for MMT) ....................................... Error! Bookmark not defined.
Releasing Methadone: patient/prescription-specific log ................ Error! Bookmark not defined.
Delivery of Methadone .................................................................... Error! Bookmark not defined.
Filing Methadone Maintenance Prescriptions................................. Error! Bookmark not defined.
Split Dosing ...................................................................................... Error! Bookmark not defined.
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Partial Consumption of a Dose ........................................................ Error! Bookmark not defined.
Vomited Dose................................................................................... Error! Bookmark not defined.
Lost or Stolen Dose .......................................................................... Error! Bookmark not defined.
Responding to Missed Doses ........................................................... Error! Bookmark not defined.
Patient Directed Tapering ................................................................ Error! Bookmark not defined.
Emergency Dosing............................................................................ Error! Bookmark not defined.
Continuity of Care ............................................................................ Error! Bookmark not defined.
Compounding Methadone for MMT ............................................... Error! Bookmark not defined.
Narcotic Counts and Reconciliation ................................................. Error! Bookmark not defined.
Reporting Loss or Theft of Methadone............................................ Error! Bookmark not defined.
Disposal of Methadone .................................................................... Error! Bookmark not defined.
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Introduction
The BCPhA has developed Policy and Procedure Manuals to support pharmacies in
documenting policy and procedures that ensure operational activities are compliant with the
regulatory framework governing pharmacy practice.
Each section includes open field description boxes to be completed with your practice’s
policies/procedures or checkboxes meant to act as an acknowledgement that the statement
that follows applies to your practice.
Description fields and check boxes are marked in grey so that they are easily identified.
Description fields are simple to use, just click and type into the space. Checkboxes require a
double-click followed by selecting “Checked”.
You may choose to print this booklet out upon completion to have a copy available for your
staff that need to refer to this guide while keeping the electronic copy saved when updates
need to be applied.
BCPhA has no objection if you add your organization’s logo or otherwise customize the
template. If you do so, please retain the footer crediting BCPhA.
BCPhA has made its best effort to develop this template to assist members.
The user is solely responsible for its obligations.
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Methadone for Maintenance Checklist
The pharmacy has submitted, received and retained a copy of the Methadone
Maintenance Payment Program Addendum to Pharmacy Participation Agreement signed
by both the pharmacy manager and PharmaCare.
All pharmacy managers, staff and relief pharmacists, and pharmacy technicians
participating in dispensing methadone have completed either CPBC’s ‘live’ training session
or ‘online’ training session pertaining to Professional Practice Policy (PPP-66) Methadone
Maintenance Treatment.
All pharmacy managers, staff and relief pharmacists, and pharmacy technicians
participating in dispensing methadone have electronically signed the Declaration of
Completion and Understanding through logging onto their eServices CPBC accounts.
The pharmacy manager has educated all non-pharmacist staff regarding their role in the
provision of community pharmacy services related to methadone maintenance treatment.
(Note: documentation forms that confirm the education of individual non-pharmacist staff
members must be signed and dated by the community pharmacy manager and the nonpharmacist staff member and retained in the pharmacy files).
Pharmacy possesses the required references:




CPBC MMT Policy Guide (2013) & subsequent revisions
Most recent version of CPSBC Methadone Maintenance Handbook
Most current edition of Methadone Maintenance: A Pharmacist’s Guide to Treatment,
Centre for Addiction and Mental Health
Product monographs for the commercially available 10mg/ml methadone oral preparation
Other:
Other:
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Education of Non-Pharmacist Staff
Policy
Upon completion of the mandatory CPBC MMT training program, the pharmacy manager must
educate all non-pharmacist staff regarding their role in the provision of community pharmacy
services related to methadone maintenance treatment. (Note: documentation forms that
confirm the education of individual non-pharmacist staff members must be signed and dated by
the community pharmacy manager and the non-pharmacist staff member and retained in the
pharmacy files).
Purpose
To ensure that all pharmacy staff are educated and trained to provide services related to MMT
and document they have completed the necessary training related to those services.
References
PPP-66 Policy Guide – Methadone Maintenance Treatment (2013)
PPP-66 Methadone Maintenance Treatment
Implementation Procedures
Roles and Responsibilities of non-pharmacist staff in provision of MMT
Measuring out MMT doses for individual patients
Preparing MMT prescriptions
Maintaining methadone & MMT supplies for service provision
Managing patients arriving for DWI
Other:
Confirmation of education of non-CPBC registrants
Non-Pharmacist
Staff Name
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Non-Pharmacist
Staff Signature
Pharmacy Manager
Signature
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Date
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