A patient arrives at your pharmacy with a prescription for sildenafil 100 mg. The patient is your personal friend, and you are aware that he is married. He requests that the prescription be processed under a different name to prevent his spouse from finding out. What is the most appropriate action for the pharmacist, according to professional ethics and provincial pharmacy acts?

Question: A patient arrives at your pharmacy with a prescription for sildenafil 100 mg. The patient is your personal friend, and you are aware that he is married. He requests that the prescription be processed under a different name to prevent his spouse from finding out. What is the most appropriate action for the pharmacist, according to professional ethics and provincial pharmacy acts?

Answer options:

• Process the prescription under the requested name to maintain patient confidentiality and privacy. ✅ Refuse to fill the prescription due to potential fraud and ethical duty to act with integrity.
• Fill the prescription under his actual name and advise him about spousal communication.
• Contact his physician to clarify the patient's identity and then proceed as instructed.

Correct answer: Refuse to fill the prescription due to potential fraud and ethical duty to act with integrity.

Explanation: A pharmacist has a professional and ethical duty to act with integrity and refuse to engage in fraudulent activities, such as dispensing medication under a false identity. This action also compromises patient safety and record-keeping, which are fundamental aspects of pharmacy practice.