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Faxed prescriptions will only be accepted from a prescriber. Patients must bring an original prescription to the pharmacy, and cannot fax these referral forms to Sender. Ophthalmology Enrollment Form3712

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How to fill out 5ml multi-dose vial

01

Wash your hands thoroughly with soap and water before handling the vial.

02

Check the vial for any cracks or leaks before using it.

03

Clean the rubber stopper on the vial with an alcohol swab.

04

Insert the needle of a sterile syringe into the vial and draw up the desired amount of medication.

05

Remove any air bubbles from the syringe by gently tapping it and pushing the plunger.

06

Administer the medication according to the prescribed dosage and route.

07

Label the vial with the date it was opened and the initials of the person who used it.

08

Store the vial in a cool, dry place away from direct sunlight.

Who needs 5ml multi-dose vial?

01

Healthcare professionals like doctors, nurses, and pharmacists who administer medications to multiple patients.

02

Patients with chronic conditions who require regular doses of medication over an extended period of time.

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What is 5ml multi-dose vial?

A 5ml multi-dose vial is a container that holds 5 milliliters of medication that can be used multiple times.

Who is required to file 5ml multi-dose vial?

Healthcare professionals or facilities that administer medication using 5ml multi-dose vials are required to file.

How to fill out 5ml multi-dose vial?

To fill out a 5ml multi-dose vial, carefully draw the required amount of medication using a sterile syringe and needle, making sure to follow proper aseptic technique.

What is the purpose of 5ml multi-dose vial?

The purpose of a 5ml multi-dose vial is to provide a convenient and cost-effective way to administer medication multiple times while maintaining sterility.

What information must be reported on 5ml multi-dose vial?

The information that must be reported on a 5ml multi-dose vial includes the medication name, dosage, expiration date, lot number, and date of first use.

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