Pharmacist Experience in Discovering Forged Prescriptions in Pharmacies In the Special Region of Yogyakarta

Muvita Rina Wati(1*), Istiqomah Dwi Oktaviani(2), Ahmad Fahmy bin Yahya(3), Bondan Ardiningtyas(4), Anna Wahyuni Widayati(5)

(1) Universitas Gadjah Mada
(2) Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(4) Universitas Gadjah Mada
(5) Universitas Gadjah Mada
(*) Corresponding Author


Pharmacies were a source of narcotics and other addictive agents by 2.1% of respondents to a survey conducted by BNN and LIPI in 2019. One way for drug abusers to obtain drugs is to use forged prescriptions. Therefore, the accuracy of pharmacists in prescription's screening is needed to reduce the prevalence of drug abuse. Research on prescription counterfeiting has been carried out in various developed countries, but similar research has never been conducted in Indonesia.

          This study aims to determine the patterns, characteristics, and experience of pharmacists in the Special Region of Yogyakarta (DIY) pharmacy in responding to counterfeit prescription findings. This research is an observational study with a survey method using a research instrument in the form of a questionnaire. A total of 152 pharmacists in DIY were involved as respondents and filled out questionnaires both online using the Google Form and offline from November to December 2019. The research data were analyzed descriptively.

          Based on the results of the study, most of respondents 85%) had encountered counterfeit prescriptions. They were identified by the following characteristics, including the doctor's writings that were not the same as usual (60%), the amount of medicine was irrational/added with 'iter' (59%), absence of doctor’s registration number (41%), stamp (44%), and doctor's signature (32%). The most common drug classes written on fake prescriptions include psychotropics, followed by other drug classes, namely drugs that are often abuse, narcotics, antibiotics, and other ethical drugs (misoprostol and levonogestrel). In identifying counterfeit prescriptions, pharmacists need a guideline, training, and coaching. In addition, clear supervision and reporting channels are needed so that prescription counterfeiting can be reported and seriously followed up by involving Indonesian Pharmacist Association (IAI), Health Office (Dinas Kesehatan), and Indonesia Food and Drug Administration (POM).


forged prescription, counterfeit prescription, pharmacist, pharmacy, Special Region of Yogyakarta

Full Text:



Kemenkes RI. Peraturan Menteri Kesehatan Nomor 73 Tahun 2016 Tentang Standar Pelayanan Kefarmasian Di Apotek.; 2016.

Kemenkes RI. Peraturan Menteri Kesehatan Nomor 9 Tahun 2007 Tentang Apotek.; 2007.

Sekarani R. Apotek Diminta Waspada Resep Palsu - Harianjogja. Harian Jogja. Published 2017.

Badan Narkotika Nasional Kabupaten Bantul. Atasi pembelian Obat dengan Resep Salinan Palsu, BNNK Bantul Rangkul Para Apoteker. Published online 2022:1.

Chapman M, Dyous C, Francis K, et al. Research on Illegal Prescription Drug Market Interventions Final. Published online 2015.

NHS. Spotting a Forged or Fraudulent Prescription.; 2021.

Nugroho DYFN. Membangun Sistem Pembuatan Resep Untuk Mencegah Pemalsuan dengan Tehnik Code Generator Berbasis Web. J Sarj Tek Inform. 2013;1 No 1(Juni 2013):150-161.

PUSLITDATIN BNN. Infografis Survei Prevalensi Penyalahgunaan Narkoba Tahun 2019. Pusat Penelitian, Data, dan Informasi (PUSLITDATIN) Indonesia, Badan Narkotika Nasional Republik; 2019.

GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories , 1990 – 2017: a systematic analysis for the Global Burden of Dis. 2018;392(November 10, 2018):1953. doi:10.1016/S0140-6736(18)32225-6

Blumenschein K. Prescription Drug Diversion : Fraudulent Tactics Utilized in the Community Pharmacy. Am J Pharm Educ. 1997;61:186.

Boeuf, Olivia; Lapeyre-Mestre M. Survey of Forged Prescriptions to Investigate Risk of Psychoactive Medications Abuse in France. Risk of Psychoactive Medication Abuse in France. Off J Int Soc Pharmacovigil [ISoP]. 2007;30(March 2007):265-276.

Lapeyre-Mestre M, Gony M, Carvajal A, Macias D, Conforti A, D’Incau P, Heerdink R, Van der Stichele R BU. A European community pharmacy-based survey to investigate patterns of prescription fraud through identification of falsified prescriptions. Eur Addict Res. 2014;20(June 2014):174-182. doi:doi: 10.1159/000356812

Presiden RI. Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 Tentang Kesehatan.; 2009.

Presiden RI. Peraturan Pemerintah Republik Indonesia Nomor 51 Tahun 2009 Tentang Pekerjaan Kefarmasian.; 2009.

Kemenkes RI. Peraturan Menteri Kesehatan No. 28 Tahun 2017 Tentang Izin Dan Penyelenggaraan Praktik Bidan.; 2017.

Singh N, Fishman S, Rich B, Orlowski A. Review Article Prescription Opioid Forgery : Reporting to Law Enforcement and Protection of. Pain Med. 2013;144:792-798.

U.S. Department of Justice. A Pharmacist’s Guide to Prescription Fraud. Published 2020. A Pharmacist Guide to Prescription Fraud.pdf

Rodwell L, Ringland C, Bradford D. What do police data tell us about criminal methods of obtaining prescription drugs ? Crime Justice Bull. 2010;139(Januari 2010):6, 8.

Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2017 Tentang Perubahan Penggolongan Psikotropika.; 2017.

BPOM RI. Peraturan Badan Pengawas Obat Dan Makanan Nomor 10 Tahun 2019 Tentang Pedoman Pengelolaan Obat - Obat Tertentu Yang Sering Disalahgunakan.; 2019.

Kemenkes RI. Peraturan Menteri Kesehatan Republik Indonesia Nomor 44 Tahun 2019 Tentang Perubahan Penggolongan Narkotika.; 2019.

Dyer C. Trainee GP is given written warning for faking antibiotic prescription. thebmj. 2019;365(29 May 2019):2370.

BPOM RI. 2019 Penjelasan BPOM RI tentang Peredaran OK yang dijual daring. Published online 2019:1.

PIONAS. Levonorgestrel. Published 2015. Ramai soal Obat Penggugur Kandungan, Dokter Jelaskan Bahayanya. Published 2021.

NSW. Lost, stolen or forged prescriptions. Published 2023.

Florida Board of Pharmacy. DEA Guidelines to Prescription Fraud. Published 2013.


Article Metrics

Abstract views : 965 | views : 1260


  • There are currently no refbacks.

Majalah Farmaseutik Indexed by:

Creative Commons Licence
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.