Outpatient Drug Order and Label Guidelines   

Federal and/or Georgia laws require specific information be included on the Rx blank and Rx dispensing label. Below is a list of these requirements as well as additional information to be included as a requirement for this lab.

Required by Law( Fed. & Ga.)                                  Lab Requirement

Rx Blank Requirements:                                                
1.    Patient's full name                                            6.  Doctor's full address
2.    Patient's full address                                         7.  If oral Rx, the pharmacist's
3.    Date written or called in                                         name or initials should be written
4.    Medication, strength, adequate                               after the prescriber's name    
       directions and units or qty. to                                  Ex. Dr. Jones/RPH                                                                                            
       dispense
5.   Prescriber's name
  

When Filling Rx (Pharmacist must put on Rx Blank)                
1.    Date filled (upper rt. corner)                             5. Trade (Brand) or generic name dispensed          
2.    Must initial (upper rt. corner)                            6.  Patient's date of birth(upper rt. corner)
3.    Must assign Rx # (upper lt. corner)                   7.  Notation of any OTC and/or Rx medications   
4.    For legal substitution - the word substitution,           (if N/A, Pharmacists should note on the upper
       the medication dispensed and manufacturer               right hand corner )

                                                                               8. Patient's allergy(ies) and/or meds  
Technology and computer systems has allowed for more efficient ways of tracking a Rx refill but originally established requirements are:
            
On Refilling (on back of Rx blank)
1.    Date refilled
2.    Pharmacist's initials
3.    Qty or # units dispensed (if differs
        from original prescription) 

 

                
Control Substances – Schedule II, III, IV, V
    
Rx Blank Requirements

1.    Patient's name                                                              6. If oral Rx, the pharmacist's name
2.    Prescriber's name                                                             or initials should be written after
3.    Prescriber's name, full address                                          the prescriber's name(Ex. Dr. Jones/RPh)
        and DEA#      
4.    Date written or called in 
5.    Patient's full address

      
When filling Rx (Pharmacist must put on Rx blank)

1.    Date filled                                                                  5.  Trade (Brand) or generic name dispensed
2.    Must assign Rx#
3.    Pharmacist's name or initials
       Pharmacist's legal signature is
        required on the face of a C-II Rx)
4.    For legal substitution – the word substitution,
       medication dispensed and manufacturer

Prescription Label

1.    Patient's name                                                           8.   Pharmacist's name or initials
2.    Prescriber's name                                                      9.   Medication dispensed, if indicated
3.    Date filled                                                                10.   Qty dispensed
4.    Rx#    
5.    Directions for use and                                             11.   Expiration date of medication
       cautionary statement(s)                                                    or beyond-use-date           
7.    Pharmacy name and address                                    12.   Exp. date of medication    
                                                                                      13.    # of Refills, if any
                                                                                      14.  Federal Caution: required for control substances

Prescription Label format for Lab