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DATE: December 6, 2021, INTRODUCED BY: Mayor Corcoran REFERRED BY: TEMPORARY NO: T 14720211ST READING: 2ND READING: 3RD READING: ADOPTED: EMERGENCY:December 6, 2021, Dispensed December 6, 2021, December

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Obtain the dispensed form from the designated source.

02

Fill in your personal information accurately, including your name, date of birth, and contact information.

03

Provide details of the medication or item being dispensed, including the dosage, quantity, and instructions for use.

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Include any necessary prescription information, such as the prescribing physician's name and signature.

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Review the completed form for accuracy and completeness before submitting it to the appropriate party.

Who needs dispensed?

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Individuals who have received medication or medical supplies from a pharmacy or healthcare provider may need to fill out a dispensed form.

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What is dispensed?

Dispensed refers to the distribution of medication or prescriptions.

Who is required to file dispensed?

Healthcare providers and pharmacies are required to file dispensed.

How to fill out dispensed?

Dispensed can be filled out electronically or manually on designated forms.

What is the purpose of dispensed?

The purpose of dispensed is to track medication distribution for regulatory and monitoring purposes.

What information must be reported on dispensed?

Information such as the medication name, dosage, patient information, and prescribing healthcare provider must be reported on dispensed.

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