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Section 230 of the Medicines and Poisons (Medicines) Regulation 2021 (MPMR) requires the supplier of a diversion-risk medicine to give notice to the chief executive if, after supplying a diversion-risk medicine on a prescription or purchase order, they reasonably suspect any of the following incidents has happened:
- false information, material to the prescription or purchase order, was given to the person who prescribed the medicine or gave the purchase order;
- the prescription or purchase order was changed by a person other than—
- for a prescription—the prescriber of the prescription or the dispenser of the medicine for the prescription; or
- for a purchase order—the person who gave the purchase order;
- the prescription or purchase order was false in any material particular.
This form must be used by the supplier to give notice to the chief executive.
By way of note, if a supplier becomes aware of a potential incident before providing a diversion-risk medicine, they must complete the Reporting and preventing use of unlawful document pursuant to section 228 of the MPMR.
You may be contacted by an inspector appointed under the Medicines and Poisons Act 2019 or an authorised delegate of the chief executive to require further information and/or for auditing/inspection purposes relevant to this notice.
If, at this stage, you are not able to provide all the information in this notice under section 230 of the MPMR you must give as much information as possible and you can provide any additional information when available.
This notice is managed by Medicines Compliance.
Should you require assistance in completing this form, please email MedicinesCompliance@health.qld.gov.au
Personal information collected by Queensland Health is handled in accordance with the Information Privacy Act 2009. Queensland Health is collecting your personal information on this approved form under authority of section 230 of the MPMR. All personal information will be securely stored and only accessible by Queensland Health staff. Your personal information will not be disclosed to other third parties without consent, unless the disclosure is authorised or required by under law. Failure to provide information may render the form incomplete, which may constitute an offence under the Medicines and Poisons Act 2019. For information about how Queensland Health protects your personal information, or to learn about your right to access your own personal information, please see our website at http://www.health.qld.gov.au/global/privacy