1997年，臺灣欲實施醫師診斷治療後開立處方箋，而藥師按照處方箋提供調劑等藥事服務之醫藥完全分業，但卻以醫師符合法律規定下可親自調劑或於診所內聘僱藥師之運作方式，導致醫師與藥師爭執藥事法第102條之調劑權爭議，甚至因政策公告釋出處方箋即可獲得獎勵金，加速醫師開設門前藥局聘僱藥師，不僅賺取釋出處方箋費用，亦能得到藥事服務費。
觀藥師受有藥理學、藥劑學、藥物反應或臨床藥學實驗等教育，從事製藥及藥事服務，可再次檢驗醫師用藥是否有誤，與醫師之診斷治療應並駕齊驅，實屬專業分工。而德國醫藥分業已有百年歷史，於社會法法典第五篇第129條明文落實醫師與藥師依其所受教育分別開立處方箋及行使調劑權，並且規定藥局輪值24小時以提供藥事服務。
本文以西醫醫療院所及西藥調劑為核心，介紹臺灣醫藥分業制度及藥事法第102條導致之爭議與問題，進而借鏡德國醫藥分業制度，提出結論及修法建議。
In 1997, the Separation of Medicine and Pharmacy was established in accordance with Pharmaceutical Affairs Act Article 102 in Taiwan. But the system and the design was not the same, and extend some problems as right of dispense.
The Separation of Medicine and Pharmacy was established in Germany more than 100 years. Fünftes Buch Sozialgesetzbuch Article 129 which is means that doctor to provide diagnosis and write prescription, and then. Pharmacist evaluating thepre scription before filling it. Otherwiae, the pharmacy open 24 hours to provide pharmacy services.
This article introduces the Separation of Medicine and Pharmacy in Taiwan, taking Modern Medicine Medical Institution and Modern Medicine as the core, and put forward the problems. To reference the Separation of Medicine and Pharmacy in Germay to present conclusions and recommendations.
