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BFAD CIRCULAR NO. S.

1994 TO: All drugstore and drug regulation officers and parties concerned, SUBJECT: Amendment of MC No. s, 1994 Compliance with the IRR of the Senior Citizen Act. Memo Circular No. 4 S, 1994 is hereby amended to read as follows: Rule V (D) States: A senior citizen is entitled to a minimum of twent percent (20%) Discount in the purchase of medicine for his personal use and accordingly for his personal needs A.) In the purchase of medicine, a senior citizen or his duly authiorized representative should always represent the National ID Card and his purchase slip booklet duly issued and approved by the OSCA Chariman together with the doctors prescription, If non-prescription or over the counter drugs, the number of drugs purchased shall commensurate to the elderly persons needs Beginning January 1, 1995, its use by Senior Citizen shall be mandatory, Senior Citizen who can not afford the consulattion fee of a private doctor could consult at their government health/ hospital and get a prescription, free of charge. B.) As a general rule, any single dispensing should not be more than one (1) month supply, however, when the drugs are for chronic condition requiring continuous use for more than a month such as but not limited to anti-hypertensive , anti-diabetic, anti-angina, anti-thyroid, ceroplastic, anti-psychotic, hormonal drugs for prolonged use and dietary supplements, a maximum of one month supply may be dispensed at a time. C.) For the purpose, drugstores are required to maintain only one special book record registered and subject to inspection by both BFAD and BIR D.) These discount privileges shall be non-transferable and limited and exclusive for the benefit of the senior citizen E.) All drugs outlet including drugstores, hospital, pharmacies (government or private) or retail outlets for non-prescription drugs are enjoined to comply with the above cited rule and all FPROs are instructed to report non-compliance if evidence of such commission MDB/rda/8/9/95

SENIOR CITIZENS PURCHASE SLIP BOOKLET No.___________________________________ Period Covered:_________________________ NAME OF SENIOR CITIZEN: Rufina Mangalao ADDRESS: Poblacion, Kabugao, Apayao ZIP CODE: 3809 Tel No. OSCA ID NO: 600 Date issued: March 8, 2012 Place issued: Kabugao, Apayao 1. This slip must be personally presented to the drugstore, together with Senior Citizens OSCA ID Card and Doctors prescription before a purchase can be made. In case a senior citizen could not personally purchase, he/she should send an authorization letter Senior citizen must verify the quantity filed shown on invoice and ensure that the same quantity is entered in the slip. To ensure another form with control members surrendered used form to your respect OSCA (Office of the Senior Citizen Affairs) Report loss of form to your respective OSCA for replacement.

2. 3. 4.

Issued and Approved by:

ESPIRITU AYABO OSCA CHAIRMAN RUFINA MANGALAO Signature (thumb mark for non-illiterate Senior Citizen )

Poblacion, Kabugao, Apayao 3809 OSCA Complete Office Address

MEDICINES PURCHASE

QUANTITY Prescribed
ST

FOR PARTIAL FILING 1 DATE 2


ND

BALANCE 3 DATE
RD

ATTENDING PHYSICIAN NAME ADDRESS PTR NO. SERVING DRUGSTORE NAME OF RESPONSING PHARMACY

DATE

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