(6) Figure 3-5, BAMC Form 279, Multiple Prescription, represents a multiple
prescription with three medications prescribed. Each separate medication identified on
the multiple item prescription, that is, 3-line items, is awarded a UCA weighted value of
1.0; therefore, the UCA count is 3.0 (1.0 for each item).
Figure 3-5. BAMC Form 279, Multiple Prescription.
NOTE : Brooke Army Medical Center (BAMC) is located at Fort Sam Houston, Texas.
3-8.
OUTPATIENT CLINIC OR TROOP CLINIC ISSUE
a. Guideline. Count each handout or pre-pack issued to clinics for individual
outpatients by non-pharmacy personnel with UCA weighted value of 0.6. Each line of
items intended for clinic use will have a UCA value of 2.0.
MD0812
3-9