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2018 Supervising Physician Dispensing Outlet Supplemental Information Form Oregon Board of Pharmacy 800 NE Oregon St., Suite 150 Portland, Oregon 97232Please complete all fields of this required form
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Who needs supervising physician dispensing outlet?

01
Physicians who wish to dispense medication directly to their patients from their practice or clinic.
02
Medical facilities or practices that want to provide a convenient and efficient way for patients to obtain prescribed medications.
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States or jurisdictions that allow physician dispensing and have specific regulations and requirements for supervising physician dispensing outlets.
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Supervising physician dispensing outlet is a facility where a physician is able to dispense medication directly to patients.
Any physician or medical facility that dispenses medication directly to patients is required to file a supervising physician dispensing outlet.
To fill out a supervising physician dispensing outlet, a physician must provide information about the medications being dispensed, patient information, and any supervising physician details.
The purpose of a supervising physician dispensing outlet is to allow physicians to conveniently provide medication to patients without the need for a pharmacy.
Information such as medication details, patient information, and supervising physician information must be reported on a supervising physician dispensing outlet.
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