Which of the following is not listed as a dispensing incident?

• A. Prescription was not dispensed as prescribed
• B. Not appropriate dispensing
• C. PHI disclosed to someone else
• D. Medication expired before dispensing

Answer: (D)

Dispensing incidents are events that occur during the act of dispensing a prescription and involve errors or breaches directly in that process. The first option describes not dispensing exactly as prescribed, which is a clear dispensing error. The second option, dispensing in a way that isn’t appropriate, is another form of dispensing error where the wrong choice or unsanctioned action occurs during the process. The third option involves PHI being disclosed to someone else, which is a privacy violation occurring in the dispensing workflow and falls under the kinds of incidents that can happen during dispensing.

The scenario about a medication that has expired before it’s dispensed points to a problem with product integrity or inventory control rather than the dispensing action itself. It’s stopped by expiration checks or stock management, not an error in executing the prescription during dispensing. That’s why it isn’t listed as a dispensing incident in the same framework.