Which action is prohibited for a pharmacy when responding to medication requests?

Refilling a controlled substance prescription without notifying the prescriber is prohibited because it poses significant risks to patient safety and the integrity of the medication management process. Controlled substances are strictly regulated due to their potential for abuse and dependence; thus, any refills must be carefully monitored. In many jurisdictions, including North Carolina, the law requires that prescribers be informed of any refill requests for controlled substances to ensure appropriate oversight, assess ongoing necessity, and adjust therapy as needed. Failing to notify the prescriber undermines this safeguard, potentially leading to inappropriate medication use and could result in regulatory penalties for the pharmacy.

The other actions listed, such as consulting with the patient about medication needs, providing over-the-counter medications, and discussing available generics, are generally acceptable practices within the pharmacy's scope of service. They contribute to patient care by promoting informed medication use and enhancing patient access to necessary medications.