FEV3R
Standard Operating Procedure (SOP)
Prescribing and Dispensing of Medications via Telemedicine

1. Purpose
   This Standard Operating Procedure defines the mandatory controls and processes governing the prescribing and dispensing of medications through the FEV3R telemedicine platform. The SOP ensures that all medical and pharmaceutical activities are conducted safely, ethically, and in compliance with Malaysian law, Ministry of Health guidance, and professional standards.

2. Scope
   This SOP applies to:
   • All doctors providing telemedicine services through FEV3R
   • All partner pharmacies dispensing medications prescribed via FEV3R
   • All prescriptions and medication supplies facilitated through the FEV3R platform

3. Regulatory and Professional References
   This SOP is implemented in accordance with:
   • Poisons Act 1952 and associated Regulations
   • Guide to Good Dispensing Practice (2016), Ministry of Health Malaysia
   • Malaysian Medical Council Code of Professional Conduct and Ethical Guidelines
   • Ministry of Health Telemedicine Guidelines
   • National Pharmaceutical Regulatory Agency requirements

4. Roles and Responsibilities

4.1 Doctors
Doctors providing services through FEV3R shall:
• Hold a valid registration with the Malaysian Medical Council and a current practising certificate
• Conduct telemedicine consultations in compliance with MOH Telemedicine Guidelines
• Perform adequate clinical assessment before prescribing
• Prescribe medications only where clinically appropriate and suitable for telemedicine
• Ensure prescriptions are complete, accurate, and legally valid
• Decline prescribing and refer patients to in-person care where telemedicine is clinically insufficient or unsafe
• Maintain patient confidentiality and safeguard professional access credentials

4.2 Partner Pharmacists
Partner pharmacists shall:
• Hold a valid Type A Poisons Licence under the Poisons Act 1952
• Verify prescription authenticity, completeness, and legality before dispensing
• Dispense medications in accordance with the Guide to Good Dispensing Practice
• Provide appropriate patient counselling and usage instructions
• Maintain dispensing records as required by law
• Withhold dispensing where legal, clinical, or safety concerns are identified

4.3 FEV3R Management
FEV3R management shall:
• Ensure onboarding of only licensed and qualified doctors and pharmacies
• Maintain secure electronic prescribing and record systems
• Implement monitoring, audit, and quality assurance mechanisms
• Enforce corrective actions for non-compliance

5. Prescribing Procedure

5.1 Patients shall undergo a telemedicine consultation with a licensed doctor via the FEV3R platform.
5.2 The doctor shall assess the patient’s presenting complaint, medical history, allergy status, and relevant clinical information.
5.3 The doctor shall determine whether the patient’s condition is suitable for management via telemedicine.
5.4 Where prescribing is clinically indicated, the doctor shall issue a prescription compliant with the Poisons Act 1952 and applicable regulations.
5.5 Prescriptions shall contain all mandatory particulars and be securely authenticated.
5.6 Where red flags, diagnostic uncertainty, or safety concerns are identified, the doctor shall not prescribe and shall direct the patient to appropriate in-person medical care.

6. Dispensing Procedure

6.1 Medications prescribed via FEV3R shall be dispensed only by approved partner pharmacies.
6.2 Before dispensing, pharmacists shall verify:
• Prescription validity and completeness
• Patient identity
• Compliance with legal and regulatory requirements
6.3 Medications shall be labelled, packaged, and supplied in accordance with the Guide to Good Dispensing Practice.
6.4 Pharmacists shall provide patients with appropriate counselling on medication use, storage, and precautions.
6.5 Medications shall not be supplied to persons under eighteen (18) years of age except where permitted for legitimate medical treatment under applicable law.

7. Records and Documentation

7.1 All prescribing and dispensing records shall be retained in accordance with statutory requirements.
7.2 Electronic records shall be securely stored with controlled access and appropriate data protection safeguards.