Under what circumstance can a pharmacist refuse to fill a prescription in North Carolina?

In North Carolina, a pharmacist has the authority to refuse to fill a prescription if they believe it is not in the best interest of the patient. This rationale is grounded in the pharmacist's obligation to ensure patient safety and provide appropriate care. When a pharmacist assesses a prescription, they must consider factors such as potential drug interactions, the appropriateness of the drug for the patient's condition, and any other clinical considerations that may impact the patient's health. If, based on their professional judgment, the pharmacist feels that dispensing the medication could lead to harm or is otherwise inappropriate, they are permitted to decline to fill the prescription.

This aligns with the ethical responsibilities of pharmacists to act in the best interests of their patients, prioritizing patient safety above all else. The other circumstances listed do not provide sufficient justification for refusal to fill prescriptions.