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Extemporaneous pyridoxine form is a document used to report the use of pyridoxine, also known as vitamin B6, in a compounded medication that is prepared by a pharmacist specifically for an individual patient.
Pharmacists who compound medications containing pyridoxine for individual patients are required to file the extemporaneous pyridoxine form.
To fill out the extemporaneous pyridoxine form, the pharmacist must provide information such as the patient's name, the medication name and dosage, the purpose of the medication, and the quantity of pyridoxine used in the compound.
The purpose of the extemporaneous pyridoxine form is to ensure that the use of pyridoxine in compounded medications is properly documented and reported for regulatory and safety purposes.
The extemporaneous pyridoxine form should include the patient's name, the medication name and dosage, the purpose of the medication, and the quantity of pyridoxine used in the compound.
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