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F P DR REQUEST FOR PRESCRIPTION & MILEAGE REIMBURSEMENTBureau of Fire and Police Disability and Retirement 1800 SW First Avenue, Suite 450, Portland, OR 97201 5038236823; FAX 5038235166; B236/450January
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How to fill out prescription amp

01
Receive a prescription from a licensed healthcare provider.
02
Ensure that the prescription is for medication that requires an ampoule (amp) format.
03
Gather all necessary information and materials, including the prescription, an ampoule of the prescribed medication, a syringe or needle, and any required diluents or solvents.
04
Wash your hands thoroughly with soap and water.
05
Choose a clean and sterile work area to prepare the medication.
06
Inspect the ampoule to ensure it is intact and free from any cracks or damage.
07
Use an alcohol wipe to clean the top of the ampoule.
08
Hold the ampoule firmly and gently snap or break off the top using an ampoule opener or by wrapping a tissue or gauze around it.
09
Attach the syringe or needle to the ampoule by inserting it into the open top.
10
Slowly draw the medication into the syringe by pulling back on the plunger.
11
If necessary, follow the instructions provided to mix or dilute the medication.
12
Ensure that any air bubbles are removed from the syringe by gently tapping it or pushing the plunger slightly to release them.
13
Double-check the dosage and verify that it matches the prescribed amount.
14
Dispose of any unused medication appropriately according to local regulations.
15
Administer the medication as directed by the prescription or healthcare provider.
16
Properly dispose of the used ampoule, syringe, and any other sharps or medical waste.
17
Wash your hands again after handling the medication.

Who needs prescription amp?

01
Patients who have been prescribed medication in ampoule form by a licensed healthcare provider.
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In some cases, individuals receiving emergency medical care or certain injections in a healthcare setting may also require prescription ampoules.
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The specific need for prescription ampoules will vary depending on the medication and the patient's medical condition or treatment plan.
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It is important to consult with a healthcare provider to determine if prescription ampoules are necessary for a particular situation.
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Prescription AMP stands for Prescription Average Manufacturer Price. It is the average price paid by wholesalers to manufacturers for prescription drugs distributed to retail pharmacies.
Manufacturers of prescription drugs are required to file prescription AMP with the appropriate regulatory body.
Prescription AMP is filled out by providing detailed information about the price of prescription drugs sold to wholesalers and retail pharmacies.
The purpose of prescription AMP is to calculate the reimbursement rates for prescription drugs under government programs such as Medicaid.
Information such as drug product codes, total sales, rebates, and other pricing details must be reported on prescription AMP.
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