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Electronic Compounding Record & Label Generator
Prescription Label
Information Required on Label
Dispensing Date:
Date Rx was Written:
Pharmacist Initials:
Patient Name:
(first & last)
Physician Name:
(first & last)
Drug Name & Strength & Dosage Form:
Drug Manufacturer:
Quantity Dispensed:
Refills:
Beyond-Use Date:
Sig:
(Note: start with capital letter, end with period. Do not use ALL CAPS.)
Custom Aux Sticker:
Auxiliary Label #1
Open Aux 1
Load Aux 1
Auxiliary Label #2
Open Aux 2
Load Aux 2
Auxiliary Label #3
Open Aux 3
Load Aux 3
Medication Bottle Used To Fill Rx
Drug Bottle #:
Open Bottles
Load Bottle
View Patient Profiles
View Doctor Information
View Auxiliary Labels
View Precription Drug Bottles
Procedure
Procedure
- Number Each Step
Compounding Equipment: Procedure:
Ingredients Record
Ingredient #1
Name
Mfg. & Lot #
Exp. Date
Target Amt
Actual Amt
Ingredient #2
Name
Mfg. & Lot #
Exp. Date
Target Amt
Actual Amt
Ingredient #3
Name
Mfg. & Lot #
Exp. Date
Target Amt
Actual Amt
Ingredient #4
Name
Mfg. & Lot #
Exp. Date
Target Amt
Actual Amt
Ingredient #5
Name
Mfg. & Lot #
Exp. Date
Target Amt
Actual Amt
Ingredient #6
Name
Mfg. & Lot #
Exp. Date
Target Amt
Actual Amt
Dispensing Documentation
Rx Number:
Date Prepared:
Prepared By:
Beyond-use Date:
Storage Requirements:
QA Documentation
Product Weight(s) or Volume:
Product Description & Testing:
Create Compounding Record