d. Prepare the Required Form. On the back of the prescription form or on the
uniformly maintained record that indicates "refills" you must record the following
information: the date of the refill, the amount of medication dispensed, your initials, and
the prescription number.
e. Select the Appropriate Drug Formulation (Drug, Strength, and Dosage
Form). Select the product from the shelf carefully.
f. Check Visual Identification of the Drug Against the Prescription Label.
Ensure that the patient is notified when you have to substitute for a drug of a different
trade name, but of the same generic equivalent. Be careful not to confuse drugs that
look alike or have names that sound alike.
g. Package the Refill. If the prescription was originally dispensed in a plastic
container, a new container with a new child-resistant top should be prepared to contain
the medication. This means that a new label must be placed on the plastic container. If
the prescription were originally dispensed in a glass container, a new child-resistant top
should be placed on the container. The label on the glass container should be replaced
if the original label were marred or defaced.
h. Record Scheduled Refills. Record Scheduled Refills in the Refill Register
or in a Uniformly Maintained Record Designating "Schedule Refills."
i. Record Refills for Controlled Substances on DD Form 3862 (Controlled
Substances Stock Record). Note R items cannot be refilled. A separate record must
be kept on all scheduled items. Note Q items will not be refilled unless authorized by
the prescriber in the original prescription. If the prescriber authorized refills, the
prescription cannot be refilled more than 5 times nor after 6 months from the initial issue
date.
NOTE: Of course, steps such as evaluating the prescription would occur at this point
as in the major task of filling the prescription.
MD0810
4-9
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