![]() ![]() In other jurisdictions, the protocol is for the prescriber to handwrite one of the following phrases: "dispense as written", "DAW", "brand necessary", "do not substitute", "no substitution", "medically necessary", "do not interchange". Some have a preprinted box "dispense as written" for the prescriber to check off (but this is easily checked off by anyone with access to the prescription). In some jurisdictions, the preprinted prescription contains two signature lines: one line has "dispense as written" printed underneath the other line has "substitution permitted" underneath. This instruction is communicated in a number of ways. Prescriptions will also contain instructions on whether the prescriber will allow the pharmacist to substitute a generic version of the drug. Many brand name drugs have cheaper generic drug substitutes that are therapeutically and biochemically equivalent. Some jurisdictions, drug types or patient groups require additional information as explained below.ĭrug equivalence and non-substitution Contents Įvery prescription contains who prescribed the prescription, who the prescription is valid for, and what is prescribed. Those within the industry will often call prescriptions simply "scripts". The word "prescription", from "pre-" ("before") and "script" ("writing, written"), refers to the fact that the prescription is an order that must be written down before a drug can be dispensed. These directions are printed on the label of the pharmaceutical product. Prescriptions also contain directions for the patient to follow when taking the drug. In the past, prescriptions contained instructions for the pharmacist to use for compounding the pharmaceutical product but most prescriptions now specify pharmaceutical products that were manufactured and require little or no preparation by the pharmacist. Each prescription is dated and some jurisdictions may place a time limit on the prescription. In the United Kingdom and Ireland the patient's name and address must also be recorded. Unique for each prescription is the name of the patient. ![]() The content of a prescription includes the name and address of the prescribing provider and any other legal requirement such as a registration number (e.g. In some cases, a prescription may be transmitted from the physician to the pharmacist orally by telephone. Alternatively, a prescription may be handwritten on preprinted prescription forms that have been assembled into pads, or printed onto similar forms using a computer printer or even on plain paper according to the circumstance. Prescriptions may be entered into an electronic medical record system and transmitted electronically to a pharmacy. ![]() This is regardless of whether the prescription includes prescription drugs, controlled substances or over-the-counter treatments. įor a communication to be accepted as a legal medical prescription, it needs to be filed by a qualified dentist, advanced practice nurse, physician or veterinarian, for whom the medication prescribed is within their scope of practice to prescribe. Medieval prescriptions invariably began with the instruction from the physician to the apothecary to "take" certain materials and compound them in specified ways. Originally abbreviated Rc, the later convention of using a slash to indicate abbreviation resulted in an R with a straight stroke through its right "leg". The symbol "℞", sometimes transliterated as "R x" or "Rx", is recorded in 16th century manuscripts as an abbreviation of the late Latin instruction recipe, meaning 'receive'. ![]()
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