What is the expected outcome if a pharmacist dispenses a controlled substance against a voluntary non-opiate directive?

If a pharmacist dispenses a controlled substance contrary to a voluntary non-opiate directive, it is crucial to recognize that the pharmacist may face penalties. This stems from the legal obligation to adhere to patient directives, particularly when they are clearly expressed through a valid, documented directive. Such directives indicate the patient's wish to avoid opiates due to concerns such as personal health, past addiction, or other reasons.

Dispensing contrary to a patient’s non-opiate directive can lead to both professional consequences for the pharmacist, such as disciplinary actions by a licensing board, and potential liability if harm results from not adhering to the patient's expressed preferences. The pharmacist is required to ensure that the treatment aligns with the wishes of the patient, and failing to follow a directive could also contravene state or federal pharmacy regulations, leading to further ramifications.

The other options do not recognize the legal and ethical responsibilities a pharmacist has towards the patient's autonomy and choices regarding their medication, which is vital to understanding this scenario.