Académique Documents
Professionnel Documents
Culture Documents
This section is worth a total of 20 points. There are 10 questions, each worth 2 points, with no partial credit.
Decide if the prescription can be dispensed as is. If so, place a checkmark in the line to dispense the
prescription. If not, there is one, and only one, reason for the prescription to not be dispensed. Possible
problems with the prescription may include:
1. A clinical issue that requires you to contact the prescriber for a change or clarification
2. An error in the prescription
3. An omission
An error or omission must only include things that are required by law to be included. For example, the
quantity need not appear on the label.
The problem with the prescription must be given in 10 words or less. Examples of ways to state the problem
include “wrong drug” or “wrong directions.” For any incorrect information given, or if there is more than one
problem listed, the question will be marked incorrect.
Assumptions:
Assume that the prescriber’s license number and DEA information are correct.
Assume that the prescriptions do not need to be on an official New York State prescription blank.
Assume that the “date” you are filling the prescription, is the date on the prescription
For generic drugs being dispensed, wether or not the manufacturer is on the label does not matter
421. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are
correct).
Prescription:
Richard Zakrajesek, MD
5899 Sweet Home Road
E Amherst, NY 14256
716-444-5554
Lic# 125487 DEA BZ4557154
Name: Amy Celestino DOB: 02/29/59 Prescription Label:
Address:2390 Baxter Ave Date:07/09/06
Buffalo, NY 14334 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Probenecid 500 mg
Rx# 90012
Sig: i po bid Amy Celestino July 9, 2006
2390 Baxter Ave
# 60 Buffalo, NY 14334
Probenecid 500 mg # 60
Prescriber Signature X_Richard Zakrajesek_
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Richard Zakrajesek, MD. Refill 1 time
Dispense as Written
Serial #3636K258
Drug Dispensed:
Exp. 05/2010
Lot # 1256J23
Drug Dispensed:
Exp.06/08
Lot # 060359W
Accolate 20 mg #60
Prescriber Signature X Thomas Grands___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: AstraZeneca Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Thomas Grands Refill 5 times
DAW
Dispense as Written
Serial #125L65K6
Drug Dispensed:
Exp. 02/2010
Lot # 123456
Quinapril 20 mg #30
Prescriber Signature X___Sharon White____
Refill: 3 MDD: MFR: Greenstone
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Sharon White Refill 3 times
Dispense as Written
Serial #125L1258
Drug Dispensed:
Exp: 05/2010
Lot # 05896583
Please write a BRIEF description of the error/omission (3pts):
7. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Howard Siemer, MD Mary May, Midwife CNM
Lic# 124587 Lic # 123514
DEA AS4541252 DEA MF1223560
WNY OB/GYN
68 Elmhurst Dr
Orchard Park, NY14040
716-877-7777
Prescription Label:
Name: John May DOB: 12/14/60 Health Sciences Pharmacy Phone: 716-555-5555
Address:144 Lake Shore Road Date:12/12/02 222 Cooke Hall
Buffalo, NY 14222 Amherst, NY 14260
Diovan 160 mg # 30
Prescriber Signature XMary May CNM___
Refill: 8 MDD: MFR: Novatis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mary May, CNM. Refill 8 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Exp. 02/2004
Lot # J7841235
Viibryd 40 mg #30
Prescriber Signature X__Kenneth Taung_____
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Lannett
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Kenneth Taung Refill 5 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Exp. 10/2009
Lot # L147896P
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Take as directed.
Dispense as Written
Serial #12258OP8
Drug Dispensed:
Exp. 12/2010
Lot # L123969N
Drug Dispensed:
Exp. 08/2010
Lot # H255523
Rx# 114575
Rx Zyrtec 10 mg Ivory Clapp November 25, 2005
2332 Minnesota Ave
Sig: i po qd Buffalo, NY 14010
Drug Dispensed:
Exp. 12/2009
Lot # 25558LK
Coumadin 2 mg # 60
Prescriber Signature X__ Tommy Reed ____
Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Bristol-Myers Squibb
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Tommy Reed, MD. Refill 11 times
Dispense as Written
Serial #565D52H9
Drug Dispensed:
Exp. 03/2009
Lot # L12589
Drug Dispensed:
Exp. 05/2009
Lot # 1256J23
Proctocort 1% Cr # 28.35
Prescriber Signature X_ William Zaklikowski
Refill: 2 MDD: MFR: Salix
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD Refill 2 times
DAW
Dispense as Written
Serial #K2268238
Drug Dispensed:
Exp. 08/2010
Lot # T2M2352
Viibryd 40 mg #30
Prescriber Signature X__Kenneth Taung_____
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Lannett
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Kenneth Taung Refill 5 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Exp. 10/2009
Lot # L147896P
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Drug Dispensed:
Exp. 08/2009
Lot # F020002
Amturnide 300mg/5/25mg # 30
Prescriber Signature X__Chester Cross____
Refill: 5 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Chester Cross, MD. Refill 5 times
Dispense as Written
Serial #Z2578456
Drug Dispensed:
Exp. 03/2008
Lot # 235800
Dispense as Written
Serial #B2148Z00
Drug Dispensed:
Exp. 06/2009
Lot # 235985
MFR: Watson
Dispense as Written Deepak Singh, MD. Refill 2 times
Serial #R2358962
Drug Dispensed:
Exp. 12/2008
Lot # 145974A
Use as directed.
Dispense as Written
Serial #00012KL8
Drug Dispensed:
Exp. 11/2009
Lot # B00156
Please write a BRIEF description of the error/omission (3pts):
37. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Mike Lou, MD
5255 Cobblestone Dr
Clarence, NY 10003
716-999-9998
Lic# 142563 DEA AL122580
Name: Fanny Pruchinewiz DOB: 04/01/59 Prescription Label:
Address: 1147 North Forest Rd Date: 03/11/06
Buffalo, NY 11896 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ambien 10 mg
Rx# 529696
Sig: i po hs Fanny Pruchinewiz March 12, 2006
1147 North Forest Road
# 30 ( thirty) Buffalo, NY 11896
Dispense as Written
Serial #125TDEF2
Drug Dispensed:
Exp. 09/2009
Lot # XL12H
Drug Dispensed:
Exp. 04/2010
Lot # 235233
Norvasc 10 mg # 30
Prescriber Signature X_Cassandra Moninski__
Refill: 5 MDD: MFR: Pfizer
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Cassandra Moninski, MD. Refill 5 times
Dispense as Written
Serial #M2539P60
Drug Dispensed:
Exp. 11/2009
Lot # T008986
Exp. 08/2014
Lot # 1KJ235
Dispense as Written
Serial #1258LLT8
Drug Dispensed:
Exp. 01/2011
Lot # L2258C
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Sotalol 80 mg # 60
Prescriber Signature X__Patrick Wosinski__
Refill: 6 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Wosinki, MD. Refill 6 times
Dispense as Written
Serial #1258TJU1
Drug Dispensed:
Exp. 10/2009
Lot # 14556PA
Drug Dispensed:
Exp. 06/2009
Lot # 16X1258
Exp. 11/2014
Lot # 1YU2333
Drug Dispensed:
Exp. 02/2010
Lot # 12568
Take as directed
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2010
Lot # 1KJ2358
Invega 6 mg tablets # 30
Prescriber Signature X__John Rousseau____
Refill: 0 MDD: MFR: Janssen
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, MD. Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 02/2011
Lot # 17485900
Drug Dispensed:
Exp. 08/2009
Lot # L12325
Levoxyl 25 mcg # 30
Prescriber Signature X_ Gary Heresy __
Refill: 3 MDD:1 MFR: Jones Pharma
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Gary Heresy, MD. Refill 3 times
Dispense as Written
Serial #ZZ233256
Drug Dispensed:
Exp. 05/2010
Lot # 85585
Use as directed
Dispense as Written
Serial #36LK2577
Drug Dispensed:
Exp. 02/2010
Lot # 15687L
Use as directed.
Exp. 11/2010
Lot # 008996
Dispense as Written
Serial #K1258LP1
Drug Dispensed:
Exp. 03/2010
Lot # 0222589
Please write a BRIEF description of the error/omission (3pts):
18. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Thomas Criag, MD
1208 Alberta Drive
Rochester, NY 15236
716-454-4545
Lic# 223692 DEA BC1255896
Name: _Beanette Bush DOB:06/18/30_ Prescription Label:
Address4545 Delancey Lane Date: 01/21/08_
_Williamsville, NY 12589___ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Aldara 5 %
Rx# 123256
Sig: UUD Beanette Bush January 21, 2008
4545 Delancey Lane
Williamsville, NY 12589
# 12
Use as directed.
Drug Dispensed:
Exp. 12/2007
Lot # 008996
Drug Dispensed:
Exp. 06/2009
Lot # BH025896
Drug Dispensed:
Exp.06/08
Lot # 060359W
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Exp. 08/2014
Lot # 1258789
Combivent # 14.7
Prescriber Signature XMary May CNM___
Refill: 8 MDD: MFR: Boehringer Ingelheim
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mary May, CNM. Refill 8 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Exp. 02/2004
Lot # J7841235
Dispense as Written
Serial #K1258LP1
Drug Dispensed:
Exp. 03/2008
Lot # 0223369
Please write a BRIEF description of the error/omission (3pts):
383.ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Pauline Davidson, MD
5529 Northtown Raod.
E Amherst, NY 14333
716-123-4567
Lic# 147891 DEA AD1122580
Name: Isolina Haller DOB: 03/19/53 Prescription Label:
Address: 400 Cleveland Dr Date: 12/25/06
Amherst, NY 14223 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Percodan 4.5/325
Sig: i po q 6 h prn Rx# 20326
Isolina Haller December 25, 2006
# 120 (one hundred twenty) 400 Cleveland Dr
Amherst, NY 14223
Dispense as Written
Serial #LK859967
Drug Dispensed:
Exp. 05/2008
Lot # 45L2586
Drug Dispensed:
Exp. 09/2008
Lot # 008998
Exp. 08/2009
Lot # 1P3172
Dispense as Written
Serial #78452K89
Drug Dispensed:
Exp. 08/2009
Lot # 1P3172
Ampyra 10 mg # 60
Prescriber Signature X_Jonathan Mallozzi____
Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Acorda Therapeutics
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jonathan Mallozzi, DO. Refill 6 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Exp. 08/2009
Lot # 1P3172
Drug Dispensed:
Exp. 02/2009
Lot # 123456
Please write a BRIEF description of the error/omission (3pts):
15. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Julius Hibbert, MD
Lic# 125898
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Frank Grimes DOB: 1/29/1955
Address:197 Hartford Road Date:03/05/11 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Dispense as Written
Serial #P2258H52
Drug Dispensed:
Exp. 09/2008
Lot # H52268
Dispense as Written
Serial #568LK236
Drug Dispensed:
Exp. 08/2008
Lot # 1258789
Prescriber Signature X__ Yin Ching Tee __ Lithium Carbonate ER 300 mg #60
Refill: 3 MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dispense as Written
Serial #KL238745
Drug Dispensed:
Exp. 03/2007
Lot # K12458
Prescriber Signature X__ Frederick Morris _ Take one tablet twice daily.
Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Gemfibrozil 600 mg # 60
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Teva
Drug Dispensed:
Exp. 05/2009
Lot # P23568
Dispense as Written
Serial #T7874899
Drug Dispensed:
Exp. 02/2008
Lot # P1000011
Exp. 02/2009
Lot # 148265S
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Rx# 114575
Rx Zyrtec chew 10 mg Ivory Clapp November 25, 2005
2332 Minnesota Ave
Sig: i po qd Buffalo, NY 14010
Drug Dispensed:
Exp. 11/2006
Lot # 235K2555
Prednisone 5 mg # 21
Prescriber Signature X_ Kent Zheng __
Refill: 0 MDD: MFR: Roxane
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kent Zheng, RPA Refill 0 times
Dispense as Written
Serial #2356K569
Drug Dispensed:
Exp. 05/2006
Lot # L5500111
Metoclopramide 5 mg # 30
Prescriber Signature X_ Clifford Bookbinder __
Refill: 6 MDD: MFR: Pliva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Clifford Bookbinder, DO. Refill 6 times
Dispense as Written
Serial #L2536Z00
Drug Dispensed:
Exp. 04/2010
Lot # P102100
Amturnide 300mg/10mg/25mg # 30
Prescriber Signature X__Chester Cross____
Refill: 11 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Chester Cross, MD. Refill 1 times
Dispense as Written
Serial #Z2578456
Drug Dispensed:
Exp. 03/2008
Lot # 235800
Dispense as Written
Serial #K1258LP1
Drug Dispensed:
Exp. 03/2008
Lot # 0223369
Please write a BRIEF description of the error/omission (3pts):
428. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are
correct).
Prescription:
Mark Flinchbaguh, MD
74 Quail Hollow Lane
E Amherst, NY 17895
716-666-6669
Lic# 174895 DEA AF458795
Name: Beverly Feasley DOB: 09/14/77 Prescription Label:
Address:7874 Bellwood Ln Date:02/16/07
Clarence, NY 14774 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Phenergan
Rx# 90014
Sig: i tsp po q6h prn cough Beverly Feasley February 16, 2007
7874 Bellwood Ln
# 150 Clarence, NY 14774
Dispense as Written
Serial #1K2348M5
Drug Dispensed:
Exp. 06/2008
Lot # K25877
Exp. 02/2011
Lot # 6HP006E
Rx# 90016
Dispense as Written Frank Barrett November 25, 2006
Serial #W2538Y25 8888 Michigan Ave
Buffalo, NY 14200
Drugs Dispensed:
Inject 10mcg subcutaneously twice daily as directed
Byetta 10 mcg #1
MFR: Lilly
Exp. 11/2008
Lot # 3P2040
Exp. 09/2008
Lot # J238009
Dispense as Written
Serial #M25693K45
Drug Dispensed:
Exp. 11/2007
Lot # W2003
Rx# 01215
Rx Elmiron Kosda Johnson July 13, 2006
235 Union Road
Sig: i po tid ac Angola, NY 10228
MFR: Roxanne
Prescriber Signature X_ Cynthia MaCare ___
Refill: 5 MDD: Cynthia MaCare, RPA. Refill 5 times
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dispense as Written
Serial #ZM741589
Drug Dispensed:
Exp. 06/2008
Lot # 541487
MFR: Ivax
Prescriber Signature X__ Cynthia McCare __
Refill: 5 MDD: Cynthia MaCare, RPA. Refill 5 times
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dispense as Written
Serial #ZM741589
Drug Dispensed:
Exp. 07/2009
Lot # T415896
MFR: Watson
Dispense as Written Deepak Singh, MD. Refill 2 times
Serial #R2358962
Drug Dispensed:
Exp. 12/2008
Lot # 145974A
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Gengraf 25 mg # 60
Prescriber Signature X__Joyce Campenella_
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Abbott
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Joyce Campanella, MD. Refill 5 times
Dispense as Written
Serial #1145J569
Drug Dispensed:
Exp. 10/2008
Lot #H74158
Exp. 07/2009
Lot # L0000158
Please write a BRIEF description of the error/omission (3pts):
224. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Charles Goslinski, DO
2255 Cherrywood Ave
Buffalo, NY 14211
716-555-1112
Lic# 632235 DEA BG4587450
Name: Gosh Engel DOB: 09/07/55 Prescription Label:
Address:25 Fieldstone Dr Date: 02/08/07
W. Seneca, NY 14031 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Flomax 0.4 mg
Rx# 125888
Sig: i po daily Gosh Engel February 8, 2007
25 Fieldstone Dr
# 30 W. Seneca, NY 14031
Tamsulosin 0.4 mg # 30
Prescriber Signature X__Charles Goslinski____
Refill: 5 MDD: MFR:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Charles Goslinski, DO. Refill 5 times
Dispense as Written
Serial #M1245789
Drug Dispensed:
Exp. 11/2009
Lot # J125468
Dispense as Written
Serial #125TDEF2
Drug Dispensed:
Exp. 09/2009
Lot # XL12H
Dispense as Written
Serial #1221E125
Drug Dispensed:
Exp. 08/2012
Lot # H145826
Exp. 08/2014
Lot # 1258789
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Drug Dispensed:
Exp. 09/2010
Lot # 506015
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Dispense as Written
Serial #125ULK01
Drug Dispensed:
Exp. 08/2009
Lot # 1100755
Viibryd 40 mg #30
Prescriber Signature X__Kenneth Taung_____
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Lannett
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Kenneth Taung Refill 5 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Exp. 2/2011
Lot # L147896P
Quinapril 20 mg #30
Prescriber Signature X___ Sharon White ______
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Greenstone
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Sharon White Refill 3 times
Dispense as Written
Serial #125L1258
Drug Dispensed:
Exp: 05/2009
Lot # 05896583
Dispense as Written
Serial #125ULK01
Drug Dispensed:
Exp. 08/2009
Lot # 1100755
Please write a BRIEF description of the error/omission (3pts):
376. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page.
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Cyclophosphamide 400mg/m2 in 250ml D5W. infuse over 2 hours
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___40.2____ ml ___803_____
mg Please write
Administration Rate___125__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Tobramycin 9mg/kg/day DIV q8h in 100ml NS. Infuse over 45 min.
Prepare 1 dose.
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___16.4____ ml ___657_____
mg Please write
Administration Rate___133__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Drug Dispensed:
Exp. 05/2008
Lot # 45L2586
Drug Dispensed:
Exp. 08/2009
Lot # 1100755
Please write a BRIEF description of the error/omission (3pts):
181. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Jack Hoover, MD Lynn Marshall, RPA
78 Harlem Road
Bronx, NY 12365
716-333-4444
Lic# 125898 DEA BH1414250
Name: Nicolas Lockard DOB: 04/29/78 Prescription Label:
Address:197 Hartford Road Date:05/05/05
Aurora , NY 14228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Doxepin 100 mg
Rx# 66698
Sig: i po daily Nicolas Lockard May 5, 2005
197 Hartford Road
# 30 Aurora, NY 14228
Doxepin 100 mg # 30
Prescriber Signature X_Lynn Marshall____
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Par
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Lynn Marshall, RPA. Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Exp. 07/2008
Lot # 17485900
DynaCirc CR 5 mg # 30
Prescriber Signature X__Karen Douglas___
Refill: 0 MDD: MFR: Reliant
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Karen Douglas, DO. Refill 0 times
DAW
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Exp. 10/2005
Lot # L1024158
Dispense as Written
Serial #0148KJG2
Drug Dispensed:
Exp. 02/2008
Lot # L6B0232
Please write a BRIEF description of the error/omission (3pts):
347. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Alfredo Gallagher, NP
878 Sweet Home Road
Lancaster, NY 14200
716-666-7500
Lic# 363636 DEA MG5568970
Name: Herbert Rayford DOB: 12/08/63 Prescription Label:
Address:8080 Beaumont Drive Date: 10/14/06
Hamburg, NY 14280 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Nifedipine 20 mg
Rx# 234512
Sig: i po tid Herbert Rayford October 14, 2006
8080 Beaumont Drive
# 90 Hamburg, NY 14280
Nicardipine 20 mg # 90
Prescriber Signature X_ Alfredo Gallagher_
Refill: 6 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Alfredo Gallagher, NP. Refill 6 times
Dispense as Written
Serial #H22563M6
Drug Dispensed:
Exp. 11/2009
Lot # 332685
Nifedical XL 30 mg # 30
Prescriber Signature X_ Alfredo Gallagher __
Refill: 6 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Alfredo Gallagher, NP. Refill 6 times
DAW
Dispense as Written
Serial #H22563M6
Drug Dispensed:
Exp. 11/2009
Lot # 332685
Dispense as Written
Serial #12258OP8
Drug Dispensed:
Exp. 12/2010
Lot # L123969N
Dispense as Written
Serial #568LK236
Drug Dispensed:
Exp. 08/2014
Lot # 1258789
Solia # 28
Prescriber Signature X__ Stanley Kaiser __
Refill: 11 MDD: MFR: Prasco
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Stanley Kaiser, MD. Refill 1 time
DAW
Dispense as Written
Serial #Y2587M58
Drug Dispensed:
Exp. 05/2009
Lot # TT2325
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus. Infuse
at 50mg/min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___36.3____ ml ___1815____
mg Please write
Administration Rate___165__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Azathioprine 50 mg # 30
Exp. 01/2011
Lot # A14587
Dispense as Written
Serial #P21352147
Drug Dispensed:
Exp. 06/2007
Lot # 778585
Lamisil 250 mg # 30
Prescriber Signature X__ Melvin Barren __
Refill: 1 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Melvin Barren, MD. Refill 1 time
Dispense as Written
Serial #2358P258
Drug Dispensed:
Exp. 07/2009
Lot # Y25369
Instill one drop to the right eye two to four times daily
for 7 days
Prescriber Signature X_Emerson Brzozowski___ Zymaxid 0.5% #2.5
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Allergan
Exp: 02/2007
Lot # 1258700
Dispense as Written
Serial #U1258L25
Drug Dispensed:
Exp. 08/2008
Lot #1P2868
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Exp. 10/2010
Lot # A125012
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp. 02/2010
Lot # T101257
Levemir Insulin # 10 ml
Prescriber Signature X_Karen Swanson____
Refill: 1 MDD: MFR: Novo Nordisk
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Steven Johnson, MD. Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
Exp. 05/2008
Lot # 70000052
Dispense as Written
Serial #11253LP8
Drug Dispensed:
Exp. 11/2008
Lot # 144867A
Dispense as Written
Serial #128PR124
Drug Dispensed:
Exp. 02/2005
Lot # 12458KL
Rx Percocet 7.5/325
Rx# 000123
Francis Rennick June 2, 2006
Sig: 1 po q6h prn knee pain 5678 Sunset Drive
Tonawanda, NY 12339
Drug Dispensed:
Exp.06/08
Lot # 060359W
Pravastatin 20 mg # 30
Prescriber Signature X__ Andrew McDonald _
Refill: 5 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Andrew McDonald, MD. Refill 5 times
Dispense as Written
Serial # 896Z5682
Drug Dispensed:
Exp. 05/2008
Lot # P29062
Drug Dispensed:
Exp. 06/2007
Lot # P236522
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Exp. 11/2014
Lot # 1YU2333
Azmacort # 20 g
Prescriber Signature X_ William Zaklikowski _
Refill: 0 MDD: MFR: Abbott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD. Refill 0 times
Dispense as Written
Serial #K1242156
Drug Dispensed:
Exp. 06/2008
Lot # 26060403A
Drug Dispensed:
Exp. 02/2009
Lot # 123456
Please write a BRIEF description of the error/omission (3pts):
39. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Mike Lou, MD
5255 Cobblestone Dr
Clarence, NY 10003
716-999-9998
Lic# 142563 DEA AL122580
Name: Fanny Pruchinewiz DOB: 04/01/59 Prescription Label:
Address: 1147 North Forest Rd Date: 03/11/06
Buffalo, NY 11896 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ambien 10 mg
Rx# 529696
Sig: i po hs Fanny Pruchinewiz March 12, 2006
1147 North Forest Road
# 30 ( thirty) Buffalo, NY 11896
Drug Dispensed:
Exp. 09/2009
Lot # XL12H
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Gentamicin 1.5mg/kg/dose (IBW) q8h in 50ml D5W. Infuse over 30 min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___2.05____ ml ___82.1_____
mg Please write
Administration Rate___104__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Exp. 05/2008
Lot # P1002896
Please write a BRIEF description of the error/omission (3pts):
42. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Tommy Reed, MD
85 Grand Street
Lockport, NY14589
716-877-7777
Lic# 584612 DEA BR1144891
Name: Chi Wai Lam DOB:03/06/44 Prescription Label:
Address:8990 Coley Street Date: 09/08/06
Williamsville, NY 11223 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Avandia 4 mg
Rx# 122122
Sig: i po QD Chi Wai Lam September 8, 2006
8990 Coley Street
Williamsville, NY 11223
# 30
Take one tablet once daily.
Dispense as Written
Serial #565D52H9
Drug Dispensed:
Exp. 01/2011
Lot # L2258C
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Gentamicin 10mg/kg/dose (IBW) q8h in 100ml D5W. Infuse over 30 min.
Prep 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___13.7____ ml ___547_____
mg Please write
Administration Rate___200__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 12/2009
Lot # 1587P145
Tizanidine 4 mg # 90
Prescriber Signature X__George Spencer__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Dr Reddys Laboratories, Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
George Spencer, MD. Refill 5 times
Dispense as Written
Serial #J2512K23
Drug Dispensed:
Exp. 12/2007
Lot # K258745
DAW
Dispense as Written
Serial #00254HG9
Drug Dispensed:
Exp. 06/2008
Lot # 1JK2550
Drug Dispensed:
Exp. 04/2008
Lot #L1257853
Minoxidil 10 mg # 60
Exp. 01/2007
Lot # J200012
Drug Dispensed:
Exp. 08/2012
Lot # Y41578
Use as directed.
Dispense as Written
Serial #587LK569
Drug Dispensed:
Exp. 04/2007
Lot # P12111
Apply as directed.
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp. 02/2010
Lot # T101257
Amitriptyline 50 mg # 40
Prescriber Signature X_ Steven Johnson _
Refill: 1 MDD: MFR: Qualitest
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Steven Johnson, MD. Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
Exp. 05/2009
Lot # A700415
Ketoprofen 200 mg # 40
Prescriber Signature X__ Steven Johnson__
Refill: 1 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Steven Johnson, MD. Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
Exp. 05/2008
Lot # 70000052
Lantus 100U/ml # 10
Prescriber Signature X_Samuel Fishman__
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sanofi Aventis
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 3 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Drug Dispensed:
Exp. 08/2007
Lot # R002235
Dispense as Written
Serial #Z12B1245
Drug Dispensed:
Exp. 03/2009
Lot # T1202449
Clotrimazole Cr 1% # 30
Prescriber Signature X Pitt Paolucci __
Refill: 2 MDD: MFR: Taro
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Pitt Paolucci, MD. Refill 2 times
Dispense as Written
Serial #Z12B1245
Drug Dispensed:
Exp. 02/2008
Lot # T112455
Drug Dispensed:
Exp. 09/2007
Lot # E200358
Rx# 90018
Rx Roxicet soln Otto Hoyer July 29, 2006
8555 Arlington Ave
Sig: 1 ml po q4h prn Perrysburg, NY 14799
Drug Dispensed:
Exp. 08/2007
Lot # H20036
Dispense as Written
Serial #125L1258
Drug Dispensed:
Exp: 01/2008
Lot # 1489586
Please write a BRIEF description of the error/omission (3pts):
44. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
John Rousseau, MD
789 Walden Ave, Suite 120
Cheektowaga, NY 14875
716-565-5555
Lic# 258963 DEA BR4512453
Name: Yasminda Kim DOB:01/17/99 Prescription Label:
Address:101 Waterview Road Date: 12/12/06
Hamburg, NY 11487 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Azithromycin 250 mg
Rx# 120236
Sig: UUD Yasminda Kim December 12, 2006
101 Waterview Road
Hamburg, NY 11487
#6
Take as directed.
Erythromycin 250 mg #6
Prescriber Signature X__ John Rousseau __
Refill: 0 MDD: MFR: Abbott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, MD. Refill 0 times
Dispense as Written
Serial #12258OP8
Drug Dispensed:
Exp. 12/2008
Lot # 028M123
# 240 (two hundred forty) Take 1tablet by mouth every four hours as needed for
Prescriber Signature X__Shirley Lee RPA_ pain
Refill: 0 (zero) MDD: 6
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Oxycodone/APAP 7.5/325 # 240
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mallinckrodt
Drug Dispensed:
Exp.06/08
Lot # 060359W
Requip 1mg # 90
Prescriber Signature XMary May CNM___
Refill: 5 MDD: MFR: Heritage
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mary May, CNM. Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Exp. 02/2004
Lot # J7841235
Drug Dispensed:
Exp. 02/2008
Lot # 8956986
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Exp. 10/2008
Lot # L147896P
Trihexyphenidyl 5 mg #30
Prescriber Signature X__Sharon White______
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Sharon White, MD. Refill 5 times
Dispense as Written
Serial #0148KJG2
Drug Dispensed:
Exp. 02/2008
Lot # L6B0232
Please write a BRIEF description of the error/omission (3pts):
254. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Salvatore Bruce, MD
123 Abbott Road
N. Tonawanda, NY 14228
716-123-1234
Lic# 663521 DEA AB5474123
Name: Colleen Bell DOB: 02/22/90 Prescription Label:
Address:2356 Knollwood Dr Date:03/07/06
Eden, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Neutra – Phos-K
Rx# 89877
Sig: uud Colleen Bell March 8, 2006
2356 Knollwood Dr
# 120 Eden, NY 14225
Take as directed
Dispense as Written
Serial #K2541458
Drug Dispensed:
Exp. 11/2008
Lot # 788785
Lomotil # 30
Prescriber Signature X_ Herbert Dombrowski _
Refill: 0 MDD: MFR: Pharmacia
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Herbert Dombrowski, MD. Refill 0 times
DAW
Dispense as Written
Serial #D125T235
Drug Dispensed:
Exp. 01/2006
Lot # P212333
Lamictal 200 mg # 30
Prescriber Signature X_ Herbert Dombrowski _
Refill: 0 MDD: MFR: GlaxoSmithKline
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Herbert Dombrowski, MD. Refill 0 times
Dispense as Written
Serial #D125T235
Drug Dispensed:
Exp. 01/2006
Lot # P212333
Exp. 08/2009
Lot # L12325
Amitriptyline 10 mg #30
Prescriber Signature X__Edwin Pizarro_____
Refill: 5 MDD: MFR: Qualitest
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Edwin Pizarro, MD. Refill 5 times
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Exp. 11/2009
Lot # U147854
Estratest # 30
Prescriber Signature X__Claudia Fong____
Refill: 6 MDD: MFR: Solvay Pharmacetuicals
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Claudia Fong, NP. Refill 6 times
DAW
Dispense as Written
Serial #ZZ147852
Drug Dispensed:
Exp. 12/2006
Lot # H178547
Drug Dispensed:
Exp. 12/2006
Lot # H178547
Exp. 11/2007
Lot # 1YU2333
Drug Dispensed:
Exp. 08/2008
Lot # 1P3314
Methotrexate 2.5 mg # 16
Prescriber Signature X__Charlotte Thompson__
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Barr
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Charlotte Thompson, MD. Refill 3 times
Dispense as Written
Serial #U1258L25
Drug Dispensed:
Exp. 05/2009
Lot #K1254100
Dispense as Written
Serial #1258LLT8
Drug Dispensed:
Exp. 06/2008
Lot # 00PCJ1236
Drug Dispensed:
Exp. 09/2007
Lot # 1080075
Please write a BRIEF description of the error/omission (3pts):
48. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Steven Hung, MD
9856 Simonds Road
Lockport, NY 14856
716-522-2222
Lic# 152963 DEA AH1158965
Name: Randell Przpiora DOB: 03/24/77 Prescription Label:
Address: 789 Maple Road Date: 05/25/06
Amherst, NY 1178_ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prandin 2 mg
Rx# 125889
Sig: 1 po ac Randell Przpiora May 25, 2006
789 Maple Road
Amherst, NY 1178
# 90
Take one tablet with meals
Dispense as Written
Serial #1258LLT8
Drug Dispensed:
Exp. 06/2008
Lot # 00PCJ1236
Sotalol 80 mg # 60
Prescriber Signature X__ Patrick Wosinski __
Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Apotex
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Wosinki, MD. Refill 6 times
Dispense as Written
Serial #1258TJU1
Drug Dispensed:
Exp. 10/2009
Lot # 14556PA
Drug Dispensed:
Exp. 10/2012
Lot # LCM12589
Drug Dispensed:
Exp. 08/2010
Lot # LC100009
Drug Dispensed:
Exp. 10/2011
Lot # L0000123
Please write a BRIEF description of the error/omission (3pts):
55. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Henry Sweeney, MD
8769 Transit Road
E Amherst, NY 14006
716-666-6668
Lic# 114586 DEA AS5266879
Name: Gregory Hunt DOB: 06/29/46 Prescription Label:
Address: 2285 Eggert Road Date: 04/09/06
Kenmore, NY 11148 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Effient 10
Rx# 18896
Gregory Hunt April 9, 2006
Sig: i po qd 2285 Eggert Road
Kenmore, NY 11148
Dispense as Written
Serial #012VN258
Drug Dispensed:
Exp. 05/2008
Lot # P1002896
Please write a BRIEF description of the error/omission (3pts):
391. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Helen Miller, MD
1001 N Ford Road
Hamburg, NY 12233
716-557-7777
Lic# 511125 DEA# BM1258917
Name: Vanessa Jaworski DOB: 03/13/59 Prescription Label:
Address:8412 Wellingwood Drive Date:08/09/06
Smallsville, NY 14525 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prilosec 20 mg
Rx# 66800
Sig: i po daily Vanessa Jaworski August 9, 2006
8412 Wellingwood Drive
# 30 Smallsville, NY 14525
Drug Dispensed:
Exp. 01/2008
Lot # 1P3860
Lisinopril 10 mg # 30
Prescriber Signature X_ Harold Kozlowsky_ MFR: Mylan
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Harold Kozlowsky, MD. Refill 5 times
Dispense as Written
Drug Dispensed:
Exp. 01/2008
Lot # 1N4117
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus. Infuse
at 50mg/min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___16.5____ ml ___823_____
mg Please write
Administration Rate___50__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Doxorubicin 20mg/m2 . Prefilled syringe, administer IV push over 5 min.
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___19.9____ ml ___39.8_____
mg Please write
Administration Rate___239__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
.
diluent for drug reconstitution
(circle) SWFI NS D5W other: _____
manufacturer: ___ ________
lot: __ ____ exp: __________
volume used (ml): ________
58. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Samuel Fishman, MD
6985 Sheridan Drive
Buffalo, NY 14218
716-363-8888
Lic# 125893 DEA BF1247419
Name: Joel Penny DOB: 11/14/76 Prescription Label:
Address:5678 Clarence Lane Date:02/03/07
East Seneca, NY17895 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Depo Testosterone 200mg/ml
Rx# 22235
Sig: 250mg im biw ud Joel Penny February 3, 2007
5678 Clarence Lane
# 10 (1 vial) E Seneca, NY 17895
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Sarafem 10 mg # 28
Prescriber Signature X____ Karen Douglas
Refill: 5 MDD: MFR: Warner Chilcott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Karen Douglas, DO Refill 5 times
DAW
Dispense as Written
Serial #U258K236
Drug Dispensed:
Exp. 11/2009
Lot # N20036
Intuniv 2 mg # 30
Prescriber Signature X_Samuel Fisher__
Refill: 10 MDD: MFR: Shire US Inc
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fisher, MD. Refill 0 times
Dispense as Written
Serial #L25K2365
Drug Dispensed:
Exp. 02/2010
Lot # 136669
Ambien10 mg #30
Prescriber Signature X__ Mike Lou ____
Refill: 5 ( five) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Greenstone
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mike Lou, MD . Refill 5 times
DAW
Dispense as Written
Serial #125TDEF2
Drug Dispensed:
Exp. 09/2009
Lot # XL12H
Please write a BRIEF description of the error/omission (3pts):
57. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Henry Sweeney, MD Kathryn Langenfeld , RPA
Lic# 256336 Lic # 556963
DEA AK5858937 DEA ML2256368
5263 Monterey Creek
Greensville, NY 14520
716-852-8525
Prescription Label:
Name: Gregory Hunt DOB: 06/29/46
Address: 2285 Eggert Road Date: 04/09/06 Health Sciences Pharmacy Phone: 716-555-5555
Kenmore, NY 11148 222 Cooke Hall
Amherst, NY 14260
Rx Effient 10
Rx# 18896
Gregory Hunt April 9, 2006
Sig: i po qd 2285 Eggert Road
Kenmore, NY 11148
Dispense as Written
Serial #012VN258
Drug Dispensed:
Exp. 05/2008
Lot # P1002896
Please write a BRIEF description of the error/omission (3pts):
451. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are
correct).
Prescription:
Stephen Sigel, MD
789 Ward Street
Lancaster, NY 12486
716-878-7878
Lic# 785489 DEA AS1412561
Name: Tabatha Sanford DOB: 11/11/46 Prescription Label:
Address:7787 Brown Hill Rd Date:03/25/05
Springville, NY 14778 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Singulair 10 mg
Rx# 114566
Tabatha Sanford March 25, 2005
Sig: i po daily 7787 Brown Hill Road
Springville, NY 14778
# 30
Take one tablet once daily
Dispense as Written
Serial #230L25M6
Drug Dispensed:
Exp. 11/2008
Lot #F7526
#1 Take as directed
Drug Dispensed:
Exp. 06/2008
Lot # P2356J
Exp. 11/2007
Lot # U56935
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Doxorubicin 20mg/m2 . Prefilled syringe, administer IV push over 5 min.
James Peterson, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___19.9____ ml ___39.8_____
mg Please write
Administration Rate___239__ ml/hr Dr: aJameson
BRIEF description of the error/omissionRPh:
Patterson, MD (3pts): YOU
Exp. 11/2007
Lot # 1YU2333
DAW
Dispense as Written
Drug Dispensed: Serial #Z852M232
Exp. 11/2007
Lot # L235685
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Tobramycin 500mg q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___12.5___ ml ___500_____
mg Please write
Administration Rate___133__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #185PH258
Drug Dispensed:
Exp. 07/2006
Lot # 1582K56
Dispense as Written
Serial #185PH258
Drug Dispensed:
Exp. 07/2006
Lot # 1582K56
Dispense as Written
Serial #1258TJU1
Drug Dispensed:
Exp. 10/2012
Lot # LCM12589
Exp. 04/2008
Lot # 11523159M
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Dispense as Written
Serial #L1458K879
Drug Dispensed:
Exp. 07/2005
Lot # J125896
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Guanfacine 2 mg # 30
Prescriber Signature X_Samuel Fisher__
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fisher, MD. Refill 1 times
Dispense as Written
Serial #L25K2365
Drug Dispensed:
Exp. 02/2010
Lot # 136669
Wellbutrin XL 300 mg # 30
Prescriber Signature X__ Evan Fitzpatrick __
Refill: 4 MDD: MFR: GlaxoSmithKline
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Evan Fitzaptrick, DO. Refill 4 times
DAW
Dispense as Written
Serial # M1258TU8
Drug Dispensed:
Exp. 02/2011
Lot # 6HP006E
Exp. 08/2007
Lot # R002235
Clotrimazole Cr 1% # 30 g
Prescriber Signature X_Pitt Paolucci____
Refill: 2 MDD: MFR: Taro
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Pitt Paolucci, MD. Refill 2 times
Dispense as Written
Serial #Z12B1245
Drug Dispensed:
Exp. 02/2009
Lot # T120235
Drug Dispensed:
Exp. 03/2014
Lot # D01035
Colchicine 0.6mg # 30
Prescriber Signature X___Karen Douglas___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Vision Pharma
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Karen Douglas, DO. Refill 5 times
DAW
Dispense as Written
Serial # P145893T
Drug Dispensed:
Exp. 02/2008
Lot # 032698M
Exp. 10/2010
Lot # A125012
Drug Dispensed:
Exp. 09/2009
Lot # 305345
Drug Dispensed:
Exp. 12/2009
Lot # M258006
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Drug Dispensed:
Exp. 05/2008
Lot # L1256MK
Rx# 66801
Rx Prinivil 10 mg Cameron Matz August 26, 2006
5255 Eaglecrest Street
Sig: i po daily Alden, NY 14222
Pletal 100 mg # 30
Prescriber Signature X__ Harold Kozlowsky _
Refill: 5 MDD: MFR: Otsuka America Pharmaceutical, Inc
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Harold Kozlowsky, MD. Refill 5 times
DAW
Dispense as Written
Serial #05LT2387
Drug Dispensed:
Exp. 07/2009
Lot # P251422
Dispense as Written
Serial #11253LP8
Drug Dispensed:
Exp. 11/2008
Lot # 144867A
Dispense as Written
Serial #J2512K23
Drug Dispensed:
Exp. 12/2007
Lot # K258745
Exp. 11/2007
Lot # 1YU2333
Drug Dispensed:
Exp. 06/2009
Lot # 16X1258
Dispense as Written
Serial #125893P7
Drug Dispensed:
Exp. 02/08
Lot # 70081
Clonazepam 1 mg # 60
Prescriber Signature X_ William Zaklikowski _
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD. Refill 0 times
Dispense as Written
Serial #12548T23
Drug Dispensed:
Exp. 10/2008
Lot # 146106A
Dispense as Written
Serial #P21352147
Drug Dispensed:
Exp. 06/2007
Lot # 778585
Dispense as Written
Serial #1145J569
Drug Dispensed:
Exp. 10/2008
Lot # L478572
Flomax 0.4 mg # 30
Prescriber Signature X__Charles Goslinski____
Refill: 5 MDD: MFR: Boehringer Ingelheim
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Charles Goslinski, DO. Refill 5 times
Dispense as Written
Serial #M1245789
Drug Dispensed:
Exp. 11/2009
Lot # J125468
Uloric 40mg # 30
Prescriber Signature X___ _______
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Takeda
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Wosinki, MD. Refill 5 times
Dispense as Written
Serial #125KM128
Drug Dispensed:
Exp. 07/2008
Lot # 143569A
Dispense as Written
Serial #K0001257
Drug Dispensed:
Exp. 02/2011
Lot # F08989
Vyvanse 50mg # 30
Prescriber Signature X__Philips Kern___
Refill: NR (no refills) MDD:1 MFR: Shire
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Philips Kern, MD. Refill 0 times
Dispense as Written
Serial #K2358523
Drug Dispensed:
Exp: 05/2008
Lot # F06048
Drug Dispensed:
Exp.06/08
Lot # 060359W
Dispense as Written
Serial #125893P7
Drug Dispensed:
Exp. 02/08
Lot # 70081
Ciprofloxacin 500 mg # 20
Prescriber Signature X_Evan Fitzpatrick______
Refill: 0 MDD: MFR: Dr. Reddys Laboratories, Inc
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Evan Fitzpatrick, DDS. Refill 0 times
Dispense as Written
Serial # 1235JK55
Drug Dispensed:
Exp. 05/2010
Lot # 5060601
Dispense as Written
Serial #000KM120
Drug Dispensed:
Exp. 02/2009
Lot # P02228
Drug Dispensed:
Exp. 10/2009
Lot # 1461223
Dispense as Written
Serial #GF258768
Drug Dispensed:
Exp. 05/2008
Lot # P526L23
Dispense as Written
Serial #L1458K879
Drug Dispensed:
Exp. 08/2005
Lot # F12452
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Phenytoin 15mg/kg in 100ml NS x 1 dose stat. Infuse at 50mg/min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___16.5____ ml ___823_____
mg Please write
Administration Rate___364__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #12548T23
Drug Dispensed:
Exp. 10/2008
Lot # 146106A
Apply as directed
Drug Dispensed:
Exp. 01/2005
Lot # 0088008
Exp. 11/2014
Lot # 1YU2333
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Tobramycin 9mg/kg/day DIV q8h in 100ml NS. Infuse over 45 min.
Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___5.48____ ml ___219_____
mg Please write
Administration Rate___141__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #000KM120
Drug Dispensed:
Exp. 09/2006
Lot # 158996
Please write a BRIEF description of the error/omission (3pts):
331. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Gilbert Hunter, MD
125 Beverly Drive
Buffalo, NY 14200
716-866-6666
Lic# 526385 DEA BH256387
Name: Courtney Iannone DOB: 08/27/38 Prescription Label:
Address: 22 Greenmeadow Dr Date:06/17/05
Getzville, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Micro-K 10
Rx# 30333
Sig: i po bid Courtney Iannone August 17, 2005
22 Greenmeadow Dr
# 60 Getzville, NY 14077
Dispense as Written
Serial #K258L563
Drug Dispensed:
Exp. 04/2007
Lot # 1P2587
Zyprexa 20 mg # 30
Prescriber Signature X__Victoria Flemming___
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Lily
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Victoria Flemming, MD. Refill 0 times
Dispense as Written
Serial #2356KT125
Drug Dispensed:
Exp. 07/2008
Lot # 143573A
Dispense as Written
Serial #P12588965
Drug Dispensed:
Exp. 04/2008
Lot #U125482
Baclofen 20 mg # 90
Prescriber Signature X__Ryan Gibson_____
Refill: 5 MDD: MFR: Qualitest
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Ryan Gibson, MD. Refill 5 times
Dispense as Written
Serial #LL12541256
Drug Dispensed:
Exp. 01/2007
Lot # J200012
Dispense as Written
Serial #B2148Z00
Drug Dispensed:
Exp. 06/2010
Lot # P2356820
Metoprolol Tartrate 50 mg # 60
Prescriber Signature X_Elizabeth Ganter___
Refill: 11 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elizabeth Ganter, MD. Refill 11 times
Dispense as Written
Serial #LP238547
Drug Dispensed:
Exp. 10/2008
Lot # 1P3253
Dispense as Written
Serial #LP238547
Drug Dispensed:
Exp. 11/2008
Lot #H52568
Dispense as Written
Serial #741578M8
Drug Dispensed:
Exp. 12/2008
Lot # 1LKO125
Exp. 03/2009
Lot # D01035
Dispense as Written
Serial #2356KT125
Drug Dispensed:
Exp. 07/2008
Lot # 143573A
Please write a BRIEF description of the error/omission (3pts):
570. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Jackson Hundson, MD Joseph Koch, RPA
Lic# 478958 Lic # 587745
DEA AH5224782
8856 E. Broadway
Buffalo, NY 14242
716-789-7897
Prescription Label:
Name: Carol Hoffman DOB: 11/17/50
Address: 235 Million Street Date: 07/07/04 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14145 222 Cooke Hall
Amherst, NY 14260
Rx Skelaxin 800 mg
Rx# 12458
Sig: 1 po qid Carol Hoffman October 10, 2004
235 Million Street
# 60 Williamsville, NY 14145
Robaxin 750 mg # 60
Prescriber Signature X_ Joseph Koch__
Refill: 5 MDD: MFR: Schwarz
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Joseph Koch, RPA. Refill 5 times
Dispense as Written
Serial #012KLI78
Drug Dispensed:
Exp. 08/2008
Lot # L12589
Isosorbide MN 60 mg # 30
Prescriber Signature X__Terrance Fransco__
Refill: 6 MDD: MFR: Ethex
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Terrance Fransco, MD. Refill 6 times
Dispense as Written
Serial #L8521478
Drug Dispensed:
Exp. 01/2010
Lot # 0898963
Singulair 10 mg # 30
Dispense as Written
Serial #230L25M6
Drug Dispensed:
Exp. 11/2008
Lot #F7526
Zomig 2.5 mg #9
Prescriber Signature X_ Kevin William __
Refill: 3 MDD: MFR: GlaxoSmithKline
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kevin William, RPA. Refill 3 times
Dispense as Written
Serial #25P352H5
Drug Dispensed:
Exp.06/2008
Lot # 52588D
Dispense as Written
Serial #125893P7
Drug Dispensed:
Exp. 07/08
Lot # 0F10097
MFR: Prostrakan
Dispense as Written Shirley Lee, RPA. Refill 0
Serial #P322258L
Drug Dispensed:
Exp. 08/2007
Lot # R002235
Codeine 30 mg # 60
Prescriber Signature X_ Mark Flinchbaguh _
Refill: 0 ( zero) MDD:2 MFR: Myland
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mark Flinchbaguh, MD. Refill 0 times
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Exp. 10/2010
Lot # L023589
Doxepin 100 mg # 30
Prescriber Signature X_ Lynn Marshall __
Refill: 2 MDD: MFR: PAR
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Lynn Marshall, RPA. Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Androgel 1% # 900g
Prescriber Signature X__John Rousseau____
Refill:0 (zero) MDD:5 MFR: Abbott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, MD. Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008
Lot # 17485900
Drug Dispensed:
Exp. 08/2008
Lot # 1P3314
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Dispense as Written
Serial #125TDEF2
Drug Dispensed:
Exp. 09/2009
Lot # XL12H
Please write a BRIEF description of the error/omission (3pts):
212. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Jonathan Mallozzi, DPM
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Jason Panko DOB: 04/28/48 Prescription Label:
Address:225 Sweetheaven Ct Date:08/08/06
Buffalo, NY 14207 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Tylenol # 3
Rx# 124007
Sig: i-ii po q4h prn foot pain Jason Panko August 8, 2006
225 Sweetheaven Ct
# 20 (twenty) Buffalo, NY 14207
Exp. 08/2009
Lot # 1P3172
Drug Dispensed:
Exp. 08/2009
Lot # U78421
Temazepam 30 mg #90
Prescriber Signature X___ Floyd Olszak __
Refill: 0 (zero) MDD: 1 MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Floyd Olszak, MD. Refill 0 times
Dispense as Written
Serial #8569KL78
Drug Dispensed:
Exp. 08/2009
Lot # U78421
Exp. 10/2008
Lot # 9236V485
Drug Dispensed:
Exp. 06/2009
Lot # 16X1258
Exp. 10/2008
Lot # 9236V485
Dispense as Written
Serial #9K25Z237
Drug Dispensed:
Exp. 05/2007
Lot # T2003639
Rx# 90018
Rx Roxanol conc sol Otto Hoyer July 29, 2006
8555 Arlington Ave
Sig: 1 ml po q4h prn Perrysburg, NY 14799
Dispense as Written
Serial #F2536K22
Drug Dispensed:
Exp. 08/2007
Lot # H20036
Drug Dispensed:
Exp. 01/2005
Lot # 0088008
Exp. 04/2010
Lot # R1244444
Levobunolol 0.5% # 10 ml
Prescriber Signature X_Jonathan Mallozzi__
Refill: 6 MDD: MFR: Falcon
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jonathan Mallozzi, DO. Refill 6 times
Dispense as Written
Serial #T7874899
Drug Dispensed:
Exp. 02/2008
Lot # P1000011
Drug Dispensed:
Exp. 05/2011
Lot # 6ZP859
Exp. 11/2014
Lot # 1YU2333
Cefuroxime 500 mg # 20
Prescriber Signature X_ Evan Fitzpatrick ___
Refill: NR MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mockhardt
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Evan Fitzaptrick, DDS. Refill 0 times
Dispense as Written
Serial # 1235JK55
Drug Dispensed:
Exp. 07/08
Lot # 0F10097
Dispense as Written
Serial #586JU782
Drug Dispensed:
Exp. 02/2006
Lot # JK125863
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Doxorubicin 20mg/m2 . Prefilled syringe, administer IV push over 5 min.
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___18.4____ ml ___36.7_____
mg Please write
Administration Rate___220__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Advair 250/50 # 60
Prescriber Signature X__ John Rousseau __
Refill: 0 MDD: MFR: GSK
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, MD. Refill 0 times
Dispense as Written
Serial #12258OP8
Drug Dispensed:
Exp. 12/2008
Lot # 028M123
Drug Dispensed:
Exp. 10/2008
Lot # 1B23332
Dispense as Written
Serial #128PR124
Drug Dispensed:
Exp. 02/2009
Lot # 12458L6
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Exp. 11/2010
Lot # L203825
Selegiline 5 mg #60
Prescriber Signature X_ Edwin Pizarro ___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Stada
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Edwin Pizarro, MD. Refill 5 times
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Exp. 11/2010
Lot # Y741589
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp.10/2010
Lot # G145879
Dispense as Written
Serial #74158987
Drug Dispensed:
Exp. 05/2009
Lot # A700415
Dispense as Written
Serial #1748EE74
Drug Dispensed:
Exp. 12/2009
Lot # 001258
Dispense as Written
Serial #1748EE74
Drug Dispensed:
Exp. 11/2010
Lot # 74157
Dispense as Written
Serial #L526M254
Drug Dispensed:
Exp. 10/2007
Lot # L230001
Drug Dispensed:
Exp. 05/2008
Lot # 85585
Exp. 06/2008
Lot # W23235
Dispense as Written
Serial #125893A5
Drug Dispensed:
Exp. 02/2010
Lot # 023583
Please write a BRIEF description of the error/omission (3pts):
68. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Paul Flicinski, MD
789 Brown Street
Bronx, NY 10059
716-700-0000
Lic# 147896 DEA AF4587955
Name: Edward Osoki DOB:09/08/49 Prescription Label:
Address: 6900 Nashua Road Date: 09/23/06
Long Island, NY 17789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cardura 2 mg
Rx# 696987
Sig: i po QD Edward Osoki
6900 Nashua Road September 23, 2006
Long Island, NY 17789
#30
Take one tablet once daily.
Dispense as Written
Serial #11253LP8
Drug Dispensed:
Exp. 07/2008
Lot # 065814
Exp. 03/2009
Lot # T528988
Dispense as Written
Serial #185PH258
Drug Dispensed:
Exp. 07/2006
Lot # 1582K56
Dispense as Written
Serial #125893A5
Drug Dispensed:
Exp. 02/2010
Lot # 023583
Please write a BRIEF description of the error/omission (3pts):
515. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Evan Fitzaptrick, DO
7458 Nostrand Ave
Brooklyn, NY 11235
716-222-3333
Lic# 123323 DEA BF122258
Name: Josepine Lehman DOB: 04/26/41 Prescription Label:
Address:147 Harring Street Date: 06/09/04
Brooklyn, NY 12142 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Miacalcin spray
Rx# 76698
Sig: I spray alternating nostrils daily Joseph Lehman June 9, 2004
147 Harring Street
# 3.7 ml Brookly, NY 12142
Exp. 09/2009
Lot # 305345
Methadone 10 mg # 30
Prescriber Signature X__ Adam Erving __
Refill: 0 zero MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Adam Erving, MD. Refill 0 times
Dispense as Written
Serial #B2148Z00
Drug Dispensed:
Exp. 03/2010
Lot # J235682
Apply as directed
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Exp. 10/2005
Lot # L1024158
Toprol XL 25 mg # 30
Prescriber Signature X____ Elizabeth Ganter _
Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: AstraZeneca
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elizabeth Ganter, MD. Refill 11 times
Dispense as Written
Serial #LP238547
Drug Dispensed:
Exp. 12/2008
Lot # 56333P
Exp. 11/2014
Lot # 1YU2333
Cipro 500 mg # 20
Prescriber Signature X_ Evan Fitzpatrick ____
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Bayer
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Evan Fitzaptrick, DDS. Refill 0 times
Dispense as Written
Serial # 1235JK55
Drug Dispensed:
Exp. 04/2008
Lot # 540075J
Clarithromycin 250mg/5ml # 75
Prescriber Signature X_Esther Tredinnick_
Refill: 0 (zero) MDD: MFR: Sandoz
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Esther Tredinnick, MD Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Exp. 11/2014
Lot # 1YU2333
Dispense as Written
Serial #145TO236
Drug Dispensed:
Exp. 03/2009
Lot # D01035
Exp. 08/2007
Lot # R002235
Dispense as Written
Serial #985HG253
Drug Dispensed:
Exp. 11/2007
Lot # U56888
Azmacort # 20 g
Prescriber Signature X_ William Zaklikowski _
Refill: 0 MDD: MFR: Abbott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD. Refill 0 times
Dispense as Written
Serial #K1242156
Drug Dispensed:
Exp. 08/08
Lot # 313131
Dispense as Written
Serial #K0001257
Drug Dispensed:
Exp. 07/2009
Lot # A014589
Tenormin 50 mg # 30
Prescriber Signature X_ Richard Kinsely __
Refill: 6 MDD: MFR: AstraZeneca
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Richard Kinsely, MD. Refill 6 times
DAW
Dispense as Written
Serial #058HG256
Drug Dispensed:
Exp. 06/2007
Lot # P20053
Dispense as Written
Serial #058HG256
Drug Dispensed:
Exp. 12/2007
Lot # 368809K
Dispense as Written
Serial #K8788800
Drug Dispensed:
Exp. 08/2009
Lot # K235236
Exp. 11/2009
Lot # U147854
Drug Dispensed:
Exp. 08/2007
Lot # R002235
Exp. 11/2014
Lot # 1YU2333
Drug Dispensed:
Exp. 10/2006
Lot # 2006356563
Elmiron # 90
Prescriber Signature X_Cynthia MaCare_____ MFR: Ivax
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Cynthia MaCare, RPA. Refill 5 times
Dispense as Written
Serial #ZM741589
Drug Dispensed:
Exp. 07/2009
Lot # T415896
Drug Dispensed:
Exp. 02/2008
Lot # 12568
Prescriber Signature X_ Mike Lou ____ Xopenex 0.31 mg Nebulizer solution # 288ml
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sepracor
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 02/2009
Lot # K21452
Exp. 11/2014
Lot # 1YU2333
Colcrys 0.6mg # 30
Prescriber Signature X___Karen Douglas___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: AR Scientific
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Karen Douglas, DO. Refill 5 times
DAW
Dispense as Written
Serial # P145893T
Drug Dispensed:
Exp. 02/2008
Lot # 032698M
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Exp. 02/28/2014
Lot # 60223589
Lidoderm 5% Patch # 30
Prescriber Signature X_ Lynn Marshall _____
Refill: 6 MDD: MFR: Endo
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jack Hoover, MD. Refill 6 times
Dispense as Written
Serial #K1258TU8
Drug Dispensed:
Exp. 09/2009
Lot # 5P125K
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Tobramycin 85mg q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___2.13____ ml ___85_____ mg
Please write
Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Administration Rate___136__ ml/hr
diluent for drug reconstitution
(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
193. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Steven Johnson, MD Karen Swanson, RPA
Lic# 456922 Lic # 555233
DEA BJ5224782
85 Greek Road
Lockport, NY 14458
716-558-8888
Prescription Label:
Name: Kristen Paralato DOB: 5/24/76
Address:6253 Auburn Ave Date: 07/18/04 Health Sciences Pharmacy Phone: 716-555-5555
Akron, NY 14004 222 Cooke Hall
Amherst, NY 14260
Rx Ketoprofen 200 mg
Rx# 441444
Sig: i po q 6-8 h prn Kristen Paralato July, 18 2004
6253 Auburn Ave
# 40 Akron, NY 14004
Drug Dispensed:
Exp. 05/2008
Lot # 70000052
DocQLace 100 mg # 30
Prescriber Signature X_ Jackson Hundson___
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Qualitest
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson MD. Refill 0 times
Dispense as Written
Serial #1258LK12
Drug Dispensed:
Exp. 06/2008
Lot # 1589K125
Use as directed.
Dispense as Written
Serial #L526M254
Drug Dispensed:
Exp. 10/2008
Lot # H2531M
Drug Dispensed:
Exp. 10/2008
Lot # 1P4217
Exp. 08/2014
Lot # 1KJ235
MFR: Prostrakan
Dispense as Written Shirley Lee, RPA. Refill 1
Serial #P322258L
Drug Dispensed:
Exp. 08/2007
Lot # R002235
Rx# 90016
Dispense as Written Frank Barrett November 25, 2006
Serial #W2538Y25 8888 Michigan Ave
Buffalo, NY 14200
Drugs Dispensed:
Instill one spray to each nostril once daily.
Nasonex 50mcg #1
Exp. 11/2008
Lot # 3P2040
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Unasyn 3g q12h in 50ml NS. Infuse over 15min. prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___10____ ml ___3000_____
mg Please write
Administration Rate___200__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #ZU28569M
Drug Dispensed:
Exp. 05/2005
Lot # T26839
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Invega 6 mg tablets # 30
Prescriber Signature X__John Rousseau____
Refill: 0 MDD: MFR: Janssen
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, MD. Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008
Lot # 17485900
Drug Dispensed:
Exp. 09/2008
Lot # 008998
Drug Dispensed:
Exp. 06/2007
Lot # P236522
Dispense as Written
Serial #2358P258
Drug Dispensed:
Exp. 07/2008
Lot # Y25369
Exp. 11/2009
Lot # 0333320
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Colcrys 0.6mg # 30
Prescriber Signature X___Karen Douglas___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: AR Scientific
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Douglass Karol, MD. Refill 5 times
DAW
Dispense as Written
Serial # P145893T
Drug Dispensed:
Exp. 02/2008
Lot # 032698M
Hydroxyzine 10 mg # 90
Prescriber Signature X_Sharon White____
Refill: 0 MDD:3
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Pliva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Sharon White, MD. Refill 0 times
Dispense as Written
Serial #H45186G1
Drug Dispensed:
Exp. 06/08
Lot # 26063931A
Please write a BRIEF description of the error/omission (3pts):
80. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Victoria Flemming, MD
1245 Ocean Ave, Suite 290
Brooklyn, NY 11228
716-505-5050
Lic# 223658 DEA BF1111587
Name: Dainelle Newman DOB: 09/24/74 Prescription Label:
Address: 112 Warner Ave Date: 07/05/06
N Gawanda, NY 12258 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zyprexa 20 mg
Rx# 77856
Sig: i po QD Dainelle Newman July 5, 2006
112 Warner Ave
N Gawanda, NY 12258
# 30
Take one tablet once daily.
Celexa 20 mg # 30
Prescriber Signature X__ Victoria Flemming __
Refill: 0 MDD:
MFR: Forrest
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Victoria Flemming, MD. Refill 0 times
DAW
Dispense as Written
Serial #2356KT125
Drug Dispensed:
Exp. 08/2009
Lot # C061266
Please write a BRIEF description of the error/omission (3pts):
100. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page.
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Gentamicin 1.5mg/kg/dose (IBW) q8h in 50ml D5W. Infuse over 30 min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___2.98____ ml ___119_____
mg Please write
Administration Rate___106__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Exp. 10/2010
Lot # A125012
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Vancomycin 500mg q12h in 100ml NS. Infuse over 60 min. Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___10____ ml ___500_____
mg Please write
Administration Rate___100__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Verapamil ER 120 mg # 30
Prescriber Signature X__Jackson Hundson__
Refill: 0 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson MD. Refill 0 times
Dispense as Written
Serial #1258LK12
Drug Dispensed:
Exp. 06/2008
Lot # 1589K125
Prednisone 10 mg # 20
Prescriber Signature X________________
Refill: 0 MDD: MFR: Roxane
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kent Zheng, RPA Refill 0 times
Dispense as Written
Serial #2356K569
Drug Dispensed:
Exp. 04/2006
Lot # L5500055
Dispense as Written
Serial #L2536Z00
Drug Dispensed:
Exp. 07/2008
Lot # 1P1993
Dispense as Written
Serial #568LK236
Drug Dispensed:
Exp. 08/2014
Lot # 1258789
Drug Dispensed:
Exp. 08/2008
Lot # G21452
Drug Dispensed:
Exp. 05/2011
Lot # 6ZP859
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Exp. 10/2010
Lot # L023589
Dispense as Written
Drug Dispensed:
Exp. 02/28/2014
Lot # 60223589
Zetia 10 mg tablets # 90
Dispense as Written
Serial #586JU782
Drug Dispensed:
Exp. 02/2008
Lot # JK125863
Drug Dispensed:
Exp. 07/2008
Lot # 065814
Uloric 40mg # 30
Prescriber Signature X_Patrick Wosinski___
Refill: 5 MDD: MFR: Takeda
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Wosinki, MD. Refill 5 times
Dispense as Written
Serial #125KM128
Drug Dispensed:
Exp. 07/2008
Lot # 143569A
Exp. 11/2014
Lot # 1YU2333
Dispense as Written
Serial #KL238745
Drug Dispensed:
Exp. 03/2007
Lot # K12458
Gemfibrozil 600 mg # 60
Prescriber Signature X_Frederick Morris__
Refill: 11 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Frederick Morris, MD. Refill 11 times
Dispense as Written
Serial #Z258M568
Drug Dispensed:
Exp. 08/2006
Lot # P23568
Dispense as Written
Serial #112KJ125
Drug Dispensed:
Exp. 12/2006
Lot # L189568
Please write a BRIEF description of the error/omission (3pts):
500. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Kenneth Taung, MD
1478 Morrison Ct
Cheektowaga, NY 11444
716-222-222
Lic# 258963 DEA BT2325480
Name: Angelina Pulaski ___ DOB: 11/2/38 Prescription Label:
Address:_115 Harry Street_ Date: 07/01/06_
Kenmore, NY 14789___ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Combivent
Rx# 85697
Sig: 2 puffs po QID Angelina Pulaski
115 Harry Street July 4, 2006
# 1 inhaler Kenmore, NY 14789
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Exp. 11/2009
Lot # 18958963
Dispense as Written
Serial #00254HG9
Drug Dispensed:
Exp. 06/2008
Lot # 1JK2550
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Vancomycin 500mg q12h in 100ml NS. Infuse at 10mg/min. Prepare 1
dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___10____ ml ___500_____
mg Please write
Administration Rate___240__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Uloric 40mg # 30
Prescriber Signature X_Patrick Wosinski___
Refill: 5 MDD: MFR: Takeda
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Wosinki, MD. Refill 5 times
Dispense as Written
Serial #125KM128
Drug Dispensed:
Exp. 07/2008
Lot # 143569A
Dispense as Written
Serial #Z852M232
Drug Dispensed:
Exp. 04/2008
Lot # 1P1099
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Tobramycin 85mg q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose.
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___2.13____ ml ___85_____ mg
Please write
Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Administration Rate___136__ ml/hr
diluent for drug reconstitution
(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
580. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Gary Heresy, MD
89Valley Circle
W Seneca, NY 14150
716-666-9998
Lic# 232567 DEA AH8457586
Name: Gunter Jammal DOB: 08/26/52 Prescription Label:
Address:7190 Wellington Rd Date:01/01/09
Lake View, NY 14271 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vimpat 100mg
Rx# 65554
Sig: i po daily Gunter Jammal January 1, 2009
7190 Wellington Road
# 30 Lake View, NY 14271
Verapamil ER 120mg # 30
Prescriber Signature X_Gary Heresy___
Refill: 3 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Gary Heresy, MD. Refill 3 times
Dispense as Written
Serial #ZZ233256
Drug Dispensed:
Exp. 05/2010
Lot # 85585
Dispense as Written
Serial #H45186G1
Drug Dispensed:
Exp. 06/08
Lot # 26063931A
Exp. 11/2014
Lot # 1YU2333
Isosorbide MN 60 mg # 60
Prescriber Signature X_ Rosemary Kazmierski _
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Ethex
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, NP. Refill 5 times
Dispense as Written
Serial #B2514785
Drug Dispensed:
Exp. 01/2010
Lot # 0898963
Drug Dispensed:
Exp. 11/2008
Lot # W23589
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Cyclophosphamide 400mg/m2 in 250ml D5W. infuse over 2 hours
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___20____ ml ___400_____
mg Please write
Administration Rate___125__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Clomiphene 50 mg #5
Prescriber Signature X__Kelly Fletcher___
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Par Pharmaceutical
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kelly Fletcher, Midwife. Refill 0 times
Dispense as Written
Serial #11248LL4
Drug Dispensed:
Exp. 07/2008
Lot # 11589389T
Dispense as Written
Serial #11253LP8
Drug Dispensed:
Exp. 11/2008
Lot # 144867A
Dispense as Written
Serial #K2268238
Drug Dispensed:
Exp. 03/2007
Lot # T23688
Exp. 06/2008
Lot # K25877
Clomipramine 50 mg #5
Prescriber Signature X_ Kelly Fletcher __
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Taro
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kelly Fletcher, Midwife. Refill 0 times
Dispense as Written
Serial #11248LL4
Drug Dispensed:
Exp. 07/2008
Lot # 143569A
Instill one drop to the right eye two to four times daily
for 7 days
Prescriber Signature X_Emerson Brzozowski___ Zymaxid 0.5% #2.5
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Allergan
Exp: 02/2007
Lot # 1258700
Dispense as Written
Serial #001UY569
Drug Dispensed:
Exp. 07/2009
Lot # L0000158
Exp. 11/2007
Lot # 1YU2333
Drug Dispensed:
Exp. 10/2010
Lot # 065182
Lorazepam 2 mg # 90
Prescriber Signature X_ Sharon White ____
Refill: 0 MDD: MFR: Watson
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Sharon White, MD. Refill 0 times
Dispense as Written
Serial #H45186G1
Drug Dispensed:
Exp. 06/09
Lot # 15C1236
Exp. 11/2007
Lot # 1YU2333
Dispense as Written
Serial #568LK236
Drug Dispensed:
Exp. 08/2008
Lot # 1258789
Take as directed
Dispense as Written
Serial #K2587L12
Drug Dispensed:
Exp. 08/2009
Lot # L12325
Use as directed
Dispense as Written
Serial #36LK2587
Drug Dispensed:
Exp. 02/2007
Lot # 15687L
Dispense as Written
Serial #11248LL4
Drug Dispensed:
Exp. 07/2008
Lot # 11589389T
Dispense as Written
Serial #F2563M25
Drug Dispensed:
Exp. 08/2009
Lot # F020002
Exp. 12/2008
Lot # 145974A
Use as directed
Clonidine 0.1 mg #4
Prescriber Signature X_ William Zaklikowski
Refill: 0 MDD: MFR: Actavis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD. Refill 0 times
Dispense as Written
Serial #12548T23
Drug Dispensed:
Exp. 02/2009
Lot # 148265S
Dispense as Written
Serial #Z235M587
Drug Dispensed:
Exp. 07/2008
Lot # 1P2344
OxyContin 10 mg # 30
Prescriber Signature X__ Arnold Fletcher_
Refill: 0 MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Apothecon
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Arnold Fletcher, MD. Refill 0 times
Dispense as Written
Serial #Z235M587
Drug Dispensed:
Exp. 10/2008
Lot # P124522
Dispense as Written
Serial #125893A5
Drug Dispensed:
Exp. 02/2010
Lot # 023583
Please write a BRIEF description of the error/omission (3pts):
76. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
John Rousseau, MD
789 Walden Ave, Suite 120
Cheektowaga, NY 14875
716-222-2220
Lic# 258963 DEA BR4512453
Name: Marvin Nespal DOB: 04/15/00 Prescription Label:
Address: 78 Regent Street Date: 10/10/06
Buffalo, NY 11477 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cefaclor 125 mg/5 ml
Rx# 556566
Sig: i tsp po q8h x 10 days Marvin Nespal October 10, 2006
78 Regent Street
Buffalo, NY 11477
# QS
Give one teaspoonful every 8 hours x 10 days
Drug Dispensed:
Exp. 02/2009
Lot # 158996
Verapamil ER 120 mg # 30
Prescriber Signature X__ Jackson Hundson _
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Jackson Hundson MD. Refill 0 times
Dispense as Written
Serial #1258LK12
Drug Dispensed:
Exp. 06/2008
Lot # 1589K125
Dispense as Written
Serial #P2258H52
Drug Dispensed:
Exp. 09/2008
Lot # H52268
Hydroxyzine Pamoate 50 mg # 30
Prescriber Signature X___Elaine Knell__
Refill: 3 MDD: MFR: Sandoz
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elaine Knell, MD. Refill 3 times
Dispense as Written
Serial #1K56L523
Drug Dispensed:
Exp. 03/2008
Lot # P252230
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Vancomycin 1000mg q12h in 100ml NS. Infuse over 15 min. Prepare 1
dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___20____ ml ___1000_____
mg Please write
Administration Rate___400__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Exp. 11/2007
Lot # 1YU2333
Dispense as Written
Serial #Z852M232
Drug Dispensed:
Exp. 04/2008
Lot # 1P1099
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Intuniv 2 mg # 30
Prescriber Signature X_Samuel Fisher__
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Shire US Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fisher, MD. Refill 1 times
Dispense as Written
Serial #L25K2365
Drug Dispensed:
Exp. 02/2010
Lot # 136669
Detrol LA 4 mg # 30
Prescriber Signature X_ Terrance Fransco___
Refill: 11 MDD: MFR: Pfizer
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Terrance Fransco, DO. Refill 11 times
DAW
Dispense as Written
Serial #178238W7
Drug Dispensed:
Exp. 02/2010
Lot # H789898
Dispense as Written
Serial #1K56L523
Drug Dispensed:
Exp. 03/2008
Lot # P252230
Omeprazole 20 mg # 30
Prescriber Signature X__ Helen Miller __
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Helen Miller, MD. Refill 5 times
Dispense as Written
Serial #2593LK85
Drug Dispensed:
Exp. 01/2008
Lot # 1P3860
Lisinopril 10 mg # 30
Prescriber Signature X_Harold Kozlowsky___
Refill: 5 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Harold Kozlowsky, MD. Refill 5 times
Dispense as Written
Serial #05LT2387
Drug Dispensed:
Exp. 01/2008
Lot # 1N4117
Rx# 114575
Rx Zyrtec 10 mg Ivory Clapp November 25, 2005
2332 Minnesota Ave
Sig: i po qd Buffalo, NY 14010
DAW
Dispense as Written
Serial #0235JK87
Drug Dispensed:
Exp. 11/2006
Lot # 235K2555
Desipramine 100 mg # 30
Prescriber Signature X__ Mark Flinchbaguh __
Refill: 3 MDD:
MFR: Sandoz
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Mark Flinchbaguh, MD. Refill 3 times
Dispense as Written
Serial #1875JK12
Drug Dispensed:
Exp. 02/2006
Lot # 1LK71102
Instill one drop to the right eye two to four times daily
for 7 days
Prescriber Signature X_Emerson Brzozowski___ Dorzolamide/Timolol 2/0.5% #10
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Apotex
Exp: 02/2007
Lot # 1258700
Exp. 11/2007
Lot # 1YU2333
Dispense as Written
Serial #586JU782
Drug Dispensed:
Exp. 02/2008
Lot # JK125863
Dispense as Written
Serial #K258L563
Drug Dispensed:
Exp. 03/2008
Lot # L96869
Drug Dispensed:
Exp. 06/2009
Lot # 16X1258
Exp. 11/2007
Lot # 1YU2333
Vyvanse 50mg # 30
Prescriber Signature X__Philips Kern___
Refill: NR (no refills) MDD:1 MFR: Shire
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Philips Kern, MD. Refill 0 times
Dispense as Written
Serial #K2358523
Drug Dispensed:
Exp: 05/2008
Lot # F06048
Exp: 05/2008
Lot # F06048
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Exp. 05/2008
Lot # 70289Z
Drug Dispensed:
Exp. 02/2008
Lot # A12589L
Drug Dispensed:
Exp. 03/2009
Lot # T528988
Dispense as Written
Serial #D582T845
Drug Dispensed:
Exp. 06/2009
Lot # T268963
Alavert D-12 # 30
Prescriber Signature X__Stephen Sigel_____
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Wyeth
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Stephen Sigel, MD. Refill 5 times
Dispense as Written
Serial #128PR124
Drug Dispensed:
Exp. 02/2009
Lot # 12458L6
Exp. 11/2014
Lot # 1YU2333
Drug Dispensed:
Exp. 10/2007
Lot #1N3304
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Vancomycin 20mg/kg/dose q12h in 100ml NS. Infuse at 10mg/min.
Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___25____ ml ___1250_____
mg Please write
Administration Rate___48__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Cartia XT 300 mg # 30
Prescriber Signature X__Thomas Criag___
Refill: MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Andrx
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Thomas Criag MD. Refill 0 times
DAW
Dispense as Written
Serial #18978TG8
Drug Dispensed:
Exp. 05/2008
Lot # 600G08S1A
Etodolac 400 mg # 60
Prescriber Signature X_Peterson Mineo___
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Apotex
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peterson Mineo, MD. Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Exp. 07/2009
Lot # A014589
Rx# 90018
Rx Roxanol conc sol Otto Hoyer August 25, 2006
8555 Arlington Ave
Sig: 1 ml po q4h prn Perrysburg, NY 14799
Prescriber Signature X__ Jack Hoover ___ Morphine Sulfate Conc 20 mg/ml # 30ml
Refill: 0 ( zero) MDD: 6 ml
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt
Drug Dispensed:
Exp. 08/2007
Lot # H20036
Drug Dispensed:
Exp.06/08
Lot # 060359W
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Nafcillin 1000mg q6h in 50ml D5W. Infuse over 30min. prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___10____ ml ___1000_____
mg Please write
Administration Rate___100__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Nadolol 40 mg # 30
Prescriber Signature X__Richard Kinsely____
Refill: 2 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Richard Kinsely, MD Refill 2 times
Dispense as Written
Serial #M74589359
Drug Dispensed:
Exp. 03/2006
Lot # T89093
Dispense as Written
Serial # 896Z5682
Drug Dispensed:
Exp. 05/2008
Lot # P236933
Drug Dispensed:
Exp. 11/2009
Lot # T008986
Dispense as Written
Serial #LL12541256
Drug Dispensed:
Exp. 01/2007
Lot # J200012
Lotensin 20 mg # 30
Prescriber Signature X__Elissa Hoffmaster___
Refill: 6 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elissa Hoffmaster, NP. Refill 6 times
daw
Dispense as Written
Serial #K8788800
Drug Dispensed:
Exp. 08/2009
Lot # K235236
Drug Dispensed:
Exp. 08/2009
Lot # K235236
Dispense as Written
Serial #L526M254
Drug Dispensed:
Exp. 11/2007
Lot # P235896
Dispense as Written
Serial #GF258768
Drug Dispensed:
Exp. 05/2008
Lot # P526L23
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Tobramycin 9mg/kg/day DIV q8h in 100ml NS. Infuse over 45 min.
Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___5.48____ ml ___219_____
mg Please write
Administration Rate___141__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Precare Premier # 30
Prescriber Signature X__Monica Greenfield___
Refill: 9 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Ther-Rx Corp
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Monica Greenfield, NP. Refill 9 times
DAW
Dispense as Written
Serial #MK256321
Drug Dispensed:
Exp. 06/2007
Lot # P236522
Exp. 11/08
Lot # 146796A
Drug Dispensed:
Exp. 08/2008
Lot # K859856
Exp. 08/2008
Lot # 1P3314
Use as directed.
Dispense as Written
Serial #587LK569
Drug Dispensed:
Exp. 01/2007
Lot # P12433
Lantus 100U/ml # 30
Prescriber Signature X_Samuel Fishman__
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sanofi Aventis
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 3 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Exp. 02/2005
Lot # 278965
Exp. 02/2011
Lot # 6HP006E
Drug Dispensed:
Exp. 02/2009
Lot # 12458KL
Drug Dispensed:
Exp. 06/2008
Lot # 1JK2550
Dispense as Written
Serial #L8521478
Drug Dispensed:
Exp. 08/2009
Lot # 0922258
Spiriva HandiHaler # 30
Prescriber Signature X_Peterson Mineo___
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peterson Mineo, MD. Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Exp. 07/2009
Lot # A014589
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Phenytoin 15mg/kg in 100ml NS x 1 dose stat. Infuse at 50mg/min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___16.5____ ml ___823_____
mg Please write
Administration Rate___364__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Trivora # 28
Prescriber Signature X_Rosemary Kazmierski_
Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, NP. Refill 11 times
Dispense as Written
Serial #P2258H52
Drug Dispensed:
Exp. 09/2008
Lot # H52268
Drug Dispensed:
Exp. 02/2009
Lot # K21452
Adcirca 20mg # 60
Prescriber Signature X_George Spencer___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: United Therapeutics
PRESCRIBER WRITES “daw” IN THE BOX BELOW
George Spencer, MD. Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Exp. 02/2004
Lot # J7841235
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Invega 6 mg tablets # 30
Prescriber Signature X__John Rousseau____
Refill: 0 MDD: MFR: Janssen
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, DVM. Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008
Lot # 17485900
Dispense as Written
Serial #125TDEF2
Drug Dispensed:
Exp. 09/2009
Lot # XL12H
Adcirca 20mg # 60
Prescriber Signature X_George Spencer___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: United Therapeutics
PRESCRIBER WRITES “daw” IN THE BOX BELOW
George Spencer, MD. Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Exp. 02/2004
Lot # J7841235
Dispense as Written
Serial #K0001257
Drug Dispensed:
Exp. 07/2009
Lot # A014589
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Exp. 11/2009
Lot # U147854
Exp. 05/2008
Lot # 45L2586
Doxepin 100 mg # 30
Prescriber Signature X_ Lynn Marshall __
Refill: 3 MDD:
MFR: Par
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Lynn Marshall, RPA. Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
Androgel 1% # 150
Prescriber Signature X__John Rousseau____
Refill:1 (one) MDD:10 MFR: Abbott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
John Rousseau, MD. Refill 1 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008
Lot # 17485900
Please write a BRIEF description of the error/omission (3pts):
385. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Kenneth Taung, MD
1478 Morrison Ct
Cheektowaga, NY 11444
716-222-222
Lic# 258963 DEA BT2325480
Name: Rhonda Haytt DOB: 03/27/49 Prescription Label:
Address:7411 Basswood Street Date:05/09/03
Alden, NY 14055 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Plendil 10 mg
Rx# 20327
Sig: i po daily Rhonda Haytt May 9, 2003
7411 Basswood Street
# 30 Alden, NY 14055
Felodipine ER 10 mg # 30
Prescriber Signature X_Kenneth Taung_____
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Mutual Pharmaceutical Co
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kenneth Taung, MD. Refill 3 times
Dispense as Written
Serial #ZU28569M
Drug Dispensed:
Exp. 11/2005
Lot # T23589
Dispense as Written
Serial #12548T23
Drug Dispensed:
Exp. 02/2009
Lot # 148265S
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Exp. 04/2008
Lot # 11523159M
Cozaar 25 mg # 30
prescriber Signature X_ Kevin William__
Refill: 5 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kevin William, RPA. Refill 5 times
DAW
Dispense as Written
Serial #8985YI123
Drug Dispensed:
Exp. 02/2008
Lot # A12589L
Exp. 09/2008
Lot # J238009
Risperdal 1 mg # 60
Prescriber Signature X_Nicole Bissonette__
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Janssen
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Nicole Bissonette, NP. Refill 3 times
DAW
Dispense as Written
Serial #9K25Z237
Drug Dispensed:
Exp. 05/2007
Lot # T2003639
Cialis 20mg # 60
Prescriber Signature X_George Spencer___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Eli Lilly
PRESCRIBER WRITES “daw” IN THE BOX BELOW
George Spencer, MD. Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Exp. 02/2004
Lot # J7841235
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ2358
Exp. 11/2014
Lot # 1YU2333
Dispense as Written
Serial #12258OP8
Drug Dispensed:
Exp. 12/2010
Lot # L123969N
Exp. 04/2008
Lot # 11523159M
Guanfacine 2 mg # 30
Prescriber Signature X_Vincent Patterson___
Refill: 0 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Vincent Patterson, MD. Refill 0 times
Dispense as Written
Serial #L1458K879
Drug Dispensed:
Exp. 08/2005
Lot # F12452
Dispense as Written
Serial #T7874899
Drug Dispensed:
Exp. 02/2008
Lot # P1000011
Chlordiazepoxide 10 mg # 90
Prescriber Signature X_Paulette Kohler__
Refill: 0 ( zero) MDD: MFR: Par
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Paulette Kohler, MD. Refill 0 times
Dispense as Written
Serial #P12588965
Drug Dispensed:
Exp. 04/2008
Lot #U125482
Depakote 500 mg # 60
Prescriber Signature X_Mike Lou___
Refill: 0 MDD: MFR: Apothecon
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mike Lou, MD. Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 11/2009
Lot # 1587P145
Dispense as Written
Serial #586JU782
Drug Dispensed:
Exp. 02/2008
Lot # JK125863
Drug Dispensed:
Exp. 10/2005
Lot # L1024158
Apply as directed.
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp. 02/2010
Lot # T101257
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp.10/2010
Lot # G145879
Cyanocobalamin 1000mcg/ml # 10
Prescriber Signature X_ Julius Hibbert __
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: American Regent
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Exp. 08/2014
Lot # 1KJ235
Dispense as Written
Serial #P21352147
Drug Dispensed:
Exp. 06/2007
Lot # 778585
Lamisil 250 mg # 30
Prescriber Signature X__Melvin Barren__
Refill: 1 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Melvin Barren, MD. Refill 1 time
DAW
Dispense as Written
Serial #2358P258
Drug Dispensed:
Exp. 07/2009
Lot # Y25369
Drug Dispensed:
Exp. 11/2009
Lot # 332685
Dispense as Written
Serial #U1258L25
Drug Dispensed:
Exp. 01/2006
Lot #K1254100
Prednisone 10 mg # 10
Prescriber Signature X_Kent Zheng_____
Refill: 0 MDD: MFR: Roxane
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Kent Zheng, RPA Refill 0 times
Dispense as Written
Serial #2356K569
Drug Dispensed:
Exp. 04/2006
Lot # L5500055
Apply as directed
Nystatin/Triamcinolone Cream # 30 g
Prescriber Signature X__Karen Douglas___
Refill: 0 MDD: MFR: fougera
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Karen Douglas, DO. Refill 0 times
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Exp. 10/2005
Lot # L1024158
Dantrolene 50 mg # 100
Prescriber Signature X_Brian Baksh________
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Amide
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Brain Baksh, MD. Refill 1 time
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Exp. 03/2009
Lot # L12488H
Danazol 200 mg # 90
Prescriber Signature X_ Brian Baksh __
Refill: 1 MDD: MFR: Barr
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Brain Baksh MD. Refill 1 time
DAW
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Exp. 03/2009
Lot # K1245M
Dispense as Written
Serial #K1242156
Drug Dispensed:
Exp. 06/2008
Lot # 26060403A
Drug Dispensed:
Exp. 11/08
Lot # 146796A
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 11/2009
Lot # 1587P145
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Vancomycin 15mg/kg/dose q8h in 50ml NS. Infuse over 1 hour. Prepare 1
dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___2.25____ ml ___113_____
mg Please write
Administration Rate__52___ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Serevent diskus # 60
Prescriber Signature X__Stephen Sigel_____
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: GSK
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Stephen Sigel, DDS. Refill 5 times
Dispense as Written
Serial #128PR124
Drug Dispensed:
Exp. 02/2009
Lot # 12458L6
Lidoderm 5% patch # 30
Prescriber Signature X Jack Hoover, MD ___
Refill: 6 MDD: MFR: Endo
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jack Hoover, MD. Refill 6 times
Dispense as Written
Serial #K1258TU8
Drug Dispensed:
Exp. 09/2010
Lot # 506015
Tamsulosin 0.4 mg # 30
Prescriber Signature X__Charles Goslinski____
Refill: 5 MDD: MFG: Actavis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Charles Goslinski, DO. Refill 5 times
Dispense as Written
Drug Dispensed:
Exp. 11/2009
Lot # J125468
Exp. 08/2012
Lot # Y41578
Drug Dispensed:
Exp. 02/2007
Lot # A12589L
Please write a BRIEF description of the error/omission(3pts):
132. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page.
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Vancomycin 10mg/kg/dose q12h in 100ml NS. Infuse at 10mg/min.
Prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___25____ ml ___1250_____
mg Please write
Administration Rate___48__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #K0001257
Drug Dispensed:
Exp. 02/2011
Lot # F08989
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Exp. 11/2009
Lot # U147854
Enalapril 10 mg # 30
Prescriber Signature X__Colleen Battagelia___
Refill: 8 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Colleen Battagelia, NP. Refill 8 times
Dispense as Written
Serial #1748EE74
Drug Dispensed:
Exp. 11/2008
Lot # 26357
Zetia 10 mg tablets # 30
Prescriber Signature X___Steven Hung_____
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Merck
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Steven Hung, MD. Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
Exp. 02/2008
Lot # JK125863
Drug Dispensed:
Exp. 02/2007
Lot # L088858
Desipramine 100 mg # 30
Prescriber Signature X_Mark Flinchbaguh___
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Sandoz
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mark Flinchbaguh, MD. Refill 3 times
Dispense as Written
Serial #1875JK12
Drug Dispensed:
Exp. 02/2006
Lot # 1LK71102
Dispense as Written
Serial #1875JK12
Drug Dispensed:
Exp. 02/2006
Lot # 1L25896
Drug Dispensed:
Exp. 06/2008
Lot # K25877
Dispense as Written
Serial #M25693K45
Drug Dispensed:
Exp. 04/2005
Lot # W2003
Drug Dispensed:
Exp. 11/2009
Lot # 0333320
Lamictal 200 mg # 30
Prescriber Signature X_Herbert Dombrowski_
Refill: 0 MDD: MFR: GlaxoSmithKline
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Herbert Dombrowski, MD. Refill 0 times
DAW
Dispense as Written
Serial #D125T235
Drug Dispensed:
Exp. 01/2006
Lot # P212333
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Cyclophosphamide 400mg/m2 in 250ml D5W. infuse over 2 hours
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) NS (D5W) other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___25.2____ ml ___504_____
mg Please write
Administration Rate___125__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #Z258M568
Drug Dispensed:
Exp. 08/2006
Lot # P23568
Hyoscyamine ER 0.375 mg # 60
Prescriber Signature X_Floyd Olszak____
Refill: 2 MDD: MFR: Ethex
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Floyd Olszak, MD. Refill 2 times
Dispense as Written
Serial #P2358743
Drug Dispensed:
Exp. 12/2010
Lot # R124587
Drug Dispensed:
Exp. 12/2008
Lot # T002223
Rx# 90016
Dispense as Written Frank Barrett November 25, 2006
Serial #W2538Y25 8888 Michigan Ave
Buffalo, NY 14200
Drugs Dispensed:
Take one tablet once daily.
Atenolol 100 mg # 30
MFR: Sandoz
Exp. 11/2008
Lot # 3P2040
Drug Dispensed:
Exp. 10/2010
Lot # A125012
DAW
DAW Paul Flicinski, MD. Refill 5 times
Dispense as Written
Serial #11253LP8
Drug Dispensed:
Exp. 11/2008
Lot # 144867A
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Exp. 02/2008
Lot # 60223589
Drug Dispensed:
Exp. 05/2009
Lot # 7A12589
Ampyra 10 mg # 60
Prescriber Signature X_Jonathan Mallozzi____
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Global
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jonathan Mallozzi, DO. Refill 0 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Exp. 08/2009
Lot # 1P3172
Prograf 0.5 mg # 60
Prescriber Signature X_Joyce Campenella____
Refill: 5 MDD: MFR: Asteilas
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Joyce Campanella, MD. Refill 5 times
DAW
Dispense as Written
Serial #1145J569
Drug Dispensed:
Exp. 10/2008
Lot # L478572
Dispense as Written
Serial #125L65K6
Drug Dispensed:
Exp. 02/2009
Lot # 123456
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Exp. 02/2008
Lot # 7158489
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp. 02/2010
Lot # T101257
Inject as directed
Levemir # 10 ml
Prescriber Signature X__ Steven Johnson__
Refill: 1 MDD:4 MFR: Novo nordisk
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Steven Johnson, MD. Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
Exp. 05/2008
Lot # 70000052
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Exp. 11/2010
Lot # Y741589
Dispense as Written
Serial #M74589359
Drug Dispensed:
Exp. 01/2007
Lot # 305344
Please write a BRIEF description of the error/omission(3pts):
321. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Clifford Bookbinder, DO
955 Glenwood Ave
Buffalo, NY 14221
716-323-3333
Lic# 238745 DEA BB2415417
Name: Ida Cimato DOB: 03/08/52 Prescription Label:
Address:822 Rainbow Blvd Date:08/07/06
Lancaster, NY 14300 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Metolazone 5 mg
Rx# 10222
Sig: i po daily Ida Cimato July 8, 2006
822 Rainbow Blvd
# 30 Lancaster, NY 14300
Dispense as Written
Serial #L2536Z00
Drug Dispensed:
Exp. 07/2008
Lot # 1P1993
Amturnide 300mg/10mg/25mg # 30
Prescriber Signature X__Chester Cross____
Refill: 5 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Chester Cross, MD. Refill 5 times
Dispense as Written
Serial #Z2578456
Drug Dispensed:
Exp. 03/2008
Lot # 235800
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Exp. 02/2008
Lot # 60223589
Detrol 1 mg # 30
Prescriber Signature X___Terrance Fransco___
Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Terrance Fransco, DO. Refill 11 times
Dispense as Written
Serial #178238W7
Drug Dispensed:
Exp. 02/2010
Lot # H784856
Exp. 05/2008
Lot # 600G08S1A
Exp. 12/2006
Lot # H178547
Exp. 10/2006
Lot # 2006356563
Drug Dispensed:
Exp. 01/2007
Lot # C0070906A
Dispense as Written
Serial #178238W7
Drug Dispensed:
Exp. 02/2010
Lot # H789900
Dispense as Written
Serial #568LK236
Drug Dispensed:
Exp. 08/2014
Lot # 1258789
Dispense as Written
Serial #741578M8
Drug Dispensed:
Exp. 12/2008
Lot # 1LKO125
Solia # 28
Prescriber Signature X_Stanley Kaiser____
Refill: 11 MDD: MFR: Prasco
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Stanley Kaiser, MD. Refill 11 times
Dispense as Written
Serial #Y2587M58
Drug Dispensed:
Exp. 05/2009
Lot # TT2325
Dispense as Written
Serial #230L25M6
Drug Dispensed:
Exp. 11/2008
Lot #F7526
#9 Use as directed
Imitrex 50 mg #9
Prescriber Signature X__Kevin William__ MFR: GlaxoSmithKline
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Kevin William, RPA. Refill 3 times
Dispense as Written
Serial #25P352H5
Drug Dispensed:
Exp. 09/2008
Lot # L25631K
Dispense as Written
Serial #741578M8
Drug Dispensed:
Exp. 12/2008
Lot # 1LKO125
Lanoxin 250 mg # 30
Prescriber Signature X_ Alfredo Gallagher
Refill: 6 MDD: MFR: GlaxoSmithKline
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Alfredo Gallagher, NP. Refill 6 times
DAW
Dispense as Written
Serial #P2315248
Drug Dispensed:
Exp. 08/2009
Lot # L12325
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Exp. 02/28/2011
Lot # 60223589
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Phenytoin 15mg/kg in 100ml NS x 1 dose stat. Infuse at 50mg/min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___16.5____ ml ___823_____
mg Please write
Administration Rate___364__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #3636K258
Drug Dispensed:
Exp. 05/2008
Lot # 1256J23
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Zosyn 3.375g q6h in 50ml NS. Infuse over 30min. prepare 1 dose
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___10____ ml ___3375_____
mg Please write
Administration Rate___100__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 02/2010
Lot # K21452
Dispense as Written
Serial #ZU28569M
Drug Dispensed:
Exp. 11/2005
Lot # T23589
Drug Dispensed:
Exp. 09/2008
Lot # 008998
Drug Dispensed:
Exp. 02/2009
Lot # 12458L6
Cyclophosphamide 25 mg # 180
Prescriber Signature X_ Sean Hunter rpa __
Refill: 2 MDD: MFR: Apotex
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Sean Hunter, RPA. Refill 2 times
Dispense as Written
Serial #123HJ74L
Drug Dispensed:
Exp. 02/2008
Lot # M124LK
Dispense as Written
Serial #741578M8
Drug Dispensed:
Exp. 12/2008
Lot # 1LKO125
Cyclosporine 25 mg # 180
Prescriber Signature X_ Sean Hunter rpa __
Refill: 5 MDD: MFR: Apotex
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Sean Hunter, RPA. Refill 3 times
Dispense as Written
Serial #123HJ74L
Drug Dispensed:
Exp. 02/2009
Lot # K21452
Dispense as Written
Serial #78452K89
Drug Dispensed:
Exp. 08/2009
Lot # 1P3172
Temazepam 30 mg # 30
Prescriber Signature X_Floyd Olszak_____
Refill: 0 ( zero) MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Floyd Olszak, MD. Refill 0 times
Dispense as Written
Serial #8569KL78
Drug Dispensed:
Exp. 08/2009
Lot # U78421
Dispense as Written
Serial #112KJ125
Drug Dispensed:
Exp. 02/2008
Lot # 8956986
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Exp. 10/2008
Lot # L147896P
Dispense as Written
Serial #741578M8
Drug Dispensed:
Exp. 12/2008
Lot # 1LKO125
Exp. 08/2008
Lot # K859856
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Exp. 03/2009
Lot # L12488H
Dispense as Written
Serial #568LK236
Drug Dispensed:
Exp. 08/2008
Lot # 1258789
Dispense as Written
Serial #KL238745
Drug Dispensed:
Exp. 03/2007
Lot # K12458
Drug Dispensed:
Exp. 02/2008
Lot # JK125863
Nadolol 40 mg # 30
Prescriber Signature X_Diane Montgomery _
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Richard Kinsely, MD Refill 2 times
Dispense as Written
Serial #M74589359
Drug Dispensed:
Exp. 03/2006
Lot # T89093
Dispense as Written
Serial #1748G15H
Drug Dispensed:
Exp. 02/2008
Lot # D741896
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 02/2009
Lot # K21452
Drug Dispensed:
Exp. 06/2008
Lot # W23235
Dispense as Written
Serial #985HG253
Drug Dispensed:
Exp. 11/2009
Lot # U56935
Use as directed
Lantus # 10
Prescriber Signature X_Arnold Fletcher _
Refill: 5 MDD: MFR: Sanofi-Aventis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Arnold Fletcher, MD. Refill 5 times
Dispense as Written
Serial #36LK2587
Drug Dispensed:
Exp. 02/2007
Lot # 15687L
Dispense as Written
Serial #Z235M587
Drug Dispensed:
Exp. 09/2007
Lot # 1N3111
UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260
3/15/11
0730
Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus. Infuse
at 50mg/min
Dr. Toboggan, MD
Dispensed: IV Label:
bag fluid University Hospital Phone: 716-555-5555
222 Cooke Hall
(circle) (NS) D5W other:__________ Amherst, NY 14260
volume added to bag: drug amount in bag: Preparation Date: 03/15/11 Time: 0900
Expiration Date: 03/16/11 Time:0900
___16.5____ ml ___823_____
mg Please write
Administration Rate___364__ ml/hr Dr: aToboggan,
BRIEF description
MD of the error/omission
RPh: (3pts):
YOU
Drug Dispensed:
Exp. 07/2009
Lot # L0000158
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Exp. 03/2009
Lot # L12488H
Drug Dispensed:
Exp.06/10
Lot # 060359W
Drug Dispensed:
Exp. 05/2008
Lot # 70289Z
Drug Dispensed:
Exp. 08/2008
Lot # L12589
Drug Dispensed:
Exp. 11/2007
Lot # U56935
Atenolol 100 mg # 30
Prescriber Signature X__Richard Kinsely__
Refill: 6 MDD: MFR: Sandoz
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Richard Kinsely, MD. Refill 6 times
Dispense as Written
Serial #058HG256
Drug Dispensed:
Exp. 12/2007
Lot # Y253255
Drug Dispensed:
Exp. 10/2007
Lot #1N3304
Dispense as Written
Serial #18978TG8
Drug Dispensed:
Exp. 02/2011
Lot # 67P0Z0A
Drug Dispensed:
Exp. 02/2007
Lot # L088858
MFR: Apothecon
DAW
DAW
Mike Lou, MD. Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Exp. 12/2009
Lot # 1587P145
Drug Dispensed:
Exp. 02/2011
Lot # 67P0Z0A
Dispense as Written
Serial #J2512K23
Drug Dispensed:
Exp. 12/2007
Lot # K258745
Drug Dispensed:
Exp. 05/2012
Lot # G5856K
Drug Dispensed:
Exp. 08/2008
Lot # 1KJ2358
MFR: TEVA
Prescriber Signature X__Tommy Reed__
Refill: 5 MDD: Tommy Reed, MD. Refill 5 times
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dispense as Written
Serial #M25693K45
Drug Dispensed:
Exp. 07/2008
Lot # 11589389T
Imitrex 100mg #9
Dispense as Written
Serial #3636K258
Drug Dispensed:
Exp. 07/2008
Lot # LK74589
Please write a BRIEF description of the error/omission (3pts):
573. ERRORS AND OMISSIONS
Exercise A:
You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per
exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are
correct).
Prescription:
Aaron Miller, MD
7845 Winchester Ave
W Seneca, NY 14788
716-585-5858
Lic# 874526 DEA AM5223653
Name: Beatrice Massa DOB: 03/18/87 Prescription Label:
Address:888 Princeton Road Date:08/06/06
Colins, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Actonel 35mg
Rx# 71474
Sig: i po qwk Beatrice Massa August 6, 2006
888 Princeton Road
#4 Colins, NY 14034
Actonel 35 mg #4
Prescriber Signature X_ Aaron Miller ___
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: P&G
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Aaron Miller, MD. Refill 3 times
Dispense as Written
Serial #00125L02
Drug Dispensed:
Exp. 07/2008
Lot # LK74589
Drug Dispensed:
Exp. 05/2010
Lot # G5856K