A patient brings a new prescription for Zoloft. The prescription reads: Zoloft 25 mg, take 1 tablet by mouth every day for 30 days x 5 refills. The patient requests to fill the whole prescription, for 180 tablets, in a single filling. Which of the following would be the most appropriate action by the pharmacist under North Carolina Pharmacy Law?

a. Fill the requested amount.
b. Obtain the authorization from the prescribing physician.
c. Fill only 30-day supply.
d. Tell the patient that law does not permit to fill the whole supply.

Answer: Obtain the authorization from prescribing physician, [21 NCAC 46 .1802(b)].

If deemed appropriate in the pharmacist's professional judgment, a patient may receive upon request drug quantities in excess of the face amount of a prescription for a non-controlled substance, up to the total amount authorized.

The pharmacist shall NOT dispense in excess of the face amount of a prescription for a controlled substance or psychotherapeutic drug (e.g. Zoloft) without authorization from the prescriber.