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COMPOUND PRESCRIPTION FORM A compound prescription must contain more than one ingredient. List the VALID 11digit NDC number for EACH ingredient used in the compound prescription. List the ingredient
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What is compound prescription form?
Compound prescription form is a document used by healthcare providers to prescribe medications that require compounding, which is the process of combining two or more ingredients to create a customized medication.
Who is required to file compound prescription form?
Healthcare providers such as doctors, nurse practitioners, and physician assistants who prescribe compounded medications are required to file compound prescription forms.
How to fill out compound prescription form?
Compound prescription forms can be filled out by providing the patient's information, the compounded medication details, dosing instructions, and the prescriber's information.
What is the purpose of compound prescription form?
The purpose of compound prescription form is to ensure that compounded medications are prescribed and dispensed safely and accurately to patients.
What information must be reported on compound prescription form?
The compound prescription form must include the patient's name, date of birth, medication details, dosage instructions, prescriber's name and contact information.
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