a. DYAZIDE CAPSULES
Ingredients:
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
12.
Controlled substances for ward stock are ordered on DD Form
.
13.
DD Form 1289 must be signed by a physician or
.
14.
The pharmacy receiving a DD Form 1289 checks it for completeness and takes it
to the ____________________________________________ to be filled.
15.
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 ____________________________________ .
16.
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
and
file the DD Form 1289.
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MD0811
1-13