h. Potency period/expiration date.
i.
Lot number.
j.
Initials of individual filling order.
k. Rx number if applicable (only used when controlled medications are
repackaged). (figure 1-2d).
Section IV. DOD PRESCRIPTION (DD FORM 1289)
1-10. GENERAL
Controlled substances for ward stock are ordered on DD Form 1289 (DOD
Prescription Form). The DD Form 1289 must be prepared as outlined in Subcourse
MD0810, Outpatient Dispensing. Because the drug is intended forward use, the
request must be signed by a physician or registered nurse. When the form is received
in the pharmacy, it is checked for completeness and taken to the vault to be filled.
1-11. PROCEDURE
After the order is prepared and labeled, the drug is ready to be checked and
there are some steps that must be followed when dispensing controlled substances
under these conditions. First, a nurse should receive the drug, check it against the
original DD Form 1289, and sign the reverse side of the form acknowledging receipt of
the medication. Next, the nurse must record receipt of the drug in the nursing
equivalent of the Controlled Substances Record. Finally, the pharmacy specialist
should verify the transaction on the pharmacy's copy of the DA Form 3862 (Controlled
Substances Record) and file the DD Form 1289.
Section V. DELIVERY OF WARD STOCK
1-12. PROCEDURE
Controlled substances and non-controlled ward stock may be delivered directly to
user areas or be picked up at the pharmacy by user area personnel, in accordance with
local SOP. The completed order must be verified by the receiver.
MD0811
1-7