Providing services online

All pharmacies in Great Britain, including those providing services via the internet, must be registered with us and meet our standards for registered pharmacies.

Our guidance for registered pharmacies providing pharmacy services at a distance, including on the internet is designed mainly to support pharmacy owners and Superintendent Pharmacists in understanding and meeting our standards. The guidance explains what we expect them to consider before deciding whether any parts of their pharmacy service can to be provided safely and effectively at a distance (including on the internet), rather than in the traditional face-to-face way. The guidance also applies to everyone in the team including managers with delegated responsibility, the Responsible Pharmacist and any pharmacists prescribing ‘at a distance’.

Online pharmacy FAQs

Here we answer some of your most frequently asked questions about our guidance on providing pharmacy services online.

Our guidance puts in place extra safeguards to help make sure that people only receive medicines that are clinically appropriate for them. Examples of medicines that require extra safeguards include:

  • medicines liable to misuse
  • antimicrobials 
  • medicines which have a higher risk of fatality or serious harm if taken in overdose
  • medicines and long-term conditions that require ongoing monitoring or management
  • medicines where there needs to be a physical examination of the person to support a safe prescribing decision 
  • medicines labelled with a black triangle (▼ or ▼*)
  • medicines used for weight management 

The safeguards include making sure that the prescriber does not base prescribing decisions on the information provided in a questionnaire alone. Instead, the prescriber has to independently verify the information the person provides, either through timely two-way communication with the person, accessing the person’s clinical records, or contacting the person’s GP, their regular prescriber, or a third-party provider. 

The safeguards also include making sure the prescriber proactively shares all relevant information about the prescription with the person’s regular prescriber after seeking the person’s consent. 

In the case of medicines for weight-management, the prescriber has to independently verify the person’s weight, height and/or body mass index. This helps to increase the reliability of the information they receive, supporting safer decision making and ensuring that the supply is appropriate for the person.

In the case of medicines liable to abuse, or medicines which have a higher risk of fatality or serious harm if taken in overdose, appropriate steps are to be taken to confirm that the medicine is appropriate for the person, before making a supply. This would involve contacting the person's regular prescriber or checking the person’s clinical records, with the person’s consent to confirm that the prescription is appropriate, and that the necessary monitoring is in place.

In cases where the person doesn’t have a regular prescriber, such as a GP, or if there is no consent to share information, the prescriber should then decide whether it is safe to prescribe. They will need to think about the person’s best interests and carry out an individual risk-based assessment about whether they can prescribe safely. They should consider whether supplying treatment outweighs the risks, taking into account whether the person would be at risk of death or serious harm if they were also getting medicines from other sources. The prescriber should make a clear, comprehensive record, at the time they make the decision, setting out their justification for prescribing, or not prescribing. If the decision is made not to prescribe, the person should be directed to an appropriate care provider so that they can be appropriately assessed. Examples include, but are not limited to, an out-of-hours service, a local walk-in centre or urgent care.