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September 15, 2016 Printable Version

Patch 4 Patch: Mandatory Fentanyl Patch Return Program

Patch For Patch Program

The regulations under the Safeguarding our Communities Act (Patch for Patch Return Policy) will take effect on October 1, 2016.

The mandatory fentanyl patch-for-patch program establishes specific obligations on prescribers, dispensers and patients in the prescribing, dispensing and use of fentanyl patches.

To prepare for the P4P program launching on October 1, starting now pharmacies should: 

  • Inform patients receiving fentanyl patches of the changes coming October 1st
  • Reach out to prescribers to determine the best methods of collaboration should issues arise
  • Develop processes and procedures within your pharmacy that support the program and ensure the secure storage and safe destruction of returned fentanyl patches
  • Ensure all pharmacy staff are aware of the new requirements and know how to identify and address issues that may arise

In collaboration with the College of Physicians and Surgeons of Ontario, a joint Patch-For-Patch Fentanyl Return Program Fact Sheet has been developed which outlines the specific roles and responsibilities for physicians and pharmacists when prescribing and dispensing fentanyl.

It is the expectation of the College that pharmacies dispensing fentanyl patches will be compliant with the new legislation when it comes into effect on October 1st.

Another Code of Ethics e-Learning Module Now Available

Beneficence e-Learning Module

The College is pleased to launch another in the series of e-learning modules developed to assist current and future pharmacists and pharmacy technicians understand and apply the new Code of Ethics in everyday practice.

This module focuses on the principle of beneficence (to benefit) and highlights some of the key standards found in the Code. In meeting this principle the expectation is that you are ‘actively’ applying your knowledge, skills and judgement to the individual needs of patients and taking action whenever necessary to optimize their health outcomes.

Using a variety of learning techniques – true and false questions, whiteboard video and case studies – the module brings the principle to life and illustrates how it can be applied to your everyday practice.

Watch the e-Learning module: Principle of Beneficence (to benefit)


Reminder: Pre-Authorization No Longer Required for Destruction of Narcotics and Controlled Drugs


This is a reminder that pharmacies are no longer required to request and receive pre-authorization for local destruction of unserviceable narcotics and controlled drugs from Health Canada. All other requirements, including documentation, remain in place.

We recommend that you review the Fact Sheet "Destruction of Narcotics, Controlled Drugs, and Targeted Substances."

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Ontario College of Pharmacists
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Toronto, ON M5R 2R4