a. DYAZIDE CAPSULES
Hydrochlorothiazide 25 mg
Triamterene 50 mg
Lot #: HM437
Exp. date: July XX
MFG: Smith Kline & French
b. AMITRIPTYLINE 25 mg TABLETS
Lot #: 4Y6U
Exp. date: Dec XX
MFG: Geneva Generics
Controlled substances for ward stock are ordered on DD Form
DD Form 1289 must be signed by a physician or
The pharmacy receiving a DD Form 1289 checks it for completeness and takes it
to the ____________________________________________ to be filled.
After receiving a controlled substance, a ward nurse should check it against the
original DD Form 1289, sign the reverse side, and record receipt in the nursing
equivalent of the ____________________________________ .
After the controlled item is received by the ward nurse, the pharmacy specialist
should verify the transaction on the pharmacy's copy of the DA Form
file the DD Form 1289.
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