David (an adult male) enters your Pharmacy on Sunday near closing time asking for pseudoephedrine tablets for his wife. As the pharmacist, you ask David all the appropriate questions and David responds appropriately. The information he provides you includes that his wife has used this medication before and it is the only product that works for her nasal congestion.

David says his wife has ‘a big day’ for work tomorrow (presenting online from home) so she wants this medication today. As part of this conversation, you confirm the therapeutic need regarding David’s wife’s symptoms and also confirm the safety of this medication for her. Pseudoephedrine needs to be recorded in Project STOP with the patient’s identification and confirmation of the history of supply.

When you ask David for proof of his wife’s identification, David says he doesn’t have any. Moreover, he mentions that she cannot be reached by phone at this time. You explain the requirement of having proof of identification to dispense this medication for a patient. David insists that you provide the medication as his wife ‘really needs it’.

He offers his own ID (Driver’s License) for you to dispense the pseudoephedrine under his name. You hesitate as it would not be ideal to dispense pseudoephedrine under his name as he does not have the therapeutic need for that medication. Seeing you are hesitant, he further insists and now claims to have the same symptoms as his wife. You know he does not have any of the symptoms he claims. (If you need a brief Project STOP refresher see the Project STOP information from GuildCare)