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The Prescription Label form is an essential document that plays a critical role in ensuring the safe and effective use of medications. This form typically includes vital information such as the patient's name, the prescribing physician's details, the medication name, dosage instructions, and the pharmacy's contact information. Additionally, it may provide specific instructions regarding the timing and method of administration, as well as any necessary warnings about potential side effects or interactions with other drugs. Accuracy in the completion of this form is paramount, as it directly impacts patient health and medication adherence. The design of the Prescription Label form aims to facilitate clear communication between healthcare providers, pharmacists, and patients, ultimately enhancing the overall medication management process. Understanding the components and importance of this form can empower patients and caregivers, ensuring they are well-informed about their prescriptions and how to use them safely.

Document Data

Fact Name Description
Purpose The Prescription Label form is used to provide essential information about a medication, including dosage, administration instructions, and patient details.
Required Information This form must include the patient's name, medication name, dosage, prescribing physician's information, and pharmacy details.
State Regulations Each state has specific laws governing prescription labels. For example, California's Business and Professions Code Section 4160 mandates clear labeling requirements.
Patient Safety Accurate prescription labels are crucial for patient safety, helping to prevent medication errors and ensuring proper usage.
Compliance Pharmacies must comply with both federal and state regulations regarding prescription labeling to avoid penalties and ensure patient care standards.

How to Write Prescription Label

Completing the Prescription Label form is an important step in ensuring that medication is dispensed accurately and safely. Following these steps will help you fill out the form correctly, minimizing the chance for errors and ensuring that all necessary information is provided.

  1. Begin by entering the patient's full name in the designated field.
  2. Provide the patient's date of birth to verify their identity.
  3. Fill in the medication name as prescribed by the healthcare provider.
  4. Indicate the dosage instructions, including how much to take and how often.
  5. Specify the quantity of medication to be dispensed.
  6. Include any special instructions or warnings related to the medication.
  7. Lastly, sign and date the form to confirm that all information is accurate and complete.

Prescription Label Example

Prescription Labels

When you go to a doctor, for a check-up, or because you are sick, the doctor may decide that you need prescription medicine.

The label on your prescription has important information. This information will be on the label. Some labels may have it in a different order.

1

 

 

Main Street Pharmacy

(612) 555-1234

 

 

 

1200 Main Street North, Minneapolis, MN

 

2

 

 

Dr. R. Wilson

 

3

 

 

Rx No: 300443

01/04/2005

4

 

 

JOHN JOHNSON

 

5

 

 

Dose: TAKE ONE TABLET BY MOUTH, DAILY.

 

6

 

 

Zocor Tabs Mfg Merck

 

7

 

 

Qty: 30

 

8

 

 

REFILLS: 3 BEFORE 12/08/05

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number 1 is the name, address and phone number of the pharmacy that filled the prescription. This is from "Main Street Pharmacy".

Number 2 is the name of the doctor. Doctor R. Wilson prescribed this medicine.

Number 3 is the prescription number, which begins with the abbreviation "Rx" or "No". This prescription number is 300443.

Number 4 is the name of the patient. This medicine is for John Johnson. No one else should take this medicine.

Number 5 tells how much medicine to take and when to take it. This may be written after the word "Dose". John should take 1 tablet once a day.

Number 6 is the name of medicine, and the name of the company that manufac- tured it. This medicine is called "Zocor", and Merck makes it.

Number 7 is the number of tablets. This may be written after the abbreviation "Qty" or the word "Quantity". This prescription is for 30 pills.

Number 8 is the number of refills available. When no refills are available the number will be "0".

Number 9 is the expiration date of the prescription. This may be written after "refill before" or the abbreviation "Exp". This is the last date the pharmacy can refill the prescription.

For more information about OTC medicine labels see OTC Labels. For more information about warning labels see Warning Labels.

For more information about the side effects of medicine see Side Effects.

The LaRue Medical Literacy Exercises were created by Charles LaRue through a grant from the Minnesota Department of Education under the supervision of the Minnesota Literacy Council.

©2005 MN Dept of Education