All prescriptions must be issued electronically as from 1 January 2017. However, the following will still be issued on a paper prescription:
- Pro Auctore prescriptions
- medical gases
- special licence preparations specific to a patient or institution
The doctor is obliged to issue the patient with an electronic prescription (the Act on Electronic Prescriptions). However, the patient has the right to refuse an electronic prescription until 31 December 2016. As from 1 November 2015, this right does not apply to prescriptions for CNS drugs and narcotics.
The healthcare unit must inform the patient about the electronic prescription and record that this has been done in the patient records system. The information is provided either verbally, in writing, or via an electronic service. The information need not be given each time, but once is sufficient. The patient always has the option of obtaining the information also in writing.
What may be prescribed
All preparations in the Pharmaceutical Database may be prescribed electronically, such as
- drug preparations subject to sale licenses (incl. narcotics and CNS drugs)
- preparations with temporary special licenses
- reimbursable base creams
- reimbursable clinical nutrition preparations
You can also prescribe electronically using
- the chemical drug name (generic prescribing),
- medications prepared in the pharmacy, and
- preparations not included in the Pharmaceutical Database. These include e.g.
- medical consumables
- non-reimbursable dietary supplements
- non-reimbursable base creams
The doctor may include a note to the pharmacy with an electronic prescription. In the note, the doctor may give instructions on dispensing the drug, e.g. that the drug may be dispensed only after a certain date.
It is also possible to issue an electronic prescription to persons who do not have a personal identity code. This kind of a prescription can be dispensed by a pharmacy only with a patient instruction sheet or summary.
Doctors may issue an electronic prescription for themselves. Nurses or medical students with prescribing rights may not issue electronic prescriptions for themselves.
Patient instruction sheet
The electronic prescription is stored in the Prescription Centre. A patient instruction sheet to be given to the patient is printed out at the same time with issuing prescriptions.
The patient instructions need not be given if the patient is not present at the prescriber's surgery or clinic when the prescription is issued. Similarly, the patient instructions need not be given if this is not possible for technical reasons or if the electronic prescription is issued using a device with no fixed position.
The patient instructions contain details of the drugs prescribed and directions on dosages. The patient instructions can be printed off from the patient records system for 12 hours from the issue of the electronic prescription. It can also be printed off from amended and repeated prescriptions. The patient instruction sheet includes a barcode which individualises the prescription and speeds up the transaction at the pharmacy.
Summary of electronic prescriptions
Patients can request for a print-out summarising their prescription data stored in the Prescription Centre at the place of their treatment or in the pharmacy. The summary can be printed with
- all of the patient's electronic prescriptions
- all prescriptions issued within a certain period, or
- all prescriptions with drugs outstanding.
The patient may also print a summary of his or her electronic prescriptions in My Kanta Pages.
Copy of electronic prescriptions for travelling abroad
For travelling abroad, patients may ask the prescriber of their medicines or the pharmacy for a signed English-language summary printout "Copy of electronic prescriptions" on their prescription details stored in the Prescription Centre. The copy may only be issued on dispensed prescriptions.
Prescription for drug purchases abroad
If the patient intends to purchase medicines abroad, the prescriber of the drug may issue an electronic prescription titled "Prescription for purchasing abroad". In place of the patient instructions, the prescriber prints an English-language prescription in this case. The prescription cannot be used to purchase drugs in Finland.
The following drugs cannot be prescribed for purchasing abroad
- CNS drugs containing narcotics or requiring an original prescription
- medications prepared in the pharmacy
The EU countries must recognise prescriptions issued in other member states. A pharmacy may refuse to dispense a prescription issued in another member state if it has doubts regarding the authencity or propriety of the prescription. The pharmacy dispenses the medicines in accordance with the legislation of its own country.