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Errors and Omissions Practice problems :

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

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


36. 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:
Emilio Estevez, DDS
Lic# 458793
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Charlie Sheen DOB: 12/16/58
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260
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

# 60 (sixty) Take 1tablet by mouth every six hours as needed for


Prescriber Signature X__Emilio Estevez _ knee pain
Refill: 0 (none) MDD: 4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Oxycodone/APAP 7.5/325 # 60
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mallinckrodt

Dispense as Written Emilio Estevez, DDS Refill 0


Serial #00TJI258 times

Drug Dispensed:

Exp.06/08
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


1. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-444-4444
Lic# 543211 DEA AG4298341
Name: Jean Horton DOB: 11/06/65 Prescription Label:
Address: 500 Main Street Date: 05/22/06
Bflo., NY 14235 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx
Accolate 20 mg Rx# 23456
Jean Horton May 22, 2006
Sig: i po bid 500 Main Street,
Buffalo, NY 14235
#60 Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


4. 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:
Sharon White, MD
425 Millersport Road.
Amherst, NY 14226
716-111-1111
Lic# 145896 DEA BW4857871
Name:__Jolie Yang ___ DOB:01/05/89__ Prescription Label:
Address:_4577 Kensington Rd Date: 12/01/06_
_Kenmore, NY 11447_ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Accupril 20 mg
Rx# 23456
Jolie Yang December 2, 2006
Sig: i po daily 4577 Kensington Road
Kenmore, NY 11447
# 30
Take one tablet once daily.

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

Rx Diovan 160 mg Rx# 200012


John May December 12, 2002
Sig: i po qd 144 Lake Shore Road
Buffalo, NY 14222
# 30
Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


10. 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: 11/2/78 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 Viibryd 40mg
Rx# 85697
Sig: i po qd Angelina Pulaski
115 Harry Street July 4, 2006
# 30 Kenmore, NY 14789

Take one tablet by mouth once daily.

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

Please write a BRIEF description of the error/omission (3pts):


59. 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 2000mg/10ml
Rx# 22235
Sig: 250mg im biw ud Joel Penny February 3, 2007
5678 Clarence Lane
# 1 (1 vial) E Seneca, NY 17895

Inject 1.25ml subcutaneously twice a week as directed

Testosterone Cypionate 200mg/ml # 10


Prescriber Signature X_Samuel Fishman__
Refill: 0 (zero) MDD:1 dose
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 0 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


45. 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 Z – pack
Rx# 120236
Sig: UUD Yasminda Kim December 12, 2006
101 Waterview Road
#1 Hamburg, NY 11487

Take as directed.

Prescriber Signature X__ John Rousseau ____ Azithromycin 250 mg #6


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Greenstone
PRESCRIBER WRITES “daw” IN THE BOX BELOW

John Rousseau, MD. Refill 0 times

Dispense as Written
Serial #12258OP8

Drug Dispensed:

Exp. 12/2010
Lot # L123969N

Please write a BRIEF description of the error/omission (3pts):


476. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Taneja Crafton DOB: 05/23/74 Prescription Label:
Address:4564 Norfolk Ave Date:06/25/06
Lancaster, NY 14120 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zestril 40 mg
Rx# 114574
Sig: i po hs Taneja Crafton June 25, 2006
# 30 4564 Norfolk Ave
Lancaster, NY 14120

Take one capsule at bedtime.

Prescriber Signature X__ Elaine Knell __ Vistaril 50 mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Pifzer
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Elaine Knell, MD. Refill 3 times


DAW
Dispense as Written
Serial #1K56L523

Drug Dispensed:

Exp. 08/2010
Lot # H255523

Please write a BRIEF description of the error/omission (3pts):


479. 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:

Benjamin Stockwell, MD Cynthia MaCare, RPA


Lic# 474851 Lic # 325896
DEA AS222589 DEA MM2587458
822 Paramount Ave
Williamsville, NY 14004 Prescription Label:
716-111-9999
Name: Ivory Clapp DOB: 04/28/69 Health Sciences Pharmacy Phone: 716-555-5555
Address: 2332 Minnesota Ave Date: 11/25/05 222 Cooke Hall
Buffalo, NY 14010 Amherst, NY 14260

Rx# 114575
Rx Zyrtec 10 mg Ivory Clapp November 25, 2005
2332 Minnesota Ave
Sig: i po qd Buffalo, NY 14010

Take one tablet once daily


# 30
Zyrtec 10 mg #30
Prescriber Signature X_ Cynthia MaCare __
Refill: 3 MDD: MFR: Pfizer
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Cynthia MaCare, RPA. Refill 3 times
DAW
Dispense as Written
Serial #0235JK87

Drug Dispensed:

Exp. 12/2009
Lot # 25558LK

Please write a BRIEF description of the error/omission(3pts):


41. 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 2 mg
Rx# 122122
Sig: i po BID Chi Wai Lam September 8, 2006
8990 Coley Street
# 60 Williamsville, NY 11223

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


422. 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 Procanbid 500 mg
Sig: i po bid Rx# 90012
# 60 Amy Celestino July 9, 2006
2390 Baxter Ave
Buffalo, NY 14334

Take one tablet twice daily.

Prescriber Signature X Richard Zakrajesek __ Probenecid 500 mg # 60


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


DAW
Dispense as Written
Serial #3636K258

Drug Dispensed:

Exp. 05/2009
Lot # 1256J23

Please write a BRIEF description of the error/omission (3pts):


425. 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:

William Zaklikowski, MD Lisa Chant, RPA


Lic# 145668 Lic# 123599
DEA BZ4557154
896 Tonawanda Cheek Road
E Amherst, NY 14869 Prescription Label:
716-889-9999
Name: Lewis Connell DOB: 04/30/72 Health Sciences Pharmacy Phone: 716-555-5555
Address: 2525 Woodshire Street Date: 03/27/06 222 Cooke Hall
Depew, NY 14051 Amherst, NY 14260

Rx Proctocream HC Rx# 90013


Lewis Connell March 27, 2006
2525 Woodshire Street
Sig: apply 3-4 x/day x 2 weeks
Depew, NY 14051
# 30
Apply 3 to 4 times a day for 2 weeks

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

Please write a BRIEF description of the error/omission(3pts):


12. 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: John 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 Viibryd 40mg
Rx# 85697
Sig: i po qd James Polanski
15 Hare Street July 4, 2006
# 30 Kenmore, NY 14789

Take one tablet by mouth once daily.

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

Please write a BRIEF description of the error/omission (3pts):


13. 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

Rx Ibuprofen 800mg Rx# 66698


Frank Grimes March 5, 2011
Sig: i po qid prn 197 Hartford Road
Aurora, NY 14228
# 120
Take 1 tablet by mouth four times daily as needed

Prescriber Signature X_ Julius Hibbert __ Ibuprofen 800mg # 120


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Amneal
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


416 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-333-3333
Lic# 112258 DEA AW1144550
Name: Nora Tetowski DOB: 05/30/48 Prescription Label:
Address:303 Southwest Blvd Date: 12/31/06
Eden, NY 14100 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Premphase
Rx# 66808
Sig: i po daily Nora Tetowski January 2, 2007
303 Southwest Blvd
# 28 Eden, NY 14100

Take one tablet once daily.

Prescriber Signature X_ Patrick Wosinki __ Prempro 0.625 mg/5 mg #28


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Wyeth
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Patrick Wosinki, MD. Refill 5 times


daw
Dispense as Written
Serial #F2563M25

Drug Dispensed:

Exp. 08/2009
Lot # F020002

Please write a BRIEF description of the error/omission (3pts):


324. 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:
Chester Cross, MD
9229 Peckham Road
Buffalo, NY 14220
716-858-8889
Lic# 235211 DEAAC5278951
Name: Shawn Dimeo DOB: 06/21/34 Prescription Label:
Address:700 Embassy Sq Date: 02/08/06
Depew, NY 14209 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Amturnide 300/5/25
Rx# 23533
Sig: i po qd Shawn Dimeo February 8, 2006
700 Embassy Sq
# 30 Depew, NY 14209

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


325. 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:
Adam Erving, MD
616 Hartford Ave
Buffalo, NY 14500
716-999-4444
Lic#123568 DEA AA1252143
Name: Niema Fiorello DOB: 02/25/87 Prescription Label:
Address:36 Tacoma Ave Date:03/08/07
W Amherst, NY 14150 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Metadate CD 20 mg
Sig: i po am Rx# 29009
Niema Fiorello March 8, 2007
# 30 ( thirty) 36 Tacoma Ave
W Amherst, NY 14150

Take one capsule every morning

Prescriber Signature X__Adam Erving______ Metadate CD 20 mg # 30


Refill: 0 MDD: 1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: UCB Pharma Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Adam Erving, MD. Refill 0 times

Dispense as Written
Serial #B2148Z00

Drug Dispensed:

Exp. 06/2009
Lot # 235985

Please write a BRIEF description of the error/omission (3pts):


419. 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:
Buffalo General Hospital

100 High Street Deepak Singh, MD


Buffalo, NY 14260 DEA: AB1234567
716-555-5689
Name: Clifford Hennessy DOB: 08/16/70 Prescription Label:
Address: 699 Lovering Road Date: 09/21/06
Aurora, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Rx Fioricet + codeine Amherst, NY 14260

Sig: i-ii po q4h prn Rx# 66809


Clifford Hennessy September 21, 2006
699 Lovering Road
# 120
Aurora, NY 14000

Take one to two capsules by mouth every four hours as


needed. Maximum of 6 capsules/day
Prescriber Signature X_Deepak Singh___
Refill: 2 (two) MDD:6 Butalbital, APAP, Caffeine Codeine 50/325/40/30
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS # 120
PRESCRIBER WRITES “daw” IN THE BOX BELOW

MFR: Watson
Dispense as Written Deepak Singh, MD. Refill 2 times
Serial #R2358962
Drug Dispensed:

Exp. 12/2008
Lot # 145974A

Please write a BRIEF description of the error/omission (3pts):


17. 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: 01/21/07_
_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, 2007
4545 Delancey Lane
# 12 Williamsville, NY 12589

Use as directed.

Alora 0.05mg/24hr patch #12


Prescriber Signature X___ Thomas Criag __
Refill: 3 MDD: MFR: Waston
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Thomas Criag, MD Refill 3 times

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

Take one tablet at bedtime

Prescriber Signature X___Mike Lou________ Ambien 10 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sanoli Aventis
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mike Lou, MD . Refill 5 times

Dispense as Written
Serial #125TDEF2

Drug Dispensed:

Exp. 09/2009
Lot # XL12H

Please write a BRIEF description of the error/omission (3pts):


332. 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 Micronase 5mg
Sig: i po bid Rx# 30333
Courtney Iannone August 17, 2005
# 60 22 Greenmeadow Dr
Getzville, NY 14077

Take one capsule twice daily.


Prescriber Signature X_ Gilbert Hunter __
Refill: 6 MDD: Potassium Cl 10mEq # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Ethex

Gilbert Hunter, MD. Refill 6 times


Dispense as Written
Serial #K258L563

Drug Dispensed:

Exp. 04/2010
Lot # 235233

Please write a BRIEF description of the error/omission (3pts):


337. 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:
Cassandra Moninski, MD
900 Apollo Drive
Cheektowaga, NY 14070
716-666-4555
Lic# 123363 DEA BM1252573
Name: Melvin Platko DOB: 07/25/70 Prescription Label:
Address:3322 Trentwood Tr Date:09/28/06
Buffalo, NY 14120 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Norvasc 10 mg
Rx# 85522
Sig: i po daily Melvin Platko September 28, 2006
3322 Trentwood Tr
# 30 Buffalo, NY 14120

Take one table once daily.

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

Please write a BRIEF description of the error/omission (3pts):


344. 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: Fran 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

Rx vit B 12 1000mcg/ml Rx# 66698


Fran Grimes March 5, 2011
Sig: inj im 100mcg qd for 1 wk, then 100mcg qod for 197 Hartford Road
2 wks, then 200mcg q month Aurora, NY 14228

# 10 Inject 1ml intramuscularly once daily for 1 week, then


inject 1ml intramuscularly every other day for 2 weeks,
then inject 2ml intramuscularly once a month.
Prescriber Signature X_ Julius Hibbert __
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Cyanocobalamin 1000mcg/ml # 10
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: American Regent

Dispense as Written Julius Hibbert, MD. Refill 0 times


Serial #17418H78
Drug Dispensed:

Exp. 08/2014
Lot # 1KJ235

Please write a BRIEF description of the error/omission (3pts):


47. 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
# 90 789 Maple Road
Amherst, NY 1178

Take one tablet before meals

Prescriber Signature X_ Steven Hung ____ Avandia 2 mg # 90


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Glaxo Smith Kline
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Steven Hung, MD. Refill 5 times

Dispense as Written
Serial #1258LLT8

Drug Dispensed:

Exp. 01/2011
Lot # L2258C

Please write a BRIEF description of the error/omission (3pts):


14.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

Rx Ibuprofen 800mg Rx# 66698


Frank Grimes March 5, 2011
Sig: ii po tid prn 197 Hartford Road
Aurora, NY 14228
# 120
Take two tablets by mouth three times daily as needed.

Prescriber Signature X_ Julius Hibbert __ Ibuprofen 800mg # 120


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Amneal
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


49. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-333-3333
Lic# 112258 DEA AW1144550
Name: Gloria Peifer DOB: 01/13/20 Prescription Label:
Address: 229 Bedford Ave Date: 10/10/06
Amherst, NY 11478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Betapace 80 mg
Rx# 489586
Sig: 1 po bid Gloria Peifer October 10, 2006
# 60 229 Bedford Ave
Amherst, NY 11478

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


519. 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: Russell Lee DOB: 04/23/64
Address: 1254 Chestnut Ridge Rd Date: 02/04/07 Health Sciences Pharmacy Phone: 716-555-5555
N. Tonawanda, NY 14789 222 Cooke Hall
Amherst, NY 14260
Rx Nasacort AQ
Rx# 124514
Russell Lee February 4, 2007
Sig: UAD
1254 Chestnut Ridge Rd
N. Tonawanda, NY 14789
#1
Use as directed

Prescriber Signature X__ Karen Swanson_rpa _ Azmacort inhaler # 20g


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR:Abbott

Karen Swanson, RPA. Refill 2 times


Dispense as Written
Serial #12TJU568

Drug Dispensed:

Exp. 06/2009
Lot # 16X1258

Please write a BRIEF description of the error/omission (3pts):


520. 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:
Esther Tredinnick, MD Weight:20kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/06
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Augmentin ES 600mg-42.9mg/5ml
Rx# 56007
Sig: 1.5tsp po BID x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 10 days supply Williamsville, NY 14002

Take one and a half teaspoonfuls by mouth twice daily


for 10 days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 75


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


2. 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 Grands, M
432 Nottingham Blvd.
Buffalo, NY 14223
716-444-4444
Lic# 543211 DEA AG4298341
Prescription Label:
Name: Jean Horton DOB: 11/06/65
Address: 500 Main Street Date: 05/22/06 Health Sciences Pharmacy Phone: 716-555-5555
Bflo., NY 14235 222 Cooke Hall
Amherst, NY 14260
Rx Accolate 20 mg
Rx# 23456
Jean Horton May 22, 2006
Sig: i po daily 500 Main Street,
Buffalo., NY 14235
#30
Take one capsule once daily.
Prescriber Signature X__ Thomas Grands ___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
Accutane 20 mg #30
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Roche
DAW
DAW
Dr. Thomas Grands Refill 5 times
Dispense as Written
Serial #125L65K6

Drug Dispensed:

Exp. 02/2010
Lot # 12568

Please write a BRIEF description of the error/omission (3pts):


544. 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:03/05/07
Aurora , NY 14228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Chantix starter pack
Sig: TAD Rx# 66698
Nicolas Lockard March 5, 2007
# starter kit 197 Hartford Road
Aurora, NY 14228

Take as directed

Chantix Starting Pack # 53


Prescriber Signature X_Lynn Marshall____
Refill: 0 MDD: MFR: Pfizer
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Lynn Marshall, RPA. Refill 0 times

Dispense as Written
Serial #17418H78
Drug Dispensed:

Exp. 08/2010
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


549. 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
Cheektawaga, NY 14875
716-878-7887
Lic#784589 DEA BR4512453
Name: Neslson Lococo DOB: 03/16/48 Prescription Label:
Address:1125 Mineral Spring Rd Date:03/20/11
Gatesville, NY 14788 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx invega 6mg
Rx# 32535
Sig: i po qam Neslson Lococo March 21, 2011
1125 Mineral Spring Road
# 30 Gatesville, NY 14788

Take one tablet by mouth every morning

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

Please write a BRIEF description of the error/omission (3pts):


260. 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: Carmine Fernandez DOB: 03/10/36 Prescription Label:
Address: 9000 Applewood Road Date:09/15/06
Lackawanna, NY 14127 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lasix 20mg
Rx# 23000 September 16, 2006
Sig: i po qd Carmine Fernandez
# 30 9000 Applewood Road
Lackawanna, NY 14127

Take one tablet once daily.

Prescriber Signature X_ Alfredo Gallagher _ Lanoxin 250 mcg # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GlaxoSmithKline
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

Please write a BRIEF description of the error/omission (3pts):


263. 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:01/01/06
Lake View, NY 14271 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lanoxin 250 mcg
Sig: i po daily Rx# 65554
Gunter Jammal January 1, 2006
# 30 7190 Wellington Road
Lake View, NY 14271

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


270. 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:
Arron Fletcher, DVM
7523 Birch Place
Farmingdale, NY 17774
516-963-3333
Lic# 111253 DEA BF2357487
Name: Ralph McGreevy DOB: 06/21/33 Prescription Label:
Address: 2369 Timberlane Ct Date:2/14/05
Farmingdale, NY 17770 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lantus
Rx# 568888
Sig: uud Ralph McGreevy February 14, 2005
2369 Timberlane Ct
# 1 vial Farmingdale, NY 17770

Use as directed

Prescriber Signature X_ Arron Fletcher _ Lantus # 10


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sanofi-Aventis
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Arron Fletcher, DVM Refill 5 times

Dispense as Written
Serial #36LK2577

Drug Dispensed:

Exp. 02/2010
Lot # 15687L

Please write a BRIEF description of the error/omission (3pts):


16. 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: 01/21/07_
_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, 2007
4545 Delancey Lane
# 12 Williamsville, NY 12589

Use as directed.

Aldara 5% Cream #12


Prescriber Signature X___Thomas Criag____
Refill: 3 MDD: MFR: Graceway Pharmaceuticals
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Thomas Criag, MD Refill 3
DAW times
Dispense as Written
Serial #00012KL8
Drug Dispensed:

Exp. 11/2010
Lot # 008996

Please write a BRIEF description of the error/omission (3pts):


23. 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:
Andrew McDonald, MD
222 Main street, Suite 111.
Buffalo, NY 14233
716-888-8888
Lic# 543214 DEA AM1155832
Name:_Katie Swonski __ DOB: 09/25/55 Prescription Label:
Address:_568 Main street, 3/FL Date: 01/27/07_
Buffalo, NY 14233 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Xanax 0.5 mg
Rx# 23456
Sig: i po hs Katie Swonski January 30, 2007
568 Main Street, 3/FL
# 30 (thirty) Buffalo, NY 14233

Take one tablet at bedtime.

Lorazepam 0.5 mg #30


Prescriber Signature X__ Andrew McDonald___
Refill: 0 zero MDD: 1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Waston
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Andrew McDonald MD. Refill 0 times

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.

Aldara 5% Cream #12


Prescriber Signature X__ Thomas Criag ____
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Graceway Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Thomas Criag, MD Refill 3 times
DAW
Dispense as Written
Serial #00012KL8

Drug Dispensed:

Exp. 12/2007
Lot # 008996

Please write a BRIEF description of the error/omission (3pts):


19.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 Busey, DVM
1001 N Ford Road
Hamburg, NY 12233
716-557-7777
Lic# 511125 DEA# BM1258917
Name: Gary Busey __ DOB: 05/08/49 Prescription Label:
Address:_236 Knowlton Street Date: 05/09/06
_Hamburg, NY 12236_ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Viagra 50 mg
Rx# 236989
Sig: i po daily prn Gary Busey May 10, 2006
236 Knowlton Street
Hamburg, NY 12236
# 120
Take one tablet once daily as needed

Prescriber Signature X___Helen Miller______ Viagra 50 mg #120


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Pfizer

Gary Busey, DVM Refill 5 times


Dispense as Written
Serial #012HJI123

Drug Dispensed:

Exp. 06/2009
Lot # BH025896

Please write a BRIEF description of the error/omission (3pts):


483. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Francis Rennick DOB: 12/16/88
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260
Rx Victoza Rx# 000123
Francis Rennick June 2, 2006
Sig: once daily as directed 5678 Sunset Drive
Tonawanda, NY 12339

#9 Take one tablet by mouth once daily as directed


Prescriber Signature X__Mark Lee MD_ Hydrocodone/APAP 5/500 #9
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Mark Lee, MD. Refill 1 times


Dispense as Written
Serial #00TJI258

Drug Dispensed:

Exp.06/08
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


26. 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 Pradaxa 150mg
Rx# 22235
Sig: ii cap po BID Joel Penny February 3, 2007
5678 Clarence Lane
# 120 E Seneca, NY 17895

Take two capsules by mouth twice daily

Pradaxa 150mg capsules # 120


Prescriber Signature X_Samuel Fishman__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Boehringer Ingelheim Pharmaceuticals Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 5 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


21. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Wilt Chamberlin DOB: 03/15/77 Prescription Label:
Address:555 Parkwood Ave Date:03/08/11
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Anucort HC 25mg
Rx# 66358
Sig: i bid Wilt Chamberlin March 9, 2011
555 Parkwood Ave
# 28 Synder, NY 14077

Take one by mouth twice daily.

Anucort HC 25mg #28


Prescriber Signature X__Suzanne Brower_____
Refill: 0 MDD: MFR: G & W Labs
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 0 times
DAW
Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2014
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


8. 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: Jason 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

Rx Combivent Rx# 200012


Jason May December 12, 2002
Sig: 2 puffs QID 144 Lake Shore Road
Buffalo, NY 14222
#1
Inhale two puffs by mouth four times daily.

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

Please write a BRIEF description of the error/omission (3pts):


22. 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:
Andrew McDonald, MD
222 Main street, Suite 111.
Buffalo, NY 14233
716-888-8888
Lic# 543214 DEA AM1155832
Name:_Katie Swonski __ DOB: 09/25/55 Prescription Label:
Address:_568 Main street, 3/FL Date: 01/27/07_
Buffalo, NY 14233 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Xanax 0.5 mg
Rx# 23456
Sig: i po hs Katie Swonski January 30, 2007
568 Main Street, 3/FL
# 30 ( thirty) Buffalo, NY 14233

Take one tablet at bedtime.

Alprazolam 0.5 mg #30


Prescriber Signature X__Andrew McDonald__
Refill: 0 ( zero) MDD: 1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Greenstone
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Andrew McDonald MD. Refill 0 times

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

Take one tablet every 6 hours if needed

Oxycodone/APAP 7.5/325 mg # 120


Prescriber Signature X__ Pauline Davidson __
Refill: 0 (zero) MDD:4 MFR: Mallinckrodt
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Pauline Davidson, MD. Refill 0 times

Dispense as Written
Serial #LK859967
Drug Dispensed:

Exp. 05/2008
Lot # 45L2586

Please write a BRIEF description of the error/omission (3pts):


390. 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:
Nicolas Green, MD Kenneth Lee, RPA
Lic# 003985 Lic # 235893
DEA AG1254781 ML1542174
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
Name: Chingy Woo Hiang DOB: 04/21/53 Health Sciences Pharmacy Phone: 716-555-5555
Address: 889 Heatherwood Street Date: 06/01/06 222 Cooke Hall
E Amherst, NY 14228 Amherst, NY 14260

Rx Adderall XR 20mg Rx# 20328


Chingy Woo Hiang June 1, 2006
889 Heatherwood Street
Sig: i po qam
E Amherst, NY 14228
# 120(one hundred twenty) CODE B
Take one capsule by mouth once daily in the morning

Prescriber Signature X__ Nicolas Green __ Adderall XR 20 mg # 120


Refill: 0 (zero) MDD: 1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Shire

Nicolas Green, MD Refill 0 times


DAW
DAW
Dispense as Written
Serial #0258TF39

Drug Dispensed:

Exp. 09/2008
Lot # 008998

Please write a BRIEF description of the error/omission(3pts):


211. 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 Percocet 5/325 mg
Rx# 124007
Sig: i po q6h prn foot pain Jason Panko August 8, 2006
225 Sweetheaven Ct
# 20 (twenty) Buffalo, NY 14207

Take one tablet by mouth every six hours as needed for


foot pain..
Prescriber Signature X_Jonathan Mallozzi____
Refill: 0 (zero) MDD:4 Oxycodone/APAP 5/325 mg # 20
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Jonathan Mallozzi, DPM Refill 0 times


Dispense as Written
Serial #78452K89
Drug Dispensed:

Exp. 08/2009
Lot # 1P3172

Please write a BRIEF description of the error/omission (3pts):


217. 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, DO
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 Ampyra 10 mg ER
Rx# 124007
Sig: i po BID Jason Panko August 8, 2006
225 Sweetheaven Ct
# 60 Buffalo, NY 14207

Take one tablet by mouth twice daily.

Ampyra 10mg ER tab # 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

Please write a BRIEF description of the error/omission (3pts):


218. 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, DO
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 Ampyra 10mg ER
Rx# 124007
Sig: take i po bid Jason Panko August 8, 2006
225 Sweetheaven Ct
# 60 Buffalo, NY 14207

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


3. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-444-4444
Lic# 543211 DEA AG4298341
Name: Jean Horton DOB: 11/06/65
Address: 500 Main Street Date: 05/22/06
Prescription Label:
Bflo., NY 14235
Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Rx Accolate 20 mg Amherst, NY 14260

Sig: i po bid Rx# 23456


Jean Horton May 22, 2006
500 Main Street,
# 60 Buffalo, NY 14235

Take one tablet twice daily.


Prescriber Signature X___ Thomas Grands _ Accolate 20 mg #60
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: AstraZeneca Pharmaceuticals
DAW
Dr. Thomas Girard Refill 5 times
Dispense as Written
Serial #125L65K6

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

Rx Ibuprofen 600mg Rx# 66698


Frank Grimes March 5, 2011
Sig: ii po qid prn 197 Hartford Road
Aurora, NY 14228
# 120
Take 2 tablets by mouth four times daily as needed

Prescriber Signature X_ Julius Hibbert __ Ibuprofen 600mg # 120


Refill: 1 MDD:3
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Ascend
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


473. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Deanna Schmidt DOB: 01/02/78 Prescription Label:
Address:5414 Capital Height Date:01/03/07
Gowanda, NY 14080 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx TriNorinyl
Rx# 114573
Sig: i po daily Deanna Schmidt January 3, 2007
5414 Capital Height
# 28 Gowanda, NY 14080

Take one tablet once daily.

Prescriber Signature X__ Rosemary Kazmierski Trivora # 28


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

Please write a BRIEF description of the error/omission (3pts):


272. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Gale Chamberlin DOB: 03/15/29 Prescription Label:
Address:555 Parkwood Ave Date:03/08/06
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Exelon 4.5 mg
Rx# 66358
Sig: i po bid Gale Chamberlin March 9, 2006
555 Parkwood Ave
# 60 Synder, NY 14077

Take one capsule by mouth twice daily.

Exelon 4.5 mg #60


Prescriber Signature X__Suzanne Brower_____
Refill: 3 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 3 times

Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2008
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


275. 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:
Yin Ching Tee, MD
893 Lexington Ave
Getzville, NY 14209
716-234-2345
Lic# 225874 DEA BT2547896
Name: Harvey Chapman DOB: 09/07/53 Prescription Label:
Address:99 Birchwood Sq Date:12/18/05
Grand Island, NY 14412 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levbid 0.375 mg
Rx# 2235
Sig: i po bid Harvey Chapman December 18, 2005
# 60 99 Birchwood Square
Grand Island, NY 14412

Take one tablet twice daily.

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

Yin Ching Tee, MD. Refill 3 times

Dispense as Written
Serial #KL238745

Drug Dispensed:

Exp. 03/2007
Lot # K12458

Please write a BRIEF description of the error/omission (3pts):


278. 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:
Frederick Morris, MD
745 Glenwood Ave
Sardnia, NY 14033
716-877-5777
Lic# 554784 DEA AM415147
Name: Jefferson Eleanor DOB: 05/24/66 Prescription Label:
Address:5685 Sundown Tr Date:06/28/07
Clarence, NY 14443 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levbid 0.375 mg
Sig: i po bid Rx# 23323
Jefferson Eleanor June 28, 2007
# 60 5685 Sundown Tr
Clarence, NY 14443

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

Frederick Morris, MD. Refill 11 times


Dispense as Written
Serial #Z258M568

Drug Dispensed:

Exp. 05/2009
Lot # P23568

Please write a BRIEF description of the error/omission (3pts):


284. 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, DO
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Mitchell Gellman DOB: 3/18/31 Prescription Label:
Address:9000 Four Winds Way Date:02/08/06
E Amherst, NY 14008 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levocabastine 0.05%
Sig: i gtt affected eye qid Rx# 665566
Mitchell Gellman February 8, 2006
# 10 9000 Four Winds Way
E Amherst, NY 14008

Instill one drop into affected eye(s) four times daily

Prescriber Signature X__ Jonathan Mallozzi_ Levobunolol 0.5% # 10 ml


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Falcon
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

Please write a BRIEF description of the error/omission (3pts):


525. 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:
William Zaklikowski, MD
896 Tonawanda Cheek Road
E. Amherst, NY 14896
716-898-0009
Lic# 148569 DEA BZ1448566
Name: Crawford Robinson DOB: 05/06/70 Prescription Label:
Address:876 Vermont Street Date:12/12/05
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Minitran 0.4 mg patch
Rx# 0445686
Sig: apply qd Crawford Robinson December 12, 2005
876 Vermont Street
# 30 Buffalo, NY 11446

Apply one patch daily

Minitran 0.2 mg patch # 30


Prescriber Signature X_ William Zaklikowski
Refill: 0 MDD: MFR: graceway
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD. Refill 0 times
daw
Dispense as Written
Serial #12548T23
Drug Dispensed:

Exp. 02/2009
Lot # 148265S

Please write a BRIEF description of the error/omission (3pts):


526. 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 Fisher, 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 Patanol eye drops
Rx# 22235
Sig: 1 gtt ou BID Joel Penny February 3, 2007
5678 Clarence Lane
# trade size E Seneca, NY 17895

Take one capsule by mouth twice daily

Pradaxa 150mg capsules # 60


Prescriber Signature X_Samuel Fisher__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Boehringer Ingelheim Pharmaceuticals Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 5 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


480. 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:

Benjamin Stockwell, MD Cynthia MaCare, RPA


Lic# 474851 Lic # 325896
DEA AS222589 DEA MM2587458
822 Paramount Ave
Williamsville, NY 14004 Prescription Label:
716-111-9999
Name: Ivory Clapp DOB: 04/28/69 Health Sciences Pharmacy Phone: 716-555-5555
Address: 2332 Minnesota Ave Date: 11/25/05 222 Cooke Hall
Buffalo, NY 14010 Amherst, NY 14260

Rx# 114575
Rx Zyrtec chew 10 mg Ivory Clapp November 25, 2005
2332 Minnesota Ave
Sig: i po qd Buffalo, NY 14010

Chew one tablet once daily


# 30
Zyrtec 10 mg #30
Prescriber Signature X__ Cynthia MaCare _
Refill: 3 MDD: MFR: Pfizer
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Cynthia MaCare, RPA. Refill 3 times
DAW
Dispense as Written
Serial #0235JK87

Drug Dispensed:

Exp. 11/2006
Lot # 235K2555

Please write a BRIEF description of the error/omission(3pts):


317. 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:

Stanley Turner, MD Kent Zheng, RPA


Lic# 565552 Lic # 858546
DEA BT2355267
772 Princeton Ave
Depew, NY 14044 Prescription Label:
716-555-4444
Name: Becky Albrecht DOB: 08/01/79 Health Sciences Pharmacy Phone: 716-555-5555
Address: 89 Castlewood Place Date: 03/30/04 222 Cooke Hall
Angola, NY 14222 Amherst, NY 14260

Rx Methylprednisolone 4 mg Rx# 223412


Becky Albrecht March 30, 2004
89 Castlewood Place
Sig: uud
Angola, NY 14222
# 21
Take as directed

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

Please write a BRIEF description of the error/omission(3pts):


320. 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 August 7, 2006
822 Rainbow Blvd
# 30 Lancaster, NY 14300

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


323. 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:
Chester Cross, MD
9229 Peckham Road
Buffalo, NY 14220
716-858-8889
Lic# 235211 DEAAC5278951
Name: Shawn Dimeo DOB: 06/21/34 Prescription Label:
Address:700 Embassy Sq Date: 02/08/06
Depew, NY 14209 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Amturnide 300/10/25
Rx# 23533
Sig: i po qd Shawn Dimeo February 8, 2006
700 Embassy Sq
# 30 Depew, NY 14209

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


24. 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:
Andrew McDonald, MD
222 Main street, Suite 111.
Buffalo, NY 14233
716-888-8888
Lic# 543214 DEA AM1155832
Name:_Katie Swonski __ DOB: 09/25/55 Prescription Label:
Address:_568 Main street, 3/FL Date: 01/27/07_
Buffalo, NY 14233 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Xanax 0.5 mg
Rx# 23456
Sig: i po hs Katie Swonski February 28, 2007
568 Main Street, 3/FL
# 30 ( thirty) Buffalo, NY 14233

Take one tablet at bedtime

Alprazolam 0.5 mg #30


Prescriber Signature X__ Andrew McDonald___
Refill: 0 (zero) MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Greenstone
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Andrew McDonald MD. Refill 0 times

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

Take one teaspoonful every 6 hours as needed for cough

Prescriber Signature X_ Mark Flinchbaguh Promethazine w/codeine # 150


Refill: 0 MDD: 20 cc
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Actavis
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mark Flinchbaguh, MD. Refill 0 times

Dispense as Written
Serial #1K2348M5

Drug Dispensed:

Exp. 06/2008
Lot # K25877

Please write a BRIEF description of the error/omission (3pts):


516. 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: Josephine 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 nasal spray
Rx# 76698
Sig: i spray one nostril daily- alternate Josepine Lehman June 9, 2004
nostrils 147 Harring Street
Brookly, NY 12142
#1
Instill 1 spray into each nostril daily- alternating nostrils

Miacalcin nasal spray # 3.7 ml


Prescriber Signature X__ Evan Fitzpatrick __
Refill: 4 MDD: MFR:Novartis
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

Please write a BRIEF description of the error/omission (3pts):


431. 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 Prescription Labels:
1245 Ocean Ave, Suite 290
Amherst, NY 11228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
716-505-5050 Amherst, NY 14260
Lic# 223658 DEA BF1111587
Name: Frank Barrett DOB: 03/15/59 Rx# 90015
Address:8888 Michigan Ave Date:11/25/06 Frank Barrett November 25, 2006
Buffalo, NY 14200 8888 Michigan Ave
Buffalo, NY 14200
Rx Metformin 500 mg
Sig: i po bid Take one tablet by mouth twice daily.
# 60
Byetta 10mcg Metformin 500 mg # 60
Sig: inj 10mcg SC bid ud
#1 pen MFR: Sandoz

Victoria Flemming MD. Refill 3 times

Prescriber Signature X_Victoria Flemming__


Refill: 3 MDD: Health Sciences Pharmacy Phone: 716-555-5555
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS 222 Cooke Hall
PRESCRIBER WRITES “daw” IN THE BOX BELOW Amherst, NY 14260

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

Victoria Flemming MD. Refill 3 times

Exp. 11/2008
Lot # 3P2040

Please write a BRIEF description of the error/omission (3pts):


434. 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:
Shirley Cummings, MD
7845 Sheepshead Bay
Buffalo, NY 14228
716-233-3333
Lic# 123123 DEA BC2255897
Name: Cirillo Roth DOB: 06/26/35 Prescription Label:
Address:8005 Monroe Ave Date: 07/19/06
Amherst, NY 14720 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Quinine 300 mg
Rx# 90016
Cirillo Roth July 19, 2006
Sig: i po q8h 8005 Monroe Ave
Amherst, NY 14720
# 90
Take one tablet every 8 hours.

Quinidine gluconate 324 mg # 90


Prescriber Signature X_ Shirley Cummings_
Refill: 1 MDD: MFR: Mutual Pharmaceutical Co
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Shirley Cummings, MD. Refill 1 times
DAW
Dispense as Written
Serial #G2584K23
Drug Dispensed:

Exp. 09/2008
Lot # J238009

Please write a BRIEF description of the error/omission (3pts):


413. 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: Maria Sunstrum DOB: 12/26/52 Prescription Label:
Address:4555 Eggert Road Date:05/31/05
Lockport, NY 14589 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Provera 2.5 mg
Rx# 66807
Sig: i po daily Maria Sunstrum May 31, 2005
4555 Eggert Road
# 30 Lockport, NY 14589

Take one tablet once daily.

Prescriber Signature X__ Tommy Reed _ Premarin 0.45 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Wyeth Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Tommy Reed, MD. Refill 5 times

Dispense as Written
Serial #M25693K45

Drug Dispensed:

Exp. 11/2007
Lot # W2003

Please write a BRIEF description of the error/omission (3pts):


209. 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:

Benjamin Stockwell, MD Cynthia MaCare, RPA


Lic# 474851 Lic # 325896
DEA AS222589
822 Paramount Ave
Williamsville, NY 14004 Prescription Label:
716-111-9999
Name: Kosda Johnson DOB: 11/08/39 Health Sciences Pharmacy Phone: 716-555-5555
Address: 235 Union Road Date: 06/12/06 222 Cooke Hall
Angola, NY, 10228 Amherst, NY 14260

Rx# 01215
Rx Elmiron Kosda Johnson July 13, 2006
235 Union Road
Sig: i po tid ac Angola, NY 10228

Take one tablet three times a day before meals


# 90 Azathioprine 50 mg # 90

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

Please write a BRIEF description of the error/omission(3pts):


210. 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:

Benjamin Stockwell, MD Cynthia MaCare, RPA


Lic# 474851 Lic # 325896
DEA AS222589
822 Paramount Ave
Williamsville, NY 14004 Prescription Label:
716-111-9999
Name: Kosda Johnson DOB: 11/08/39 Health Sciences Pharmacy Phone: 716-555-5555
Address: 235 Union Road Date: 06/12/06
Angola, NY, 10228 Rx# 01215
Kosda Johnson June 13, 2006
Rx Elmiron 235 Union Road
Angola, NY 10228
Sig: i po tid ac
Take one capsule three times a day before meals
# 90
Elmiron # 90

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

Please write a BRIEF description of the error/omission(3pts):


420. 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:
Buffalo General Hospital

100 High Street Deepak Singh, MD


Buffalo, NY 14260 DEA: AB1234567
716-555-5689
Name: Clifford Hennessy DOB: 08/16/70 Prescription Label:
Address: 699 Lovering Road Date: 09/21/06
Aurora, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Rx Fioricet + codeine Amherst, NY 14260

Sig: i-ii po q4h prn Rx# 66809


Clifford Hennessy September 21, 2006
699 Lovering Road
# 20 (twenty)
Aurora, NY 14000

Take one to two capsules by mouth every four hours as


needed.
Prescriber Signature X_Deepak Singh___
Refill: 2 (two) MDD: Butalbital, APAP, Caffeine Codeine 50/325/40/30
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS # 20
PRESCRIBER WRITES “daw” IN THE BOX BELOW

MFR: Watson
Dispense as Written Deepak Singh, MD. Refill 2 times
Serial #R2358962
Drug Dispensed:

Exp. 12/2008
Lot # 145974A

Please write a BRIEF description of the error/omission (3pts):


25. 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 Pradaxa 150mg
Rx# 22235
Sig: i cap po 4x/day Joel Penny February 3, 2007
5678 Clarence Lane
# 120 E Seneca, NY 17895

Take one capsule by mouth four times daily

Pradaxa 150mg capsules # 120


Prescriber Signature X_Samuel Fishman__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Boehringer Ingelheim Pharmaceuticals Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 5 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


221. 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:
Joyce Campanella, MD
2366 Autumnview Road
Clarence, NY 14002
716-363-3636
Lic# 787782 DEA AC 8857851
Name: Dolores Ennis DOB: 06/18/56 Prescription Label:
Address:789 Kinsey Ave Date: 04/05/05
Tonawanda, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prograf 0.5 mg
Rx# 141578
Sig: i po bid Dolores Ennis April 5, 2005
789 Kinsey Ave
# 60 Tonawanda, NY 14000

Take one capsule twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


504. 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:
Monica Greenfield, DVM
290 Meyer Road
Amherst, NY 14216
716-787-8787
Lic# 235988 DEA MG4298341
Name:_Lily Grant __ DOB: 09/09/49 Prescription Label:
Address:_229 Young Road__ Date: 11/25/06_
_Buffalo, NY 12323__ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Duragesic 75 mcg
Rx# 23456
Sig: apply 2 patches q72 h Lily Grant November 25, 2006
229 Young Road
# 20 ( twenty) Buffalo, NY 12323

Apply 2 patches every 72 hours

Duragesic 75 mcg patch #20


Prescriber Signature X__ Monica Greenfield __
Refill: 0 zero MDD: 2q72 h MFR: Janssen
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Monica Greenfield, DVM Refill 0 time
DAW
Dispense as Written
Serial #001UY569
Drug Dispensed:

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

Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


486. 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 Actonel 35 mg
Rx# 529696
Sig: i po q week Fanny Pruchinewiz March 12, 2006
1147 North Forest Road
# 12 Buffalo, NY 11896

Take one tablet by mouth once a week

Prescriber Signature X__ Mike Lou _____ Actonel 35 mg #12


Refill: 4 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Procter and Gamble
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mike Lou, MD . Refill 4 times

Dispense as Written
Serial #125TDEF2

Drug Dispensed:

Exp. 09/2009
Lot # XL12H

Please write a BRIEF description of the error/omission (3pts):


227. 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:
Dean Potter, MD
456 Ashland Ave
Buffalo, NY 14444
716-444-5555
Lic# 112214 DEA AP6878954
Name: Norma Hess DOB: 09/09/77 Prescription Label:
Address:999 Somerville Ave Date:01/14/06
Eden, NY 14433 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Mirapex 1mg
Rx# 55474
Sig: 1po tid Norma Hess January 14, 2006
999 Somerville Ave
# 90 Eden, NY 14433

Take 1 tablet by mouth three times a day

Prescriber Signature X__ Dean Potter __ Mirapex 1mg # 90


Refill: 0 MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Kremers Urban
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dean Potter, MD. Refill 0 times

Dispense as Written
Serial #1221E125

Drug Dispensed:

Exp. 08/2012
Lot # H145826

Please write a BRIEF description of the error/omission (3pts):


20. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Wilt Chamberlin DOB: 03/15/77 Prescription Label:
Address:555 Parkwood Ave Date:03/08/11
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Anucort HC 25mg
Rx# 66358
Sig: i pr bid Wilt Chamberlin March 9, 2011
555 Parkwood Ave
# 28 Synder, NY 14077

Insert 1 suppository rectally twice daily.

Anucort HC 25mg #28


Prescriber Signature X__Suzanne Brower_____
Refill: 0 MDD: MFR: G & W Labs
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 0 times
DAW
Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2014
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


27. 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 Pradaxa 150mg
Rx# 22235
Sig: ii cap po tid Joel Penny February 3, 2007
5678 Clarence Lane
# 180 E Seneca, NY 17895

Take two capsules by mouth three times daily

Pradaxa 150mg capsules # 180


Prescriber Signature X_Samuel Fishman__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Boehringer Ingelheim Pharmaceuticals Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 5 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


511. 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
Lic# 125898 Lic# 147845
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Ronnie Mitrowski DOB: 03/16/56
Address: 756 Symmon Road Date: 02/13/07 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Bronx, NY 12370 Amherst, NY 14260

Rx Lidoderm patch Rx# 001236


Ronnie Mitrowski February 13, 2007
Sig: apply 1 qd for 12 h 756 Symmon Road
Bronx, NY 12370
# 30 Apply 1 patch every day and wear for 12 hours daily.
Prescriber Signature X_Jack Hoover________
Refill: 6 MDD:1 Lidoderm Patch # 30
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Endo

Jack Hoover, MD. Refill 6 times


Dispense as Written
Serial #K1258TU8

Drug Dispensed:

Exp. 09/2010
Lot # 506015

Please write a BRIEF description of the error/omission (3pts):


60. 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 2000mg/10ml
Rx# 22235
Sig: 300mg im biw ud Joel Penny February 3, 2007
5678 Clarence Lane
# 3 (3 vials) E Seneca, NY 17895

Inject 1.5ml intramuscularly twice a week as directed

Testosterone Cypionate 200mg/ml # 30


Prescriber Signature X_Samuel Fishman__
Refill: 0 (zero) MDD:1 dose
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 0 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


28. 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
452 Main Street
Buffalo, NY 14532
716-999-9999
Lic# 485632 DEA BH4712584
Name: Crawford Reukauf__ DOB: 3/18/66_ Prescription Label:
Address: 876 Vermont Street__ Date: _10/10/06
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Altace 5 mg
Rx# 606062
Sig: i po QD Crawford Reukauf October 11, 2006
876 Vermont Street
Buffalo, NY 11446
# 30
Take one tablet once daily.

Prescriber Signature X__Jackson Hundson____ Altace 5 mg #30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Monarch Pharm
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson, MD. Refill 5 times

Dispense as Written
Serial #125ULK01
Drug Dispensed:

Exp. 08/2009
Lot # 1100755

Please write a BRIEF description of the error/omission (3pts):


11. 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: 11/2/78 Prescription Label:
Address:_115 Harry Street_ Date: 03/01/11_
Kenmore, NY 14789___ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Viibryd 40mg
Rx# 85697
Sig: i po qd Angelina Pulaski
115 Harry Street March 4, 2011
# 30 Kenmore, NY 14789

Take one tablet by mouth once daily.

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

Please write a BRIEF description of the error/omission (3pts):


6. 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:
Sharon White, MD
425 Millersport Road.
Amherst, NY 14226
716-111-1111
Lic# 145896 DEA BW4857871
Name:__Jolie Yang ___ DOB:03/14/52__ Prescription Label:
Address:_4577 Kensington Rd Date: 12/01/06_
_Kenmore, NY 11447_ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Accupril 20 mg
Rx# 23456
Sig: i po QD Joel Yang December 2, 2006
4577 Kensington Road
# 30 Kenmore, NY 11447

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


30. 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
452 Main Street
Buffalo, NY 14532
716-999-9999
Lic# 485632 DEA BH4712584
Name: Crawford Reukauf__ DOB: 3/18/66_ Prescription Label:
Address: 876 Vermont Street__ Date: _10/10/06
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Altace 5 mg
Rx# 606062
Sig: i po QD Crawford Reukauf October 11, 2006
876 Vermont Street
Buffalo, NY 11446

Take one tablet once daily.

Prescriber Signature X__ Jackson Hundson __ Altace 5 mg #30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Monarch Pharm
PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW Jackson Hundson, MD. Refill 5 times

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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Andy Roberts IV admixtures
allergies: Penicillin
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___175_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___72____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Andy Roberts Room:432B


bag volume (ml): __250__________
Additives: Cyclophosphamide 803mg
 drug additive
drug name:cyclophosphamide_1g powder
final bag concentration: __3.21mg/ml____ Solution: 250ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/14___ Infusion Rate: 125ml/hour

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

 diluent for drug reconstitution


(circle) (SWFI) NS D5W other: _____
manufacturer: ___Hospira________
lot: __555g____ exp: 12/31/15
volume used (ml): ___50_____
381. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Jason Smith IV admixtures
allergies: NKA
room: 32A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___161_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___70____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Jason Smith Room:32A


bag volume (ml): __100__________
Additives: Tobramycin 657mg
 drug additive
drug name: __Tobramycin_40mg/ml____
final bag concentration: __6.57mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 133ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
382. 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 Percocet 7.5/325
Rx# 20326
Isolina Haller December 25, 2006
Sig: i po q 6 h prn 400 Cleveland Dr
Amherst, NY 14223
# 120 ( one hundred twenty)
Take one tablet every 6 hours as needed. Maximum
daily dose of 4 tablets.
Prescriber Signature X_Pauline Davidson____
Refill: 0 (zero) MDD:4 Oxycodone/APAP 7.5/325 mg # 120
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Pauline Davidson, MD. Refill 0 times


Dispense as Written
Serial #LK859967

Drug Dispensed:

Exp. 05/2008
Lot # 45L2586

Please write a BRIEF description of the error/omission (3pts):


32. 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:
Sharon White, MD
1235 Millersport Road
Amherst, NY 14265
716-666-6666
Lic# 234587 DEA BW5861489
Name: Joel Rettig DOB:05/01/33_ Prescription Label:
Address:444 Clarence Center__ Date: 04/05/06
East Seneca NY, 17895__ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Artane 5 mg
Rx# 665866
Sig: i po qd Joel Rettig May 4, 2006
444 Clarence Center
# 30 East Seneca, NY 17895

Take one tablet once daily.

Prescriber Signature X__ Sharon White ____ Altace 5 mg #30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Monarch Pharmaceuticals Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Sharon White, MD. Refill 5 times
DAW
Dispense as Written
Serial #0148KJG2

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

Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


186. 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
716-878-7887
Lic#784589 DEA BR4512453
Name: Sly Stallone DOB: 03/16/48 Prescription Label:
Address:1125 Mineral Spring Rd Date:04/28/05
Gatesville, NY 14788 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Fortesta pump
Rx# 32535
Sig: apply 2g (4 pumps) to inner thighs Sly Stallone April 29, 2005
qam 1125 Mineral Spring Road
Gatesville, NY 14788
# 1 (one)
Apply 2 grams (4 pumps) to inner thighs once daily in
the morning
Prescriber Signature X__John Rousseau____ Fortesta 2% # 60
Refill:5 (five) MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Abbott

John Rousseau, MD. Refill 5 times


Dispense as Written
Serial #14415L78
Drug Dispensed:

Exp. 07/2008
Lot # 17485900

Please write a BRIEF description of the error/omission (3pts):


187. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: David McPhea DOB: 10/01/38 Prescription Label:
Address:747 Athens Blvd Date: 12/27/03
Arkron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx DynaCirc CR 5 mg
Rx# 32541
Sig: i po qd David McPhea December 27, 2003
747 Athens Blvd
# 30 Arkron, NY 14001

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


33.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:
Sharon White, MD
1235 Millersport Road
Amherst, NY 14265
716-666-6666
Lic# 234587 DEA BW5861489
Name: Joel Rettig DOB:05/01/33_ Prescription Label:
Address:444 Clarence Center__ Date: 04/05/06
East Seneca NY, 17895__ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Trihexyphenidyl 5 mg
Rx# 665866
Sig: i po qd Joel Rettig May 4, 2006
444 Clarence Center
# 30 East Seneca, NY 17895

Take one tablet once daily.

Prescriber Signature X____________________ Trihexyphenidyl 5 mg #30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Watson

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):
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

Take one capsule three times a day

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

Please write a BRIEF description of the error/omission (3pts):


348. 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 222 Cooke Hall Phone: 716-555-5555
Amherst, NY 14260

Rx Nifedical XL 30 mg Rx# 234512


Herbert Rayford October 14, 2006
Sig: i po daily 8080 Beaumont Drive
Hamburg, NY 14280
# 30
Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


489. 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 Advair 500/50
Rx# 120236
Sig: 1 puff by mouth twice daily Yasminda Kim December 12, 2006
101 Waterview Road
# 1 inhaler Hamburg, NY 11487

Inhale 1 puff by mouth twice daily

Prescriber Signature X__ John Rousseau ____ Advair 500/50 # 60


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GSK
PRESCRIBER WRITES “daw” IN THE BOX BELOW

John Rousseau, MD. Refill 3 times

Dispense as Written
Serial #12258OP8

Drug Dispensed:

Exp. 12/2010
Lot # L123969N

Please write a BRIEF description of the error/omission (3pts):


349. 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:
Suzanne Brower, MD weight: 25kg
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Gale Chamberlin DOB: 03/15/07 Prescription Label:
Address:555 Parkwood Ave Date:03/08/11
Health Sciences Pharmacy Phone: 716-555-5555
Synder, NY 14077 222 Cooke Hall
Amherst, NY 14260
Rx Levaquin 500mg
Rx# 66358
Sig: i po bid x 7 days Gale Chamberlin March 9, 2011
555 Parkwood Ave
# 14 Synder, NY 14077

Take one tablet by mouth two times daily for 7 days.

Levaquin 500mg #14


Prescriber Signature X__Suzanne Brower_____
Refill: 0 MDD: MFR: Pricara
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 0 times

Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2014
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


354. 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:
Stanley Kaiser, MD
888 Robin Raod
Millersville, NY 14000
716-555-7788
Lic# 171756 DEA BK5278850
Name: Susanna Rusinski DOB: 07/25/80 Prescription Label:
Address:5123 Argonne Drive Date:03/03/06
Buffalo, NY 14220 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Solia
Rx# 202113
Sig: i po daily Susanna Rusinski March 3, 2006
5123 Argonne Drive
# 28 Buffalo, NY 14220

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


359. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alexandra Rodriguez IV admixtures
allergies: NKA
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_69__ weight: ___121_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’3”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alexandra Rodriguez


bag volume (ml): __100__________ Room:432B
Additives: Phenytoin 1815mg
 drug additive
drug name: __Phenytoin_50mg/ml______
final bag concentration: __18.15mg/ml___ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 165 ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
242. 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:
Terrance Fransco, MD
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Anita Szyklinski DOB: 08/25/49 Prescription Label:
Address:5258 Woodcreek Ln Date:02/11/07
Eggertsville, NY 14787 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Imdur 60 mg
Rx# 89982
Anita Szyklinski February 11, 2007
Sig: i po daily 5258 Woodcreek Ln
Eggertsville, NY 14787

# 30 Take one tablet once daily.

Azathioprine 50 mg # 30

Prescriber Signature X_ Terrance Fransco _ MFR: Roxane


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Terrance Fransco, MD. Refill 6 times
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Drug Dispensed:Dispense as Written Serial #L8521478

Exp. 01/2011
Lot # A14587

Please write a BRIEF description of the error/omission (3pts):


247. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Rhonda Alderman DOB: 06/09/40 Prescription Label:
Address:180 Flickinger Ct Date:06/26/05
Alden, NY 14075 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vimpat 100mg
Rx# 66566
Sig: i po bid Rhonda Alderman July 27, 2005
180 Flickinger Ct
# 60 (sixty) Alden, NY 14075

Take one tablet twice daily.

Vimpat 100mg #60


Prescriber Signature X__Elaine Knell__
Refill: 0 (zero) MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: UCB Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elaine Knell, MD. Refill 0 times

Dispense as Written
Serial #P21352147
Drug Dispensed:

Exp. 06/2007
Lot # 778585

Please write a BRIEF description of the error/omission (3pts):


251. 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:
Melvin Barren, MD
888 Transit Road
Springville, NY 14777
716-222-7777
Lic# 856985 DEA BB6553627
Name: Nick Cavalleri DOB: 06/06/75 Prescription Label:
Address:2356 Lafayette Road Date:01/28/07
Buffalo, NY 14051 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lamictal 200 mg
Rx# 633333
Sig: i po daily Nick Cavalleri January 31, 2007
2356 Lafayette Road
# 30 Buffalo, NY 14051

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


301. 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:
Emerson Brzozowski, MD
688 Remington Dr
N Tonawanda, NY 14043
716-666-9999
Lic# 556896 DEA AE2685759
Name: Alemondo Clarey DOB: 08/17/53 Prescription Label:
Address:8585 Ostrander Road Date:05/05/05
Aurora, NY 14044 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zymaxid
Rx# 24200
Sig: i gtt od bid-qid x 7 days Alemondo Clarey May 5, 2005
8585 Ostrander Road
# trade size Aurora, NY 14044

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

Emerson Brzozowski, MD. Refill 0 times


Dispense as Written
Serial #1245L1200
Drug Dispensed:

Exp: 02/2007
Lot # 1258700

Please write a BRIEF description of the error/omission (3pts):


314. 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:
Charlotte Thompson, MD
808 Mulberry Road
E Amherst, NY 14404
716-777-9999
Lic# 362132 DEA BT2259984
Name: Natalie Weller DOB: 12/02/48 Prescription Label:
Address:606 Edgewater Dr Date:02/03/06
Gowanda, NY 14510 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Methotrexate 2.5 mg
Rx# 3999
Sig: 4 tabs qw Natalie Weller February 3, 2006
606 Edgewater Dr
# 16 Gowanda, NY 14510

Take four tablets once weekly.

Prescriber Signature X__ Charlotte Thompson _ Metolazone 2.5 mg # 16


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Charlotte Thompson, MD. Refill 3 times

Dispense as Written
Serial #U1258L25

Drug Dispensed:

Exp. 08/2008
Lot #1P2868

Please write a BRIEF description of the error/omission (3pts):


507. 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: Eugene Page DOB: 05/28/60 Prescription Label:
Address:6900 Nashua Road Date: 09/14/06
Long Island, NY 14478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Flonase
Rx# 200048
Sig: 2 sprays each nostril qd Eugene Page October 13, 2006
6900 Nashua Road
Long Island, NY 14478
#1
Instill 1 spray into each nostril daily

Fluticasone Nasal Spray # 16


Prescriber Signature X__ Mark Flinchbaguh__
Refill: 0 MDD: MFR: Roxane
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 # A125012

Please write a BRIEF description of the error/omission (3pts):


552. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Jeremy Paneinto DOB: 07/04/77 Prescription Label:
Address:805 Mapleview Road Date:01/14/07 Health Sciences Pharmacy Phone: 716-555-5555
Buffalo, NY 14042 222 Cooke Hall
Amherst, NY 14260
Rx Januvia 100 mg
Rx# 77777
Sig: 1 po qd Janet Pinto January 14, 2007
85 Maple Trail
Buffalo, NY 14042
# 30
Take 1 tablet by mouth daily

Januvia 100 mg tablets # 30


Prescriber Signature X__ Jackson Hundson __
Refill: 1 MDD: MFR: Merck and CO
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson, MD. Refill 1 time

Dispense as Written
Serial #7482L748
Drug Dispensed:

Exp. 02/2010
Lot # T101257

Please write a BRIEF description of the error/omission (3pts):


553. 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: 02/18/07 Health Sciences Pharmacy Phone: 716-555-5555
Akron, NY 14004 222 Cooke Hall
Amherst, NY 14260
Rx Levemir insulin
Rx# 441444
Sig: inject as directed daily Kristen Paralato February 18, 2007
6253 Auburn Ave
# 10 ml Akron, NY 14004

Inject as directed once daily

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

Please write a BRIEF description of the error/omission (3pts):


508. 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: Ester Osoki DOB:09/08/39 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 Fosamax 70 mg
Rx# 696987
Sig: i poq week Ester Osoki
6900 Nashua Road September 25, 2006
# 12 Long Island, NY 17789

Take one tablet once weekly

Prescriber Signature X_Paul Flicinski____ Fosamax 70mg tablets # 12


Refill: 4 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Merck
PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW Paul Flicinski, MD. Refill 4 times

Dispense as Written
Serial #11253LP8

Drug Dispensed:

Exp. 11/2008
Lot # 144867A

Please write a BRIEF description of the error/omission (3pts):


531. 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: Shirley Grace DOB: 04/15/75 Prescription Label:
Address:148 Stuart Street Date:02/13/05
Orchard Park, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Serevent diskus
Rx# 78787
Sig: i puff bid Shirley Grace February 13, 2005
148 Stuart Street
#1 Orchard Park, NY 14141

Inhale 1 puff by mouth twice daily

Prescriber Signature X_ Stephen Sigel __ Serevent diskus # 60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GSK
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Stephen Sigel, MD. Refill 5 times

Dispense as Written
Serial #128PR124

Drug Dispensed:

Exp. 02/2005
Lot # 12458KL

Please write a BRIEF description of the error/omission (3pts):


34. 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:

Millard Fillmore Suburban Hospital


789 Maple Road,
Amherst, NY 14226
716-898-8888 Prescription Label:
Name: Francis Rennick DOB: 12/16/88
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260

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

# 60 (sixty) Take 1tablet by mouth every six hours as needed for


knee pain
Prescriber Signature X__Bill Clinton, MD_
Refill: 0 (zero) MDD: 4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
Oxycodone/Apap 7.5/325 # 60
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mallinckrodt

Dispense as Written Bill Clinton, MD. Refill 0 times


Serial #00TJI258

Drug Dispensed:

Exp.06/08
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


401. 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:
Andrew McDonald, MD
222 Main Street, Suite 111.
Buffalo, NY 14233
716-888-8888
Lic# 543214 DEA AM1155832
Name: Sylvia Rappold DOB: 01/08/56 Prescription Label:
Address: 3355 Pinewood Dr Date: 02/26/07
Great View, NY 14223 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prinivil 20 mg
Rx# 66803
Sylvia Rappold February 26, 2007
Sig: i po hs 3355 Pinewood Dr
Great View, NY 14223

# 30 Take one tablet at bedtime

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

Please write a BRIEF description of the error/omission (3pts):


404. 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:
Monica Greenfield, NP
290 Meyer Road
Amherst, NY 14216
716-787-8787
Lic# 235988 DEA MG4298341
Name: Ramona Savage DOB: 07/21/79 Prescription Label:
Address:7654 Wright Road Date:03/15/06
Getzville, NY 14253 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx PreCose 50 mg
Rx# 66804
Sig: i po qd Ramona Savage March 15, 2006
7654 Wright Road
# 30 Getzville, NY 14253

Take one tablet once daily.

Prescriber Signature X_ Monica Greenfield _ Precare Premier # 30


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

Please write a BRIEF description of the error/omission (3pts):


407. 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 weight: 12kg
Lic# 125898
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Milhouse Van Houten DOB: 1/29/2009
Health Sciences Pharmacy Phone: 716-555-5555
Address:197 Hartford Road Date:03/05/11 222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Ibuprofen susp 100/5ml Rx# 66698


Milhouse Van Houten March 5, 2011
Sig: 3 tsp q6-8h prn 197 Hartford Road
Aurora, NY 14228
# 180ml
Take three teaspoonfuls by mouth every 6-8hours as
needed
Prescriber Signature X_ Julius Hibbert __
Ibuprofen 100mg/5ml # 180
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Perrigo

Julius Hibbert, MD. Refill 0 times


Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


410. 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:
Esther Tredinnick, MD Weight:14kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/08
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Amoxicillin 250/5ml
Rx# 56007
Sig: 10ml po q12h x10days Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 10 days supply Williamsville, NY 14002

Take two teaspoonfuls by mouth every 12 hours for 10


days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin 250mg/5ml # 100


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


492. 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:
William Zaklikowski, MD Lisa Chant, RPA
Lic# 145668 Lic# 123599
DEA BZ4557154
896 Tonawanda Cheek Road
E Amherst, NY 14869
716-889-9999 Prescription Label:
Name: Donald Parker DOB:03/22/21
Address: 1133 Pershing Ave Date: 02/01/06 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Kenmore, NY 11489 Amherst, NY 14260

Rx Azmacort Rx# 223326


Donna Parker February 1, 2006
Sig: 1 puff QID 1133 Pershing Ave
Kenmore, NY 11489
#1
Inhale 1 puff by mouth four times a day

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

Please write a BRIEF description of the error/omission (3pts):


495. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-444-4444
Lic# 543211 DEA AG4298341
Name: Jean Horton DOB: 11/06/65
Address: 500 Main Street Date: 05/22/06
Prescription Label:
Bflo., NY 14235
Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Rx Bactroban 2% cream Amherst, NY 14260

Sig: UAD Rx# 23456


Jean Horton May 22, 2006
500 Main Street,
# 30 gram tube Buffalo, NY 14235

Prescriber Signature X___ Thomas Grands _ Apply as directed


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Bactroban 2 %Cream #30g
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: GSK
DAW
Dispense as Written Dr. Timothy Grands Refill 5 times
Serial #125L65K6

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

Take one tablet at bedtime. Maximum daily dose of 1


tablet.
Prescriber Signature X__ Mike Lou _____
Refill: 6 ( six) MDD: 1
Ambien 10 mg #30
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR:Sanofi-Aventis

DAW Mike Lou, MD . Refill 6 times


Dispense as Written
Serial #125TDEF2

Drug Dispensed:

Exp. 09/2009
Lot # XL12H

Please write a BRIEF description of the error/omission (3pts):


40. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Janet Smith IV admixtures
allergies: NKA
room: 2A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_79__ weight: ___125_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___64____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Janet Smith Room:2A


bag volume (ml): __50__________
Additives: Gentamicin 82.1mg
 drug additive
drug name: __Gentamicin_40mg/ml____
final bag concentration: __1.58mg/ml__ Solution: 50ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 104ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
56. 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: 6 po qd day 1, then i po qd 2285 Eggert Road
Kenmore, NY 11148

# 35 Take 6 tablets by mouth at one time on day 1, then take


1 tablet by mouth once daily.
Prescriber Signature X__Henry Sweeney______
Refill: 3 MDD: Effient 10mg # 35
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Lilly

Henry Sweeney, MD. Refill 3 times


Dispense as Written
Serial #012VN258
Drug Dispensed:

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.

Prescriber Signature X__ Tommy Reed ___ Avandia 2 mg # 30


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Beecham Div
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Tommy Reed, M. Refill 11 times

Dispense as Written
Serial #565D52H9
Drug Dispensed:

Exp. 01/2011
Lot # L2258C

Please write a BRIEF description of the error/omission (3pts):


43. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Janet Smith IV admixtures
allergies: NKA
room: 2A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_79__ weight: ___125_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___64____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Janet Smith Room:2A


bag volume (ml): __100__________
Additives: Gentamicin 547mg
 drug additive
drug name: __Gentamicin_40mg/ml____
final bag concentration: __5.47mg/ml__ Solution: 100ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 200ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
537. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/03
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levalbuterol 0.63 mg solution
Rx# 89872
Sig: i vial via nebulizer q8h prn Mary Foreman February 8, 2003
789 Parkwood Ave
# 2 boxes Lackawanna, NY 14034

Inhale 1 vial via nebulizer every 8 hours if needed.

Xopenex 0.63 mg inhalation solution # 72 ml


Prescriber Signature X_Mike Lou____________
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sepracor
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mike Lou, MD. Refill 0 times

Dispense as Written
Serial #2315KU78
Drug Dispensed:

Exp. 12/2009
Lot # 1587P145

Please write a BRIEF description of the error/omission (3pts):


463. 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:
George Spencer, MD
1001 Elmwood Ave
Aurora, NY 14120
716-999-8888
Lic#141423 DEA BS2314259
Name: Jayne Gilmore DOB: 09/30/87 Prescription Label:
Address:8112 Magnolia Street Date:07/22/06
S Wales, NY 14133 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zanaflex 4 mg
Rx# 114570
Sig: i po tid Jayne Gilmore July 22, 2006
8112 Magnolia Street
# 90 S Wales, NY 14133

Take one tablet three times a day

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

Please write a BRIEF description of the error/omission (3pts):


470. 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 Sean Hunter, RPA


Lic# 124587 Lic # 123514
DEA AS4541252 DEA ML1223560
68 Elmhurst Dr
Orchard Park, NY14040 Prescription Label:
716-877-7777
Name: Madelyn Byrne DOB: 03/03/82 Health Sciences Pharmacy Phone: 716-555-5555
Address: 11 Richmond Ave Date: 09/28/07 222 Cooke Hall
Getzville, NY 14077 Amherst, NY 14260

Rx Tobrex ophth soln Rx# 114572


Madelyn Byrne September 28, 2007
11 Richmond Ave
Sig: i – ii gtts affected eye qid
Getzville, NY 14077
# 5ml
Instill 1 to 2 drops into affected eye four times a day

TobraDex ophthalmic suspension #5


Prescriber Signature X_ Howard Siemer_
Refill: 0 MDD: MFR: Alcon
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Howard Siemer, MD. Refill 0 times

DAW
Dispense as Written
Serial #00254HG9

Drug Dispensed:

Exp. 06/2008
Lot # 1JK2550

Please write a BRIEF description of the error/omission(3pts):


287. 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:
Paulette Kohler, MD
89 Gate Circle
Buffalo, NY 14000
716-111-8888
Lic# 101523 DEA AK2365890
Name: Cathy Lombardo DOB: 06/15/77 Prescription Label:
Address:8500 Castle Hill Ave Date:04/01/06
Amherst, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Librium 10 mg
Sig: i po tid Rx# 55000
#90 (nintely) Cathy Lombardo April 1, 2006
8500 Castle Hill Ave
Amherst, NY 14000

Take one capsule three times daily.

Prescriber Signature X_ Paulette Kohler _ Chlordiazepoxide 10 mg # 90


Refill: 0 ( zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Par
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Paulette Kohler, MD. Refill 0 times


DAW
Dispense as Written
Serial #P12588965

Drug Dispensed:

Exp. 04/2008
Lot #L1257853

Please write a BRIEF description of the error/omission (3pts):


290. 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:
Ryan Gibson, MD
7877 Hedgewood Drive
Naussa, NY 14204
716-565-6565
Lic# 784574 DEA AG4512756
Name: Lannie Greene DOB: 01/07/26 Prescription Label:
Address:2233 Woodland Ct Date:01/02/04
Genesee, NY 14200 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lioresal 10 mg
Rx# 233000
Lannie Greene January 7, 2004
Sig: i po bid 2233 Woodland Ct
Genesee, NY 14200

# 60 Take one tablet twice daily

Minoxidil 10 mg # 60

MFR: Mutual Pharmaceutical Co


Prescriber Signature X_ Ryan Gibson __
Refill: 5 MDD:2 Ryan Gibson, MD. Refill 5 times
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Drug Dispensed:Dispense as Written


Serial #LL12541256

Exp. 01/2007
Lot # J200012

Please write a BRIEF description of the error/omission (3pts):


228. 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:
Dean Potter, MD
456 Ashland Ave
Buffalo, NY 14444
716-444-5555
Lic# 112214 DEA AP6878954
Name: Norma Hess DOB: 09/09/77 Prescription Label:
Address:999 Somerville Ave Date:01/14/06
Eden, NY 14433 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Mirapex 0.25 mg
Rx# 55474
Sig: i tid Norman Hess January 14, 2006
999 Somerville Ave
# 90 Eden, NY 14433

Take one tablet three times a day

Prescriber Signature X__ Dean Potter _ Mirapex 0.25mg # 90


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Boehringer
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dean Potter, MD. Refill 0 times


DAW
Dispense as Written
Serial #1221E125

Drug Dispensed:

Exp. 08/2012
Lot # Y41578

Please write a BRIEF description of the error/omission (3pts):


236. 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:
Curt Roche, MD
6588 Sheridan Drive
Williamsville, NY 14001
716-555-9998
Lic# 784774 DEA BR6568969
Name: Louis Sarcone DOB: 01/19/53 Prescription Label:
Address:2356 Delaware Ave Date:04/15/06
Amherst, NY 14227 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Humalog
Rx# 32323
Sig: UUD Louis Sarcone April 15, 2006
2356 Delaware Ave
# 1 vial Amherst, NY 14227

Use as directed.

Prescriber Signature X__ Curt Roche __ Humulin R # 10


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Lilly
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Curt Roche, MD. Refill 11 times

Dispense as Written
Serial #587LK569

Drug Dispensed:

Exp. 04/2007
Lot # P12111

Please write a BRIEF description of the error/omission (3pts):


192. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Jeremy Paneinto DOB: 07/04/77 Prescription Label:
Address:805 Mapleview Road Date:01/14/07
Buffalo, NY 14042 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Eurax Cream
Rx# 77777
Sig: A AD Jeremy Paneinto January 14, 2007
805 Mapleview Road
# 60 g Buffalo, NY 14042

Apply as directed.

Eurax cream #54


Prescriber Signature X__ Jackson Hundson __
Refill: 1 MDD: MFR: Bristol MyersSquibb
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson, MD. Refill 1 time

Dispense as Written
Serial #7482L748
Drug Dispensed:

Exp. 02/2010
Lot # T101257

Please write a BRIEF description of the error/omission (3pts):


194. 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 50 mg
Rx# 441444
Sig: i po q 6-8 h prn Kristen Paralato July 18, 2004
6253 Auburn Ave
# 40 Akron, NY 14004

Take one tablet every 6 to 8 hour as needed

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

Please write a BRIEF description of the error/omission (3pts):


195. 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

Take one capsule every 6 to 8 hour as needed

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

Please write a BRIEF description of the error/omission (3pts):


239. 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 Lantus 100mg/ml
Rx# 22235
Sig: inj 10U sc qhs Joel Penny February 3, 2007
5678 Clarence Lane
# 10 E Seneca, NY 17895

Inject 1ml subcutaneously once daily at bedtime.

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

Please write a BRIEF description of the error/omission (3pts):


296. 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, MD
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Gwen MacBeth DOB: 06/30/68 Prescription Label:
Address: 445 Wardman Ave Date: 06/01/05
Akron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Abstral fentanyl sublingual tablets200 mcg
Rx# 10012
Sig: i sl q4-6h prn pain Gwen MacBeth June 15, 2005
445 Wardman Ave
# 30 (thirty) Akron, NY 14001

Take one tablet sublingually every 4-6 hours as needed


for pain. Maximum daily dose is 4/day
Prescriber Signature X__Jonathan Mallozzi__
Refill: 0 (zero) MDD: 4 Onsolis 200mcg # 30
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Meda Pharmaceuticals

Dispense as Written Jonathan Mallozzi, MD. Refill 0x


Serial #P322258L

Drug Dispensed:

Exp. 08/2007
Lot # R002235

Please write a BRIEF description of the error/omission (3pts):


299. 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:

Pitt Paolucci, MD Carl Rizek, RPA


Lic# 458789 Lic # 365269
DEA BP2554120
145 Amsterdam Ave
Hamburg, NY 14200 Prescription Label:
716-888-2222
Name: Anna Schmitz DOB: 02/10/81 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5898 Teahouse Street Date: 07/04/06 222 Cooke Hall
Bowmansville, NY 14102 Amherst, NY 14260

Rx Lotrimin 1% Cr Rx# 898111


Anna Schmitz July 4, 2006
5898 Teahouse Street
Sig: Apply affected area bid
Bowmansville, NY 14102
# trade size
Apply to affected area twice daily

Betamethasone/ Clotrimazole Cr #45


Prescriber Signature X_ Pitt Paolucci __
Refill: 2 MDD: MFR: Fougera
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. 03/2009
Lot # T1202449

Please write a BRIEF description of the error/omission(3pts):


300. 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:

Pitt Paolucci, MD Carl Rizek, RPA


Lic# 458789 Lic # 365269
DEA BP2554120
145 Amsterdam Ave
Hamburg, NY 14200 Prescription Label:
716-888-2222
Name: Anna Schmitz DOB: 02/10/81 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5898 Teahouse Street Date: 07/04/06 222 Cooke Hall
Bowmansville, NY 14102 Amherst, NY 14260

Rx Clotrimazole Cr 1% Rx# 898111


Anna Schmitz July 4, 2006
5898 Teahouse Street
Sig: AAA bid
Bowmansville, NY 14102
# 30 g
Apply to affected area twice daily

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

Please write a BRIEF description of the error/omission(3pts):


437. 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:
Nicole Bissonette, NP
7895 West 4th Street
New York, NY 10003
716-565-5555
Lic# 785963 DEA MB1477757
Name: Jacob Frost DOB: 07/19/51 Prescription Label:
Address:2333 Harmony Ave Date: 03/24/06
Gowanda, NY 14007 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Risperdal 1mg
Rx# 90017
Sig: i po bid Jacob Frost March 24, 2006
2333 Harmony Ave
Gowanda, NY 14007
# 60
Take one tablet twice daily

Prescriber Signature X_ Nicole Bissonette __ Reserpine 0.1 mg # 60


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Eon
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Nicole Bissonette, NP. Refill 3 times


Dispense as Written
Serial #9K25Z237

Drug Dispensed:

Exp. 09/2007
Lot # E200358

Please write a BRIEF description of the error/omission (3pts):


440. 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


Lic# 125898 Lic# 147845
DEA BH1414250 DEA MM2535625
78 Harlem Road
Bronx, NY 12365 Prescription Label:
716-333-4444
Name: Otto Hoyer DOB: 07/29/59 Health Sciences Pharmacy Phone: 716-555-5555
Address: 8555 Arlington Ave Date: 07/25/06 222 Cooke Hall
Perrysburg, NY 14799 Amherst, NY 14260

Rx# 90018
Rx Roxicet soln Otto Hoyer July 29, 2006
8555 Arlington Ave
Sig: 1 ml po q4h prn Perrysburg, NY 14799

Take 1 ml by mouth every 4 hours as needed. Maximum


# 120ml ( one hundred twenty ) daily dose of 6ml.

Prescriber Signature X_ Jack Hoover ____ Roxanol solution # 120ml


Refill: 0 zero MDD: 6 ml
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Jack Hoover, MD Refill 0 times


DAW
Dispense as Written
Serial #F2536K22

Drug Dispensed:

Exp. 08/2007
Lot # H20036

Please write a BRIEF description of the error/omission(3pts):


5. 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:
Sharon White, MD
425 Millersport Road.
Amherst, NY 14226
716-111-1111
Lic# 145896 DEA BW4857871
Name:__Jolie Yang ___ DOB:01/05/89__ Prescription Label:
Address:_4577 Kensington Rd Date: 12/01/06_
_Kenmore, NY 11447_ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Accupril 20 mg
Rx# 23456
Sig: i po QD Jolie Yang December 2, 2006
4577 Kensington Road
Kenmore, NY 11447
# 30
Take one tablet once daily.

Prescriber Signature X___ Sharon White____ Aciphex 20 mg #30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Eisai
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Sharon White Refill 3 times

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

Please write a BRIEF description of the error/omission (3pts):


35. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Francis Rennick DOB: 12/16/88
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260
Rx Percocet 7.5/325
Rx# 000123
Francis Rennick June 2, 2006
Sig: 1 po q4h prn pain 5678 Sunset Drive
Tonawanda, NY 12339

# 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

Dispense as Written Shirely Lee, RPA. Refill 0 times


Serial #00TJI258

Drug Dispensed:

Exp.06/08
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


9. 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: Jack 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

Rx Requip 1mg Rx# 200012


Jack May December 12, 2002
Sig: i po tid 144 Lake Shore Road
Buffalo, NY 14222
# 90
Take one tablet by mouth three times daily.

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

Please write a BRIEF description of the error/omission (3pts):


498. 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:__Vicki Liang DOB: 02/28/39 Prescription Label:
Address:_4788 Loving Lane_ Date: _12/8/06_
_Williamsville, NY 12258 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Estradiol 0.075 patch
Rx# 01258
Sig: apply 1 patch weekly Vicki Liang December 19, 2006
4788 Loving Lane
Williamsville, NY 12258
#4
Apply one patch daily.

Prescriber Signature X_ Pauline Davidson __ Estradiol 0.075 patch #4


Refill: MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW Dr. Pauline Davidson Refill 0 times


Dispense as Written
Serial #112KJ125

Drug Dispensed:

Exp. 02/2008
Lot # 8956986

Please write a BRIEF description of the error/omission (3pts):


499. 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 puff po qid Angelina Pulaski
115 Harry Street July 4, 2006
# 1 inhaler Kenmore, NY 14789

Inhale 2 puffs by mouth four times daily

Combivent Inhaler #14.7 g


Prescriber Signature X__Kenneth Taung_____
Refill: 10 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Boehringer Ingelheim
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Kenneth Taung Refill 10 times

Dispense as Written
Serial #0085HJ89
Drug Dispensed:

Exp. 10/2008
Lot # L147896P

Please write a BRIEF description of the error/omission (3pts):


31. 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:
Sharon White, MD
1235 Millersport Road
Amherst, NY 14265
716-666-6666
Lic# 234587 DEA BW5861489
Name: Joel Rettig DOB:05/01/33_ Prescription Label:
Address:444 Clarence Center__ Date: 04/05/06
East Seneca NY, 17895__ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Artane 5 mg
Rx# 665866
Sig: i po qd Joel Rettig May 4, 2006
444 Clarence Center
# 30 East Seneca, NY 17895

Take one tablet once daily.

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

Prescriber Signature X_ Salvatore Bruce _ K-Phos Original # 120


Refill: 0 MDD: Mfg: Beach
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Salvatore Bruce, MD. Refill 0 times

Dispense as Written
Serial #K2541458

Drug Dispensed:

Exp. 11/2008
Lot # 788785

Please write a BRIEF description of the error/omission (3pts):


257. 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:

Herbert Dombrowski, MD Mary Esposito, RPA


Lic# 445114 Lic # 636563
DEA AL5224782
333 Moore Ave
Colins, NY 14057 Prescription Label:
716-555-9999
Name: Angelina Ferris DOB: 08/22/71 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5000 Sunrise Blvd Date: 06/23/03 222 Cooke Hall
Akron, NY 14217 Amherst, NY 14260

Rx Lamictal 25 mg Rx# 9999


Angelina Ferris June 23, 2003
5000 Sunrise Blvd
Sig: i po qd
Akron, NY 14217
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


258. 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:

Herbert Dombrowski, MD Mary Esposito, RPA


Lic# 445114 Lic # 636563
DEA AL5224782
333 Moore Ave
Colins, NY 14057 Prescription Label:
716-555-9999
Name: Angelina Ferris DOB: 08/22/71 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5000 Sunrise Blvd Date: 06/23/03 222 Cooke Hall
Akron, NY 14217 Amherst, NY 14260

Rx Lamictal 200 mg Rx# 9999


Angelina Ferris June 23, 2003
5000 Sunrise Blvd
Sig: i po qd
Akron, NY 14217
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


259. 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: Carmine Fernandez DOB: 03/10/36 Prescription Label:
Address: 9000 Applewood Road Date:09/15/06
Lackawanna, NY 14127 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lanoxin 250 mcg
Rx# 23000 September 16, 2006
Carmine Fernandez
Sig: i po qd 9000 Applewood Road
Lackawanna, NY 14127
# 30
Take one tablet once daily.

Prescriber Signature X__Alfredo Gallagher___ Lanoxin 250 mcg # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GlaxoSmithKline
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

Please write a BRIEF description of the error/omission (3pts):


196. 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:
Edwin Pizarro, MD
474 Woodcreast Dr
Amherst, NY 14414
716-555-1111
Lic# 748514 DEA AP9542588
Name: Andrew Reichert DOB: 12/17/33 Prescription Label:
Address: 5556 Cottonwood Dr Date: 10/19/06
Lancaster, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Elavil 10 mg
Rx# 11474
Sig: i po qd Andrew Reichert October, 19 2006
5556 Cottonwood Dr
# 30 Lancaster, NY 14141

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


202. 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:
Claudia Fong, NP
8116 Warren Ave
Buffalo, NY 14086
716-666-6666
Lic# 741789 DEA MP252364
Name: Courtney Betts DOB: 07/15/41 Prescription Label:
Address:400 Goodyears Road Date:07/14/05
W. Seneca, NY 14150 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Estratest
Rx# 556999
Sig: i po daily Courtney Betts July 15, 2005
400 Goodyears Road
# 30 W. Seneca, NY 14150

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


203. 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:
Claudia Fong, NP
8116 Warren Ave
Buffalo, NY 14086
716-666-6666
Lic# 741789 DEA MP252364
Name: Courtney Betts DOB: 07/15/41 Prescription Label:
Address:400 Goodyears Road Date:06/14/05
W. Seneca, NY 14150 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Estratest hs
Rx# 556999
Sig: i po daily Courtney Betts July15, 2005
400 Goodyears Road
# 30 W. Seneca, NY 14150

Take one tablet once daily.

Prescriber Signature X_ Claudia Fong _____ Estratest # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Solvay Pharmacetuicals
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

Please write a BRIEF description of the error/omission (3pts):


306. 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:
Esther Tredinnick, MD
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 1-2 q4-6h po prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 20 (twenty) Williamsville, NY 14002

Take one to two tablets by mouth every four to six hours


as needed for pain. Max 10/day
Prescriber Signature X_Esther Tredinnick_ Hydrocodone.APAP 5-500 mg # 20
Refill: 0 (zero) MDD: 10
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


307. 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:
Gordon Laffler, MD
6888 Loving Ave
Grand Island, NY 14052
716-888-1111
Lic# 235214 DEA AL5255446
Name: Molly Martins DOB: 06/15/39 Prescription Label:
Address:33 Perrysburg Ave Date:03/07/06
West Falls, NY 14100 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Durezol
Rx# 90001
Sig: i gtt OS qid X 2 weeks, then Molly Martins March 7, 2006
i gtt OS bid X 1 wk 33 Perrysburg Ave
West Falls, NY 14100
# 1 trade size
Instill 1 drop into each eye 4 times daily for 2 weeks,
then instill 1 drop to each eye twice daily for 1 week
Prescriber Signature X_Gordon Laffler___
Durezol 0.05% #5
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sirion

Gordon Laffler, MD. Refill 0 times


Dispense as Written
Serial #P1220302

Drug Dispensed:

Exp. 08/2008
Lot # 1P3314

Please write a BRIEF description of the error/omission (3pts):


313. 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:
Charlotte Thompson, MD
808 Mulberry Road
E Amherst, NY 14404
716-777-9999
Lic# 362132 DEA BT2259984
Name: Natalie Weller DOB: 12/02/48 Prescription Label:
Address:606 Edgewater Dr Date:02/03/06
Gowanda, NY 14510 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Methotrexate 2.5 mg
Rx# 3999
Sig: 4 tabs qw Natalie Weller February 3, 2006
606 Edgewater Dr
# 16 Gowanda, NY 14510

Take four tablets once weekly.

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

Please write a BRIEF description of the error/omission (3pts):


46. 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 before meals

Prescriber Signature X__Steven Hung____ Prandin 2 mg # 90


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR:Novo Nordisk
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Steven Hung, MD. Refill 5 times

Dispense as Written
Serial #1258LLT8

Drug Dispensed:

Exp. 06/2008
Lot # 00PCJ1236

Please write a BRIEF description of the error/omission (3pts):


29. 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
452 Main Street
Buffalo, NY 14532
716-999-9999
Lic# 485632 DEA BH4712584
Name: Crawford Reukauf__ DOB: 3/18/66_ Prescription Label:
Address: 876 Vermont Street__ Date: _10/10/06
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Altace 2 mg
Rx# 606062
Sig: i po QD Crawford Reukauf October 11, 2006
876 Vermont Street
# 30 Buffalo, NY 11446

Take one tablet once daily.

Prescriber Signature X__ Jackson Hundson __ Amaryl 2 mg #30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Aventis
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Jackson Hundson, MD. Refill 5 times


DAW
Dispense as Written
Serial #125ULK01

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

Prescriber Signature X__ Steven Hung ___ Prandin 2 mg # 90


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR:Novo Nordisk
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Steven Hung, MD. Refill 5 times

Dispense as Written
Serial #1258LLT8
Drug Dispensed:

Exp. 06/2008
Lot # 00PCJ1236

Please write a BRIEF description of the error/omission (3pts):


50. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-333-3333
Lic# 112258 DEA AW1144550
Name: Gloria Peifer DOB: 01/13/20 Prescription Label:
Address: 229 Bedford Ave Date: 10/10/06
Amherst, NY 11478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Sotalol AF 80 mg
Rx# 489586
Sig: i po bid Gloria Peifer October 10, 2006
229 Bedford Ave
# 60 Amherst, NY 11478

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


52. 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:
Brian Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Leslie Peehler DOB: 02/28/33 Prescription Label:
Address: 3458 Harbor Lane Date: 10/19/06
Lake View, NY 11447 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Betoptic S 0.25 %
Rx# 565689
Sig: i gtt ou bid Leslie Peehler October 19, 2006
3458 Harbor Lane
# 15 Lake View, NY 11447

Instill 1 drop into both eyes twice daily.

Prescriber Signature X__Brian Baksh____ Betoptic S 0.25% # 15


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Alcon

Brian Baksh, MD. Refill 11 times


Dispense as Written
Serial #1215YR58

Drug Dispensed:

Exp. 10/2012
Lot # LCM12589

Please write a BRIEF description of the error/omission (3pts):


53. 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:
Brian Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Leslie Peehler DOB: 02/28/33 Prescription Label:
Address: 3458 Harbor Lane Date: 10/19/06
Lake View, NY 11447 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Betoptic 0.5 %
Rx# 565689
Sig: i gtt ou bid Leslie Peehler October 19, 2006
3458 Harbor Lane
# 10 Lake View, NY 11447

Instill 1 drop into both eyes twice daily.


Prescriber Signature X__ Brian Baksh ____
Refill: 11 MDD: Levobunolol Hydrochloride 0.5% Opth Solution # 10
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Alcon

DAW Brian Baksh, MD. Refill 11 times


Dispense as Written
Serial #1215YR58

Drug Dispensed:

Exp. 08/2010
Lot # LC100009

Please write a BRIEF description of the error/omission (3pts):


54. 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:
Brian Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Leslie Peehler DOB: 02/28/33 Prescription Label:
Address: 3458 Harbor Lane Date: 10/19/06
Lake View, NY 11447 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Betoptic S
Rx# 565689
Sig: i gtt ou bid Leslie Peehler October 19, 2006
3458 Harbor Lane
#5 Lake View, NY 11447

Instill 1 drop into both eyes twice daily.

Prescriber Signature X_ Brian Baksh ____ Betaxolol 0.5% #5


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Alcon

Brian Baksh, MD. Refill 11 times


Dispense as Written
Serial #1215YR58

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

# 30 Take one tablet by mouth once daily as needed.


Prescriber Signature X__Henry Sweeney______ Effient 10mg # 30
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Lilly

Henry Sweeney, MD. Refill 3 times

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

Take one capsule once daily.

Prescriber Signature X__Helen Miller_____ Omeprazole 20 mg # 30


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

Please write a BRIEF description of the error/omission (3pts):


396. 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:

Harold Kozlowsky, MD Kathryn Langenfeld , RPA


Lic# 256336 Lic # 556963
DEA AK5858937 DEA ML2256368
5263 Monterey Creek
Greensville, NY 14520 Prescription Label:
716-852-8525
Name: Cameron Matz DOB: 07/15/46 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5255 Eaglecrest Street Date: 08/25/06 222 Cooke Hall
Alden, NY 14222 Amherst, NY 14260

Rx Prinivil 10 mg Rx# 66801


Cameron Matz August 26, 2006
5255 Eaglecrest Street
Sig: i po daily
Alden, NY 14222
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


360. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alexandra Rodriguez IV admixtures
allergies: NKA
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_69__ weight: ___121_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’3”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alexandra Rodriguez


bag volume (ml): __100__________ Room:432B
Additives: Phenytoin 823mg
 drug additive
drug name: __Phenytoin_50mg/ml______
final bag concentration: __8.23mg/ml____ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 50ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
397. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Andy Roberts IV admixtures
allergies: Penicillin
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___185_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’7”____ (circle) (in.) / cm

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

manufacturer: _ __________ Pharmacy Sterile Product Service IV Label

lot: ________ exp: _____________ Patient Name: Andy Roberts Room:432B


bag volume (ml): ____________
Additives: Doxorubicin 39.8mg
 drug additive
drug name: Doxorubicin 2mg/ml
final bag concentration: __2mg/ml____ Solution: 19.9ml
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/11___ Infusion Rate: 239ml/hour

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

Inject 1.5ml intramuscularly twice a week as directed

Testosterone Cypionate 200mg/ml # 10


Prescriber Signature X_Samuel Fishman__
Refill: 0 (zero) MDD:1 dose
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 0 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


444. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: Paula Howells DOB: 04/24/63 Prescription Label:
Address:2233 Dunlop Ave Date:01/13/07
Williamsville, NY 14227 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Sarafem 10 mg
Paula Howells January 13, 2007
Sig: i po qd 2233 Dunlop Ave
Williamsville, NY 14227
# 28
Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


450. 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 Fisher, MD
6985 Sheridan Drive
Buffalo, NY 14218
716-363-8888
Lic# 125893 DEA BF1247419
Name: Rosie Lockwood DOB: 01/19/87 Prescription Label:
Address: 3535 Herkimer Ave Date: 09/23/06
Colden, NY 14078 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Intuniv 2 mg
Rx# 90021
Sig: i po qd Rosie Lockwood September 23, 3006
3535 Herkimer Ave
# 30 Colden, NY 14078

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


38. 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 AmbienCR 10 mg
Rx# 529696
Sig: i po hs Fanny Pruchinewiz March 12, 2006
1147 North Forest Road
# 30 ( thirty) Buffalo, NY 11896

Take one tablet at bedtime

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

Take one tablet by mouth once daily.


# 30
Prescriber Signature X__Henry Sweeney______ Effient 10mg # 30
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Lilly
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Kathyrn Langfeld, RPA. Refill 3 times

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

Prescriber Signature X_Stephen Sigel___ Singulair 10 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Merck and Co Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Stephen Sigel MD. Refill 5 times

Dispense as Written
Serial #230L25M6
Drug Dispensed:

Exp. 11/2008
Lot #F7526

Please write a BRIEF description of the error/omission (3pts):


456. 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:

Stephan Leid , MD Kevin William, RPA


Lic# 125896 Lic # 889851
DEA AL5121584 DEA MW2568965
232 Hampton Road
Buffalo, NY 14214 Prescription Label:
716-565-8896
Name: Carolina Belanger DOB: 12/28/49 Health Sciences Pharmacy Phone: 716-555-5555
Address: 6677 Stony Point Rd Date: 09/17/06 222 Cooke Hall
W. Seneca, NY 14222 Amherst, NY 14260

Rx Imitrex Nasal Spray Rx# 114567


Carolina Belanger September 17, 2006
6677 Stony Point Rd
Sig: uud W. Seneca, NY 14222

#1 Take as directed

Imitrex Nasal Spray (20 mg/actuation) #1


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
DAW
Dispense as Written
Serial #25P352H5

Drug Dispensed:

Exp. 06/2008
Lot # P2356J

Please write a BRIEF description of the error/omission(3pts):


457. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Shawnee Kessler DOB: 03/06/32 Prescription Label:
Address:8222 Crosswinds Ct Date: 05/23/05
Lockport, NY 14799 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Synthroid 200 mcg
Rx# 114568
Sig: i po daily Shawnee Kessler May 23, 2005
8222 Crosswinds Ct
# 90 Lockport, NY 14799

Take one tablet once daily.

Synthroid 200 mcg # 90


Prescriber Signature X__Peterson Mineo___
Refill: 11 MDD: MFR: Abott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peterson Mineo, MD. Refill 11 times
DAW
Dispense as Written
Serial #985HG253
Drug Dispensed:

Exp. 11/2007
Lot # U56935

Please write a BRIEF description of the error/omission (3pts):


398. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Andy Roberts IV admixtures
allergies: Penicillin
room: 432B medical record no.: 8769
physician: James Peterson, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___185_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’7”____ (circle) (in.) / cm

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

manufacturer: _ __________ Pharmacy Sterile Product Service IV Label

lot: ________ exp: _____________ Patient Name: Andy Roberts Room:432B


bag volume (ml): ____________
Additives: Doxorubicin 39.8mg
 drug additive
drug name: Doxorubicin 2mg/ml
final bag concentration: __2mg/ml____ Solution: 19.9ml
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/11___ Infusion Rate: 239ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___ ________
lot: __ ____ exp: __________
volume used (ml): ________
361. 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:
Esther Tredinnick, MD
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 1-2 q4-6h po prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 20 (twenty) Williamsville, NY 14002

Take one to two tablets by mouth every four to six hours


as needed for pain.
Prescriber Signature X_Esther Tredinnick_ Hydrocodone.APAP 5-500 mg # 20
Refill: 0 (zero) MDD: 8
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


365. 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:
Leonard Valentine, MD
9999 Heather Drive
Angola, NY 14078
71-565-1111
Lic# 568957 DEA BV256963
Name: Roxana Volker DOB: 06/28/29 Prescription Label:
Address:2588 Crystal Springs Date:06/28/06
Wales, NY 14111 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Parlodel 2.5 mg
Rx# 69696
Roxana Volker June 29, 2006
Sig: i po bid 2588 Crystal Springs
Wales, NY 14111

# 60 Take one tablet twice daily.

Bromocriptine 2.5 mg #60

Prescriber Signature X_ Leonard Valentine _ MFR: Mylan


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Leonard Valentine, MD. Refill 6 times
PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
Dispense as Written
Drug Dispensed: Serial #Z852M232

Exp. 11/2007
Lot # L235685

Please write a BRIEF description of the error/omission (3pts):


368. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alex Rodriguez IV admixtures
allergies: NKA
room: 432A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___120_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___63____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alex Rodriguez


bag volume (ml): __100__________ Room:432A
Additives: Tobramycin 500mg
 drug additive
drug name: __Tobramycin_40mg/ml____
final bag concentration: __5mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 133ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
374. 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:
Geraldine Aldinger, MD
2345 Countryside Ave
Eden, NY 14787
716-666-7474
Lic#124741 DEA AA2566389
Name: Katrina Cavalli DOB: 08/25/99 Prescription Label:
Address:871 Madison Square Date:06/22/04
Cheektowaga, NY 14669 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Pediapred
Rx# 20323
Sig: i tsp po bid Katrina Cavalli June 22, 2004
871 Madison Square
# 100 Cheektowaga, NY 14669

Give one teaspoonful twice daily

Pediazole Suspension # 100


Prescriber Signature X_ Geraldine Aldinger __
Refill: 0 MDD: MFR: Abbott
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Geraldine Aldinger, MD. Refill 0 times

Dispense as Written
Serial #185PH258
Drug Dispensed:

Exp. 07/2006
Lot # 1582K56

Please write a BRIEF description of the error/omission (3pts):


375. 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:
Geraldine Aldinger, MD
2345 Countryside Ave
Eden, NY 14787
716-666-7474
Lic#124741 DEA AA2566389
Name: Katrina Cavalli DOB: 08/25/99 Prescription Label:
Address:871 Madison Square Date:06/22/04
Cheektowaga, NY 14669 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Pediapred 5mg/5ml
Rx# 20323
Sig: i tsp po bid Katrina Cavalli June 22, 2004
871 Madison Square
# 100 Cheektowaga, NY 14669

Give one teaspoonful twice daily

Prescriber Signature X__ Geraldine Aldinger _ Pediapred Soln (5mg/5ml) # 100


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: UCB Pharma Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Geraldine Aldinger, MD. Refill 0 times

Dispense as Written
Serial #185PH258

Drug Dispensed:

Exp. 07/2006
Lot # 1582K56

Please write a BRIEF description of the error/omission (3pts):


51. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-333-3333
Lic# 112258 DEA AW1144550
Name: Gloria Peifer DOB: 01/13/20 Prescription Label:
Address: 229 Bedford Ave Date: 10/10/06
Amherst, NY 11478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Sotalol 80 mg
Rx# 489586
Sig: i po bid Gloria Peifer October 10, 2006
229 Bedford Ave
# 60 Amherst, NY 11478

Take one tablet twice daily.

Prescriber Signature X__ Patrick Wosinski __ Sotalol 80 mg # 60


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Woshi, MD. Refill 6 times

Dispense as Written
Serial #1258TJU1

Drug Dispensed:

Exp. 10/2012
Lot # LCM12589

Please write a BRIEF description of the error/omission (3pts):


229. 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 Lantus Solostar
Rx# 22235
Sig: inj 10U sc tid-qid ac Joel Penny February 3, 2007
5678 Clarence Lane
# 15 E Seneca, NY 17895

Inject 10 units subcutaneously 3-4 times daily before


meals.
Prescriber Signature X_Samuel Fishman__ Lantus Solostar 100U/ml # 15
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sanofi Aventis
Samuel Fishman, MD. Refill 3 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


230. 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 Levemir Flexpen
Rx# 22235
Sig: inj 10U sc bid w/ food Joel Penny February 3, 2007
5678 Clarence Lane
# 15 E Seneca, NY 17895

Inject 10 units subcutaneously twice daily with food

Levemir Flexpen 100U/ml # 15


Prescriber Signature X_Samuel Fishman__
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Novo Nordisk
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

Please write a BRIEF description of the error/omission (3pts):


233. 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:
Vincent Patterson, MD
898 Blossom Ln
Cheektowaga, NY 14211
716-343-3333
Lic# 855689 DEA BP6357897
Name: Minnie Radish DOB: 03/03/79 Prescription Label:
Address:700 Castlebrooke Ln Date:06/27/03
Angola, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Guaifenesin 200 mg
Rx# 415885
Sig: i po q12h Minnie Radish June 27, 2003
700 Castlebrooke Ln
# 30 Angola, NY 14222

Take one tablet every 12 hours.

Prescriber Signature X_ Vincent Patterson __ Guanfacine 2 mg # 30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Vincent Patterson, MD. Refill 0 times

Dispense as Written
Serial #L1458K879

Drug Dispensed:

Exp. 07/2005
Lot # J125896

Please write a BRIEF description of the error/omission (3pts):


446. 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
Lic# 125898 Lic#874563
DEA BH1414250 DEA: AB1234567
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Metformin 1000mg Rx# 66698


Nicolas Lockard May 5, 2005
Sig: i po QID 197 Hartford Road
Aurora, NY 14228
# 120
Take one tablet by mouth four times daily

Prescriber Signature X_ Lynn Marshall __ Metformin 1000mg # 120


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Aurobindo
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Lynn Marshall, RPA. Refill 0 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


449. 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 Fisher, MD
6985 Sheridan Drive
Buffalo, NY 14218
716-363-8888
Lic# 125893 DEA BF1247419
Name: Rosie Lockwood DOB: 01/19/87 Prescription Label:
Address: 3535 Herkimer Ave Date: 09/23/06
Colden, NY 14078 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Intuniv 2 mg
Rx# 90021
Sig: i po qd Rosie Lockwood September 23, 2006
3535 Herkimer Ave
# 30 Colden, NY 14078

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


102. 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: Joseph 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 Wellbutrin 300 mg
Rx# 76698
Sig: i po qd Joseph Lehman June 9, 2004
147 Harring Street
# 30 Brookly, NY 12142

Take one tablet once daily

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

Please write a BRIEF description of the error/omission (3pts):


297. 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, MD
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Matt Damon DOB: 06/30/68 Prescription Label:
Address: 123 Fake St Date: 05/01/05
Buffalo, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Abstral 100 mcg
Rx# 10012
Sig: i sl q4-6h prn pain Ben Affleck May 15, 2005
123 Fake St
# 30 (thirty) Buffalo, NY 14001

Take one tablet sublingually every 4-6 hours as needed


for pain. Maximum daily dose is 4/day.
Prescriber Signature X__Jonathan Mallozzi__ ABSTRAL 100mcg # 30
Refill: 0 (zero) MDD: 4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Prostrakan

Jonathan Mallozzi, MD. Refill 0


Dispense as Written
Serial #P322258L
Drug Dispensed:

Exp. 08/2007
Lot # R002235

Please write a BRIEF description of the error/omission (3pts):


298. 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:

Pitt Paolucci, MD Carl Rizek, RPA


Lic# 458789 Lic # 365269
DEA BP2554120
145 Amsterdam Ave
Hamburg, NY 14200 Prescription Label:
716-888-2222
Name: Anna Schmitz DOB: 02/10/81 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5898 Teahouse Street Date: 07/04/06 222 Cooke Hall
Bowmansville, NY 14102 Amherst, NY 14260

Rx Lotrimin 1% cr Rx# 898111


Anna Schmitz July 4, 2006
5898 Teahouse Street
Sig: Apply AA bid
Bowmansville, NY 14102
# 30 g
Apply to affected area twice daily

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

Please write a BRIEF description of the error/omission(3pts):


61. 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: Albert Paganello DOB:12/24/46 Prescription Label:
Address: 889 Hubbell Ct Date: 02/12/11
Lancaster, NY 11148 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Diltiazem 30 mg
Rx# 048968
Sig: i po tid Albert Paganello February 2, 2011
889 Hubbell Ct
Lancaster, NY 11148
#90
Take one tablet three times a day

Prescriber Signature X_Richard Zakrajesek___ Diltiazem 30 mg # 90


Refill: 8 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Teva

Richard Zakrajesek, MD. Refill 8 times


Dispense as Written
Serial #145TO236

Drug Dispensed:

Exp. 03/2014
Lot # D01035

Please write a BRIEF description of the error/omission (3pts):


95. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: Lisa Murphy DOB: 05/21/67 Prescription Label:
Address: 1478 Grider Street Date: 02/19/07
Buffalo, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Colcyrs 0.6mg
Rx# 068975
Sig: i po qd Lisa Murphy February 19, 2007
1478 Grider Street
# 30 Buffalo, NY 14789

Take 1 tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


64. 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: Eugene Page DOB: 05/28/60 Prescription Label:
Address:6900 Nashua Road Date: 09/14/06
Long Island, NY 14478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Codeine 30 mg
Rx# 200048
Sig: i po bid Eugene Page October 13, 2006
6900 Nashua Road
Long Island, NY 14478
# 60( sixty)
Take one tablet twice daily. Maximum daily dose of 2
tablets.
Prescriber Signature X_Mark Flinchbaguh____
Refill: 0(zero) Codeine Sulfate 30 mg # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Roxane

Mark Flinchbaguh, MD. Refill 0 times


Dispense as Written
Serial #1458LL89
Drug Dispensed:

Exp. 10/2010
Lot # A125012

Please write a BRIEF description of the error/omission (3pts):


101. 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: Joseph 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 Bsuproprion 150mg
Rx# 76698
Sig: i po bid Joseph Lehman June 9, 2004
147 Harring Street
# 60 Brookly, NY 12142

Take one tablet twice daily

Prescriber Signature X_ Evan Fitzpatrick__ Buspirone 15 mg # 60


Refill: 4 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Watson

Evan Fitzaptrick, DO. Refill 4 times


Dispense as Written
Serial # M1258TU8

Drug Dispensed:

Exp. 09/2009
Lot # 305345

Please write a BRIEF description of the error/omission (3pts):


443. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: Paula Howells DOB: 04/24/63 Prescription Label:
Address:2233 Dunlop Ave Date:01/13/07
Williamsville, NY 14227 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Sarafem 20 mg
Rx# 90019
Sig: i po qd Paula Howells January 13, 2007
2233 Dunlop Ave
Williamsville, NY 14227
# 28
Take one tablet once daily.

Prescriber Signature X__ Karen Douglas Serophene 50 mg # 28


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Serono

Karen Douglas, DO Refill 5 times


DAW
Dispense as Written
Serial #U258K236

Drug Dispensed:

Exp. 12/2009
Lot # M258006

Please write a BRIEF description of the error/omission (3pts):


445. 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
Lic# 125898 Lic#874563
DEA BH1414250 DEA: AB1234567
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Metformin 1000mg Rx# 66698


Nicolas Lockard May 5, 2005
Sig: ii po bid 197 Hartford Road
Aurora, NY 14228
# 120
Take two tablets by mouth twice daily

Prescriber Signature X_ Lynn Marshall __ Metformin 1000mg # 120


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Aurobindo
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Lynn Marshall, RPA. Refill 0 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


392. 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 Plendil 20 mg
Rx# 66800
Sig: i po daily Vanessa Jaworski August 9, 2006
8412 Wellingwood Drive
# 30 Smallsville, NY 14525

Take one capsule once daily.

Prescriber Signature X__ Helen Miller __ Prilosec 20 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mylan

Helen Miller, MD. Refill 5 times


DAW
Dispense as Written
Serial #2593LK85

Drug Dispensed:

Exp. 05/2008
Lot # L1256MK

Please write a BRIEF description of the error/omission (3pts):


395. 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:

Harold Kozlowsky, MD Kathryn Langenfeld , RPA


Lic# 256336 Lic # 556963
DEA AK5858937 DEA ML2256368
5263 Monterey Creek
Greensville, NY 14520 Prescription Label:
716-852-8525
Name: Cameron Matz DOB: 07/15/46 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5255 Eaglecrest Street Date: 08/25/06 222 Cooke Hall
Alden, NY 14222 Amherst, NY 14260

Rx# 66801
Rx Prinivil 10 mg Cameron Matz August 26, 2006
5255 Eaglecrest Street
Sig: i po daily Alden, NY 14222

# 30 Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


67. 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
# 30 Long Island, NY 17789

Take one tablet once daily.

Prescriber Signature X_Paul Flicinski____ Doxazosin 2 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Paul Flicinski, MD. Refill 5 times

Dispense as Written
Serial #11253LP8

Drug Dispensed:

Exp. 11/2008
Lot # 144867A

Please write a BRIEF description of the error/omission (3pts):


464. 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:
George Spencer, MD
1001 Elmwood Ave
Aurora, NY 14120
716-999-8888
Lic#141423 DEA BS2314259
Name: Jayne Gilmore DOB: 09/30/87 Prescription Label:
Address:8112 Magnolia Street Date:07/22/06
S Wales, NY 14133 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Tiagabine 4 mg
Rx# 114570
Sig: i po tid Jayne Gilmore July 22, 2006
8112 Magnolia Street
# 90 S Wales, NY 14133

Take one tablet three times a day

Prescriber Signature X__ George Spencer__ Tizanidine 4 mg # 90


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

Please write a BRIEF description of the error/omission (3pts):


467. 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:
Pravin Mehta, MD
100 3rd St
Niagara Falls, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 1-2 po q4-6h prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 240 (two hundred forty) Williamsville, NY 14002

Take one to two tablets by mouth every four to six hours


as needed for pain. Maximum 8 tabs/day
Prescriber Signature X_______________ Hydrocodone.APAP 5-500 mg # 240
Refill: 5 (five) MDD: 8
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Pravin Mehta, MD Refill 5 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


106. 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: Russell Lee DOB: 04/23/64
Address: 1254 Chestnut Ridge Rd Date: 02/04/07 Health Sciences Pharmacy Phone: 716-555-5555
N. Tonawanda, NY 14789 222 Cooke Hall
Amherst, NY 14260
Rx Celebrex 200 mg
Rx# 124514
Sig: i po qd Russell Lee February 4, 2007
1254 Chestnut Ridge Rd
# 30 N. Tonawanda, NY 14789

Take one capsule once daily

Prescriber Signature X__Karen Swanson_rpa__ Celebrex 200 mg # 30


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Pfizer

Karen Swanson, RPA. Refill 2 times


Dispense as Written
Serial #12TJU568

Drug Dispensed:

Exp. 06/2009
Lot # 16X1258

Please write a BRIEF description of the error/omission (3pts):


70. 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:
Kelly Fletcher, FNP
7523 Birch Place
Farmingdale, NY 17899
716-999-0000
Lic# 118964 DEA MF1222140
Name: Charolette O’Dannell DOB: 08/23/77 Prescription Label:
Address: 111 Fruitwood Terr Date: 09/26/06
Williamsville, NY 11209 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cefzil 500 mg
Rx# 77890
Sig: i po bid x 10 d Charolette O’Dannell September 26, 2006
111 Fruitwood Terr
# 20 Williamsville, NY 11209

Take one tablet twice daily for 10 days

Prescriber Signature X__Kelly Fletcher____ Cefprozil 500 mg # 20


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Kelly Fletcher, FNP. Refill 0 times

Dispense as Written
Serial #125893P7

Drug Dispensed:

Exp. 02/08
Lot # 70081

Please write a BRIEF description of the error/omission (3pts):


116. 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:
William Zaklikowski, MD
896 Tonawanda Cheek Road
E. Amherst, NY 14896
716-898-0009
Lic# 148569 DEA BZ1448566
Name: Crawford Robinson DOB: 05/06/70 Prescription Label:
Address:876 Vermont Street Date:12/12/05
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clonidine 0. 1 mg
Rx# 0445686
Sig: i po bid Crawford Robinson December 12, 2005
876 Vermont Street
# 60 Buffalo, NY 11446

Take one tablet twice daily

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

Please write a BRIEF description of the error/omission (3pts):


248. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Rhonda Alderman DOB: 06/09/40 Prescription Label:
Address:180 Flickinger Ct Date:06/26/05
Alden, NY 14075 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vimpat 50mg
Rx# 66566
Sig: i po bid Rhonda Alderman July 27, 2005
180 Flickinger Ct
# 60 (sizty) Alden, NY 14075

Take one tablet twice daily.

hydroxyzine 50mg #60


Prescriber Signature X__Elaine Knell__
Refill: 0 (zero) MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Watson
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elaine Knell, MD. Refill 0 times

Dispense as Written
Serial #P21352147
Drug Dispensed:

Exp. 06/2007
Lot # 778585

Please write a BRIEF description of the error/omission (3pts):


222. 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:
Joyce Campanella, MD
2366 Autumnview Road
Clarence, NY 14002
716-363-3636
Lic# 787782 DEA AC 8857851
Name: Dolores Ennis DOB: 06/18/56 Prescription Label:
Address:789 Kinsey Ave Date: 05/04/05
Tonawanda, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prograf 0.5 mg
Rx# 141578
Sig: i po bid Dolores Ennis April 7, 2005
789 Kinsey Ave
# 60 Tonawanda, NY 14000

Take one capsule twice daily.

Prescriber Signature X__ Joyce Campenella _ Prograf 0.5 mg #60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Asteilas
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Joyce Campanella, MD. Refill 5 times

Dispense as Written
Serial #1145J569

Drug Dispensed:

Exp. 10/2008
Lot # L478572

Please write a BRIEF description of the error/omission (3pts):


223. 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

Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


111. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-666-6666
Lic# 112258 DEA AW114455
Name: Gary Leiber DOB: 10/11/49 Prescription Label:
Address:10 Keller Road Date:01/19/07
E. Amherst, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Uloric 40 mg
Rx# 23552
Gary Leiber January 20, 2007
Sig: i po qd 10 Keller Road
E. Amherst, NY 14789
# 30
Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


533. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Jay Skruski DOB: 04/22/48 Prescription Label:
Address:41 Ford Street Date:01/01/07
Buffalo, NY 14152 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Spiriva
Rx# 124785
Sig: i puff qd Jay Skruski January 2, 2007
41 Ford Street
#1 Buffalo, NY 14152

Inhale 1 puff by mouth once daily

Prescriber Signature X_ Peterson Mineo ___ Spiriva Handihaler # 30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peter Mineo, MD. Refill 0 times

Dispense as Written
Serial #K0001257

Drug Dispensed:

Exp. 02/2011
Lot # F08989

Please write a BRIEF description of the error/omission (3pts):


336. 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:
Philips Kern, MD
232 Homecrest Road
Clearance, NY 14066
716-939-3333
Lic# 232351 DEA BK2358972
Name: Susan Matecki DOB: 08/13/56 Prescription Label:
Address:2366 Lakefront Blvd Date:03/25/06
Tonawanda, NY 14111 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vyvanse 50 mg
Rx# 32333
Sig: i cap po daily Susan Matecki March 25, 2006
2366 Lakefront Blvd
# 30 (thirty) Tonawanda, NY 14111

Take one tablet by mouth once daily.

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

Please write a BRIEF description of the error/omission (3pts):


482. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Francis Rennick DOB: 12/16/88
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260
Rx Victoza Rx# 000123
Francis Rennick June 2, 2006
Sig: 1.8 mg QD 5678 Sunset Drive
Tonawanda, NY 12339

# 9 ml Inhale 1.8mg by mouth once daily


Prescriber Signature X__Shirley Lee RPA_ Victoza 18mg/3ml pen # 9ml
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Novo Nordisk

Shirely Lee, RPA. Refill 2 times


Dispense as Written
Serial #00TJI258

Drug Dispensed:

Exp.06/08
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


72. 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:
Kelly Fletcher, FNP
7523 Birch Place
Farmingdale, NY 17899
716-999-0000
Lic# 118964 DEA MF1222140
Name: Charolette O’Dannell DOB: 08/23/99 Prescription Label:
Address: 111 Fruitwood Terr Date: 09/26/06
Williamsville, NY 11209 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cefprozil 250/5
Rx# 77890
Sig: 250 mg po bid x 10d Charolette O’Dannell September 26, 2006
111 Fruitwood Terr
# QS Williamsville, NY 11209

Take one tablet twice daily for 10 days


Prescriber Signature X_ Kelly Fletcher ___ Cefprozil 250 mg # 20
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva

Kelly Fletcher, FNP. Refill 0 times

Dispense as Written
Serial #125893P7

Drug Dispensed:

Exp. 02/08
Lot # 70081

Please write a BRIEF description of the error/omission (3pts):


73. 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 Fitzpatrick, DDS
7458 Nostrand Ave
Brooklyn, NY 11235
716-888-0000
Lic# 123332 DEA AF1222582
Name: Amy O’Conner DOB: 06/18/98 Prescription Label:
Address:90 Wayside Road Date: 11/11/06
Brooklyn, NY 11235 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cipro 500 mg
Rx# 444888
Sig: i po bid x 10d Amy O’Conner November 11, 2006
90 Wayside Road
# 20 Brooklyn, NY 11235

Take one tablet twice a daily for 10 days

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

Please write a BRIEF description of the error/omission (3pts):


77. 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
Marvin Nespal October 10, 2006
Sig: i tsp po q8h x10 days 78 Regent Street
Buffalo, NY 11477

# QS Give one teaspoonful every 8 hours x 10 days

Cephalexin 125mg/5ml # 150


Prescriber Signature X_ John Rousseau ___
Refill: 0 MDD: MFR: Ranbaxy
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW John Rousseau, MD. Refill 0 times

Dispense as Written
Serial #000KM120
Drug Dispensed:

Exp. 02/2009
Lot # P02228

Please write a BRIEF description of the error/omission (3pts):


119. 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 Fisher, 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 Hyzaar 100 mg
Rx# 22235
Sig: i po hs Joel Penny February 3, 2007
5678 Clarence Lane
# 30 E Seneca, NY 17895

Take one tablet at bedtime

Prescriber Signature X_ Samuel Fisher __ Cozaar 100 mg # 30


Refill: 5 MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Merck and Co Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fisher, MD. Refill 5 times
DAW
Dispense as Written
Serial #KM1258T0

Drug Dispensed:

Exp. 10/2009
Lot # 1461223

Please write a BRIEF description of the error/omission (3pts):


377. 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:
Joseph Delucci, DDS
633 Hillcrest Height Dr
Clarence, NY 14552
716-444-3787
Lic#858695 DEA AD1257484
Name: Louanne Fayett DOB: 02/66/88 Prescription Label:
Address:2334 Homer Lane Date:06/25/06
Williamsville, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Penicillamine 250 mg
Rx# 20324
Sig: i po qid Louanne Fayett June 25, 2006
2334 Homer Lane
# 40 Williamsville, NY 14225

Take one tablet four times a day

Penicillin VK 250 mg #40


Prescriber Signature X_ Joseph Delucci ____
Refill: 0 MDD: MFR: Sandoz
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Joseph Delucci, DDS Refill 0 times

Dispense as Written
Serial #GF258768
Drug Dispensed:

Exp. 05/2008
Lot # P526L23

Please write a BRIEF description of the error/omission (3pts):


234. 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:
Vincent Patterson, MD
898 Blossom Ln
Cheektowaga, NY 14211
716-343-3333
Lic# 855689 DEA BP6357897
Name: Minnie Radish DOB: 03/03/79 Prescription Label:
Address:700 Castlebrooke Ln Date:06/27/03
Angola, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Guanfacine 2 mg
Rx# 415885
Sig: i po qHS Minnie Radish June 27, 2003
700 Castlebrooke Ln
# 30 Angola, NY 14222

Take one tablet by mouth daily

Prescriber Signature X__ Vincent Patterson _ Guanfacine 2 mg # 30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
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

Please write a BRIEF description of the error/omission (3pts):


235. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alexandra Rodriguez IV admixtures
allergies: NKA
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_69__ weight: ___121_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’3”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alexandra Rodriguez


bag volume (ml): __100__________ Room:432B
Additives: Phenytoin 823mg
 drug additive
drug name: __Phenytoin_50mg/ml______
final bag concentration: __8.23mg/ml____ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/10___ Infusion Rate: 364ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
524. 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:
William Zaklikowski, MD
896 Tonawanda Cheek Road
E. Amherst, NY 14896
716-898-0009
Lic# 148569 DEA BZ1448566
Name: Crawford Robinson DOB: 05/06/70 Prescription Label:
Address:876 Vermont Street Date:12/12/05
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx nitroquick 0.4 mg SL
Rx# 0445686
Sig: 1 tab SL q5m prn chest pain, up to 3 doses Crawford Robinson December 12, 2005
876 Vermont Street
# 25 Buffalo, NY 11446

Let one tablet dissolve under the tongue as needed for


chest pain. Can repeat up every 5 min up to 3 doses
Prescriber Signature X_ William Zaklikowski _ Nitroglycerin 0.4 SL tablets # 25
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva
William Zaklikowski, MD. Refill 0 times

Dispense as Written
Serial #12548T23
Drug Dispensed:

Exp. 10/2008
Lot # 146106A

Please write a BRIEF description of the error/omission (3pts):


542. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: David McPhea DOB: 10/01/38 Prescription Label:
Address:747 Athens Blvd Date: 12/27/03
Arkron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Mycolog II cream
Rx# 32541
Sig: Apply as directed David McPhea December 27, 2003
747 Athens Blvd
# 30 Arkron, NY 14001

Apply as directed

Prescriber Signature X_ Karen Douglas __ Nystatin Cream # 30g


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Taro

Karen Douglas, DO Refill 0times


Dispense as Written
Serial #17854KH7

Drug Dispensed:

Exp. 01/2005
Lot # 0088008

Please write a BRIEF description of the error/omission (3pts):


557. 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:
Esther Tredinnick, MD Weight:15kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/08
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Augmentin ES 600mg-42.9mg/5ml
Rx# 56007
Sig: 1.5tsp po BID x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 150ml Williamsville, NY 14002

Take one and a half teaspoonfuls by mouth twice daily


for 10 days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 150


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


527. 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 Pradaxa 75mg
Rx# 22235
Sig: 1 po BID Joel Penny February 3, 2007
5678 Clarence Lane
# 60 E Seneca, NY 17895

Take one tablet by mouth twice daily

Pramipexole 0.75 mg tabs # 60


Prescriber Signature X_Samuel Fishman__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Torrent Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samuel Fishman, MD. Refill 5 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


380. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Lily Smith IV admixtures
allergies: NKA
room: 32A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_79__ weight: ___120_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___62____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Lily Smith Room:32A


bag volume (ml): __100__________
Additives: Tobramycin 219mg
 drug additive
drug name: __Tobramycin_40mg/ml____
final bag concentration: __2.08mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 141ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
78. 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
# QS 78 Regent Street
Buffalo, NY 11477

Give one teaspoonful every 8 hours x 10 days

Prescriber Signature X_ John Rousseau___ Cefaclor 125mg/5ml # 150


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Ranbaxy
PRESCRIBER WRITES “daw” IN THE BOX BELOW

John Rousseau, MD. Refill 0 times

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

Take one capsule twice daily.

Potassium Chloride 10 mEq # 60


Prescriber Signature X__Gilbert Hunter___
Refill: 6 MDD: MFR: Ethex
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Gilbert Hunter, MD. Refill 6 times

Dispense as Written
Serial #K258L563
Drug Dispensed:

Exp. 04/2007
Lot # 1P2587

Please write a BRIEF description of the error/omission (3pts):


79. 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
# 30 N Gawanda, NY 12258

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


288.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:
Paulette Kohler, MD
89 Gate Circle
Buffalo, NY 14000
716-111-8888
Lic# 101523 DEA AK2365890
Name: Cathy Lombardo DOB: 06/15/77 Prescription Label:
Address:8500 Castle Hill Ave Date:04/01/06
Amherst, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Librium 10 mg
Rx# 55000
Sig: i po tid Cathy Lombardo April 1, 2006
8500 Castle Hill Ave
#90 n( ninety) Amherst, NY 14000

Take one capsule three times daily.

Prescriber Signature X__ Paulette Kohler _ Chlordiazepoxide 10 mg # 90


Refill: 5 ( five) MDD:3
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Par Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Paulette Kohler, MD. Refill 5 times

Dispense as Written
Serial #P12588965

Drug Dispensed:

Exp. 04/2008
Lot #U125482

Please write a BRIEF description of the error/omission (3pts):


289. 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:
Ryan Gibson, MD
7877 Hedgewood Drive
Naussa, NY 14204
716-565-6565
Lic# 784574 DEA AG4512756
Name: Lannie Greene DOB: 01/07/26 Prescription Label:
Address:2233 Woodland Ct Date:01/02/04
Genesee, NY 14200 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lioresal 20 mg
Rx# 233000
Sig: i po tid Lannie Greene January 7, 2004
2233 Woodland Ct
# 90 Genesee, NY 14200

Take one tablet three times daily.

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

Please write a BRIEF description of the error/omission (3pts):


327. 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:
Adam Erving, MD
616 Hartford Ave
Buffalo, NY 14500
716-999-4444
Lic#123568 DEA AA1252143
Name: Niema Fiorello DOB: 02/25/87 Prescription Label:
Address:36 Tacoma Ave Date:03/08/07
W Amherst, NY 14150 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Metadate CD 10 mg
Rx# 29009
Sig: i po am Niema Fiorello March 8, 2007
36 Tacoma Ave
# 30 ( thirty) W Amherst, NY 14150

Take one tablet every morning

Prescriber Signature X_ Adam Erving __ Methylphenidate ER 10 mg # 30


Refill: 0 ( zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mallinckrodt
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Adam Erving, MD. Refill 0 times

Dispense as Written
Serial #B2148Z00

Drug Dispensed:

Exp. 06/2010
Lot # P2356820

Please write a BRIEF description of the error/omission (3pts):


328. 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:
Elizabeth Ganter, MD
911 Paradise Road
Williamsville, NY 14077
716-899-1111
Lic# 123225 DEA BG2225539
Name: Juliet Hall DOB: 06/17/48 Prescription Label:
Address:255 Cottage Road Date:01/08/07
Orchard Park, NY 14220 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Metoprolol 50 mg
Rx# 25555
Sig: i po bid Juliet Hall January 9, 2007
255 Cottage Road
# 60 Orchard Park, NY 14220

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


329. 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:
Elizabeth Ganter, MD
911 Paradise Road
Williamsville, NY 14077
716-899-1111
Lic# 123225 DEA BG2225539
Name: Juliet Hall DOB: 06/17/48 Prescription Label:
Address:255 Cottage Road Date:01/08/07
Orchard Park, NY 14220 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Metoprolol 100 mg
Rx# 25555
Sig: i po bid Juliet Hall January 9, 2007
255 Cottage Road
# 60 Orchard Park, NY 14220

Take one tablet twice daily.

Prescriber Signature X__ Elizabeth Ganter _ Misoprostol 200 mg # 60


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Greenstone
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elizabeth Ganter, MD. Refill 11 times

Dispense as Written
Serial #LP238547

Drug Dispensed:

Exp. 11/2008
Lot #H52568

Please write a BRIEF description of the error/omission (3pts):


565. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Adrian Kobrins DOB: 08/14/48 Prescription Label:
Address:78 Applewood Road Date:07/12/05
Angola, NY 14086 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx bentyl 20 mg
Rx# 78412
Sig: i po qid Adrian Kobrins July 13, 2005
78 Applewood Road
# 120 Angola, NY 14086

Take one tablet four times a day

Dicyclomine 20 mg tablets #120


Prescriber Signature X_Rosemary Kazmierski__
Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, NP. Refill 11 times

Dispense as Written
Serial #741578M8
Drug Dispensed:

Exp. 12/2008
Lot # 1LKO125

Please write a BRIEF description of the error/omission (3pts):


62. 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: Albert Paganello DOB:12/24/46 Prescription Label:
Address: 889 Hubbell Ct Date: 06/27/06
Lancaster, NY 11148 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cardizem 30 mg
Rx# 048968
Sig: i po tid Albert Paganello June 28, 2006
889 Hubbell Ct
#90 Lancaster, NY 11148

Take one tablet three times a day

Prescriber Signature X_ Richard Zakrajesek _ Diltiazem 30 mg # 90


Refill: 8 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva

Richard Zakrajesek, MD Refill 8 times


DAW
Dispense as Written
Serial #145TO236
Drug Dispensed:

Exp. 03/2009
Lot # D01035

Please write a BRIEF description of the error/omission (3pts):


81. 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 Daniel Newman July 5, 2006
112 Warner Ave
# 30 N Gawanda, NY 12258

Take one tablet once daily.

Prescriber Signature X__ Victoria Flemming__ Zyprexa 20 mg # 30


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
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

Take one tablet by mouth four times a day

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

Please write a BRIEF description of the error/omission(3pts):


241. 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:
Terrance Fransco, MD
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Anita Szyklinski DOB: 08/25/49 Prescription Label:
Address:5258 Woodcreek Ln Date:02/11/07
Eggertsville, NY 14787 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Imdur 60 mg
Rx# 89982
Sig: i po daily Anita Szyklinski February 11, 2007
5258 Woodcreek Ln
# 30 Eggertsville, NY 14787

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


452. 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 Sinequan 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

Singulair 10 mg # 30

Prescriber Signature X_ Stephen Sigel __ MFR: Merck and Co Inc


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Stephen Sigel MD. Refill 5 times
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written
Serial #230L25M6
Drug Dispensed:

Exp. 11/2008
Lot #F7526

Please write a BRIEF description of the error/omission (3pts):


455. 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:

Stephan Leid , MD Kevin William, RPA


Lic# 125896 Lic # 889851
DEA AL5121584 DEA MW2568965
232 Hampton Road
Buffalo, NY 14214 Prescription Label:
716-565-8896
Name: Carolina Belanger DOB: 12/28/49 Health Sciences Pharmacy Phone: 716-555-5555
Address: 6677 Stony Point Rd Date: 09/17/06 222 Cooke Hall
W. Seneca, NY 14222 Amherst, NY 14260

Rx Sumatriptan 25 mg Rx# 114567


Carolina Belanger September 17, 2006
6677 Stony Point Rd
Sig: uud
W. Seneca, NY 14222
#9 Take as directed

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

Please write a BRIEF description of the error/omission(3pts):


71. 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:
Kelly Fletcher, FNP
7523 Birch Place
Farmingdale, NY 17899
716-999-0000
Lic# 118964 DEA MF1222140
Name: Charolette O’Dannell DOB: 08/23/77 Prescription Label:
Address: 111 Fruitwood Terr Date: 09/26/06
Williamsville, NY 11209 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cefzil 500 mg
Rx# 77890
Sig: i po bid x 10 d Charolette O’Dannell September 26, 2006
111 Fruitwood Terr
# 20 Williamsville, NY 11209

Take one tablet twice daily for 10 days

Prescriber Signature X__ Kelly Fletcher ____ Cefuroxime 500 mg # 20


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Wockhardt
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Kelly Fletcher, FNP. Refill 0 times

Dispense as Written
Serial #125893P7

Drug Dispensed:

Exp. 07/08
Lot # 0F10097

Please write a BRIEF description of the error/omission (3pts):


82. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782 DEA BA6947782

789 Maple Road, Suite #568


Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Gwen MacBeth DOB: 06/30/68 Health Sciences Pharmacy Phone: 716-555-5555
Address: 445 Wardman Ave Date: 06/14/05 222 Cooke Hall
Akron, NY 14001 Amherst, NY 14260

Rx Abstral 100 mcg Rx# 10012


Gwen MacBeth June 15, 2005
Sig: i sl prn breakthrough cancer pain. rept 445 Wardman Ave
Akron, NY 14001
dose 30 min later if needed. Max 4/day
# 30 (thirty)
Take one tablet sublingually as needed for breakthrough
cancer pain. Repeat dose 30 minutes later if needed.
Prescriber Signature X__Shirley Lee, RPA__ Maximum 4 doses per day.
Refill: 0 (zero) MDD: 4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS ABSTRAL 100mcg # 30
PRESCRIBER WRITES “daw” IN THE BOX BELOW

MFR: Prostrakan
Dispense as Written Shirley Lee, RPA. Refill 0
Serial #P322258L

Drug Dispensed:

Exp. 08/2007
Lot # R002235

Please write a BRIEF description of the error/omission (3pts):


65. 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: Eugene Page DOB: 05/28/60 Prescription Label:
Address:6900 Nashua Road Date: 09/14/06
Long Island, NY 14478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Codeine 30 mg
Rx# 200048
Sig: i po bid Eugene Page October 13, 2006
6900 Nashua Road
Long Island, NY 14478
# 60 ( sixty)
Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


182. 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
Aurora, NY 14228
# 30
Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


185. 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
716-878-7887
Lic#784589 DEA BR4512453
Name: Sly Stallone DOB: 03/16/48 Prescription Label:
Address:1125 Mineral Spring Rd Date:04/28/05
Gatesville, NY 14788 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Androgel
Rx# 32535
Sig: apply 5g QD Sly Stallone April 29, 2005
1125 Mineral Spring Road
# 12 75g pumps (twelve) CODE F Gatesville, NY 14788

Apply 5 grams once daily

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

Please write a BRIEF description of the error/omission (3pts):


308. 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:
Gordon Laffler, MD
6888 Loving Ave
Grand Island, NY 14052
716-888-1111
Lic# 235214 DEA AL5255446
Name: Molly Martins DOB: 06/15/39 Prescription Label:
Address:33 Perrysburg Ave Date:03/07/06
West Falls, NY 14100 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Durezol
Rx# 90001
Sig: i gtt OS qid X 2 weeks, then Molly Martins March 7, 2006
i gtt OS bid X 1 wk 33 Perrysburg Ave
West Falls, NY 14100
# 1 trade size
Instill 1 drop into the left eye once daily for 2 weeks,
then instill 1 drop to the left eye twice daily for 1 week
Prescriber Signature X_Gordon Laffler___
Durezol 0.05% #5
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sirion

Gordon Laffler, MD. Refill 0 times


Dispense as Written
Serial #P1220302

Drug Dispensed:

Exp. 08/2008
Lot # 1P3314

Please write a BRIEF description of the error/omission (3pts):


311. 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

Rx Naproxen 500mg Rx# 66698


Frank Grimes March 5, 2011
Sig: ii po bid prn 197 Hartford Road
Aurora, NY 14228
# 120
Take two tablets by mouth twice daily as needed

Prescriber Signature X_ Julius Hibbert __ Naproxen 500mg # 120


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


312. 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

Rx Naproxen sodium 550mg Rx# 66698


Frank Grimes March 5, 2011
Sig: i po tid 197 Hartford Road
Aurora, NY 14228
# 90
Take one tablet by mouth three times daily

Prescriber Signature X_ Julius Hibbert __ Naproxen 550mg # 90


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


485. 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 Actonel + Calcium
Sig: i po q week Rx# 529696
Fanny Pruchinewiz March 12, 2006
#4 1147 North Forest Road
Buffalo, NY 11896

Take one tablet by mouth once a week


Prescriber Signature X__ Mike Lou ____ Actonel #4
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Procter and Gamble

Mike Lou, MD . Refill 5 times

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

Take one to two tablets by mouth every four hours for


foot pain. Maximum 12 tablets/day
Prescriber Signature X_Jonathan Mallozzi____
Refill: 1 (one) MDD:12 Tylenol with Codeine #3 # 20
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: PriCara

DAW Jonathan Mallozzi, DPM Refill 1 times


Dispense as Written
Serial #78452K89
Drug Dispensed:

Exp. 08/2009
Lot # 1P3172

Please write a BRIEF description of the error/omission (3pts):


215. 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:
Floyd Olszak, MD
2225 Blossom Lane
Depew, NY 14028
716-757-5555
Lic# 722358 DEA AO1147746
Name: Kimberly Oliver DOB: 03/30/49 Prescription Label:
Address: 254 Sandrock Road Date:11/28/06
Angola, NY 14023 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Temazepam 30 mg
Rx# 12489
Kimberly Oliver November 28, 2006
Sig: i po hs
254 Sandrock Road
Angola, NY 14023
# 30 ( thirty)
Take one capsule at bedtime.
Prescriber Signature X_ Floyd Olszak ____ Flurazepam 30 mg # 30
Refill: 0 ( zero) MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mylan

Floyd Olszak, MD. Refill 0 times


Dispense as Written
Serial #8569KL78

Drug Dispensed:

Exp. 08/2009
Lot # U78421

Please write a BRIEF description of the error/omission (3pts):


216. 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:
Floyd Olszak, MD
2225 Blossom Lane
Depew, NY 14028
716-757-5555
Lic# 722358 DEA AO1147746
Name: Kimberly Oliver DOB: 03/30/49 Prescription Label:
Address: 254 Sandrock Road Date:11/28/06
Angola, NY 14023 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Temazepam 30 mg
Rx# 12489
Sig: i po hs Kimberly Oliver November 28, 2006
254 Sandrock Road
# 90 ( ninety) code F Angola, NY 14023

Take one capsule at bedtime.

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

Please write a BRIEF description of the error/omission (3pts):


85. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-111-1112
Lic# 543215 DEA AG4298341
Name: Jennifer Needham DOB:11/12/82 Prescription Label:
Address: 89 Cleen Ct Date: 02/14/07
Rochester, NY 11478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5/500
Rx# 12325
Sig: i po q6h Jennifer Needham February 20, 2007
89 Cleen Ct
Rochester, NY 11478
# 120 ( one hundred twenty)
Take one tablet every 6 hours. Maximum daily dose of 4
tablets.
Prescriber Signature X_ Thomas Grands _
Refill: 5 ( five) MDD: 4 Hydrocodone/ APAP 5/500 mg # 120
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mallinckrodt Inc

Thomas Grands, MD. Refill 5


timess
Dispense as Written
Serial #1258JKI4
Drug Dispensed:

Exp. 10/2008
Lot # 9236V485

Please write a BRIEF description of the error/omission (3pts):


108. 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: Russell Lee DOB: 04/23/64
Address: 1254 Chestnut Ridge Rd Date: 02/04/07 Health Sciences Pharmacy Phone: 716-555-5555
N. Tonawanda, NY 14789 222 Cooke Hall
Amherst, NY 14260
Rx Celebrex 200 mg
Rx# 124514
Sig: i po qd prn Russell Lee February 4, 2007
1254 Chestnut Ridge Rd
# 30 N. Tonawanda, NY 14789

Take one capsule once daily


Prescriber Signature X__ Karen Swanson_rpa _ Celebrex 200 mg # 30
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Pfizer

Karen Swanson, RPA. Refill 2 times


Dispense as Written
Serial #12TJU568

Drug Dispensed:

Exp. 06/2009
Lot # 16X1258

Please write a BRIEF description of the error/omission (3pts):


87. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-111-1112
Lic# 543215
Name: Jennifer Needham DOB:11/12/82 Prescription Label:
Address: 89 Cleen Ct Date: 02/14/07
Rochester, NY 11478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5/500
Rx# 12325
Sig: i po q6h Jennifer Needham February 14, 2007
89 Cleen Ct
Rochester, NY 11478
# 120 ( one hundred twenty)
Take one tablet every 6 hours. Maximum daily dose of 4
tablets.
Prescriber Signature X_ Thomas Grands __
Refill: 5 ( five) MDD: 4 Hydrocodone/ APAP 5/500 mg # 120
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mallinckrodt Inc

Thomas Grands, MD. Refill 5 times


Dispense as Written
Serial #1258JKI4
Drug Dispensed:

Exp. 10/2008
Lot # 9236V485

Please write a BRIEF description of the error/omission (3pts):


438. 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:
Nicole Bissonette, MD
7895 West 4th Street
New York, NY 10003
716-565-5555
Lic# 785963 DEA BB1477757
Name: Jacob Frost DOB: 07/19/51 Prescription Label:
Address:2333 Harmony Ave Date: 03/24/06
Gowanda, NY 14007 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Risperdal 1 mg
Rx# 90017
Sig: i po bid Jacob Frost March 24, 2006
2333 Harmony Ave
# 60 Gowanda, NY 14007

Take one tablet twice daily

Prescriber Signature X_ Nicole Bissonette _ Risperdal 1 mg # 60


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Janssen
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Nicole Bissonette, MD. Refill 3 times

Dispense as Written
Serial #9K25Z237

Drug Dispensed:

Exp. 05/2007
Lot # T2003639

Please write a BRIEF description of the error/omission (3pts):


439. 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


Lic# 125898 Lic# 147845
DEA BH1414250 DEA MM2535625
78 Harlem Road
Bronx, NY 12365 Prescription Label:
716-333-4444
Name: Otto Hoyer DOB: 07/29/59 Health Sciences Pharmacy Phone: 716-555-5555
Address: 8555 Arlington Ave Date: 07/25/06 222 Cooke Hall
Perrysburg, NY 14799 Amherst, NY 14260

Rx# 90018
Rx Roxanol conc sol Otto Hoyer July 29, 2006
8555 Arlington Ave
Sig: 1 ml po q4h prn Perrysburg, NY 14799

Take 1 ml by mouth every 4 hours as needed. Maximum


# 30 ml ( thirty) daily dose of 6 mls.

Morphine Sulfate Conc 20 mg/ml # 30ml


Prescriber Signature X_Jack Hoover____
Refill: 0 ( zero) MDD:6 ml
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mallinckrodt
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jack Hoover, MD Refill 0 times

Dispense as Written
Serial #F2536K22

Drug Dispensed:

Exp. 08/2007
Lot # H20036

Please write a BRIEF description of the error/omission(3pts):


188. 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:
Karen Douglas, DVM
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: David McPhea DOB: 10/01/38 Prescription Label:
Address:747 Athens Blvd Date: 12/27/03
Arkron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx DynaCirc CR 5 mg
Rx# 32541
Sig: i po qd David McPhea December 27, 2003
# 30 747 Athens Blvd
Arkron, NY 14001

Take one capsule by mouth once daily

Prescriber Signature X_ Karen Douglas __ Dynacirc CR 5 mg # 30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Reliant
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Karen Douglas, DVM Refill 0times
DAW
Dispense as Written
Serial #17854KH7

Drug Dispensed:

Exp. 01/2005
Lot # 0088008

Please write a BRIEF description of the error/omission (3pts):


282. 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:
Floyd Olszak, MD
2225 Blossom Lane
Depew, NY 14028
716-757-5555
Lic# 722358 DEA AO1147746
Name: Doris Eldridge DOB: 03/09/65 Prescription Label:
Address: 7700 Columbus Pkwy Date:03/11/07
Hamburg, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Hyoscyamine SL 0.125
Rx# 336633
Sig: i SL qid ad Doris Eldridge March 12, 2007
7700 Columbus Pkwy
# 120 Hamburg, NY 14222

Dissolve one tablet under tongue four times a day as


directed
Prescriber Signature X__ Floyd Olszak _ Hyoscyamine 0.125 mg # 120
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Ethex

Floyd Olszak, MD. Refill 2 times


Dispense as Written
Serial #P2358743
Drug Dispensed:

Exp. 04/2010
Lot # R1244444

Please write a BRIEF description of the error/omission (3pts):


283. 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, DO
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Mitchell Gellman DOB: 3/18/31 Prescription Label:
Address:9000 Four Winds Way Date:02/08/06
E Amherst, NY 14008 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levobunolol 0.5%
Rx# 665566
Sig: i gtt ou daily Mitchell Gellman February 8, 2006
9000 Four Winds Way
# 10 E Amherst, NY 14008

Instill one drop into both eyes once daily

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

Please write a BRIEF description of the error/omission (3pts):


518. 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: Russell Lee DOB: 04/23/64
Address: 1254 Chestnut Ridge Rd Date: 02/04/07 Health Sciences Pharmacy Phone: 716-555-5555
N. Tonawanda, NY 14789 222 Cooke Hall
Amherst, NY 14260
Rx Nasacort AQ
Rx# 124514
Sig: iisprays qd each nostril Russell Lee February 4, 2007
1254 Chestnut Ridge Rd
#1 N. Tonawanda, NY 14789

Instill 2 sprays into each nostril daily


Prescriber Signature X_ Karen Swanson_rpa __ Nasacort AQ nasal spray # 16.7g
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sanofi Aventis

DAW Steven Johnson, MD. Refill 2 times


Dispense as Written
Serial #12TJU568

Drug Dispensed:

Exp. 05/2011
Lot # 6ZP859

Please write a BRIEF description of the error/omission (3pts):


521. 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:
Esther Tredinnick, MD Weight:32kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/05
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Augmentin ES 600mg-42.9mg/5ml
Rx# 56007
Sig: 2 1/4 tsp po BID x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 10 days supply Williamsville, NY 14002

Take two and one quarter teaspoonfuls by mouth twice


daily for 10 days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 175


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


74. 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, DDS
7458 Nostrand Ave
Brooklyn, NY 11235
716-888-0000
Lic# 123332 DEA AF1222582
Name: Amy O’Conner DOB: 06/18/98 Prescription Label:
Address:90 Wayside Road Date: 11/11/06
Brooklyn, NY 11235 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cipro 500 mg
Rx# 444888
Sig: i po bid x 10d Amy O’Conner November 11, 2006
90 Wayside Road
# 20 Brooklyn, NY 11235

Take one tablet twice a daily for 10 days

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

Please write a BRIEF description of the error/omission (3pts):


563. 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: Randolph Harding DOB: 08/23/57 Prescription Label:
Address:5236 Southern Blvd Date:02/26/06
Grand Island, NY 14072 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ezetimibe
Rx# 300125
Sig: i po qd Randolph Harding February 26, 2006
5236 Southern Blvd
# 90 Grand Island, NY 14072

Take one tablet by mouth once daily.

Zetia 10mg tablets # 90


Prescriber Signature X__ Steven Hung _
Refill: 1 MDD: MFR: Merck
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Steven Hung, MD. Refill 1 time

Dispense as Written
Serial #586JU782
Drug Dispensed:

Exp. 02/2006
Lot # JK125863

Please write a BRIEF description of the error/omission (3pts):


399. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Andy Roberts IV admixtures
allergies: Penicillin
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___185_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’7”____ (circle) (in.) / cm

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

manufacturer: _ __________ Pharmacy Sterile Product Service IV Label

lot: ________ exp: _____________ Patient Name: Andy Roberts Room:432B


bag volume (ml): ____________
Additives: Doxorubicin 36.7mg
 drug additive
drug name: Doxorubicin 2mg/ml
final bag concentration: __2mg/ml____ Solution: 18.4ml
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/11___ Infusion Rate: 220ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___ ________
lot: __ ____ exp: __________
volume used (ml): ________
488. 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 Advair 250/50
Rx# 120236
Sig: 1 puff BID Lucy Kim December 12, 2006
101 Waterview Road
Hamburg, NY 11487
# 1 inhaler
Inhale 1 puff by mouth twice daily

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

Please write a BRIEF description of the error/omission (3pts):


400. 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:
Andrew McDonald, MD
222 Main Street, Suite 111.
Buffalo, NY 14233
716-888-8888
Lic# 543214 DEA AM1155832
Name: Sylvia Rappold DOB: 01/08/56 Prescription Label:
Address: 3355 Pinewood Dr Date: 02/26/07
Great View, NY 14223 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Pravachol 80 mg
Rx# 66803
Sylvia Rappold February 26, 2007
Sig: i po hs
3355 Pinewood Dr
Great View, NY 14223
# 30
Take one tablet at bedtime
Prescriber Signature X__Andrew McDonald__ Pravachol 80 mg # 30
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Bristol Myers Squibb co

DAW Andrew McDonald, MD. Refill 5 times


W as Written
Dispense
Serial # 896Z5682

Drug Dispensed:

Exp. 10/2008
Lot # 1B23332

Please write a BRIEF description of the error/omission (3pts):


530. 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: Shirley Grace DOB: 04/15/75 Prescription Label:
Address:148 Stuart Street Date:02/13/05
Orchard Park, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Serevent
Rx# 78787
Sig: i puff BID Stuart Grace February 13, 2005
148 Stuart Street
# 1 diskus Orchard Park, NY 14141

Inhale 1 puff by mouth twice a day.

Prescriber Signature X_ Stephen Sigel ___ Serevent Diskus # 60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GSK
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

Please write a BRIEF description of the error/omission (3pts):


240. 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 Levemir Flexpen
Rx# 22235
Sig: inj 20U sc bid w/ food Joel Penny February 3, 2007
5678 Clarence Lane
# 15 E Seneca, NY 17895

Inject 2 ml subcutaneously twice daily with food

Levemir Flexpen 100U/ml # 15


Prescriber Signature X_Samuel Fishman__
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Novo Nordisk
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

Please write a BRIEF description of the error/omission (3pts):


338. 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:
Cassandra Moninski, MD
900 Apollo Drive
Cheektowaga, NY 14070
716-666-4555
Lic# 123363 DEA BM1252573
Name: Melvin Platko DOB: 07/25/70 Prescription Label:
Address:3322 Trentwood Tr Date:09/28/06
Buffalo, NY 14120 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Norvasc 10 mg
Rx# 85522
Sig: i po qd Melvin Platko September 28, 2006
3322 Trentwood Tr
# 30 Buffalo, NY 14120

Take one table by mouth twice daily.

Prescriber Signature X__ Cassandra Moninski _ Norvasc 10 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Cassandra Moninski, MD. Refill 5 times


DAW
Dispense as Written
Serial #M2539P60
Drug Dispensed:

Exp. 11/2010
Lot # L203825

Please write a BRIEF description of the error/omission (3pts):


197. 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:
Edwin Pizarro, MD
474 Woodcreast Dr
Amherst, NY 14414
716-555-1111
Lic# 748514 DEA AP9542588
Name: Andrew Reichert DOB: 12/17/33 Prescription Label:
Address: 5556 Cottonwood Dr Date: 10/19/06
Lancaster, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Elavil 5 mg
Rx# 11474
Andrew Reichert October, 19 2006
Sig: i po bid 5556 Cottonwood Dr
Lancaster, NY 14141
# 60
Take one capsule twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


551. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Jeremy Paneinto DOB: 07/04/77 Prescription Label:
Address:805 Mapleview Road Date:01/14/07
Buffalo, NY 14042 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Januvia 100 mg
Rx# 77777
Sig: Take 1 po qam Jeremy Paneinto January 14, 2007
805 Mapleview Road
Buffalo, NY 14042
# 1 month
Take 1 tablet by mouth daily

Prescriber Signature X__ Jackson Hundson _ Januvia 100 mg tablets # 30


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Merck and Co
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson, MD. Refill 1 time

Dispense as Written
Serial #7482L748

Drug Dispensed:

Exp.10/2010
Lot # G145879

Please write a BRIEF description of the error/omission (3pts):


554. 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: 07/18/07 Health Sciences Pharmacy Phone: 716-555-5555
Akron, NY 14004 222 Cooke Hall
Amherst, NY 14260
Rx Levemir
Rx# 441444
Sig: 10 units qd Kristen Paralato February 18, 2007
6253 Auburn Ave
# 1 vial Akron, NY 14004

Inject daily as directed

Levemir insulin # 10ml


Prescriber Signature X_ Steven Johnson _
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. 05/2009
Lot # A700415

Please write a BRIEF description of the error/omission (3pts):


200. 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:
Colleen Battagelia, NP
3457 Bear Ridge Road
Buffalo, NY 14200
716-444-3333
Lic# 123689 DEA MP522248
Name: Addie Bibbs DOB: 02/29/48 Prescription Label:
Address: 856 Circle Lane Date:05/08/06
N. Tonawanda, NY 14477 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Enalapril 10 mg
Rx# 22568
Sig: i po daily Addie Bibbs May 8, 2006
856 Circle Lane
# 30 N. Tonawanda, NY 14477

Take one capsule once daily.

Prescriber Signature X_ Colleen Battagelia _ Enalapril 10 mg # 30


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. 12/2009
Lot # 001258

Please write a BRIEF description of the error/omission (3pts):


201. 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:
Colleen Battagelia, NP
3457 Bear Ridge Road
Buffalo, NY 14200
716-444-3333
Lic# 123689 DEA MP522248
Name: Addie Bibbs DOB: 02/29/48 Prescription Label:
Address: 856 Circle Lane Date:05/08/06
N. Tonawanda, NY 14477 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Enalapril 10 mg
Rx# 22568
Sig: i po daily Addie Bibbs May 8, 2006
856 Circle Lane
# 30 N. Tonawanda, NY 1477

Take one tablet once daily.

Prescriber Signature X__ Colleen Battagelia _ Enalapril 10 mg # 30


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. 11/2010
Lot # 74157

Please write a BRIEF description of the error/omission (3pts):


341. 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:
Herman Podlewski, MD
858 Delham Ave
Kenmore, NY 14006
716-848-8888
Lic# 239858 DEA BP2548987
Name: Carolyn Ruggerio DOB: 02/22/65 Prescription Label:
Address: 333 Candice Ct Date: 03/08/05
Buffalo, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Nizoral 200
Rx# 50010
Sig: i po daily Carolyn Ruggerio March 8, 2005
333 Candice Ct
# 14 Buffalo, NY 14222

Take one capsule once daily.

Prescriber Signature X__ Herman Podlewski _ Neoral 25 mg # 14


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Novartis
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Herman Podlewski, MD. Refill 0 times

Dispense as Written
Serial #L526M254

Drug Dispensed:

Exp. 10/2007
Lot # L230001

Please write a BRIEF description of the error/omission (3pts):


264. 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:01/01/06
Lake View, NY 14271 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levoxyl125 mcg
Rx# 65554
Sig: i po daily Gunter Jammal January 1, 2006
7190 Wellington Road
# 30 Lake View, NY 14271

Take one tablet once daily.

Prescriber Signature X_ Gary Heresy _ Levoxyl 25 mcg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Jones Pharma
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Gary Heresy, MD. Refill 3 times


DAW
Dispense as Written
Serial #ZZ233256

Drug Dispensed:

Exp. 05/2008
Lot # 85585

Please write a BRIEF description of the error/omission (3pts):


265. 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:
Stanley Kaiser, MD
888 Robin Raod
Millersville, NY 14000
716-555-7788
Lic# 171756 DEA BK5278850
Name: Lorraine Linsley DOB: 05/08/47 Prescription Label:
Address:5666 Manhattan Road Date:03/28/05
Aurora, NY 14031 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lonox
Rx# 71145
Sig: i-ii po 2-3 / day prn Lorraine Linsley March 28, 2005
5666 Manhattan Road
# 30 ( thirty) Aurora, NY 14031

Take one to two tablets 2 to 3 times a day as needed,


maximum daily dose of 6 tablets.
Prescriber Signature X_Stanley Kaiser___ Lonox # 30
Refill: 0 zero MDD: 6
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sandoz

daw Stanley Kaiser, MD. Refill 0 times


Dispense as Written
Serial #K2587L12
Drug Dispensed:

Exp. 06/2008
Lot # W23235

Please write a BRIEF description of the error/omission (3pts):


88. 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:
Nicole Bissonette, MD
7895 West 4th Street
New York, NY 10003
716-565-5555
Lic# 785963 DEA MB1477757
Name: Rebecca Hudson DOB: 08/07/35 Prescription Label:
Address:295 Ridge Park Ave Date:01/17/07
New York, NY 11236 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clozazepam ODT 0.25 mg
Rx#454156
Sig: i po bid Rebecca Hudson January 18, 2007
295 Ridge Park Ave
# 60 (sixty) New York, NY 11236

Take one tablet by mouth twice daily.

Prescriber Signature X__Nicole Bissonette___ Clonazepam ODT 0.25 mg # 60


Refill: 3 (three) MDD: 2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: PAR
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Nicole Bissonette, MD. Refill 3 times

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.

Prescriber Signature X_ Paul Flicinski __ Warfarin 2 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Taro
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Paul Flicinski, MD. Refill 5 times

Dispense as Written
Serial #11253LP8

Drug Dispensed:

Exp. 07/2008
Lot # 065814

Please write a BRIEF description of the error/omission (3pts):


372. 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:
Josh Gembala, MD
6911 Bloomingdale Road
S Wale, NY 14122
716-233-7777
Lic# 155227 DEA AG8577489
Name: Emma Cuccia DOB: 08/05/47 Prescription Label:
Address: 8333 Woodstock Rd Date:11/28/06
Glenwood, NY 14550 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Paxil CR 25 mg
Rx# 20322
Sig: i po daily Emma Cuccia November 28, 2006
8333 Woodstock Road
# 30 Glenwood, NY 14550

Take one tablet once daily.

Prescriber Signature X_ Josh Gembala __ Paxil CR 25 mg #3


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GlaxoSmithKline
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Josh Gembala, MD. Refill 5 times


DAW
Dispense as Written
Serial #D582T845
T
Drug Dispensed:

Exp. 03/2009
Lot # T528988

Please write a BRIEF description of the error/omission (3pts):


373. 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:
Geraldine Aldinger, MD
2345 Countryside Ave
Eden, NY 14787
716-666-7474
Lic#124741 DEA AA2566389
Name: Katrina Cavalli DOB: 08/25/99 Prescription Label:
Address:871 Madison Square Date:06/22/04
Cheektowaga, NY 14669 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Pediapred 5mg/ml
Rx# 20323
Sig: i tsp po bid Katrina Cavalli June 22, 2004
871 Madison Square
# 100 Cheektowaga, NY 14669

Give one teaspoonful twice daily

Prednisolone Sodium Phospate 5mg/5ml # 100


Prescriber Signature X_Geraldine Aldinger__
Refill: 0 MDD: MFR: Morton Grove Pharmaceutical Ins
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Geraldine Aldinger, MD. Refill 0 times

Dispense as Written
Serial #185PH258
Drug Dispensed:

Exp. 07/2006
Lot # 1582K56

Please write a BRIEF description of the error/omission (3pts):


90. 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:
Nicole Bissonette, MD
7895 West 4th Street
New York, NY 10003
716-565-5555
Lic# 785963 DEA MB1477757
Name: Rebecca Hudson DOB: 08/07/35 Prescription Label:
Address:295 Ridge Park Ave Date:01/17/07
New York, NY 11236 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clozazepam ODT 0.25 mg
Rx#454156
Sig: i po bid Rebecca Hudson February 25, 2007
295 Ridge Park Ave
# 60 (sixty) New York, NY 11236

Take one tablet by mouth twice daily.

Prescriber Signature X__Nicole Bissonette___ Clonazepam ODT 0.25 mg # 60


Refill: 0 (zero) MDD: 2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: PAR
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Nicole Bissonette, MD. Refill 0 times

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

Instill 1 spray in one nostril daily- alternate nostrils

Miacalcin Nasal spray # 3.7 ml


Prescriber Signature X_ Evan Fitzpatrick__
Refill: 4 MDD: MFR: Novartis
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. 09/2009
Lot # 305345

Please write a BRIEF description of the error/omission (3pts):


326. 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:
Adam Erving, MD
616 Hartford Ave
Buffalo, NY 14500
716-999-4444
Lic#123568 DEA AA1252143
Name: Niema Fiorello DOB: 02/25/87 Prescription Label:
Address:36 Tacoma Ave Date:03/08/07
W Amherst, NY 14150 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Metadate CD 10 mg
Rx# 29009
Sig: i po am Niema Fiorello March 8, 2007
36 Tacoma Ave
# 30 ( thirty) W Amherst, NY 14150

Take one tablet every morning

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

Please write a BRIEF description of the error/omission (3pts):


543. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: David McPhea DOB: 10/01/38 Prescription Label:
Address:747 Athens Blvd Date: 12/27/03
Arkron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Mycolog II ointment
Rx# 32541
Sig: apply as directed David McPhea December 27, 2003
747 Athens Blvd
# 30g Arkron, NY 14001

Apply as directed

Prescriber Signature X__ Karen Douglas _ Nystatin;Triamcinolone cream # 30 g


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Fougera
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

Please write a BRIEF description of the error/omission (3pts):


330. 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:
Elizabeth Ganter, MD
911 Paradise Road
Williamsville, NY 14077
716-899-1111
Lic# 123225 DEA BG2225539
Name: Juliet Hall DOB: 06/17/48 Prescription Label:
Address:255 Cottage Road Date:01/08/07
Orchard Park, NY 14220 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Toprol XL 25 mg
Rx# 25555
Sig: i po daily Juliet Hall January 9, 2007
255 Cottage Road
# 30 Orchard Park, NY 14220

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


91. 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:
Esther Tredinnick, MD Weight:33kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/05
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Biaxin 250/5ml
Rx# 56007
Sig: ½ tsp q12h x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 10 DS Williamsville, NY 14002

Take one half teaspoon by mouth every 12 hours for 10


days

Prescriber Signature X_Esther Tredinnick_ Clarithromycin 250mg/5ml # 50


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


75. 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, DDS
7458 Nostrand Ave
Brooklyn, NY 11235
716-888-0000
Lic# 123332 DEA AF1222582
Name: Amy O’Conner DOB: 06/18/98 Prescription Label:
Address:90 Wayside Road Date: 11/11/06
Brooklyn, NY 11235 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cipro 500 mg
Rx# 444888
Sig: i po bid x 10d Amy O’Conner November 11, 2006
90 Wayside Road
# 20 Brooklyn, NY 11235

Take one tablet twice a daily for 10 days

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

Please write a BRIEF description of the error/omission (3pts):


92. 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:
Esther Tredinnick, MD Weight:40kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/05
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Biaxin 250/5ml
Rx# 56007
Sig: ¾ tsp q12h til gone Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 75 Williamsville, NY 14002

Take 3ml by mouth every 12 hours until gone

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

Please write a BRIEF description of the error/omission (3pts):


63. 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: Albert Paganello DOB:12/24/46 Prescription Label:
Address: 889 Hubbell Ct Date: 06/27/06
Lancaster, NY 11148 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cardizem 30 mg
Rx# 048968
Sig: i po tid Albert Paganello June 28, 2006
889 Hubbell Ct
# Lancaster, NY 11148

Take one tablet three times a day

Prescriber Signature X_ Richard Zakrajesek _ Diltiazem 30 mg # 90


Refill: 8 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva

Richard Zakrajesek, MD Refill 8 times

Dispense as Written
Serial #145TO236
Drug Dispensed:

Exp. 03/2009
Lot # D01035

Please write a BRIEF description of the error/omission (3pts):


84. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782 DEA BA6947782

789 Maple Road, Suite #568


Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Gwen MacBeth DOB: 06/30/68 Health Sciences Pharmacy Phone: 716-555-5555
Address: 445 Wardman Ave Date: 06/14/05 222 Cooke Hall
Akron, NY 14001 Amherst, NY 14260

Rx Abstral 100 mcg Rx# 10012


Gwen MacBeth June 15, 2005
Sig: i sl prn breakthrough cancer pain. rept 445 Wardman Ave
Akron, NY 14001
dose 30 min later if needed. Max 2/day

Take one tablet sublingually as needed for breakthrough


# 120 (one hundred twenty) CODE B cancer pain. Repeat dose 30 minutes later if needed.
Maximum 2 doses per day.
Prescriber Signature X__Mark Lee_____
Refill: 0 (zero) MDD: 2 ABSTRAL 100mcg # 120
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Prostrakan

Mark Lee, MD. Refill 0


Dispense as Written
Serial #P322258L
Drug Dispensed:

Exp. 08/2007
Lot # R002235

Please write a BRIEF description of the error/omission (3pts):


458. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Shawnee Kessler DOB: 03/06/32 Prescription Label:
Address:8222 Crosswinds Ct Date: 05/23/05
Lockport, NY 14799 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Symmetrel 100 mg
Rx# 114568
Shawnee Kessler May 23, 2005
Sig: i po daily 8222 Crosswinds Ct
Lockport, NY 14799
# 90
Take one tablet once daily.

Prescriber Signature X__ Peterson Mineo _ Synthroid 100 mcg # 90


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Abbott
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Peterson Mineo, MD. Refill 11 times

Dispense as Written
Serial #985HG253

Drug Dispensed:

Exp. 11/2007
Lot # U56888

Please write a BRIEF description of the error/omission (3pts):


491. 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:
William Zaklikowski, MD Lisa Chant, RPA
Lic# 145668 Lic# 123599
DEA BZ4557154
896 Tonawanda Cheek Road
E Amherst, NY 14869
716-889-9999 Prescription Label:
Name: Donald Parker DOB:03/22/21
Address: 1133 Pershing Ave Date: 02/01/06 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Kenmore, NY 11489 Amherst, NY 14260

Rx Azmacort Rx# 223326


Donald Parker February 1, 2006
Sig: 2 puffs 3-4 x daily 1133 Pershing Ave
Kenmore, NY 11489
#1 Take 2 tablets 3-4 times a day

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

Please write a BRIEF description of the error/omission (3pts):


534. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Jay Skruski DOB: 04/22/78 Prescription Label:
Address:41 Ford Street Date:01/01/07
Buffalo, NY 14152 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx
Tiotropium Inhaler Rx# 124785
Jay Skruski February 12, 2007
Sig: i puff qd 41 Ford Street
Buffalo, NY 14152
#1
Inhale 1 puff by mouth daily

Prescriber Signature X_ Peterson Mineo __ Ipratropium Bromide Inhalation Solution # 62.5


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR:DEY
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

Please write a BRIEF description of the error/omission (3pts):


461. 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 Kinsely, MD Diane Montgomery, RPA


Lic# 485147 Lic # 784147
DEA AK1687459 DEA AM4958746
124 Scamridge Street
Buffalo, NY 14111 Prescription Label:
716-577-4777
Name: Clyde Nielsen DOB: 08/26/56 Health Sciences Pharmacy Phone: 716-555-5555
Address: 4578 Elmview Place Date: 03/17/06 222 Cooke Hall
Cheektowaga, NY 14669 Amherst, NY 14260

Rx Thiamine 50 mg Rx# 114569


Clyde Nielsen March 17, 2006
4578 Elmview Place
Sig: i po daily Cheektowaga, NY 14669

# 30 Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


462. 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 Kinsely, MD Diane Montgomery, RPA


Lic# 485147 Lic # 784147
DEA AK1687459 DEA AM4958746
124 Scamridge Street
Buffalo, NY 14111 Prescription Label:
716-577-4777
Name: Clyde Nielsen DOB: 08/26/56 Health Sciences Pharmacy Phone: 716-555-5555
Address: 4578 Elmview Place Date: 03/17/06 222 Cooke Hall
Cheektowaga, NY 14669 Amherst, NY 14260

Rx Pyridoxine 100mg Rx# 114569


Clyde Nielsen March 17, 2006
4578 Elmview Place
Sig: i po qd Cheektowaga, NY 14669

# 30 Take one tablet once daily

Vitamin B-1 100 mg # 30


Prescriber Signature X__ Richard Kinsely
Refill: 6 MDD:1 MFR: Rugby
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 # 368809K

Please write a BRIEF description of the error/omission(3pts):


294. 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:
Elissa Hoffmaster, NP
52 Riverdale Drive
Orchard Park, NY 14080
716-998-8889
Lic# 963636 DEA MH235214
Name: Jacqueline Kerr DOB: 09/14/37 Prescription Label:
Address:6665 Sterling Road Date:06/22/06
Springville, NY 14043 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Benazapril 10 mg
Rx# 33344
Jacqueling Kerr June 22, 2006
Sig: i po bid 6665 Sterling Road
Springville, NY 14043
# 30
Take one tablet once daily.

Prescriber Signature X_ Elissa Hoffmaster _ Benazepril 10 mg #30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elissa Hoffmaster, NP. Refill 6 times

Dispense as Written
Serial #K8788800

Drug Dispensed:

Exp. 08/2009
Lot # K235236

Please write a BRIEF description of the error/omission (3pts):


559. 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:
Edwin Pizarro, MD
474 Woodcreast Dr
Amherst, NY 14414
716-555-1111
Lic# 748514 DEA AP9542588
Name: Andrew Reichert DOB: 12/17/33 Prescription Label:
Address: 5556 Cottonwood Dr Date: 10/19/06
Lancaster, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ultram 50 mg
Rx# 11474
Sig: i po BID Andrew Reichert October, 19 2006
5556 Cottonwood Dr
# 60 Lancaster, NY 14141

Take one tablet by mouth twice a day.

Tramadol 50 mg tablets #60


Prescriber Signature X__Edwin Pizarro_____
Refill: 5 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Edwin Pizarro, MD. Refill 5 times
daw
Dispense as Written
Serial #Z4158P85
Drug Dispensed:

Exp. 11/2009
Lot # U147854

Please write a BRIEF description of the error/omission (3pts):


295. 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, MD
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Gwen MacBeth DOB: 06/30/68 Prescription Label:
Address: 445 Wardman Ave Date: 05/01/05
Akron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Abstral 100 mcg
Rx# 10012
Sig: i sl q4-6h prn pain Gwen MacBeth June 15, 2005
445 Wardman Ave
# 30 (thirty) Akron, NY 14001

Take one tablet sublingually every 4-6 hours as needed


for pain. Maximum daily dose is 4/day.
Prescriber Signature X__Jonathan Mallozzi__
Refill: 0 (zero) MDD: 4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS ABSTRAL 100mcg # 30
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Prostrakan

Dispense as Written Jonathan Mallozzi, MD. Refill 0


Serial #P322258L

Drug Dispensed:

Exp. 08/2007
Lot # R002235

Please write a BRIEF description of the error/omission (3pts):


93. 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:
Esther Tredinnick, MD Weight:33kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/05
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Biaxin 250/5ml
Rx# 56007
Sig: ½ tsp q12h x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 10 DS Williamsville, NY 14002

Take one half teaspoon by mouth every 12 hours for 10


days

Prescriber Signature X_Esther Tredinnick_ Clarithromycin 250mg/5ml # 50


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


207. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-666-6666
Lic# 112258 DEA AW114455
Name: Alfred Consantino DOB: 09/20/66 Prescription Label:
Address: 222 Gatewood Ave Date: 08/04/04
Hamburg, NY 14401 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Fiorinal
Rx# 656898
Sig: i – ii po q 4 h prn Alfred Consantino August 10, 2004
222 Gatewood Ave
# 120 ( one hundred twenty) Hamburg, NY 14401

Take one to two capsules every 4 hours if needed,


maximum daily dose of 6.
Prescriber Signature X__ Patrick Wosinki _
Refill: 6 ( six) MDD: 6 Buta/ASA/Caffeine 50/325/40 mg # 120
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Lannett

Patrick Wosinki, MD. Refill 6 times


Dispense as Written
Serial #Z98556874

Drug Dispensed:

Exp. 10/2006
Lot # 2006356563

Please write a BRIEF description of the error/omission (3pts):


208. 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:

Benjamin Stockwell, MD Cynthia MaCare, RPA


Lic# 474851 Lic # 325896
DEA AS222589
822 Paramount Ave
Williamsville, NY 14004 Prescription Label:
716-111-9999
Name: Kosda Johnson DOB: 11/08/39 Health Sciences Pharmacy Phone: 716-555-5555
Address: 235 Union Road Date: 06/12/06 222 Cooke Hall
Angola, NY, 10228 Amherst, NY 14260

Rx Elmiron Rx# 01215


Kosda Johnson July 13, 2006
235 Union Road
Sig: i po tid ac Angola, NY 10228

# 90 Take one capsule three times a day before meals

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

Please write a BRIEF description of the error/omission(3pts):


494. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-444-4444
Lic# 543211 DEA AG4298341
Prescription Label:
Name: Jean Horton DOB: 11/06/65
Address: 500 Main Street Date: 05/22/06 Health Sciences Pharmacy Phone: 716-555-5555
Bflo., NY 14235 222 Cooke Hall
Amherst, NY 14260
Rx Bactroban 2% ointment
Rx# 23456
Jean Horton May 22, 2006
Sig: AAA TID 500 Main Street,
Buffalo., NY 14235
#30 gram tube
Apply to affected area three times a day.
Prescriber Signature X__ Thomas Grands ___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
Mupirocin 2% Ointment #22 g
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Teva
DAW
DAW
Dr. Thomas Grands Refill 5 times
Dispense as Written
Serial #125L65K6

Drug Dispensed:

Exp. 02/2008
Lot # 12568

Please write a BRIEF description of the error/omission (3pts):


536. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/03
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Xopenex Solution
Rx# 89872
Sig: one vial via nebulizer Mary Foreman February 8, 2003
q8h 789 Parkwood Ave
Lackawanna, NY 14034
# 4 boxes
Inhale 1 vial via nebulizer every 8 hours

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

Mike Lou, MD. Refill 0 times

Dispense as Written
Serial #2315KU78

Drug Dispensed:

Exp. 02/2009
Lot # K21452

Please write a BRIEF description of the error/omission (3pts):


558. 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:
Esther Tredinnick, MD Weight:20kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/06
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Augmentin ES 600mg-42.9mg/5ml
Rx# 56007
Sig: 3 tsp po BID x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 300ml Williamsville, NY 14002

Take three teaspoonfuls by mouth twice daily for 10


days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 300


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


94. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: Lisa Murphy DOB: 05/21/67 Prescription Label:
Address: 1478 Grider Street Date: 02/19/07
Buffalo, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Colcyrs 0.6mg
Rx# 068975
Sig: i po qd Lisa Murphy February 19, 2007
1478 Grider Street
# 30 Buffalo, NY 14789

Take 1 tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


539. 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 Lee, MD Shirely Lee, RPA


Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
716-478-8966
Health Sciences Pharmacy Phone: 716-555-5555
Name: Scott Fenigstein DOB: 08/28/43 222 Cooke Hall
Address: 718 Wedgewood Dr Date: 01/20/10 Amherst, NY 14260
Springville, NY 14212
Rx# 45145
Rx ProAir HFA Scott Fenigstein February 21, 2011
718 Wedgewood Dr
Sig: i puff q4h prn Springville, NY 14212

Inhale 1 puff by mouth every 4 hours as needed


# 1 inhaler
ProAir HFA #8.5 g
Prescriber Signature X__Mark Lee______
Refill: 2 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mark Lee, MD. Refill 2 times

Dispense as Written
Serial #0147RE12

Drug Dispensed:

Exp. 02/28/2014
Lot # 60223589

Please write a BRIEF description of the error/omission(3pts):


512. 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
Lic# 125898 Lic# 147845
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444
Prescription Label:
Name: Ronnie Mitrowski DOB: 03/16/56 Health Sciences Pharmacy Phone: 716-555-5555
Address: 756 Symmon Road Date: 02/13/07 222 Cooke Hall
Bronx, NY 12370 Amherst, NY 14260

Rx Lidoderm patch Rx# 001236


Ronnie Mitrowski February 13, 2007
Sig: wear 1 patch for 12 hours qd 756 Symmon Road
Bronx, NY 12370
# 30 Apply 1 patch and wear for 12 hours daily.

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

Please write a BRIEF description of the error/omission (3pts):


369. 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).
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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alex Rodriguez IV admixtures
allergies: NKA
room: 432A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___190_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___71____ (circle) (in.) / cm

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

manufacturer: _CA Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alex Rodriguez


bag volume (ml): __100__________ Room:432A
Additives: Tobramycin 85mg
 drug additive
drug name: __Tobramycin_40mg/ml____
final bag concentration: __0.832mg/ml__ Solution: 100ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 136ml/hour

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

Take one capsule every 6 to 8 hour as needed.


Maximum daily dose of 4 tablets

Prescriber Signature X_Karen Swanson____ Ketoprofen 200 mg # 40


Refill: 1 MDD:4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Andrx
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

Please write a BRIEF description of the error/omission (3pts):


104. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Lawrence Lehsten DOB:10/08/32 Prescription Label:
Address: 7415 Eckhradt road Date:12/12/05
W Seneca, NY 14201 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Calan sr 180 mg
Rx# 555896
Sig: i po qd Lawrence Lehsten December 13, 2005
7415 Eckhardt road
# 30 W Seneca, NY 14201

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


342. 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:
Herman Podlewski, MD
858 Delham Ave
Kenmore, NY 14006
716-848-8888
Lic# 239858 DEA BP2548987
Name: Carolyn Ruggerio DOB: 02/22/65 Prescription Label:
Address: 333 Candice Ct Date: 03/08/05
Buffalo, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ketoconazole Cr
Rx# 50010
Sig: uud Carolyn Ruggerio March 8, 2005
333 Candice Ct
# trade size Buffalo, NY 14222

Use as directed.

Ketoconazole shampoo # 120 ml


Prescriber Signature X_ Herman Podlewski _
Refill: 0 MDD: MFR: Clay Park Labs Inc
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Herman Podlewski, MD. Refill 0 times

Dispense as Written
Serial #L526M254
Drug Dispensed:

Exp. 10/2008
Lot # H2531M

Please write a BRIEF description of the error/omission (3pts):


566. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Adrian Kobrins DOB: 08/14/48 Prescription Label:
Address:78 Applewood Road Date:07/12/05
Angola, NY 14086 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx dicyclomine 10 mg
Rx# 78412
Adrian Kobrins July 13, 2005
Sig: i po qid 78 Applewood Road
Angola, NY 14086

# 120 Take one tablet four times daily


Prescriber Signature X__ Rosemary Kazmierski Dicyclomine 10 mg tablets # 100
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mylan

Rosemary Kazmierski, NP. Refill 0 times


Dispense as Written
Serial #741578M8

Drug Dispensed:

Exp. 10/2008
Lot # 1P4217

Please write a BRIEF description of the error/omission (3pts):


343. 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: Fran 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

Rx vit B 12 1000mcg/ml Rx# 66698


Fran Grimes March 5, 2011
Sig: inj im 100mcg qd for 1 wk, then 100mcg qod for 197 Hartford Road
2 wks, then 200mcg q month Aurora, NY 14228

# 10 Inject 0.1ml intramuscularly once daily for 1 week, then


inject 0.1ml intramuscularly every other day for 2
weeks, then inject 0.2ml intramuscularly once a month.
Prescriber Signature X_ Julius Hibbert __
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Cyanocobalamin 1000mcg/ml # 10
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: American Regent

Dispense as Written Julius Hibbert, MD. Refill 0 times


Serial #17418H78
Drug Dispensed:

Exp. 08/2014
Lot # 1KJ235

Please write a BRIEF description of the error/omission (3pts):


83. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782 DEA BA6947782

789 Maple Road, Suite #568


Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Gwen MacBeth DOB: 06/30/68 Health Sciences Pharmacy Phone: 716-555-5555
Address: 445 Wardman Ave Date: 06/14/05 222 Cooke Hall
Akron, NY 14001 Amherst, NY 14260

Rx Abstral 100 mcg Rx# 10012


Gwen MacBeth June 15, 2005
Sig: i sl prn breakthrough cancer pain. rept 445 Wardman Ave
Akron, NY 14001
dose 30 min later if needed. Max 4/day
# 30 (thirty)
Take one tablet sublingually as needed for breakthrough
cancer pain. Repeat dose 30 minutes later if needed.
Prescriber Signature X__Shirley Lee, RPA__ Maximum 4 doses per day.
Refill: 1 (one) MDD: 4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS ABSTRAL 100mcg # 30
PRESCRIBER WRITES “daw” IN THE BOX BELOW

MFR: Prostrakan
Dispense as Written Shirley Lee, RPA. Refill 1
Serial #P322258L

Drug Dispensed:

Exp. 08/2007
Lot # R002235

Please write a BRIEF description of the error/omission (3pts):


432. 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 Prescription Labels:
1245 Ocean Ave, Suite 290
Amherst, NY 11228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
716-505-5050 Amherst, NY 14260
Lic# 223658 DEA BF1111587
Name: Frank Barrett DOB: 03/15/59 Rx# 90015
Address:8888 Michigan Ave Date:11/25/06 Frank Barrett November 25, 2006
Buffalo, NY 14200 8888 Michigan Ave
Buffalo, NY 14200
Rx Singulair 10 mg
Sig: i po qd Take one tablet once daily.
# 30
Nasonex 50mg Singulair 10 mg # 30
Sig: i spray each nostril qd
#1 MFR: Merck

Victoria Flemming MD. Refill 3 times

Prescriber Signature X_Victoria Flemming__


Refill: 3 MDD: Health Sciences Pharmacy Phone: 716-555-5555
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS 222 Cooke Hall
PRESCRIBER WRITES “daw” IN THE BOX BELOW Amherst, NY 14260

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

MFR: Schlering Plough

Victoria Flemming MD. Refill 3 times

Exp. 11/2008
Lot # 3P2040

Please write a BRIEF description of the error/omission (3pts):


433. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Greg Adams IV admixtures
allergies: Penicillin (anaphylaxis)
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_69__ weight: ___181_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’9”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Greg Adams Room:432B


bag volume (ml): __50__________
Additives: Unasyn 3g
 drug additive
drug name: __Unasyn 3g powder____
final bag concentration: __60mg/ml____ Solution: 50ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 200ml/hour

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

 diluent for drug reconstitution


(circle) (SWFI) NS D5W other: _____
manufacturer: _____Hospira__________
lot: __G474___ exp: 12/31/15
volume used (ml): _______10_________
386. 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

Take one tablet once daily.

Prescriber Signature X__ Kenneth Taung _ Pindolol 10 mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Ivax
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Kenneth Taung, MD. Refill 3 times

Dispense as Written
Serial #ZU28569M

Drug Dispensed:

Exp. 05/2005
Lot # T26839

Please write a BRIEF description of the error/omission (3pts):


545. 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:03/05/07
Aurora , NY 14228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Chantix Continuing pak
Rx# 66698
Sig: Take as directed Nicolas Lockard March 5, 2007
197 Hartford Road
Aurora, NY 14228
# 1 month
Take as directed.

Chantix Continuing Pak # 56


Prescriber Signature X_ Lynn Marshall __
Refill: 3 MDD: MFR: Pfizer
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

Please write a BRIEF description of the error/omission (3pts):


548. 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
Cheektawaga, NY 14875
716-878-7887
Lic#784589 DEA BR4512453
Name: Neslson Lococo DOB: 03/16/48 Prescription Label:
Address:1125 Mineral Spring Rd Date:04/28/05
Gatesville, NY 14788 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx invega 6mg
Rx# 32535
Sig: i po qam Neslson Lococo April 29, 2005
1125 Mineral Spring Road
Gatesville, NY 14788

Take one tablet by mouth every morning

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

Please write a BRIEF description of the error/omission (3pts):


389. 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:

Nicolas Green, MD Kenneth Lee, RPA


Lic# 003985 Lic # 235893
DEA AG1254781 ML1542174
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
Name: Chingy Woo Hiang DOB: 04/21/53 Health Sciences Pharmacy Phone: 716-555-5555
Address: 889 Heatherwood Street Date: 06/01/06 222 Cooke Hall
E Amherst, NY 14228 Amherst, NY 14260

Rx Adderall XR 20mg Rx# 20328


Chingy Woo Hiang June 1, 2006
889 Heatherwood Street
Sig: i po qam
E Amherst, NY 14228
# 30 (thirty)
Take one capsule by mouth once daily in the morning

Prescriber Signature X__ Nicolas Green __ Adderall XR 20 mg # 30


Refill: 2 (two) MDD: 1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Shire

Nicolas Green, MD Refill 2 times


DAW
DAW
Dispense as Written
Serial #0258TF39

Drug Dispensed:

Exp. 09/2008
Lot # 008998

Please write a BRIEF description of the error/omission(3pts):


405. 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:
Monica Greenfield, NP
290 Meyer Road
Amherst, NY 14216
716-787-8787
Lic# 235988 DEA MG4298341
Name: Ramona Savage DOB: 07/21/79 Prescription Label:
Address:7654 Wright Road Date:03/15/06
Getzville, NY 14253 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx PreCare Premier
Rx# 66804
Sig: i po qd Ramona Savage March 15, 2006
7654 Wright Road
# 3 mos supply Getzville, NY 14253

Take one tablet once daily.

Prescriber Signature X_ Monica Greenfield Precare Premier # 30


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

Please write a BRIEF description of the error/omission (3pts):


252. 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:
Melvin Barren, MD
888 Transit Road
Springville, NY 14777
716-222-7777
Lic# 856985 DEA BB6553627
Name: Nick Cavalleri DOB: 06/06/75 Prescription Label:
Address:2356 Lafayette Road Date:01/28/07
Buffalo, NY 14051 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lamisil 250 mg
Rx# 633333
Sig: i po daily Nick Cavalleri January 31, 2007
2356 Lafayette Road
# 30 Buffalo, NY 14051

Take one tablet once daily.

Prescriber Signature X__ Melvin Barren _ Lamisil 250 mg # 30


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Novartis
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Melvin Barren, MD. Refill 1 time

Dispense as Written
Serial #2358P258

Drug Dispensed:

Exp. 07/2008
Lot # Y25369

Please write a BRIEF description of the error/omission (3pts):


253. 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 K-Phos Original
Rx# 89877
Sig: dissolve ii in H20 qid Colleen Bell March 8, 2006
2356 Knollwood Dr
# 120 Eden, NY 14225

Dissolve two tablets in water and take four times daily

K-Phos Original # 120


Prescriber Signature X_Salvatore Bruce___
Refill: 0 MDD: MFR: Beach
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Salvatore Bruce, MD. Refill 0 times
DAW
Dispense as Written
Serial #K2541458
Drug Dispensed:

Exp. 11/2009
Lot # 0333320

Please write a BRIEF description of the error/omission (3pts):


406. 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 weight: 40kg
Lic# 125898
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Milhouse Van Houten DOB: 1/29/2001
Health Sciences Pharmacy Phone: 716-555-5555
Address:197 Hartford Road Date:03/05/11 222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Ibuprofen susp 100/5ml Rx# 66698


Milhouse Van Houten March 5, 2011
Sig: 2 1/2tsp q6-8h prn 197 Hartford Road
Aurora, NY 14228
# 150ml
Take two and one half teaspoonfuls by mouth every 6-
8hours as needed
Prescriber Signature X_ Julius Hibbert __
Ibuprofen 100mg/5ml # 150
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Perrigo

Julius Hibbert, MD. Refill 0 times


Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


96. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: Lisa Murphy DOB: 05/21/67 Prescription Label:
Address: 1478 Grider Street Date: 02/19/07
Buffalo, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Colcyrs 0.6mg
Rx# 068975
Sig: i po qd Lisa Murphy February 19, 2007
1478 Grider Street
# 30 Buffalo, NY 14789

Take 1 tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


97. 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:
Sharon White, MD
1235 Millersport Road
Amherst, NY 142536
716-559-9999
Lic# 234586 DEA BW 5861489
Name: Jean Meyes DOB: 11/14/31 Prescription Label:
Address: 1147 Cambridge Square Date: 02/02/07
Orchard Park, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Atarax 10 mg
Rx# 23458
Sig: i po tid Jean Meyes February 2, 2007
1147 Cambridge Square
#90 Orchard Park, NY 14789

Take one tablet three times a daily.

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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Janet Smith IV admixtures
allergies: NKA
room: 2A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_79__ weight: ___175_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___64____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Janet Smith Room:2A


bag volume (ml): __50__________
Additives: Gentamicin 82.1mg
 drug additive
drug name: __Gentamicin_40mg/ml____
final bag concentration: __2.25mg/ml__ Solution: 50ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 106ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
66. 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: Eugene Page DOB: 05/28/60 Prescription Label:
Address:6900 Nashua Road Date: 09/14/06
Long Island, NY 14478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Codeine 30 mg
Rx# 200048
Sig: i po bid Eugene Page October 13, 2006
6900 Nashua Road
Long Island, NY 14478
# 90 ( ninety)
Take one tablet twice daily. Maximum daily dose of 2
tablets.

Prescriber Signature X__ Mark Flinchbaguh__ Codeine Sulfate 30 mg # 90


Refill: 0 ( zero) MDD: 2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Roxane

Mark Flinchbaguh, MD. Refill 0 times


Dispense as Written
Serial #1458LL89
Drug Dispensed:

Exp. 10/2010
Lot # A125012

Please write a BRIEF description of the error/omission (3pts):


115. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Eric Johnson IV admixtures
allergies: NKA
room: 21A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___170_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___70____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Eric Johnson Room:21A


bag volume (ml): __100__________
Additives: Vancomycin 500mg
 drug additive
drug name: __Vancomycin 500mg powder
final bag concentration: __5.0mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 100ml/hour

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

 diluent for drug reconstitution


(circle) SWFI (NS) D5W other: _____
manufacturer: _Hospira______________
lot: ___222C___ exp: _12/30/15
volume used (ml): ____10_______
103. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Lawrence Lehsten DOB:10/08/32 Prescription Label:
Address: 7415 Eckhradt road Date:12/12/05
W Seneca, NY 14201 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Calan SR 120 mg
Rx# 555896
Sig: i po qd Lawrence Lehsten December 13, 2005
7415 Eckhardt road
# 30 W Seneca, NY 14201

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


318. 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:

Stanley Turner, MD Kent Zheng, RPA


Lic# 565552 Lic # 858546
DEA BT2355267
772 Princeton Ave
Depew, NY 14044 Prescription Label:
716-555-4444
Name: Becky Albrecht DOB: 08/01/79 Health Sciences Pharmacy Phone: 716-555-5555
Address: 89 Castlewood Place Date: 03/30/04 222 Cooke Hall
Angola, NY 14222 Amherst, NY 14260

Rx Prednisone 10 mg Rx# 223412


Becky Albrecht March 30, 2004
89 Castlewood Place
Sig: ii po bid x 5d
Angola, NY 14222
# 20 Take two tablets twice daily for 5 days

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

Please write a BRIEF description of the error/omission(3pts):


319. 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 Zaroxolyn 5 mg
Rx# 10222
Ida Cimato August 7, 2006
Sig: i po qd 822 Rainbow Blvd
Lancaster, NY 14300
# 30
Take one tablet once daily.

Prescriber Signature X_Clifford Bookbinder__ Metolazone 5 mg # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Clifford Bookbinder, DO. Refill 6 times

Dispense as Written
Serial #L2536Z00
Drug Dispensed:

Exp. 07/2008
Lot # 1P1993

Please write a BRIEF description of the error/omission (3pts):


350. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Gale Chamberlin DOB: 03/15/77 Prescription Label:
Address:555 Parkwood Ave Date:03/08/11
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Avelox 400mg
Rx# 66358
Sig: i po tid x 7 days Gale Chamberlin March 9, 2011
555 Parkwood Ave
# 21 Synder, NY 14077

Take one tablet by mouth three times daily for 7 days.

Avelox 400mg #21


Prescriber Signature X__Suzanne Brower_____
Refill: 0 MDD: MFR: PD-RX
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 0 times

Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2014
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


353. 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:
Stanley Kaiser, MD
888 Robin Raod
Millersville, NY 14000
716-555-7788
Lic# 171756 DEA BK5278850
Name: Susanna Rusinski DOB: 07/25/80 Prescription Label:
Address:5123 Argonne Drive Date:03/03/06
Buffalo, NY 14220 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ortho-Cyclen
Rx# 202113
Sig: i po daily Susanna Rusinski March 3, 2006
5123 Argonne Drive
# 28 Buffalo, NY 14220

Take one tablet once daily.

Prescriber Signature X__ Stanley Kaiser __ Ortho-Cept # 28


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: OrthoMcneil
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Stanley Kaiser, MD. Refill 11 times


DAW
Dispense as Written
Serial #Y2587M58

Drug Dispensed:

Exp. 08/2008
Lot # G21452

Please write a BRIEF description of the error/omission (3pts):


107. 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: Russell Lee DOB: 04/23/64
Address: 1254 Chestnut Ridge Rd Date: 02/04/07 Health Sciences Pharmacy Phone: 716-555-5555
N. Tonawanda, NY 14789 222 Cooke Hall
Amherst, NY 14260
Rx Celebrex 200 mg
Rx# 124514
Sig: i po qd Russell Lee February 4, 2007
1254 Chestnut Ridge Rd
# 30 N. Tonawanda, NY 14789

Take one tablet once daily


Prescriber Signature X_ Karen Swanson_rpa __ Celexa 20 mg # 30
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Pfizer

DAW Karen Swanson, RPA. Refill 2 times


Dispense as Written
Serial #12TJU568

Drug Dispensed:

Exp. 05/2011
Lot # 6ZP859

Please write a BRIEF description of the error/omission (3pts):


506. 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: Eugene Page DOB: 05/28/60 Prescription Label:
Address:6900 Nashua Road Date: 09/14/06
Long Island, NY 14478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Flonase
Rx# 200048
Sig: i spray each nostril qd Eugene Page October 13, 2006
6900 Nashua Road
Long Island, NY 14478
#1
Instill 1 spray into each nostril daily

Flovent HFA 44mcg inhaler # 10.6


Prescriber Signature X_ Mark Flinchbaguh _
Refill: 0 MDD: MFR: GSK
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

Please write a BRIEF description of the error/omission (3pts):


540. 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 Lee, MD Shirely Lee, RPA


Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
716-478-8966
Health Sciences Pharmacy Phone: 716-555-5555
Name: Scott Fenigstein DOB: 08/28/43 222 Cooke Hall
Address: 718 Wedgewood Dr Date: 02/20/11 Amherst, NY 14260
Springville, NY 14212
Rx# 45145
Rx ProAir HFA Scott Fenigstein February 21, 2011
718 Wedgewood Dr
Sig: i puff q4h prn Springville, NY 14212

Inhale 1 puff by mouth every 4 hours as needed


# 1 inhaler
ProAir HFA #8.5 g
Prescriber Signature X__Mark Lee______
Refill: 2 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mark Lee, MD. Refill 2 times

Dispense as Written

Drug Dispensed:

Exp. 02/28/2014
Lot # 60223589

Please write a BRIEF description of the error/omission(3pts):


564. 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: Randolph Harding DOB: 08/23/57 Prescription Label:
Address:5236 Southern Blvd Date:02/26/06
Grand Island, NY 14072 Phone: 716-555-5555

Rx Zetia 10 mg Rx# 300125


Randolph Harding February 26, 2006
5236 Southern Blvd
Sig: i po qd
Grand Island, NY 14072
# 90 Take one tablet by mouth once daily

Zetia 10 mg tablets # 90

Prescriber Signature X_ Steven Hung ___ MFR: Merck


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Steven Hung, MD. Refill 1 time
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written
Serial #586JU782

Drug Dispensed:

Exp. 02/2008
Lot # JK125863

Please write a BRIEF description of the error/omission (3pts):


509. 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: Ester Osoki DOB:09/08/39 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 Fosamax + D
Rx# 696987
Sig: i po qwek Ester Osoki
6900 Nashua Road September 23, 2006
Long Island, NY 17789
#4
Take one tablet once daily.

Prescriber Signature X_ Paul Flicinski __ Fosamax 70 mg tablets #4


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Merck
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Paul Flicinski, MD. Refill 5 times


DAW
Dispense as Written
Serial #11253LP8

Drug Dispensed:

Exp. 07/2008
Lot # 065814

Please write a BRIEF description of the error/omission (3pts):


109. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-666-6666
Lic# 112258 DEA AW114455
Name: Gary Leiber DOB: 10/11/49 Prescription Label:
Address:10 Keller Road Date:01/19/07
E. Amherst, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Uloric 40 mg
Rx# 23552
Gary Leiber January 20, 2007
Sig: i po qd 10 Keller Road
E. Amherst, NY 14789
# 30
Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


468. 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:
Pravin Mehta, MD
100 3rd St
Niagara Falls, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:02/28/11
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 1-2 po q4-6h prn pain Carmen Ussery February 20, 2011
5050 Madaline Ln
# 120 (one hundred twenty) Williamsville, NY 14002

Take one to two tablets by mouth every four to six hours


as needed for pain. Max of 8 tablets/day
Prescriber Signature X_Pravin Mehta_ Hydrocodone.APAP 5-500 mg # 120
Refill: 5 (five) MDD: 8
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Pravin Mehta, MD Refill 5 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


276. 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:
Yin Ching Tee, MD
893 Lexington Ave
Getzville, NY 14209
716-234-2345
Lic# 225874 DEA BT2547896
Name: Harvey Chapman DOB: 09/07/53 Prescription Label:
Address:99 Birchwood Sq Date:12/18/05
Grand Island, NY 14412 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lithobid ER 300 mg
Rx# 2235
Sig: ii po bid Harvey Chapman December 18, 2005
99 Birchwood Square
# 120 Grand Island, NY 14412

Take two tablets twice daily.

Prescriber Signature X_ Yin Ching Tee _ Lithium Carbonate 300 mg #120


Refill: 3 MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Yin Ching Tee, MD. Refill 3 times

Dispense as Written
Serial #KL238745

Drug Dispensed:

Exp. 03/2007
Lot # K12458

Please write a BRIEF description of the error/omission (3pts):


277. 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:
Frederick Morris, MD
745 Glenwood Ave
Sardnia, NY 14033
716-877-5777
Lic# 554784 DEA AM415147
Name: Jefferson Eleanor DOB: 05/24/66 Prescription Label:
Address:5685 Sundown Tr Date:06/28/04
Clarence, NY 14443 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lopid 600 mg
Rx# 23323
Sig: i po bid Jefferson Eleanor June 28, 2004
5685 Sundown Tr
# 60 Clarence, NY 14443

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


497. 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:__Vicki Liang DOB: 02/28/39 Prescription Label:
Address:_4788 Loving Lane_ Date: _12/8/06_
_Williamsville, NY 12258 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Climara 0.075 mg patch
Rx# 01258
Sig: apply 1 q week Vicki Liang December 9, 2006
4788 Loving Lane
Williamsville, NY 12258
# 12
Apply 1 patch once a week

Estradial 0.075 mg patch #12


Prescriber Signature X___ Pauline Davidson _
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Pauline Davidson Refill 2 times

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

Inhale 1-2 puffs by mouth four times a day

Combivent Inhaler #14.7 g


Prescriber Signature X__ Kenneth Tuang ___
Refill: 10 MDD: MFR: Boehringer Ingelheim
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Kenneth Tuang Refill 10 times

Dispense as Written
Serial #0085HJ89
Drug Dispensed:

Exp. 11/2009
Lot # 18958963

Please write a BRIEF description of the error/omission (3pts):


469. 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 Sean Hunter, RPA


Lic# 124587 Lic # 123514
DEA AS4541252 DEA ML1223560
68 Elmhurst Dr
Orchard Park, NY14040 Prescription Label:
716-877-7777
Name: Madelyn Byrne DOB: 03/03/82 Health Sciences Pharmacy Phone: 716-555-5555
Address: 11 Richmond Ave Date: 09/28/07 222 Cooke Hall
Getzville, NY 14077 Amherst, NY 14260

Rx Tobrex ophth soln Rx# 114572


Madelyn Byrne September 28, 2007
11 Richmond Ave
Sig: i – ii gtts affected eye qid
Getzville, NY 14077
#5
Instill 1 to 2 drops into affected eye four times a day

Tobramycin 0.3% ophthalmic soln #5


Prescriber Signature X__Howard Siemer__
Refill: 0 MDD: MFR: Falcon
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Howard Siemer, MD. Refill 0 times

Dispense as Written
Serial #00254HG9

Drug Dispensed:

Exp. 06/2008
Lot # 1JK2550

Please write a BRIEF description of the error/omission(3pts):


118. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Eric Johnson IV admixtures
allergies: NKA
room: 21A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___170_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___70____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Eric Johnson Room:21A


bag volume (ml): __100__________
Additives: Vancomycin 500mg
 drug additive
drug name: __Vancomycin 500mg powder
final bag concentration: __5.0mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 240ml/hour

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

 diluent for drug reconstitution


(circle) SWFI (NS) D5W other: _____
manufacturer: _Hospira______________
lot: ___222C___ exp: _12/30/15
volume used (ml): ____10_______
110. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-666-6666
Lic# 112258 DEA AW114455
Name: Gary Leiber DOB: 10/11/49 Prescription Label:
Address:10 Keller Road Date:01/19/07
E. Amherst, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Uloric 40 mg
Rx# 23552
Sig: i po qd Gary Leiber January 20, 2007
10 Keller Road
# 30 E. Amherst, NY 14789

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


366. 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:
Leonard Valentine, MD
9999 Heather Drive
Angola, NY 14078
71-565-1111
Lic# 568957 DEA BV256963
Name: Roxana Volker DOB: 06/28/29 Prescription Label:
Address:2588 Crystal Springs Date:06/28/00
Wales, NY 14111 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Parlodel 2.5 mg
Rx# 69696
Sig: i po bid Roxana Volker June 28, 2005
2588 Crystal Springs
# 60 Wales, NY 14111

Take one tablet twice daily.

Prescriber Signature X_ Leonard Valentine Bromocriptine 2.5 mg #60


Refill: 6 MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Leonard Valentine, MD. Refill 6 times

Dispense as Written
Serial #Z852M232

Drug Dispensed:

Exp. 04/2008
Lot # 1P1099

Please write a BRIEF description of the error/omission (3pts):


367. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alex Rodriguez IV admixtures
allergies: NKA
room: 432A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___190_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___71____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alex Rodriguez


bag volume (ml): __100__________ Room:432A
Additives: Tobramycin 85mg
 drug additive
drug name: __Tobramycin_40mg/ml____
final bag concentration: __0.832mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 136ml/hour

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

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


99. 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:
Sharon White, MD
1235 Millersport Road
Amherst, NY 142536
716-559-9999
Lic# 234586 DEA BW 5861489
Name: Jean Meyes DOB: 11/14/31 Prescription Label:
Address: 1147 Cambridge Square Date: 02/02/07
Orchard Park, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Atarax 10 mg
Sig: i po tid February 2, 2007
#90 Jean Meyes
1147 Cambridge Square
Orchard Park, NY 14789

Take one tablet three times a daily.


Prescriber Signature X_ Sharon White __
Refill: MDD:
Hydroxyzine 10 mg # 90
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Pliva

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):


411. 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:
Esther Tredinnick, MD Weight:14kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/08
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Amoxicillin 250/5ml
Rx# 56007
Sig: 10ml po q8h til gone Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 200ml Williamsville, NY 14002

Take two teaspoonfuls by mouth every 8 hours until


gone.

Prescriber Signature X_Esther Tredinnick_ Amoxicillin 250mg/5ml # 200


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


245. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Sarah Casey DOB: 07/25/43 Prescription Label:
Address:777 Lyme Road Date: 05/08/06
Corning, NY 14999 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Inderal 60 mg
Rx# 56896
Sarah Casey May 8, 2006
Sig: i po bid
777 Lyme Road
Corning, NY 14999
# 60
Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


246. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Sarah Casey DOB: 07/25/43 Prescription Label:
Address:777 Lyme Road Date: 05/08/06
Corning, NY 14999 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Inderal LA 120mg
Rx# 56896
Sig: i po qd Sarah Casey May 8, 2006
777 Lyme Road
# 30 Corning, NY 14999

Take one capsule once daily.

Prescriber Signature X_ Rosemary Kazmierski_ Inderal LA 120 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Wyeth
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, NP. Refill 5 times
DAW
Dispense as Written
Serial #B2514785

Drug Dispensed:

Exp. 11/2008
Lot # W23589

Please write a BRIEF description of the error/omission (3pts):


412. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Andy Roberts IV admixtures
allergies: Penicillin
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___175_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___72____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Andy Roberts Room:432B


bag volume (ml): __250__________
Additives: Cyclophosphamide 803mg
 drug additive
drug name:cyclophosphamide_1g powder
final bag concentration: __1.6mg/ml____ Solution: 250ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/14___ Infusion Rate: 125ml/hour

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

 diluent for drug reconstitution


(circle) (SWFI) NS D5W other: _____
manufacturer: ___Hospira________
lot: __555g____ exp: 12/31/15
volume used (ml): ___50_____
112. 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:
Kelly Fletcher, Midwife
7458 Transit Road
E Amherst, NY14006
716-555-8888
Lic# 118961 DEA MF1222140
Name: Michelle Janik DOB: 03/07/78 Prescription Label:
Address:148 Xavier Road Date:03/18/05
Williamsville, NY 14228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clomiphene 50 mg
Rx# 99698
Sig: i po daily x 5d Michelle Janik March18, 2005
148 Xavier Road
#5 Williamsville, NY 14228

Take one tablet once daily for 5 days

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

Please write a BRIEF description of the error/omission (3pts):


69. 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
# 30 Long Island, NY 17789

Take one tablet once daily.

Prescriber Signature X_ Paul Flicinski ___ Doxazosin 2 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Taro
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Paul Flicinski, MD. Refill 5 times

Dispense as Written
Serial #11253LP8

Drug Dispensed:

Exp. 11/2008
Lot # 144867A

Please write a BRIEF description of the error/omission (3pts):


426. 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:

William Zaklikowski, MD Lisa Chant, RPA


Lic# 145668 Lic# 123599
DEA BZ4557154
896 Tonawanda Cheek Road
E Amherst, NY 14869 Prescription Label:
716-889-9999
Name: Lewis Connell DOB: 04/30/72 Health Sciences Pharmacy Phone: 716-555-5555
Address: 2525 Woodshire Street Date: 03/27/06 222 Cooke Hall
Depew, NY 14051 Amherst, NY 14260

Rx Hydrocortisone 1% Ung Rx# 90013


Lewis Connell March 27, 2006
2525 Woodshire Street
Sig: apply to aa 3-4 x/day x 2 weeks
Depew, NY 14051
# 30 g
Apply to affected are 3 to 4 times a day for 2 weeks

Hydrocortisone Topical 1% Cream # 28.35


Prescriber Signature X_ William Zaklikowski
Refill: 2 MDD: MFR: Fougera
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski, MD Refill 2 times

Dispense as Written
Serial #K2268238

Drug Dispensed:

Exp. 03/2007
Lot # T23688

Please write a BRIEF description of the error/omission(3pts):


427. 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 w/ codeine
Rx# 90014
Sig: i tsp po q6h prn cough Beverly Feasley February 16, 2007
7874 Bellwood Ln
# 150ml ( one hundred fifty) Clarence, NY 14774

Take one teaspoonful every 6 hours if needed for cough.


Maximum daily dosage of 4 teaspoonfuls
Prescriber Signature X_Mark Flinchbaguh___ Promethazine w/codeine # 150
Refill: 0 (zero) MDD: 20 cc
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Actavis

Mark Flinchbaguh, MD. Refill 0 times


Dispense as Written
Serial #1K2348M5
Drug Dispensed:

Exp. 06/2008
Lot # K25877

Please write a BRIEF description of the error/omission (3pts):


113. 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:
Kelly Fletcher, Midwife
7458 Transit Road
E Amherst, NY14006
716-555-8888
Lic# 118961 DEA MF1222140
Name: Michelle Janik DOB: 03/07/78 Prescription Label:
Address:148 Xavier Road Date:03/18/05
Williamsville, NY 14228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clomiphene 50 mg
Rx# 99698
Sig: i po daily x 5d Michelle Janik March18, 2005
148 Xavier Road
#5 Williamsville, NY 14228

Take one tablet once daily for 5 days

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

Please write a BRIEF description of the error/omission (3pts):


302. 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:
Emerson Brzozowski, MD
688 Remington Dr
N Tonawanda, NY 14043
716-666-9999
Lic# 556896 DEA AE2685759
Name: Charlie Sheen DOB: 08/17/53 Prescription Label:
Address:8585 Ostrander Road Date:05/05/05
Aurora, NY 14044 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zymaxid
Rx# 24200
Sig: i gtt od bid-qid x 7 days Martin Sheen May 5, 2005
8585 Ostrander Road
# trade size Aurora, NY 14044

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

Emerson Brzozowski, MD. Refill 0 times


Dispense as Written
Serial #1245L1200
Drug Dispensed:

Exp: 02/2007
Lot # 1258700

Please write a BRIEF description of the error/omission (3pts):


502. 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:
Monica Greenfield, NP
290 Meyer Road
Amherst, NY 14216
716-787-8787
Lic# 235988 DEAMG4298341
Name:_Lily Grant __ DOB: 09/09/49 Prescription Label:
Address:_229 Young Road__ Date: 11/25/06_
_Buffalo, NY 12323__ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Duragesic 50 mcg patch
Rx# 23456
Sig: apply 1 patch q3d Lily Grant November 25, 2006
229 Young Road
Buffalo, NY 12323
# 10 ( Ten)
Apply 1 patch every 3 days

Prescriber Signature X__Monica Greenfield__ Fentanyl 50 mcg patch #10


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Monica Greenfield, NP Refill 0 time

Dispense as Written
Serial #001UY569
Drug Dispensed:

Exp. 07/2009
Lot # L0000158

Please write a BRIEF description of the error/omission (3pts):


305. 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:
Esther Tredinnick, MD
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 2-3 q4-6h po prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 20 (twenty) Williamsville, NY 14002

Take two to three tablets by mouth every four to six


hours as needed for pain. Max 8/day
Prescriber Signature X_Esther Tredinnick_ Hydrocodone.APAP 5-500 mg # 20
Refill: 0 (zero) MDD: 8
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


86. 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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-111-1112
Lic# 543215 DEA AG4298341
Name: Jennifer Needham DOB:11/12/82 Prescription Label:
Address: 89 Cleen Ct Date: 01/14/07
Rochester, NY 11478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5
Rx# 12325
Sig: i po q6h Jennifer Needham February 2, 2007
89 Cleen Ct
Rochester, NY 11478
# 120 ( one hundred twenty)
Take one tablet by mouth every 6 hours

Prescriber Signature X_ Thomas Grands __ Cortef 5 mg #120


Refill: 5 ( five)
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: pharmacia

Thomas Grands, MD. Refill 5 times


Dispense as Written
Serial #1258JKI4

Drug Dispensed:

Exp. 10/2010
Lot # 065182

Please write a BRIEF description of the error/omission (3pts):


98. 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:
Sharon White, MD
1235 Millersport Road
Amherst, NY 142536
716-559-9999
Lic# 234586 DEA BW 5861489
Name: Jean Meyes DOB: 11/14/31 Prescription Label:
Address: 1147 Cambridge Square Date: 02/02/07
Orchard Park, NY 14789 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Atarax 1mg
Rx# 23458
Sig: i po tid Jean Meyes February 2, 2007
1147 Cambridge Square
Orchard Park, NY 14789
#90
Take one tablet three times a daily.

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

Please write a BRIEF description of the error/omission (3pts):


362. 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:
Esther Tredinnick, MD
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Norco 5/325mg
Rx# 56007
Sig: 1 q4-6h po prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 20 (twenty) Williamsville, NY 14002

Take one tablet by mouth every four to six hours as


needed for pain.
Prescriber Signature X_Esther Tredinnick_ Oxycodone.APAP 5-325 mg # 20
Refill: 2 (two) MDD: 6
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Esther Tredinnick, MD Refill 2 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


271. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Gale Chamberlin DOB: 03/15/29 Prescription Label:
Address:555 Parkwood Ave Date:03/08/06
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Exelon 4.5 mg
Rx# 66358
Sig: i po bid Gale Chamberlin March 9, 2006
555 Parkwood Ave
# 60 Synder, NY 14077

Take one capsule by mouth twice daily.

Exelon 4.5 mg #60


Prescriber Signature X__Suzanne Brower_____
Refill: 3 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 3 times

Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2008
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


266. 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:
Stanley Kaiser, MD
888 Robin Raod
Millersville, NY 14000
716-555-7788
Lic# 171756 DEA BK5278850
Name: Lorraine Linsley DOB: 05/08/47 Prescription Label:
Address:5666 Manhattan Road Date:03/28/05
Aurora, NY 14031 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lonox
Rx# 71145
Sig: uud Lorraine Linsley March 28, 2005
5666 Manhattan Road
# 30 ( thirty) Aurora, NY 14031

Take as directed

Prescriber Signature X_ Stanley Kaiser __ Lanoxin 250 mcg # 30


Refill: 0zero MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sandoz
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Stanley Kaiser, MD. Refill 0 times

Dispense as Written
Serial #K2587L12

Drug Dispensed:

Exp. 08/2009
Lot # L12325

Please write a BRIEF description of the error/omission (3pts):


269. 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:
Arnold Fletcher, MD
7523 Birch Place
Farmingdale, NY 17774
516-963-3333
Lic# 256387 DEA BF4587955
Name: Ralph McGreevy DOB: 06/21/33 Prescription Label:
Address:2369 Timberlane Ct Date:2/14/05
Farmingdale, NY 17770 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lantus
Rx# 568888
Sig: uud Ralph McGreevy February 14, 2005
2369 Timberlane Ct
# 2 vials Farmingdale, NY 17770

Use as directed

Prescriber Signature X__ Arnold Fletcher __ Lantus # 10


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sanofi-Aventis
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

Please write a BRIEF description of the error/omission (3pts):


114. 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:
Kelly Fletcher, Midwife
7458 Transit Road
E Amherst, NY14006
716-555-8888
Lic# 118961 DEA MF1222140
Name: Michelle Janik DOB: 03/07/78 Prescription Label:
Address:148 Xavier Road Date:03/18/05
Williamsville, NY 14228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clomiphene 50 mg
Rx# 99698
Sig: i po daily x 5d Michael Janik March 18, 2005
148 Xavier Road
#5 Williamsville, NY 14228

Take one tablet once daily for 5 days

Prescriber Signature X_ Kelly Fletcher ___ Clomiphene 50 mg #5


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

Please write a BRIEF description of the error/omission (3pts):


417. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-333-3333
Lic# 112258 DEA AW1144550
Name: Nora Tetowski DOB: 05/30/48 Prescription Label:
Address:303 Southwest Blvd Date: 12/31/06
Eden, NY 14100 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prempro 0.625/5 mg
Rx# 66808
Sig: i po daily Nora Tetowski January 2, 2007
303 Southwest Blvd
# 28 Eden, NY 14100

Take one tablet once daily.

Prescriber Signature X__ Patrick Wosinki _ Prempro 0.625mg/2.5mg # 28


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Wyeth
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Patrick Wosinki, MD. Refill 11 times

Dispense as Written
Serial #F2563M25

Drug Dispensed:

Exp. 08/2009
Lot # F020002

Please write a BRIEF description of the error/omission (3pts):


418. 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:
Buffalo General Hospital

100 High Street


Buffalo, NY 14260
716-555-5689
Name: Clifford Hennessy DOB: 08/16/70 Prescription Label:
Address: 699 Lovering Road Date: 09/21/06
Aurora, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Fioricet + codeine
Rx# 66809
Sig: i-ii po q4h prn Clifford Hennessy September 21, 2006
699 Lovering Road
# 20 (twenty) Aurora, NY 14000

Take one to two capsules by mouth every four hours as


needed. Maximum of 6 capsules/day
Prescriber Signature X_Deepak Singh___ Butalbital, APAP, Caffeine Codeine 50/325/40/30
Refill: 2 (two) MDD:6
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
# 20
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Watson

Dispense as Written Deepak Singh, MD. Refill 2 times


Serial #R2358962
Drug Dispensed:

Exp. 12/2008
Lot # 145974A

Please write a BRIEF description of the error/omission (3pts):


117. 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:
William Zaklikowski, MD
896 Tonawanda Cheek Road
E. Amherst, NY 14896
716-898-0009
Lic# 148569 DEA BZ1448566
Name: Crawford Robinson DOB: 05/06/70 Prescription Label:
Address:876 Vermont Street Date:12/12/05
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Catapres tts 1
Rx# 0445686
Sig: uud Crawford Robinson December 12, 2005
876 Vermont Street
#4 Buffalo, NY 11446

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

Please write a BRIEF description of the error/omission (3pts):


355. 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:
Arnold Fletcher, MD
7523 Birch Place
Farmingdale, NY 17774
516-963-3333
Lic# 256387 DEA BF4587955
Name: Pamela Rushford DOB: 04/14/37 Prescription Label:
Address: 858 Waltercrest Tr Date:06/14/05
W Seneca, NY 14133 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ditropan XL 10 mg
Rx# 102332
Pamela Rusford June 14, 2005
Sig: i po qd 858 Waltercrest Tr
W Seneca, NY 14123
# 30
Take one tablet once daily.

Prescriber Signature X_Arnold Fletcher____ Oxybutynin ER 10 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Arnold Fletcher, MD. Refill 5 times

Dispense as Written
Serial #Z235M587

Drug Dispensed:

Exp. 07/2008
Lot # 1P2344

Please write a BRIEF description of the error/omission (3pts):


356. 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:
Arnold Fletcher, MD
7523 Birch Place
Farmingdale, NY 17774
516-963-3333
Lic# 256387 DEA BF4587955
Name: Pamela Rushford DOB: 04/14/37 Prescription Label:
Address: 858 Waltercrest Tr Date:06/14/05
W Seneca, NY 14133 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Oxybutynin ER 10 mg
Rx# 102332
Sig: i po qd Pamela Rusford June 14, 2005
858 Waltercrest Tr
# 30 W Seneca, NY 14123

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


89. 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:
Nicole Bissonette, MD
7895 West 4th Street
New York, NY 10003
716-565-5555
Lic# 785963 DEA MB1477757
Name: Rebecca Hudson DOB: 08/07/35 Prescription Label:
Address:295 Ridge Park Ave Date:01/17/07
New York, NY 11236 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Clozazepam ODT 0.25 mg
Rx#454156
Sig: i po bid Rebecca Hudson January 18, 2007
295 Ridge Park Ave
# 90 (ninety) New York, NY 11236

Take one tablet by mouth twice daily.

Prescriber Signature X__Nicole Bissonette___ Clonazepam ODT 0.25 mg # 90


Refill: 0 (zero) MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: PAR
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Nicole Bissonette, MD. Refill 0 times

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

Prescriber Signature X_John Rousseau____ Cefaclor 125mg/5ml # 150


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Ranbaxy

John Rousseau, MD. Refill 0 times


Dispense as Written
Serial #000KM120

Drug Dispensed:

Exp. 02/2009
Lot # 158996

Please write a BRIEF description of the error/omission (3pts):


105. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Lawrence Lehsten DOB:10/08/32 Prescription Label:
Address: 7415 Eckhradt road Date:12/12/05
W Seneca, NY 14201 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Verapamil ER 120 mg
Rx# 555896
Sig: i po qd Lawrence Lehsten December 13, 2005
7415 Eckhardt road
# 30 W Seneca, NY 14201

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


474. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Deanna Schmidt DOB: 01/02/78 Prescription Label:
Address:5414 Capital Height Date:01/03/07
Gowanda, NY 14080 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Triphasil
Rx# 114573
Sig: i po daily Dean Schmidt January 3, 2007
5414 Capital Height
# 28 Gowanda, NY 14080

Take one tablet once daily.

Prescriber Signature X Rosemary Kazmierski Trivora # 28


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

Please write a BRIEF description of the error/omission (3pts):


475. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Taneja Crafton DOB: 05/23/74 Prescription Label:
Address:4564 Norfolk Ave Date:06/25/06
Lancaster, NY 14120 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vistaril 50 mg
Rx# 114574
Taneja Crafton June 25, 2006
Sig: i po hs
4564 Norfolk Ave
Lancaster, NY 14120
# 30
Take one capsule at bedtime.

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

Please write a BRIEF description of the error/omission (3pts):


120. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Eric Johnson IV admixtures
allergies: NKA
room: 21A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___170_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___70____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Eric Johnson Room:21A


bag volume (ml): __100__________
Additives: Vancomycin 1000mg
 drug additive
drug name: _Vancomycin 1000mg powder
final bag concentration: __10.0mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 400ml/hour

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

 diluent for drug reconstitution


(circle) SWFI (NS) D5W other: _____
manufacturer: _Hospira______________
lot: ___222C___ exp: _12/30/15
volume used (ml): ____20_______
363. 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:
Esther Tredinnick, MD
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 1 q4-6h po prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 120 (twenty) Williamsville, NY 14002

Take one tablet by mouth every four to six hours as


needed for pain.
Prescriber Signature X_Esther Tredinnick_ Hydrocodone.APAP 5-500 mg # 120
Refill: 0 (zero) MDD: 6
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


364. 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:
Leonard Valentine, MD
9999 Heather Drive
Angola, NY 14078
71-565-1111
Lic# 568957 DEA BV256963
Name: Roxana Volker DOB: 06/28/29 Prescription Label:
Address:2588 Crystal Springs Date:06/28/06
Wales, NY 14111 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Parlodel 2.5 mg
Rx# 69696
Sig: i po bid Roxana Volker June 29, 2006
2588 Crystal Springs
# 60 Wales, NY 14111

Take one tablet twice daily.

Bromocriptine 2.5 mg #60


Prescriber Signature X__Leonard Valentine___
Refill: 6 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Leonard Valentine, MD. Refill 6 times

Dispense as Written
Serial #Z852M232
Drug Dispensed:

Exp. 04/2008
Lot # 1P1099

Please write a BRIEF description of the error/omission (3pts):


447. 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
Lic# 125898 Lic#874563
DEA BH1414250 DEA: AB1234567
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Metformin 850mg Rx# 66698


Nicolas Lockard May 5, 2005
Sig: i po tid 197 Hartford Road
Aurora, NY 14228
# 90
Take one tablet by mouth three times daily

Prescriber Signature X_ Lynn Marshall __ Metformin 850mg # 90


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Aurobindo
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Lynn Marshall, RPA. Refill 0 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


448. 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 Fisher, MD
6985 Sheridan Drive
Buffalo, NY 14218
716-363-8888
Lic# 125893 DEA BF1247419
Name: Rosie Lockwood DOB: 01/19/87 Prescription Label:
Address: 3535 Herkimer Ave Date: 09/23/06
Colden, NY 14078 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Intuniv 2 mg
Rx# 90021
Sig: i po qd Rosie Lockwood September 23, 2006
3535 Herkimer Ave
# 30 Colden, NY 14078

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


170. 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:
Terrance Fransco, DO
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Pauline Gizzo DOB: 03/14/21 Prescription Label:
Address:4808 E Utica Ave Date:02/09/07
New York, NY 11250 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ditropan XL 5 mg
Rx# 78789
Sig: i po daily Pauline Gizzo February 9, 2007
4808 E Utica Ave
# 30 New York, NY 11250

Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


477. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Taneja Crafton DOB: 05/23/74 Prescription Label:
Address:4564 Norfolk Ave Date:06/25/06
Lancaster, NY 14120 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vistaril 50 mg
Rx# 114574
Taneja Crafton June 25, 2006
Sig: i po hs
4564 Norfolk Ave
Lancaster, NY 14120
# 30
Take one tablet at bedtime.

Prescriber Signature X__ Elaine Knell _ Hydralazine HCl 50 mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Par
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

Please write a BRIEF description of the error/omission (3pts):


393. 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 OTC 20 mg
Rx# 66800
Sig: i po daily Vanessa Jaworski August 9, 2006
8412 Wellingwood Drive
Smallsville, NY 14525
# 30
Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


394. 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:

Harold Kozlowsky, MD Kathryn Langenfeld , RPA


Lic# 256336 Lic # 556963
DEA AK5858937 DEA ML2256368
5263 Monterey Creek
Greensville, NY 14520 Prescription Label:
716-852-8525
Name: Cameron Matz DOB: 07/15/46 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5255 Eaglecrest Street Date: 08/25/06 222 Cooke Hall
Alden, NY 14222 Amherst, NY 14260

Rx Prinivil 10 mg Rx# 66801


Cameron Matz August 26, 2006
5255 Eaglecrest Street
Sig: i po daily
Alden, NY 14222
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


478. 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:

Benjamin Stockwell, MD Cynthia MaCare, RPA


Lic# 474851 Lic # 325896
DEA AS222589 DEA MM2587458
822 Paramount Ave
Williamsville, NY 14004 Prescription Label:
716-111-9999
Name: Ivory Clapp DOB: 04/28/69 Health Sciences Pharmacy Phone: 716-555-5555
Address: 2332 Minnesota Ave Date: 11/25/05 222 Cooke Hall
Buffalo, NY 14010 Amherst, NY 14260

Rx# 114575
Rx Zyrtec 10 mg Ivory Clapp November 25, 2005
2332 Minnesota Ave
Sig: i po qd Buffalo, NY 14010

Take one tablet once daily


# 30
Zyrtec 10 mg #30
Prescriber Signature X_Cynthia MaCare__
Refill: 3 MDD: MFR: Pfizer
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Cynthia MaCare, RPA. Refill 3 times

DAW
Dispense as Written
Serial #0235JK87

Drug Dispensed:

Exp. 11/2006
Lot # 235K2555

Please write a BRIEF description of the error/omission(3pts):


165. 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: Jimmy Clark DOB: 12/11/66 Prescription Label:
Address: 606 Oakwood Drive Date: 05/07/04
N Evans, NY 14070 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Desipramine 100 mg
Jimmy Clark May 7, 2004
Sig: i po hs 606 Oakwood Drive
N Evans, NY 14070
# 30
Take one tablet at bedtime

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

Please write a BRIEF description of the error/omission (3pts):


303. 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:
Emerson Brzozowski, MD
688 Remington Dr
N Tonawanda, NY 14043
716-666-9999
Lic# 556896 DEA AE2685759
Name: Alemondo Clarey DOB: 08/17/53 Prescription Label:
Address:8585 Ostrander Road Date:05/05/05
Aurora, NY 14044 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zymaxid
Rx# 24200
Sig: i gtt od bid-qid x 7 days Alemondo Clarey May 5, 2005
8585 Ostrander Road
# trade size Aurora, NY 14044

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

Emerson Brzozowski, MD. Refill 0 times


Dispense as Written
Serial #1245L1200
Drug Dispensed:

Exp: 02/2007
Lot # 1258700

Please write a BRIEF description of the error/omission (3pts):


304. 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:
Esther Tredinnick, MD
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Name: Carmen Ussery DOB: 12/05/40 Prescription Label:
Address:5050 Madaline Ln Date:07/28/06
Williamsville, NY 14002 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lortab 5mg
Rx# 56007
Sig: 1-2 q4-6h po prn pain Carmen Ussery July 28, 2006
5050 Madaline Ln
# 20 (twenty) Williamsville, NY 14002

Take one to two tablets by mouth every four to six hours


as needed for pain. Max 12/day
Prescriber Signature X_Esther Tredinnick_ Hydrocodone.APAP 5-500 mg # 20
Refill: 0 (zero) MDD: 12
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


156. 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: Randolph Harding DOB: 08/23/57 Prescription Label:
Address:5236 Southern Blvd Date:02/26/06
Grand Island, NY 14072 222 Cooke Hall Phone: 716-555-5555
Amherst, NY 14260

Rx Cytotec 200 mcg Rx# 300125


Randolph Harding February 26, 2006
Sig: i po qid 5236 Southern Blvd
Grand Island, NY 14072
# 120
Take one tablet four times daily.

Misoprostol 200 mcg # 120


Prescriber Signature X_ Steven Hung ___
Refill: 1 MDD: MFR: Greenstone
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
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

Please write a BRIEF description of the error/omission (3pts):


333. 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 mEq
Rx# 30333
Sig: i po bid Courtney Iannone August 17, 2005
22 Greenmeadow Dr
# 60 Getzville, NY 14077

Take one tablet twice daily.

Prescriber Signature X_ Gilbert Hunter __ Klor-Con M10 # 60


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Upsher Smith
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Gilbert Hunter, MD. Refill 6 times

Dispense as Written
Serial #K258L563

Drug Dispensed:

Exp. 03/2008
Lot # L96869

Please write a BRIEF description of the error/omission (3pts):


517. 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: Russell Lee DOB: 04/23/64
Address: 1254 Chestnut Ridge Rd Date: 02/04/07 Health Sciences Pharmacy Phone: 716-555-5555
N. Tonawanda, NY 14789 222 Cooke Hall
Amherst, NY 14260
Rx Nasacort aq nasal spray
Rx# 124514
Sig: ii sprays into each nostril qd Russell Lee February 4, 2007
1254 Chestnut Ridge Rd
#1 N. Tonawanda, NY 14789

Instill 2 sprays into each nostril daily

Prescriber Signature X__Karen Swanson_rpa__ Nasacort AQ nasal spray # 16.5 g


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sanofi-aventis

Karen Swanson, RPA. Refill 2 times


Dispense as Written
Serial #12TJU568

Drug Dispensed:

Exp. 06/2009
Lot # 16X1258

Please write a BRIEF description of the error/omission (3pts):


522. 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:
Esther Tredinnick, MD Weight:20kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/06
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Augmentin ES 600mg-42.9mg/5ml
Rx# 56007
Sig: 90mg/kg/day amoxicillin DIV BID Carmen Ussery Feb 28, 2011
x 10 days 5050 Madaline Ln
Williamsville, NY 14002
# 10 days supply
Take one and a half teaspoonfuls by mouth twice daily
for 10 days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 150


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2007
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


334. 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:
Philips Kern, MD
232 Homecrest Road
Clearance, NY 14066
716-939-3333
Lic# 232351 DEA BK2358972
Name: Susan Matecki DOB: 08/13/56 Prescription Label:
Address:2366 Lakefront Blvd Date:03/25/06
Tonawanda, NY 14111 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vyvanse 50 mg
Rx# 32333
Sig: i po daily Susan Matecki March 25, 2006
2366 Lakefront Blvd
# 30 (thirty) Tonawanda, NY 14111

Take one capsule by mouth once daily.

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

Please write a BRIEF description of the error/omission (3pts):


335. 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:
Philips Kern, MD
232 Homecrest Road
Clearance, NY 14066
716-939-3333
Lic# 232351 DEA BK2358972
Name: Susan Matecki DOB: 08/13/56 Prescription Label:
Address:2366 Lakefront Blvd Date:03/25/06
Tonawanda, NY 14111 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vyvanse 20 mg
Rx# 32333
Sig: i po daily Susan Matecki March 25, 2006
2366 Lakefront Blvd
# 30 (thirty) Tonawanda, NY 14111

Take one capsule by mouth once daily.

Amphetamin/Dextroamphetamine salts 20mg


Prescriber Signature X__Philips Kern___ # 30
Refill: NR (no refills) MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Global

Philips Kern, MD. Refill 0 times


Dispense as Written
Serial #K2358523
Drug Dispensed:

Exp: 05/2008
Lot # F06048

Please write a BRIEF description of the error/omission (3pts):


180. 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
Lic# 125898 Lic#874563
DEA BH1414250 DEA: AB1234567
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Vicodin ES 7.5 Rx# 66698


Nicolas Lockard May 5, 2005
Sig: i-ii po q4-6h prn 197 Hartford Road
Aurora, NY 14228
# 60 (sixty)
Take one to two tablets by mouth every four to six hours
as needed. Max of 5 tabs/day
Prescriber Signature X_ Lynn Marshall __
Refill: 0 (zero) MDD:5
Hydrocodone/APAP 7.5/750 # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sun

Lynn Marshall, RPA. Refill 0 times


Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


121. 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:
Shirley Cunnigham
7845 Grand Street
Williamsville, NY 14222
716-339-4589
Lic# 121548 DEA BC 1256381
Name: Frank Mumham DOB: 07/13/54 Prescription Label:
Address:5668 Highland Street Date:02/14/07
Kenmore, NY 14217 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Flexeril 5 mg
Rx# 11245
Sig: i po tid prn Frank Mumham February 14, 2007
5668 Highland Street
# 90 Kenmore, NY 14217

Take one tablet three times a day as needed. Maximum


daily dose of 3 tablets.
Prescriber Signature X__Shirley Cunnigham__ Cyclobenzaprine 5 mg # 90
Refill: 1 MDD:3
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mylan

Shirley Cunnigham, MD. Refill 1 times


Dispense as Written
Serial #T12589M1
Drug Dispensed:

Exp. 05/2008
Lot # 70289Z

Please write a BRIEF description of the error/omission (3pts):


124. 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:
Stephan Leid , MD Kevin William, RPA
Lic# 125896 Lic # 889851
DEA AL5121584
232 Hampton Road
Buffalo, NY 14214
716-565-8896
Prescription Label:
Name: Fanny Goodman DOB: 05/28/69
Address: 7415 Albert Drive Date: 06/2906 Health Sciences Pharmacy Phone: 716-555-5555
Cheektowaga, NY 14444 222 Cooke Hall
Amherst, NY 14260
Rx Zocor 20 mg
Rx# 89589
Sig: i po qd Fanny Goodman July 29, 2006
7415 Albert Drive
# 30 Cheektowaga, NY 14444

Take one tablet once daily

Prescriber Signature X__Kevin William___ Simvastatin 20 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva

Kevin William, RPA. Refill 5 times


Dispense as Written
Serial #8985YI123

Drug Dispensed:

Exp. 02/2008
Lot # A12589L

Please write a BRIEF description of the error/omission (3pts):


370. 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:
Josh Gembala, MD
6911 Bloomingdale Road
S Wale, NY 14122
716-233-7777
Lic# 155227 DEA AG8577489
Name: Emma Cuccia DOB: 08/05/47 Prescription Label:
Address: 8333 Woodstock Rd Date:11/28/06
Glenwood, NY 14550 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Paxil CR 25 mg
Rx# 20322
Sig: i po daily Emma Cuccia November 28, 2006
8333 Woodstock Road
# 30 Glenwood, NY 14550

Take one tablet once daily.


Prescriber Signature X_Josh Gembala___ Paxil CR 25 mg # 30
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: GlaxoSmithKline

Josh Gembala, MD. Refill 5 times


Dispense as Written
Serial #D582T845

Drug Dispensed:

Exp. 03/2009
Lot # T528988

Please write a BRIEF description of the error/omission (3pts):


371. 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:
Josh Gembala, MD
6911 Bloomingdale Road
S Wale, NY 14122
716-233-7777
Lic# 155227 DEA AG8577489
Name: Emma Cuccia DOB: 08/05/47 Prescription Label:
Address: 8333 Woodstock Rd Date:11/28/06
Glenwood, NY 14550 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Plavix 75 mg
Rx# 20322
Sig: i po daily Emma Cuccia November 28, 2006
8333 Woodstock Road
# 30 Glenwood, NY 14550

Take one tablet once daily.

Prescriber Signature X__ Josh Gembala _ Paxil 20 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: GlaxoSmithKline

Josh Gembala, MD. Refill 5 times

Dispense as Written
Serial #D582T845
Drug Dispensed:

Exp. 06/2009
Lot # T268963

Please write a BRIEF description of the error/omission (3pts):


127. 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: Shirley Grace DOB: 04/15/75 Prescription Label:
Address:148 Stuart Street Date:02/13/05
Orchard Park, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Claritin –D
Rx# 78787
Sig: i po bid prn Shirley Grace February 13, 2005
148 Stuart Street
# 30 Orchard Park, NY 14141

Take one tablet twice daily if needed.

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

Please write a BRIEF description of the error/omission (3pts):


556. 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:
Esther Tredinnick, MD Weight:20kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/06
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Augmentin ES 600mg-42.9mg/5ml
Rx# 56007
Sig: 1.5tsp po BID x 10d Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 150ml Williamsville, NY 14002

Take one and a half teaspoonfuls by mouth twice daily


for 10 days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 150


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


569. 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
Rx# 12458
Sig: i po t id-qid Carol Hoffman October 10, 2004
235 Million Street
# 60 Williamsville, NY 14145

Take one tablet by mouth 3 times daily


Prescriber Signature X_ Joseph Koch __ Skelaxin 800 mg tablets # 60
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: King

DAW Joseph Koch, RPA. Refill 5 times


Dispense as Written
Serial #012KLI78

Drug Dispensed:

Exp. 10/2007
Lot #1N3304

Please write a BRIEF description of the error/omission(3pts):


130. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Eric Johnson IV admixtures
allergies: NKA
room: 21A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___62.5___ (circle) lb. / (Kg)
serum creatinine: ___0.9____mg/dl height: ___66____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Eric Johnson Room:21A


bag volume (ml): __100__________
Additives: Vancomycin 1250mg
 drug additive
drug name: _Vancomycin 1000mg powder
final bag concentration: __12.5mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 48ml/hour

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

 diluent for drug reconstitution


(circle) SWFI (NS) D5W other: _____
manufacturer: _Hospira______________
lot: ___222C___ exp: _12/30/15
volume used (ml): ____25_______
133. 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: Harry Hugh DOB: 04/05/65 Prescription Label:
Address:5089 Niagara Blvd Date:01/05/06
Buffalo, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx CartiaXT 300 mg
Rx# 78589
Sig: i po qd Harry Hugh January 5, 2006
5089 Niagara Blvd
# 30 Buffalo, NY 14225

Take one capsule by mouth once daily.

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

Please write a BRIEF description of the error/omission (3pts):


136. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Jay Skruski DOB: 04/22/78 Prescription Label:
Address:41 Ford Street Date:01/01/07
Buffalo, NY 14152 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lodine 400 mg
Rx# 124785
Sig: i po bid prn Jay Skruski February 12, 2007
41 Ford Street
# 60 Buffalo, NY 14152

Take one tablet twice daily as needed

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

Please write a BRIEF description of the error/omission (3pts):


441. 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


Lic# 125898 Lic# 147845
DEA BH1414250 DEA MM2535625
78 Harlem Road
Bronx, NY 12365 Prescription Label:
716-333-4444
Name: Otto Hoyer DOB: 07/29/59 Health Sciences Pharmacy Phone: 716-555-5555
Address: 8555 Arlington Ave Date: 07/25/06 222 Cooke Hall
Perrysburg, NY 14799 Amherst, NY 14260

Rx# 90018
Rx Roxanol conc sol Otto Hoyer August 25, 2006
8555 Arlington Ave
Sig: 1 ml po q4h prn Perrysburg, NY 14799

Take 1 ml by mouth every 4 hours as needed. Maximum


# 30 ml ( thirty) daily dose of 6 ml.

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

Jack Hoover, MD Refill 0 times


Dispense as Written
Serial #F2536K22

Drug Dispensed:

Exp. 08/2007
Lot # H20036

Please write a BRIEF description of the error/omission(3pts):


481. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Francis Rennick DOB: 12/16/88
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260
Rx Vicktosa Rx# 000123
Francis Rennick June 2, 2006
Sig: 1.8 mg SC QD 5678 Sunset Drive
Tonawanda, NY 12339

# 3 pens Inject 1.8mg subcutaneously once daily


Prescriber Signature X__Shirley Lee RPA_ Victoza 18mg/3ml pen #9
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Novo Nordisk

Shirely Lee, RPA. Refill 2 times


Dispense as Written
Serial #00TJI258

Drug Dispensed:

Exp.06/08
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


442. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Greg Adams IV admixtures
allergies: Penicillin (anaphylaxis)
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_69__ weight: ___181_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’9”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Greg Adams Room:432B


bag volume (ml): __50__________
Additives: Nafcillin 1000mg
 drug additive
drug name: __Nafcillin 1g powder____
final bag concentration: __20mg/ml____ Solution: 50ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 100ml/hour

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

 diluent for drug reconstitution


(circle) (SWFI) NS D5W other: _____
manufacturer: _____Hospira__________
lot: __G474___ exp: 12/31/15
volume used (ml): _______10_________
178. 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
Lic# 125898 Lic#874563
DEA BH1414250 DEA: AB1234567
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Hydrocodone/APAP 7.5-750 Rx# 66698


Nicolas Lockard May 5, 2005
Sig: i po q4-6h prn 197 Hartford Road
Aurora, NY 14228
# 60 (sixty)
Take one tablet by mouth every four to six hours as
needed. Max of 6 tabs/day
Prescriber Signature X_ Lynn Marshall __
Refill: 0 (zero) MDD:6
Hydrocodone/APAP 7.5/750 # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sun

Lynn Marshall, RPA. Refill 0 times


Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


139. 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 Kinsely, MD Diane Montgomery, RPA
Lic# 485147 Lic # 784147
DEA AK1687459 DEA MM4958746
124 Scamridge Street
Buffalo, NY 14111
716-577-4777
Prescription Label:
Name: Anthony Olson DOB: 04/17/32
Address: 214 Miami Road Date: 04/07/04 Health Sciences Pharmacy Phone: 716-555-5555
Hamburg, NY14207 222 Cooke Hall
Amherst, NY 14260
Rx Nadolol 40 mg
Rx# 045786
Sig: i po daily Anthony Olson April 7, 2004
214 Miami Road
# 30 Hamburg, NY 14207

Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


402. 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:
Andrew McDonald, MD
222 Main Street, Suite 111.
Buffalo, NY 14233
716-888-8888
Lic# 543214 DEA AM1155832
Name: Sylvia Rappold DOB: 01/08/56 Prescription Label:
Address: 3355 Pinewood Dr Date: 02/26/07
Great View, NY 14223 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Pravachol 40 mg
Rx# 66803
Sylvia Rappold February 26, 2007
Sig: i po hs
3355 Pinewood Dr
Great View, NY 14223
# 30
Take one tablet at bedtime

Prescriber Signature X_ Andrew McDonald _ Pravachol 40 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Bristol Myers Squibb co
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Andrew McDonald, MD. Refill 5 times

Dispense as Written
Serial # 896Z5682

Drug Dispensed:

Exp. 05/2008
Lot # P236933

Please write a BRIEF description of the error/omission (3pts):


339. 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:
Cassandra Moninski, MD
900 Apollo Drive
Cheektowaga, NY 14070
716-666-4555
Lic# 123363 DEA BM1252573
Name: Melvin Platko DOB: 07/25/70 Prescription Label:
Address:3322 Trentwood Tr Date:09/28/06
Buffalo, NY 14120 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Norvasc 10 mg
Rx# 85522
Sig: i po daily Melvin Platko September 28, 2006
3322 Trentwood Tr
# 90 Buffalo, NY 14120

Take one table once daily.

Prescriber Signature X_ Cassandra Moninski _ Norvasc 10 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Cassandra Moninski, MD. Refill 5 times
DAW
Dispense as Written
Serial #M2539P60

Drug Dispensed:

Exp. 11/2009
Lot # T008986

Please write a BRIEF description of the error/omission (3pts):


291. 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:
Ryan Gibson, MD
7877 Hedgewood Drive
Naussa, NY 14204
716-565-6565
Lic# 784574 DEA AG4512756
Name: Lannie Greene DOB: 01/07/26 Prescription Label:
Address:2233 Woodland Ct Date:01/02/04
Genesee, NY 14200 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lioresal 20 mg
Rx# 233000
Sig: i po tid Lannie Greene January 7, 2004
2233 Woodland Ct
# 90 Genesee, NY 14200

Take one tablet three times daily.

Prescriber Signature X_ Ryan Gibson __ Baclofen 20 mg # 90


Refill: 5 MDD:3
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Qualitest
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Ryan Gibbs, MD. Refill 5 times

Dispense as Written
Serial #LL12541256

Drug Dispensed:

Exp. 01/2007
Lot # J200012

Please write a BRIEF description of the error/omission (3pts):


292. 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:
Elissa Hoffmaster, NP
52 Riverdale Drive
Orchard Park, NY 14080
716-998-8889
Lic# 963636 DEA MH235214
Name: Jacqueline Kerr DOB: 09/14/37 Prescription Label:
Address:6665 Sterling Road Date:06/22/06
Springville, NY 14043 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lotensin 20 mg
Rx# 33344
Sig: i po daily Jacqueline Kerr June 22, 2006
6665 Sterling Road
# 30 Springville, NY 14043

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


293. 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:
Elissa Hoffmaster, NP
52 Riverdale Drive
Orchard Park, NY 14080
716-998-8889
Lic# 963636 DEA MH235214
Name: Jacqueline Kerr DOB: 09/14/37 Prescription Label:
Address:6665 Sterling Road Date:06/22/06
Springville, NY 14043 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lioresal 20 mg
Rx# 33344
Sig: i po daily Jacqueline Kerr June 22, 2006
6665 Sterling Road
# 30 Springville, NY 14043

Take one tablet once daily.

Prescriber Signature X_ Elissa Hoffmaster __ Lotensin 20 mg # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Novartis
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

Please write a BRIEF description of the error/omission (3pts):


340. 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:
Herman Podlewski, MD
858 Delham Ave
Kenmore, NY 14006
716-848-8888
Lic# 239858 DEA BP2548987
Name: Carolyn Ruggerio DOB: 02/22/65 Prescription Label:
Address: 333 Candice Ct Date: 03/08/05
Buffalo, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Nizoral 200 mg
Rx# 50010
Carolyn Ruggerio March 8, 2005
Sig: i po daily 333 Candice Ct
Buffalo, NY 14222
# 14
Take one tablet once daily.

Prescriber Signature X_Herman Podlewski__ Ketoconazole 200 mg # 14


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mutual
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Herman Podlewski, MD. Refill 0 times

Dispense as Written
Serial #L526M254

Drug Dispensed:

Exp. 11/2007
Lot # P235896

Please write a BRIEF description of the error/omission (3pts):


378. 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:
Joseph Delucci, DDS
633 Hillcrest Height Dr
Clarence, NY 14552
716-444-3787
Lic#858695 DEA AD1257484
Name: Louanne Fayett DOB: 02/66/88 Prescription Label:
Address:2334 Homer Lane Date:06/25/06
Williamsville, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Pen VK 250 mg
Rx# 20324
Sig: I po q 6 h Louanne Fayett June 25, 2006
2334 Homer Lane
# 40 Williamsville, NY 14224

Take one tablet every 8 hours

Prescriber Signature X__ Joseph Delucci __ Penicillin VK 250 mg #40


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Sandoz
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Joseph Delucci, DDS Refill 0 times

Dispense as Written
Serial #GF258768

Drug Dispensed:

Exp. 05/2008
Lot # P526L23

Please write a BRIEF description of the error/omission (3pts):


379. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Jason Smith IV admixtures
allergies: NKA
room: 32A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___161_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___70____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Jason Smith Room:32A


bag volume (ml): __100__________
Additives: Tobramycin 219mg
 drug additive
drug name: __Tobramycin_40mg/ml____
final bag concentration: __2.08mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 141ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
403. 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:
Monica Greenfield, NP
290 Meyer Road
Amherst, NY 14216
716-787-8787
Lic# 235988 DEA MG4298341
Name: Ramona Savage DOB: 07/21/79 Prescription Label:
Address:7654 Wright Road Date:03/15/06
Getzville, NY 14253 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx PreCare Premier
Rx# 66804
Sig: i po qd Ramona Savage March 15, 2006
7654 Wright Road
# 30 Getzville, NY 14253

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


142. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-478-8966
Prescription Label:
Name: Dorothy Love DOB: 06/17/77
Address: 741 Union Square Date: 05/10/03 Health Sciences Pharmacy Phone: 716-555-5555
Amherst, NY 14216 222 Cooke Hall
Amherst, NY 14260
Rx Clonazepam 0.5 mg
Rx# 78477
Sig: i po bid prn Dorothy Love May 10, 2003
741 Union Square
# 60 ( sixty) Amherst, NY 14216

Take one tablet twice daily as needed. Maximum daily


dose of 2 tablets.
Prescriber Signature X__Mark Lee____
Refill: 0 ( zero) MDD:2 Clonazepam 0.5 mg # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Teva

Mark Lee, MD. Refill 0 times


Dispense as Written
Serial #089BF784
Drug Dispensed:

Exp. 11/08
Lot # 146796A

Please write a BRIEF description of the error/omission(3pts):


177. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Margaret Louis DOB: 05/19/51 Prescription Label:
Address: 7417 Ashland Ave Date: 06/11/06
Kenmore, NY 14043 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Diazepam 5 mg
Rx# 74741
Sig: i po tid Margaret Louis June 11, 2006
7417 Ashland Ave
# 90 ( ninety) Kenmore, NY 14043

Take one tablet three times a day. Maximum daily dose


of 3 tablets.
Prescriber Signature X_ Elaine Knell ___
Refill: 1 ( one) MDD:3 Diazepam 5 mg # 90
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Ivax

Elaine Knell, MD. Refill 1 time


Dispense as Written
Serial #1748G15H

Drug Dispensed:

Exp. 08/2008
Lot # K859856

Please write a BRIEF description of the error/omission (3pts):


309. 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:
Gordon Laffler, MD
6888 Loving Ave
Grand Island, NY 14052
716-888-1111
Lic# 235214 DEA AL5255446
Name: Molly Martins DOB: 06/15/39 Prescription Label:
Address:33 Perrysburg Ave Date:03/07/06
West Falls, NY 14100 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Durezol 0.05%
Rx# 90001
Sig: i gtt OS qid X 2 weeks, then Molly Martins March 7, 2006
i gtt OS bid X 1 wk 33 Perrysburg Ave
West Falls, NY 14100
# 1 trade size
Instill 1 drop into the left eye 4 times daily for 2 weeks,
then instill 1 drop to the left eye twice daily for 1 week
Prescriber Signature X_Gordon Laffler___ Azelastine 0.05% #6
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Alcon

Gordon Laffler, MD. Refill 0 times


Dispense as Written
Serial #P1220302
Drug Dispensed:

Exp. 08/2008
Lot # 1P3314

Please write a BRIEF description of the error/omission (3pts):


237. 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:
Curt Roche, MD
6588 Sheridan Drive
Williamsville, NY 14001
716-555-9998
Lic# 784774 DEA BR6568969
Name: Louis Sarcone DOB: 01/19/53 Prescription Label:
Address:2356 Delaware Ave Date:04/15/06
Amherst, NY 14227 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Humulin R
Rx# 32323
Sig: UUD Louis Sarcone April 15, 2006
2356 Delaware Ave
# 2 vials Amherst, NY 14227

Use as directed.

Prescriber Signature X_ Curt Roche __ Humulin R # 20


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Lilly
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Curt Roche, MD. Refill 11 times

Dispense as Written
Serial #587LK569

Drug Dispensed:

Exp. 01/2007
Lot # P12433

Please write a BRIEF description of the error/omission (3pts):


238. 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 Lantus Solostar
Rx# 22235
Sig: inj 30U sc qhs Joel Penny February 3, 2007
5678 Clarence Lane
# 30 E Seneca, NY 17895

Inject 30 units subcutaneously once daily at bedtime.

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

Please write a BRIEF description of the error/omission (3pts):


310. 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

Rx Naproxen 500mg Rx# 66698


Frank Grimes March 5, 2011
Sig: 1 ½ po tid prn 197 Hartford Road
Aurora, NY 14228
# 120
Take 1 ½ tablets by mouth three times daily as needed

Prescriber Signature X_ Julius Hibbert __ Naproxen 500mg # 120


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Julius Hibbert, MD. Refill 1 times

Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


144. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-478-8966
Prescription Label:
Name: Dorothy Love DOB: 06/17/77
Address: 741 Union Square Date: 05/10/03 Health Sciences Pharmacy Phone: 716-555-5555
Amherst, NY 14216 222 Cooke Hall
Amherst, NY 14260
Rx Clonazepam 0.5 mg
Rx# 78477
Sig: i po bid prn Dorothy Love May 10, 2003
741 Union Square
# 60 ( sixty) Amherst, NY 14216

Take one tablet twice daily as needed. Maximum daily


dose of 2 tablets.
Prescriber Signature X__ Mark Lee ______ Clonazepam ODT 0.5 mg # 60
Refill: 0 ( zero) MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Par Pharmaceutical Inc

Mark Lee, MD. Refill 0 times


Dispense as Written
Serial #089BF784
Drug Dispensed:

Exp. 02/2005
Lot # 278965

Please write a BRIEF description of the error/omission(3pts):


514. 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: 04/26/21 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 nasal spray
Rx# 76698
Sig: 1spray qd- alternating nostrils Josepine Lehman June 9, 2004
147 Harring Street
# 1 bottle Brookly, NY 12142

Instill 1 spray in one nostril daily- alternate nostrils

Miacalcin Nasal Spray # 3.7 ml


Prescriber Signature X__Evan Fitzpatrick___
Refill: 4 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Novartis
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Evan Fitzaptrick, MD. Refill 4 times
DAW
Dispense as Written
Serial # M1258TU8
Drug Dispensed:

Exp. 02/2011
Lot # 6HP006E

Please write a BRIEF description of the error/omission (3pts):


129. 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: Shirley Grace DOB: 04/15/75 Prescription Label:
Address:148 Stuart Street Date:02/13/05
Orchard Park, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Claritin –D12
Rx# 78787
Sig: i po bid Shirley Grace February 13, 2005
148 Stuart Street
# 30 Orchard Park, NY 14141

Take one tablet twice daily as needed.

Prescriber Signature X_ Stephen Sigel __ Claritin D-12 # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Schering-Plough Health
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Stephen Sigel, MD. Refill 5 times
DAW
Dispense as Written
Serial #128PR124

Drug Dispensed:

Exp. 02/2009
Lot # 12458KL

Please write a BRIEF description of the error/omission (3pts):


471. 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 Sean Hunter, RPA


Lic# 124587 Lic # 123514
DEA AS4541252 DEA ML1223560
68 Elmhurst Dr
Orchard Park, NY14040 Prescription Label:
716-877-7777
Name: Madelyn Byrne DOB: 03/03/82 Health Sciences Pharmacy Phone: 716-555-5555
Address: 11 Richmond Ave Date: 09/28/07 222 Cooke Hall
Getzville, NY 14077 Amherst, NY 14260

Rx Tobradex ophth ung Rx# 114572


Madelyn Byrne September 28, 2007
11 Richmond Ave
Sig: uud
Getzville, NY 14077
# trade size
Use as directed

TobraDex ophthalmic suspension # 10


Prescriber Signature X__ Howard Siemer _
Refill: 0 MDD: MFR: Alcon
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Howard Siemer, MD. Refill 0 times
DAW
Dispense as Written
Serial #00254HG9

Drug Dispensed:

Exp. 06/2008
Lot # 1JK2550

Please write a BRIEF description of the error/omission(3pts):


243.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:
Terrance Fransco, MD
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Anita Szyklinski DOB: 08/25/49 Prescription Label:
Address:5258 Woodcreek Ln Date:02/11/07
Eggertsville, NY 14787 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Imdur 30 mg
Rx# 89982
Sig: i po daily Anita Szyklinski February 11, 2007
5258 Woodcreek Ln
# 30 Eggertsville, NY 14787

Take one tablet once daily.

Prescriber Signature X_ Terrance Fransco __ Isosorbide DN 30 mg # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Par
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Terrance Fransco, MD. Refill 6 times

Dispense as Written
Serial #L8521478

Drug Dispensed:

Exp. 08/2009
Lot # 0922258

Please write a BRIEF description of the error/omission (3pts):


532. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Jay Skruski DOB: 04/22/48 Prescription Label:
Address:41 Ford Street Date:01/01/07
Buffalo, NY 14152 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Spiriva
Rx# 124785
Sig: i puff qd Jay Skruski February 12, 2007
41 Ford Street
# 30 Buffalo, NY 14152

Inhale 1 puff by mouth daily

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

Please write a BRIEF description of the error/omission (3pts):


244. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alexandra Rodriguez IV admixtures
allergies: NKA
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_69__ weight: ___121_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’3”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2011_ Patient Name: Alexandra Rodriguez


bag volume (ml): __100__________ Room:432B
Additives: Phenytoin 823mg
 drug additive
drug name: __Phenytoin_50mg/ml______
final bag concentration: __8.23mg/ml____ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/14___ Infusion Rate: 364ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
472. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Deanna Schmidt DOB: 01/02/78 Prescription Label:
Address:5414 Capital Height Date:01/03/07
Gowanda, NY 14080 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Triphasil 28
Rx# 114573
Sig: i po daily Deanna Schmidt January 3, 2007
5414 Capital Height
# 28 Gowanda, NY 14080

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


145. 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 Sean Hunter, RPA
Lic# 124587 Lic # 123514
DEA AS4541252 DEA ML1223560
68 Elmhurst Dr
Orchard Park, NY14040
716-877-7777
Prescription Label:
Name: Garris Garvey DOB: 08/24/45
Address: 3569 Grand Island Blvd Date: 02/02/07 Health Sciences Pharmacy Phone: 716-555-5555
Hamburg, NY 14001 222 Cooke Hall
Amherst, NY 14260
Rx Cyclosporine 25 mg
Rx# 12001
Sig: iii po bid ud Garris Garvey February 02, 2007
3569 Grands Island Blvd
# 180 Hamburg, NY 14001

Take 3 capsules twice daily as directed

Prescriber Signature X__Sean Hunter rpa____ Cyclosporine 25 mg # 180


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Apotex

Sean Hunter, RPA. Refill 2 times


Dispense as Written
Serial #123HJ74L

Drug Dispensed:

Exp. 02/2009
Lot # K21452

Please write a BRIEF description of the error/omission(3pts):


148. 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:
George Spencer, MD
1001 Elmwood Ave
Aurora, NY 14120
716-999-8888
Lic#141423 DEA BS2314259
Name: Lorenzo Weber DOB: 12/14/60 Prescription Label:
Address:144 Lake Shore Road Date:12/12/02
Buffalo, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Adcirca 20 mg
Rx# 200012
Sig: ii po qd Lorenzo Weber December 12, 2002
144 Lake Shore Road
# 60 Buffalo, NY 14222

Take two tablets once daily.

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

Please write a BRIEF description of the error/omission (3pts):


546. 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
Lic# 125898
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:03/05/07 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Chantix starter pak Nicolas Lockard RX #: 66687


197 Hartford Road March 6, 2007
Sig: Take as directed Aurora, NY 14228

# 53 tablets Take as directed

Chantix Starter Pak # 30

Prescriber Signature X_ Jack Hoover, MD __ MFR: Pfizer


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Jack Hoover, MD Refill 0 times
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written
Serial #17418H78
Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


547. 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, DVM
789 Walden Ave, Suite 120
Cheektawaga, NY 14875
716-878-7887
Lic#784589 DEA BR4512453
Name: Neslson Lococo DOB: 03/16/48 Prescription Label:
Address:1125 Mineral Spring Rd Date:04/28/05
Gatesville, NY 14788 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx invega 6mg
Rx# 32535
Sig: i po qam Neslson Lococo April 29, 2005
1125 Mineral Spring Road
# 30 Gatesville, NY 14788

Take one tablet by mouth every morning

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

Please write a BRIEF description of the error/omission (3pts):


484. 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 Actonel 35 mg
Rx# 529696
Sig: i po q week Fanny Pruchinewiz March 12, 2006
1147 North Forest Road
#4 Buffalo, NY 11896

Take 1 tablet by mouth daily

Prescriber Signature X___Mike Lou________ Actonel 35 mg #4


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Procter and Gamble
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mike Lou, MD . Refill 6 times

Dispense as Written
Serial #125TDEF2

Drug Dispensed:

Exp. 09/2009
Lot # XL12H

Please write a BRIEF description of the error/omission (3pts):


149. 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:
George Spencer, MD
1001 Elmwood Ave
Aurora, NY 14120
716-999-8888
Lic#141423 DEA BS2314259
Name: Lorenzo Weber DOB: 12/14/60 Prescription Label:
Address:144 Lake Shore Road Date:12/12/02
Buffalo, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Adcirca 20 mg
Rx# 200012
Sig: ii po qd Lorenzo Weber December 12, 2002
144 Lake Shore Road
# 60 Buffalo, NY 14222

Take one tablet twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


138. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Jay Skruski DOB: 04/22/78 Prescription Label:
Address:41 Ford Street Date:01/01/07
Buffalo, NY 14152 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx
Lodine 400 mg Rx# 124785
Jay Skruski February 12, 2007
Sig: i po bid prn 41 Ford Street
Buffalo, NY 14152

Take one tablet twice daily as needed

Prescriber Signature X_ Peterson Mineo __ Etodolac 400 mg # 60


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

Please write a BRIEF description of the error/omission (3pts):


561. 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:
Edwin Pizarro, MD
474 Woodcreast Dr
Amherst, NY 14414
716-555-1111
Lic# 748514 DEA AP9542588
Name: Andrew Reichert DOB: 12/17/33 Prescription Label:
Address: 5556 Cottonwood Dr Date: 10/19/06
Lancaster, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx tramadol 50 mg
Rx# 11474
Sig: i po bid Andrew Reichert October 19, 2006
5556 Cottonwood Dr
# 60 Lancaster, NY 14141

Take one tablet twice a day

Prescriber Signature X___ Edwin Pizarro __ Tramadol 50 mg tablets #60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
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

Please write a BRIEF description of the error/omission (3pts):


384. 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 Percocet 7.5
Rx# 20326
Isolina Haller December 25, 2006
Sig: i po q 6 h prn 400 Cleveland Dr
Amherst, NY 14223
# 120 ( one hundred twenty)
Take one tablet every 6 hours as needed . Maximum
daily dose of 4 tablets

Prescriber Signature X___ Pauline Davidson _ Oxycodone/APAP 7.5/325 mg # 120


Refill: 0 (zer0) MDD:4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mallinckrodt

Pauline Davidson, MD. Refill 0 times


Dispense as Written
Serial #LK859967
Drug Dispensed:

Exp. 05/2008
Lot # 45L2586

Please write a BRIEF description of the error/omission (3pts):


183. 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
Lic# 125898
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Doxepin 100 mg Rx# 66698


Nicolas Lockard May 5, 2005
Sig: i po daily 197 Hartford Road
Aurora, NY 14228
# 30
Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


184. 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
716-878-7887
Lic#784589 DEA BR4512453
Name: Sly Stallone DOB: 03/16/48 Prescription Label:
Address:1125 Mineral Spring Rd Date:04/28/05
Gatesville, NY 14788 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Androgel
Rx# 32535
Sig: apply 10g QD Sly Stallone April 29, 2005
1125 Mineral Spring Road
# 2 pumps (two) Gatesville, NY 14788

Apply 10 grams once daily

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

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


523. 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:
William Zaklikowski, MD
896 Tonawanda Cheek Road
E. Amherst, NY 14896
716-898-0009
Lic# 148569 DEA BZ1448566
Name: Crawford Robinson DOB: 05/06/70 Prescription Label:
Address:876 Vermont Street Date:12/12/05
Buffalo, NY 11446 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx NTG 0.1 mg patch
Rx# 0445686
Sig: apply qd as directed Crawford Robinson December 12, 2005
876 Vermont Street
# 30 Buffalo, NY 11446

Apply patch daily as directed

Nitroglycerin transdermal patch 0.1 mg # 30


Prescriber Signature X__William Zaklikowski_
Refill: 5 MDD: MFR: Mylan
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
William Zaklikowski MD. Refill 5 times

Dispense as Written
Serial #12548T23
Drug Dispensed:

Exp. 02/2009
Lot # 148265S

Please write a BRIEF description of the error/omission (3pts):


528. 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 Pradaxa 150mg
Rx# 22235
Sig: 1 cap po BID Joel Penny February 3, 2007
5678 Clarence Lane
# 60 E Seneca, NY 17895

Take one capsule by mouth twice daily

Pradaxa 150mg capsules # 60


Prescriber Signature X_Samuel Fishman__
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Boehringer Ingelheim Pharmaceuticals Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Samantha Fisher, MD. Refill 5 times

Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


125. 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:
Stephan Leid ,MD Kevin William, RPA
Lic# 125896 Lic # 889851
DEA AL5121584
232 Hampton Road
Buffalo, NY 14214
716-565-8896
Prescription Label:
Name: Fanny Goodman DOB: 05/28/69
Address: 7415 Albert Drive Date: 06/2906 Health Sciences Pharmacy Phone: 716-555-5555
Cheektowaga, NY 14444 222 Cooke Hall
Amherst, NY 14260
Rx Zocor 5 mg
Rx# 89589
Fanny Goodman July 29, 2006
Sig: i po qd 7415 Albert Drive
Cheektowaga, NY 14444
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


435. 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:
Shirley Cummings, MD
7845 Sheepshead Bay
Buffalo, NY 14228
716-233-3333
Lic# 123123 DEA BC2255897
Name: Cirillo Roth DOB: 06/26/35 Prescription Label:
Address:8005 Monroe Ave Date: 07/19/06
Amherst, NY 14720 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Quinidine gluconate ER 324 mg
Rx# 90016
Cirillo Roth July 19, 2006
Sig: i po q8h 8005 Monroe Ave
Amherst, NY 14720
# 90
Take one tablet every 8 hours.

Quinidine gluconate ER 324 mg # 90


Prescriber Signature X Shirley Cummings _
Refill: 1 MDD: MFR: Mutual Pharmaceutical Co
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Shirley Cummings, MD. Refill 1 times
DAW
Dispense as Written
Serial #G2584K23
Drug Dispensed:

Exp. 09/2008
Lot # J238009

Please write a BRIEF description of the error/omission (3pts):


436. 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:
Nicole Bissonette, NP
7895 West 4th Street
New York, NY 10003
716-565-5555
Lic# 785963 DEA MB1477757
Name: Jacob Frost DOB: 07/19/51 Prescription Label:
Address:2333 Harmony Ave Date: 03/24/06
Gowanda, NY 14007 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Risperdal 1 mg
Rx# 90017
Sig: i po bid Jacob Frost March 24, 2006
2333 Harmony Ave
# 60 Gowanda, NY 14007

Take one tablet twice daily

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

Please write a BRIEF description of the error/omission (3pts):


150. 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:
George Spencer, MD
1001 Elmwood Ave
Aurora, NY 14120
716-999-8888
Lic#141423 DEA BS2314259
Name: Lorenzo Weber DOB: 12/14/60 Prescription Label:
Address:144 Lake Shore Road Date:12/12/02
Buffalo, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Adcirca 20 mg
Rx# 200012
Sig: ii po qd Lorenzo Weber December 12, 2002
144 Lake Shore Road
# 60 Buffalo, NY 14222

Take two tablets once daily.

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

Please write a BRIEF description of the error/omission (3pts):


408. 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 weight: 10kg
Lic# 125898
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Milhouse Van Houten DOB: 1/29/2010
Health Sciences Pharmacy Phone: 716-555-5555
Address:197 Hartford Road Date:03/05/11 222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Ibuprofen 50mg/1.25ml Rx# 66698


Milhouse Van Houten March 5, 2011
Sig: 1.5tsp q6-8h prn 197 Hartford Road
Aurora, NY 14228
# 60ml
Take one and one half teaspoonfuls by mouth every 6-
8hours as needed
Prescriber Signature X_ Julius Hibbert __
Ibuprofen 50mg/1.25ml # 60
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: American Fare

Julius Hibbert, MD. Refill 0 times


Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2014
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


409. 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:
Esther Tredinnick, MD Weight:14kg
2535 Porterville Road
Elma, NY 14700
716-888-2228
Lic# 525511 DEA MT5778951
Prescription Label:
Name: Carmen Ussery DOB: 12/05/08
Address:5050 Madaline Ln Date:02/28/11 Health Sciences Pharmacy Phone: 716-555-5555
Williamsville, NY 14002 222 Cooke Hall
Amherst, NY 14260
Rx Amoxicillin 250/5ml
Rx# 56007
Sig: 10ml po q12h x10days Carmen Ussery Feb 28, 2011
5050 Madaline Ln
# 10 days supply Williamsville, NY 14002

Take two teaspoonfuls by mouth every 12 hours for 10


days

Prescriber Signature X_Esther Tredinnick_ Amoxicillin 250mg/5ml # 200


Refill: 0 (zero) MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Sandoz

Esther Tredinnick, MD Refill 0 times


Dispense as Written
Serial #C2538M27
Drug Dispensed:

Exp. 11/2014
Lot # 1YU2333

Please write a BRIEF description of the error/omission (3pts):


487. 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 Advair 250/50
Rx# 120236
Sig: 1 puff BID Yasminda Kim December 12, 2006
101 Waterview Road
# 1 inhaler Hamburg, NY 11487

Inhale 1 puff by mouth twice daily

Prescriber Signature X__John Rousseau____ Advair 250/50 # 60


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: GSK
PRESCRIBER WRITES “daw” IN THE BOX BELOW

John Rousseau, MD. Refill 2 times

Dispense as Written
Serial #12258OP8

Drug Dispensed:

Exp. 12/2010
Lot # L123969N

Please write a BRIEF description of the error/omission (3pts):


231. 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 Lantus 100U/ml
Rx# 22235
Sig: inj 20U sc bid-qid ac Joel Penny February 3, 2007
5678 Clarence Lane
# 20 E Seneca, NY 17895

Inject 20 units subcutaneously 2-4 times daily before


meals.
Prescriber Signature X_Samuel Fishman__ Lantus 100U/ml # 20
Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sanofi Aventis
Samuel Fishman, MD. Refill 3 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:

Exp. 04/2008
Lot # 11523159M

Please write a BRIEF description of the error/omission (3pts):


232. 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:
Vincent Patterson, MD
898 Blossom Ln
Cheektowaga, NY 14211
716-343-3333
Lic# 855689 DEA BP6357897
Name: Minnie Radish DOB: 03/03/79 Prescription Label:
Address:700 Castlebrooke Ln Date:06/27/03
Angola, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Guanfacine 2 mg
Rx# 415885
Sig: i po qhs Minnie Radish June 27, 2003
700 Castlebrooke Ln
# 30 Angola, NY 14222

Take one tablet at bedtime daily

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

Please write a BRIEF description of the error/omission (3pts):


285. 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
99 Brookside Ave
S Wale, NY 14139
716-700-7888
Lic# 541786 DEA AM7847859
Name: Mitchell Gellman DOB: 3/18/31 Prescription Label:
Address:9000 Four Winds Way Date:02/08/06
E Amherst, NY 14008 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levobunolol 0.5%
Rx# 665566
Sig: i gtt ou daily Mitchell Gellman February 8, 2006
9000 Four Winds Way
# 10 E Amherst, NY 14008

Instill one drop to both eyes once daily

Prescriber Signature X__ Jonathan Mallozzi _ Levobunolol 0.5% # 10


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Falcon
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Jonathan Mallozzi, MD Refill 6 times

Dispense as Written
Serial #T7874899

Drug Dispensed:

Exp. 02/2008
Lot # P1000011

Please write a BRIEF description of the error/omission (3pts):


286. 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:
Paulette Kohler, MD
89 Gate Circle
Buffalo, NY 14000
716-111-8888
Lic# 101523 DEA AK2365890
Name: Cathy Lombardo DOB: 06/15/77 Prescription Label:
Address:8500 Castle Hill Ave Date:04/01/06
Amherst, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Librium 10 mg
Rx# 55000
Sig: i po tid Cathy Lombardo April 1, 2006
8500 Castle Hill Ave
#90 ( ninety) Amherst, NY 14000

Take one capsule three times daily.

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

Please write a BRIEF description of the error/omission (3pts):


151. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/03
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Depakote 500 mg
Rx# 89872
Sig: i po q12h Mary Foreman February 8, 2003
789 Parkwood Ave
# 60 Lackawanna, NY 14034

Take one tablet every 12 hours

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

Please write a BRIEF description of the error/omission (3pts):


154. 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: Randolph Harding DOB: 08/23/57 Prescription Label:
Address:5236 Southern Blvd Date:02/26/06
Grand Island, NY 14072 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cytotec 200 mcg
Rx# 300125
Sig: i po qid Randolph Harding February 26, 2006
5236 Southern Blvd
# 120 Grand Island, NY 14072

Take one tablet four times daily.

Misoprostol 200 mcg # 120


Prescriber Signature X___Steven Hung_____
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Greenstone
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

Please write a BRIEF description of the error/omission (3pts):


189. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: David McPhea DOB: 10/01/38 Prescription Label:
Address:747 Athens Blvd Date: 12/27/03
Arkron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx DynaCirc 5 mg
Rx# 32541
Sig: i po daily David McPhea December 27, 2003
747 Athens Blvd
# 30 Arkron, NY 14001

Take one capsule once daily

Prescriber Signature X__ Karen Douglas _ DynaCirc CR 5 mg # 30


Refill: 0 MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Reliant
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

Please write a BRIEF description of the error/omission (3pts):


190. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Jeremy Paneinto DOB: 07/04/77 Prescription Label:
Address:805 Mapleview Road Date:01/14/07
Buffalo, NY 14042 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Eurax Cr.
Rx# 77777
Sig: A UD Jeremy Paneinto January 14, 2007
805 Mapleview Road
# 60 g Buffalo, NY 14042

Apply as directed.

Eurax Cream # 60g


Prescriber Signature X__Jackson Hundson___
Refill: 1 MDD: MFR: Bristol MyersSquibb
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Jackson Hundson, MD. Refill 1 time

Dispense as Written
Serial #7482L748
Drug Dispensed:

Exp. 02/2010
Lot # T101257

Please write a BRIEF description of the error/omission (3pts):


191. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Jeremy Paneinto DOB: 07/04/77 Prescription Label:
Address:805 Mapleview Road Date:01/14/07
Buffalo, NY 14042 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Eurax Cr.
Rx# 77777
Sig: A UD Jeremy Paneinto January 14, 2007
805 Mapleview Road
Buffalo, NY 14042
# trade size
Apply as directed.

Prescriber Signature X__ Jackson Hundson _ Efudex Cream # 40


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Valeant Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Jackson Hundson, MD. Refill 1 time

Dispense as Written
Serial #7482L748

Drug Dispensed:

Exp.10/2010
Lot # G145879

Please write a BRIEF description of the error/omission (3pts):


345. 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: Franny 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

Rx Vit B 12 1000mcg/ml Rx# 66698


Franny Grimes March 5, 2011
197 Hartford Road
Sig: inj im 100mcg qd for 1 wk, then Aurora, NY 14228
100mcg biw for 2 wks, then 200mcg q month
Inject 0.1ml intramuscularly once daily for 1 week, then
inject 0.1ml intramuscularly twice daily for 2 weeks,
# 10 then inject 0.2ml intramuscularly once a month.

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

Please write a BRIEF description of the error/omission (3pts):


249. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Rhonda Alderman DOB: 06/09/40 Prescription Label:
Address:180 Flickinger Ct Date:06/26/05
Alden, NY 14075 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Vimpat 100mg
Rx# 66566
Sig: i po bid Rhonda Alderman July 27, 2005
180 Flickinger Ct
# 60 (sixty) Alden, NY 14075

Take one tablet twice daily.

Vimpat 100mg #60


Prescriber Signature X__Elaine Knell__
Refill: 6 (six) MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: UCB Inc
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Elaine Knell, MD. Refill 6 times

Dispense as Written
Serial #P21352147
Drug Dispensed:

Exp. 06/2007
Lot # 778585

Please write a BRIEF description of the error/omission (3pts):


250. 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:
Melvin Barren, MD
888 Transit Road
Springville, NY 14777
716-222-7777
Lic# 856985 DEA BB6553627
Name: Nick Cavalleri DOB: 06/06/75 Prescription Label:
Address:2356 Lafayette Road Date:01/28/07
Buffalo, NY 14051 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lamisil 250 mg
Rx# 633333
Sig: i po daily Nick Cavalleri January 31, 2007
2356 Lafayette Road
# 30 Buffalo, NY 14051

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


346. 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 Nifedical XL 30 mg
Rx# 234512
Sig: i po daily Herbert Rayford October 14, 2006
8080 Beaumont Drive
# 30 Hamburg, NY 14280

Take one tablet once daily.


Prescriber Signature X__Alfredo Gallagher___ Nifedical XL 30 mg # 30
Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva
DAW
Alfredo Gallagher, NP. Refill 6 times
Dispense as Written
Serial #H22563M6

Drug Dispensed:

Exp. 11/2009
Lot # 332685

Please write a BRIEF description of the error/omission (3pts):


315. 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:
Charlotte Thompson, MD
808 Mulberry Road
E Amherst, NY 14404
716-777-9999
Lic# 362132 DEA BT2259984
Name: Natalie Weller DOB: 12/02/48 Prescription Label:
Address:606 Edgewater Dr Date:02/03/06
Gowanda, NY 14510 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Methotrexate 2.5 mg
Rx# 3999
Sig: 4 tabs qw Natalie Weller February 3, 2006
606 Edgewater Dr
# 16 Gowanda, NY 14510

Take four tablets once weekly.

Prescriber Signature X__ Charlotte Thompson _ Methotrexate 2.5 mg # 16


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. 01/2006
Lot #K1254100

Please write a BRIEF description of the error/omission (3pts):


316. 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:

Stanley Turner, MD Kent Zheng, RPA


Lic# 565552 Lic # 858546
DEA BT2355267
772 Princeton Ave
Depew, NY 14044 Prescription Label:
716-555-4444
Name: Becky Albrecht DOB: 08/01/79 Health Sciences Pharmacy Phone: 716-555-5555
Address: 89 Castlewood Place Date: 03/30/04 222 Cooke Hall
Angola, NY 14222 Amherst, NY 14260

Rx Prednisone 10 mg Rx# 223412


Becky Albrecht March 30, 2004
89 Castlewood Place
Sig: ii po daily x 5d
Angola, NY 14222
# 10 Take two tablets once daily for 5 days

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

Please write a BRIEF description of the error/omission(3pts):


541. 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:
Karen Douglas, DO
190 E Robinson Road
Lancaster, NY 14889
716-363-6666
Lic# 114889 DEA AD2356233
Name: David McPhea DOB: 10/01/38 Prescription Label:
Address:747 Athens Blvd Date: 12/27/03
Arkron, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Mycolog II cream
Rx# 32541
Sig: apply as directed David McPhea December 27, 2003
747 Athens Blvd
# 30 g Arkron, NY 14001

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

Please write a BRIEF description of the error/omission (3pts):


157. 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:
Brain Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Jeanette Calzone DOB: 07/07/57 Prescription Label:
Address:101 Connecticut Ave Date:01/01/07
W Seneca, NY 14125 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Dantrium 50 mg
Rx# 52356
Sig: i po qid Jeanette Calzone January 1, 2007
101 Connecticut Ave
# 100 W. Seneca, NY 14215

Take one capsule four times a day.

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

Please write a BRIEF description of the error/omission (3pts):


158. 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:
Brain Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Jeanette Calzone DOB: 07/07/57 Prescription Label:
Address:101 Connecticut Ave Date:01/01/07
W Seneca, NY 14215 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Dantrium 200 mg
Rx# 52356
Sig: i po tid Jeanette Calzone January 1, 2007
101 Connecticut Ave
# 90 W. Seneca, NY 14215

Take one capsule three times a day.

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

Please write a BRIEF description of the error/omission (3pts):


490. 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:
William Zaklikowski, MD Lisa Chant, RPA
Lic# 145668 Lic# 123599
DEA BZ4557154
896 Tonawanda Cheek Road
E Amherst, NY 14869
716-889-9999 Prescription Label:
Name: Donald Parker DOB:03/22/21
Address: 1133 Pershing Ave Date: 02/01/06 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Kenmore, NY 11489 Amherst, NY 14260

Rx Azmacort inhaler Rx# 223326


Donald Parker February 1, 2006
Sig: 2 sprays 3-4 times a day 1133 Pershing Ave
Kenmore, NY 11489
# 1 inhaler
Inhale 2 puffs by mouth 3-4 times a day

Prescriber Signature X__William Zaklikowski_ Azmacort #20g


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Abbott

William Zaklikowski, MD. Refill 2 times

Dispense as Written
Serial #K1242156
Drug Dispensed:

Exp. 06/2008
Lot # 26060403A

Please write a BRIEF description of the error/omission (3pts):


143. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-478-8966
Prescription Label:
Name: Dorothy Love DOB: 06/17/77
Address: 741 Union Square Date: 05/10/03 Health Sciences Pharmacy Phone: 716-555-5555
Amherst, NY 14216 222 Cooke Hall
Amherst, NY 14260
Rx Clorazepate 7.5 mg
Rx# 78477
Sig: i po bid prn Dorothy Love May 10, 2003
741 Union Square
Amherst, NY 14216
# 60
Take one tablet twice daily as needed. Maximum daily
dose of 2 tablets.
Prescriber Signature X__ Mark Lee______
Refill: 0 MDD:2 Clonazepam 0.5 mg # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Teva

Mark Lee, MD. Refill 0 times


Dispense as Written
Serial #089BF784

Drug Dispensed:

Exp. 11/08
Lot # 146796A

Please write a BRIEF description of the error/omission(3pts):


535. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/03
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Xopenex Solution 0l.31 mg
Rx# 89872
Sig: i vial q6h Mary Foreman February 8, 2003
789 Parkwood Ave
# 1 box Lackawanna, NY 14034

Inhale one vial via nebulizer every 6 hours

Xopenex 0.31 mg Nebulizer Solution # 72ml


Prescriber Signature X_Mike Lou___
Refill: 0 MDD: MFR: Sepracor
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

Please write a BRIEF description of the error/omission (3pts):


160. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Eric Johnson, Jr IV admixtures
allergies: NKA
room: 221A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __03_/_12__/_11__ weight: ___7.5___ (circle) (lb.) / Kg
serum creatinine: ___1.0____mg/dl height: ___22____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Eric Johnson , Jr


bag volume (ml): __50__________ Room:221A
Additives: Vancomycin 113mg
 drug additive
drug name: _Vancomycin 500mg powder
final bag concentration: __2.15mg/ml__ Solution: 50ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 52ml/hour

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

 diluent for drug reconstitution


(circle) SWFI (NS) D5W other: _____
manufacturer: _Hospira______________
lot: ___222C___ exp: _12/30/15
volume used (ml): ____10_______
529. 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, DDS
789 Ward Street
Lancaster, NY 12486
716-878-7878
Lic# 785489 DEA AS1412561
Name: Shirley Grace DOB: 04/15/75 Prescription Label:
Address:148 Stuart Street Date:02/13/05
Orchard Park, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Serevent diskus
Rx# 78787
Sig: i puff BID Shirley Grace February 13, 2005
148 Stuart Street
#1 Orchard Park, NY 14141

Inhale 1 puff by mouth twice a day.

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

Please write a BRIEF description of the error/omission (3pts):


513. 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
Lic# 125898 Lic# 147845
DEA BH1414250
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Ronnie Mitrowski DOB: 03/16/56
Address: 756 Symmon Road Date: 02/13/07 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Bronx, NY 12370 Amherst, NY 14260

Rx Lidoderm Patches Rx# 001236


Ronnie Mitrowski February 13, 2007
Sig: apply 1 patch qd 756 Symmon Road
Bronx, NY 12370
# 30 Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


225. 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

Take one capsule once daily.

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

Please write a BRIEF description of the error/omission (3pts):


226. 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:
Dean Potter, MD
456 Ashland Ave
Buffalo, NY 14444
716-444-5555
Lic# 112214 DEA AP6878954
Name: Norma Hess DOB: 09/09/77 Prescription Label:
Address:999 Somerville Ave Date:01/14/06
Eden, NY 14433 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Mirapex 0.25 mg
Rx# 55474
Sig: i po TID Norma Hess January 14, 2006
999 Somerville Ave
#7 Eden, NY 14433

Take one tablet by mouth three times daily. Maximum


daily dose of 2 tablets.
Prescriber Signature X__Dean Potter___ Mirapex 0.25 mg #7
Refill: 0 MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Boehringer
DAW Dean Potter, MD. Refill 0 times
Dispense as Written
Serial #1221E125
Drug Dispensed:

Exp. 08/2012
Lot # Y41578

Please write a BRIEF description of the error/omission (3pts):


126. 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:
Stephan Leid, MD Kevin William, RPA
Lic# 125896 Lic # 889851
DEA AL5121584
232 Hampton Road
Buffalo, NY 14214
716-565-8896
Prescription Label:
Name: Fanny Goodman DOB: 05/28/69
Address: 7415 Albert Drive Date: 02/28/07 Health Sciences Pharmacy Phone: 716-555-5555
Cheektowaga, NY 14444 222 Cooke Hall
Amherst, NY 14260
Rx Zocor 20 mg
Rx# 89589
Sig: i po qd Fanny Goodman February 28, 2007
7415 Albert Drive
# 30 Cheektowaga, NY 14444

Take one tablet once daily


Prescriber Signature X__ Kevin William __ Simvastatin 20 mg # 30
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Teva

Kevin William, RPA. Refill 5 times


Dispense as Written
Serial #8985YI123

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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Eric Johnson IV admixtures
allergies: NKA
room: 21A medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___125___ (circle) (lb.) / Kg
serum creatinine: ___0.9____mg/dl height: ___66____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Eric Johnson Room:21A


bag volume (ml): __100__________
Additives: Vancomycin 1250mg
 drug additive
drug name: _Vancomycin 1000mg powder
final bag concentration: __12.5mg/ml__ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 48ml/hour

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

 diluent for drug reconstitution


(circle) SWFI (NS) D5W other: _____
manufacturer: _Hospira______________
lot: ___222C___ exp: _12/30/15
volume used (ml): ____25_______
137. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Jay Skruski DOB: 04/22/78 Prescription Label:
Address:41 Ford Street Date:01/01/07
Buffalo, NY 14152 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lodine 30 mg
Rx# 124785
Sig: i po bid prn Jay Skruski January 2, 2007
41 Ford Street
# 60 Buffalo, NY 14152

Take one tablet twice daily as needed

Prescriber Signature X_ Peterson Mineo ___ Codeine 30 mg # 60


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peterson Mineo, MD. Refill 0 times

Dispense as Written
Serial #K0001257

Drug Dispensed:

Exp. 02/2011
Lot # F08989

Please write a BRIEF description of the error/omission (3pts):


198. 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:
Edwin Pizarro, MD
474 Woodcreast Dr
Amherst, NY 14414
716-555-1111
Lic# 748514 DEA AP9542588
Name: Andrew Reichert DOB: 12/17/33 Prescription Label:
Address: 5556 Cottonwood Dr Date: 10/19/06
Lancaster, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Elavil 10 mg
Rx# 11474
Sig: i po qd Andrew Reichert October, 19 2006
5556 Cottonwood Dr
# 30 Lancaster, NY 14141

Take one tablet once daily.

Prescriber Signature X___ Edwin Pizarro __ Amitriptyline 10 mg #60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Qualitest
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

Please write a BRIEF description of the error/omission (3pts):


199. 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:
Colleen Battagelia, NP
3457 Bear Ridge Road
Buffalo, NY 14200
716-444-3333
Lic# 123689 DEA MP522248
Name: Addie Bibbs DOB: 02/29/48 Prescription Label:
Address: 856 Circle Lane Date:05/08/06
N. Tonawanda, NY 14477 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Enalapril 10 mg
Rx# 22568
Sig: i po daily Addie Bibbs May 8, 2006
856 Circle Lane
# 30 N. Tonawanda, NY 14477

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


562. 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: Randolph Harding DOB: 08/23/57 Prescription Label:
Address:5236 Southern Blvd Date:02/26/06
Grand Island, NY 14072 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Zetia 10 mg
Rx# 300125
Sig: i po qd Randolph Harding February 26, 2006
5236 Southern Blvd
# 30 Grand Island, NY 14072

Take one tablet by mouth daily

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

Please write a BRIEF description of the error/omission (3pts):


161. 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: Lucile Camelleri DOB: 05/18/74 Prescription Label:
Address: 678 Lafayette Ave Date: 04/17/05
Depew, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Imuran 50 mg
Rx# 147857
Sig: i po hs Lucile Camelleri April 15, 2005
678 Lafayette Ave
Depew, NY 14000
# 30
Take one tablet at bedtime.

Prescriber Signature X__ Richard Zakrajesk _ Tenormin 50 mg # 30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: AstraZeneca

Richard Zakrajesk, MD. Refill 0 times


DAW
Dispense as Written
Serial #1257UY74

Drug Dispensed:

Exp. 02/2007
Lot # L088858

Please write a BRIEF description of the error/omission (3pts):


163. 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: Jimmy Clark DOB: 12/11/66 Prescription Label:
Address: 606 Oakwood Drive Date: 05/07/04
N Evans, NY 14070 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Desipramine 100 mg
Rx# 20303
Sig: i po hs Jimmy Clark May 7, 2004
606 Oakwood Drive
# 30 N Evans, NY 14070

Take one tablet at bedtime

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

Please write a BRIEF description of the error/omission (3pts):


164. 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: Jimmy Clark DOB: 12/11/66 Prescription Label:
Address: 606 Oakwood Drive Date: 05/07/04
N Evans, NY 14070 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Desipramine 25 mg
Rx# 20303
Sig: i po hs Jimmy Clark May 7, 2004
606 Oakwood Drive
N Evans, NY 14070
# 30
Take one tablet at bedtime

Prescriber Signature X__ Mark Flinchbaguh _ Imipramine 25 mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Amide
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mark Flinchbaguh, MD. Refill 3 times

Dispense as Written
Serial #1875JK12
Drug Dispensed:

Exp. 02/2006
Lot # 1L25896

Please write a BRIEF description of the error/omission (3pts):


429. 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
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 w/ codeine
Rx# 90014
Sig: i tsp po q6h prn cough Beverly Feasley February 16, 2007
7874 Bellwood Ln
# 150 ( one hundred fifty) Clarence, NY 14774

Take one teaspoonful every 6 hours as needed for


cough. Maximum daily dose of 4 teaspoonfuls.
Prescriber Signature X Mark Flinchbaguh_
Refill: 0 zero MDD: 20 cc
Promethazine w/codeine # 150
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Actavis

Mark Flinchbaguh, MD. Refill 0 times


Dispense as Written
Serial #1K2348M5

Drug Dispensed:

Exp. 06/2008
Lot # K25877

Please write a BRIEF description of the error/omission (3pts):


414. 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: Maria Sunstrum DOB: 12/26/52 Prescription Label:
Address:4555 Eggert Road Date:05/31/05
Lockport, NY 14589 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Premarin 0.45 mg
Rx# 66807
Sig: i po daily Maria Sunstrum May 31, 2005
4555 Eggert Road
# 30 Lockport, NY 14589

Take one tablet once daily.

Prescriber Signature X___ Tommy Reed ___ Premarin 0.45 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Wyeth Pharmaceuticals
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Tommy Reed, MD. Refill 5 times

Dispense as Written
Serial #M25693K45

Drug Dispensed:

Exp. 04/2005
Lot # W2003

Please write a BRIEF description of the error/omission (3pts):


255. 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:03/07/06 222 Cooke Hall Phone: 716-555-5555
Eden, NY 14225 Amherst, NY 14260

Rx K-Phos Original Rx# 89877


Colleen Bell March 8, 2006
Sig: dissolve 2 tabs in h20 and take qid 2356 Knollwood Dr
Eden, NY 14225
# 120
Dissolve 2 tablets in water and take four times daily.

K-Phos Original # 120


Prescriber Signature X__ Salvatore Bruce __ MFR: Beach
Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Salvatore Bruce, MD. Refill 0 times
DAW
Dispense as Written
Serial #K2541458

Drug Dispensed:

Exp. 11/2009
Lot # 0333320

Please write a BRIEF description of the error/omission (3pts):


256. 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:

Herbert Dombrowski, MD Mary Esposito, RPA


Lic# 445114 Lic # 636563
DEA AL5224782
333 Moore Ave
Colins, NY 14057 Prescription Label:
716-555-9999
Name: Angelina Ferris DOB: 08/22/71 Health Sciences Pharmacy Phone: 716-555-5555
Address: 5000 Sunrise Blvd Date: 06/23/03 222 Cooke Hall
Akron, NY 14217 Amherst, NY 14260

Rx Lamictal 200 mg Rx# 9999


Angelina Ferris June 23, 2003
5000 Sunrise Blvd
Sig: i po daily
Akron, NY 14217
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


415. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Andy Roberts IV admixtures
allergies: Penicillin
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_79__ weight: ___175_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___72____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Andy Roberts Room:432B


bag volume (ml): __250__________
Additives: Cyclophosphamide 504mg
 drug additive
drug name:cyclophosphamide_1g powder
final bag concentration: __2.02mg/ml____ Solution: 250ml D5W
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/14___ Infusion Rate: 125ml/hour

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

 diluent for drug reconstitution


(circle) (SWFI) NS D5W other: _____
manufacturer: ___Hospira________
lot: __555g____ exp: 12/31/15
volume used (ml): ___50_____
279. 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:
Frederick Morris, MD
745 Glenwood Ave
Sardnia, NY 14033
716-877-5777
DEA AM415147
Name: Jefferson Eleanor DOB: 05/24/66 Prescription Label:
Address:5685 Sundown Tr Date:06/28/04
Clarence, NY 14443 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lopid 600 mg
Rx# 23323
Sig: i po bid Jefferson Eleanor June 28, 2004
5685 Sundown Tr
# 60 Clarence, NY 14443

Take one tablet twice daily.

Prescriber Signature X_ Frederick Morris _ Gemfibrozil 600 mg # 60


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
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

Please write a BRIEF description of the error/omission (3pts):


280. 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:
Floyd Olszak, MD
2225 Blossom Lane
Depew, NY 14028
716-757-5555
Lic# 722358 DEA AO1147746
Name: Doris Eldridge DOB: 03/09/65 Prescription Label:
Address: 7700 Columbus Pkwy Date:03/11/07
Hamburg, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Levbid 0.375 mg
Rx# 336633
Sig: i po bid Doris Eldridge March 12, 2007
7700 Columbus Pkwy
# 60 Hamburg, NY 14222

Take one capsule by mouth twice a day.

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

Please write a BRIEF description of the error/omission (3pts):


281. 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:
Floyd Olszak, MD
2225 Blossom Lane
Depew, NY 14028
716-757-5555
Lic# 722358 DEA AO1147746
Name: Doris Eldridge DOB: 03/09/65 Prescription Label:
Address: 7700 Columbus Pkwy Date:03/11/07
Hamburg, NY 14222 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lorabid
Rx# 336633
Sig: i po tid Doris Eldridge March 12, 2007
7700 Columbus Pkwy
Hamburg, NY 14222
# 30
Take one capsule three times a day.

Prescriber Signature X_ Floyd Olszak ___ Hyoscamine ER 0.375 mg # 30


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Ethex
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Floyd Olszak, MD. Refill 2 times


DAW
Dispense as Written
Serial #P2358743

Drug Dispensed:

Exp. 12/2008
Lot # T002223

Please write a BRIEF description of the error/omission (3pts):


430. 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 Prescription Labels:
1245 Ocean Ave, Suite 290
Amherst, NY 11228 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
716-505-5050 Amherst, NY 14260
Lic# 223658 DEA BF1111587
Name: Frank Barrett DOB: 03/15/59 Rx# 90015
Address:8888 Michigan Ave Date:11/25/06 Frank Barrett November 25, 2006
Buffalo, NY 14200 8888 Michigan Ave
Buffalo, NY 14200
Rx Lisinopril 10 mg
Sig: i po qd Take one tablet once daily.
# 30
Atenolol 50mg Lisinopril 10 mg # 30
Sig: i po qd
#30 MFR: Mylan

Victoria Flemming MD. Refill 3 times

Prescriber Signature X_Victoria Flemming__


Refill: 3 MDD: Health Sciences Pharmacy Phone: 716-555-5555
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS 222 Cooke Hall
PRESCRIBER WRITES “daw” IN THE BOX BELOW Amherst, NY 14260

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

Victoria Flemming MD. Refill 3 times

Exp. 11/2008
Lot # 3P2040

Please write a BRIEF description of the error/omission (3pts):


505. 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: Eugene Page DOB: 05/28/60 Prescription Label:
Address:6900 Nashua Road Date: 09/14/06
Long Island, NY 14478 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Flonase
Rx# 200048
Sig: 2 spray each nostril qd Eugene Page October 13, 2006
6900 Nashua Road
Long Island, NY 14478
#1
Instill 2 sprays into each nostril daily

Prescriber Signature X_Mark Flinchbaguh____ Fluticasone nasal spray # 16 g


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mark Flinchbaguh, MD. Refill 0 times


Dispense as Written
Serial #1458LL89

Drug Dispensed:

Exp. 10/2010
Lot # A125012

Please write a BRIEF description of the error/omission (3pts):


510. 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: Ester Osoki DOB:09/08/39 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 Fosamax 70 mg
Rx# 696987
Sig: i poqweek Edward Osoki
6900 Nashua Road September 23, 2006
# 1 month Long Island, NY 17789

Take one tablet once weekly

Prescriber Signature X_ Paul Flicinski ___ Fosamax 70 mg #4


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Merck
PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
DAW Paul Flicinski, MD. Refill 5 times

Dispense as Written
Serial #11253LP8

Drug Dispensed:

Exp. 11/2008
Lot # 144867A

Please write a BRIEF description of the error/omission (3pts):


166. 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 Lee, MD Shirely Lee, RPA


Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
716-478-8966
Health Sciences Pharmacy Phone: 716-555-5555
Name: Scott Fenigstein DOB: 08/28/43 222 Cooke Hall
Address: 718 Wedgewood Dr Date: 08/01/06 Amherst, NY 14260
Springville, NY 14212
Rx# 45145
Rx Nortriptyline 25 mg Scott Fenigstein August 1, 2006
718 Wedgewood Dr
Sig: i po hs Springville, NY 14212

Take one capsule at bedtime


# 30
Nortriptyline 25 mg #30

Prescriber Signature X__Mark Lee______ MFR: Teva


Refill: 2 MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Mark Lee, MD. Refill 2 times

Dispense as Written
Serial #0147RE12
Drug Dispensed:

Exp. 02/2008
Lot # 60223589

Please write a BRIEF description of the error/omission(3pts):


122. 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:
Shirely Cunnigham
7845 Grand Street
Williamsville, NY 14222
716-339-4589
Lic# 121548 DEA BC 1256381
Name: Frank Mumham DOB: 07/13/54 Prescription Label:
Address:5668 Highland Street Date:02/14/07
Kenmore, NY 14217 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cyclobenzaprine 5 mg
Rx# 11245
Sig: i po tid prn Frank Mumham February 14, 2007
5668 Highland Street
Kenmore, NY 14217
# 90
Take one tablet three times a day if needed

Prescriber Signature X_ Shirley Cunnigham _ Cyproheptadine 4 mg # 90


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Shirely Cunnighma, MD. Refill 1 times


Dispense as Written
Serial #T12589M1

Drug Dispensed:

Exp. 05/2009
Lot # 7A12589

Please write a BRIEF description of the error/omission (3pts):


219. 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, DO
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 Ampyra 10 mg ER
Rx# 124007
Sig: i po bid Jason Panko August 8, 2006
225 Sweetheaven Ct
# 60 Buffalo, NY 14207

Take one tablet by mouth twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


220. 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:
Joyce Campanella, MD
2366 Autumnview Road
Clarence, NY 14002
716-363-3636
Lic# 787782 DEA AC 8857851
Name: Dolores Ennis DOB: 06/18/56 Prescription Label:
Address:789 Kinsey Ave Date: 04/05/05
Tonawanda, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Prograf 0.5 mg
Rx# 141578
Sig: i po bid Dolores Ennis April 5, 2005
789 Kinsey Ave
# 60 Tonawanda, NY 14000

Take one capsule twice daily.

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

Please write a BRIEF description of the error/omission (3pts):


493.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 Grands, MD
432 Nottingham Blvd.
Buffalo, NY 14223
716-444-4444
Lic# 543211 DEA AG4298341
Name: Jean Horton DOB: 11/06/65 Prescription Label:
Address: 500 Main Street Date: 05/22/06
Bflo., NY 14235 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx
Bactroban 2% ointment Rx# 23456
Jean Horton May 22, 2006
Sig: AAA TID 500 Main Street,
Buffalo, NY 14235
#30 g Apply to affected area three times daily

Mupirocin 2% Ointment #22 g


Prescriber Signature X Thomas Grands___
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Dr. Thomas Grands Refill 1 times

Dispense as Written
Serial #125L65K6

Drug Dispensed:

Exp. 02/2009
Lot # 123456

Please write a BRIEF description of the error/omission (3pts):


167. 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 Lee, MD Shirely Lee, RPA


Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
716-478-8966
Health Sciences Pharmacy Phone: 716-555-5555
Name: Scott Fenigstein DOB: 08/28/43 222 Cooke Hall
Address: 718 Wedgewood Dr Date: 08/01/06 Amherst, NY 14260
Springville, NY 14212
Rx# 45145
Rx Nortriptyline 10 mg Scott Fenigstein August 1, 2006
718 Wedgewood Dr
Sig: i po hs Springville, NY 14212

Take one tablet at bedtime


# 30
Desipramine 100 mg #30

Prescriber Signature X__ Mark Lee _____ MFR: Sandoz


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Mark Lee, MD. Refill 2 times

Dispense as Written
Serial #0147RE12
Drug Dispensed:

Exp. 02/2008
Lot # 7158489

Please write a BRIEF description of the error/omission(3pts):


550. 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
452 Main Street
Buffalo, NY 14532
716-444-6666
Lic# 485627 DEA BH4712584
Name: Jeremy Paneinto DOB: 07/04/77 Prescription Label:
Address:805 Mapleview Road Date:01/14/07
Buffalo, NY 14042 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx januvia 100 mg
Rx# 77777
Sig: 1 po qd Jeremy Paneinto January 14, 2007
805 Mapleview Road
#30 Buffalo, NY 14042

Take 1 tablet by mouth daily


Prescriber Signature X__Jackson Hundson___ Januvia 100 mg # 30
Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Merck and CO

Jackson Hundson, MD. Refill 1 time

Dispense as Written
Serial #7482L748

Drug Dispensed:

Exp. 02/2010
Lot # T101257

Please write a BRIEF description of the error/omission (3pts):


555. 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: 02/18/07 Health Sciences Pharmacy Phone: 716-555-5555
Akron, NY 14004 222 Cooke Hall
Amherst, NY 14260
Rx Levemir
Rx# 441444
Sig: inject as directed Kristen Paralato February 18, 2007
6253 Auburn Ave
# 2 vials Akron, NY 14004

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

Please write a BRIEF description of the error/omission (3pts):


560. 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:
Edwin Pizarro, MD
474 Woodcreast Dr
Amherst, NY 14414
716-555-1111
Lic# 748514 DEA AP9542588
Name: Andrew Reichert DOB: 12/17/33 Prescription Label:
Address: 5556 Cottonwood Dr Date: 10/19/06
Lancaster, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ultram 50 mg
Rx# 11474
Andrew Reichert October 19, 2006
Sig: i po bid 5556 Cottonwood Dr
Lancaster, NY 14141
# 60
Take one capsule twice daily.

Tramadol 50 mg tablets #60


Prescriber Signature X_ Edwin Pizarro ___
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
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

Please write a BRIEF description of the error/omission (3pts):


140. 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 Kinsely, MD Diane Montgomery, RPA
Lic# 485147 Lic # 784147
DEA AK1687459 DEA MM4958746
124 Scamridge Street
Buffalo, NY 14111
716-577-4777
Prescription Label:
Name: Anthony Olson DOB: 04/17/32
Address: 214 Miami Road Date: 04/07/04 Health Sciences Pharmacy Phone: 716-555-5555
Hamburg, NY14207 222 Cooke Hall
Amherst, NY 14260
Rx Cognex 40 mg
Rx# 045786
Anthony Olson April 7, 2004
Sig: i po daily 214 Miami Road
Hamburg, NY 14207
# 30
Take one tablet once daily

Prescriber Signature X__ Richard Kinsely _ Nadolol 40 mg # 30


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. 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

Take one tablet once daily.

Prescriber Signature X__ Clifford Bookbinder_ Metolazone 5 mg # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Clifford Bookbinder, DO. Refill 6 times

Dispense as Written
Serial #L2536Z00

Drug Dispensed:

Exp. 07/2008
Lot # 1P1993

Please write a BRIEF description of the error/omission (3pts):


322. 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:
Chester Cross, MD
9229 Peckham Road
Buffalo, NY 14220
716-858-8889
Lic# 235211 DEAAC5278951
Name: Shawn Dimeo DOB: 06/21/34 Prescription Label:
Address:700 Embassy Sq Date: 02/08/06
Depew, NY 14209 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Amturnide 300/10/25
Rx# 23533
Sig: i po qd Shawn Dimeo February 8, 2006
700 Embassy Sq
# 30 Depew, NY 14209

Take one tablet by mouth once daily

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

Please write a BRIEF description of the error/omission (3pts):


168. 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 Lee, MD Shirely Lee, RPA


Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
716-478-8966
Health Sciences Pharmacy Phone: 716-555-5555
Name: Scott Fenigstein DOB: 08/28/43 222 Cooke Hall
Address: 718 Wedgewood Dr Date: 08/01/06 Amherst, NY 14260
Springville, NY 14212
Rx# 45145
Rx Nortriptyline 25 mg Scott Fenigstein August 1, 2006
718 Wedgewood Dr
Sig: i po hs Springville, NY 14212

Take one capsule at bedtime


# 30
Nortriptyline 25 mg #30
Prescriber Signature X__ Mark Lee ______ MFR: Teva
Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Mark Lein, MD. Refill 2 times

Dispense as Written
Serial #0147RE12

Drug Dispensed:

Exp. 02/2008
Lot # 60223589

Please write a BRIEF description of the error/omission(3pts):


169. 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:
Terrance Fransco, DO
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Pauline Gizzo DOB: 03/14/21 Prescription Label:
Address:4808 E Utica Ave Date:02/09/07
New York, NY 11250 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Detrol 1 mg
Rx# 78789
Sig: i po daily Pauline Gizzo February 9, 2007
4808 E Utica Ave
# 30 New York, NY 11250

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


135. 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, DVM
1208 Alberta Drive
Rochester, NY 15236
716-454-4545
Lic# 223692 DEA BC1255896
Name: Harry Hugh DOB: 04/05/65 Prescription Label:
Address:5089 Niagara Blvd Date:01/05/06
Buffalo, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx CartiaXT 300 mg
Rx# 78589
Sig: i po qd Harry Hugh January 5, 2006
5089 Niagara Blvd
# 30 Buffalo, NY 14225

Take one capsule by mouth once daily.

Prescriber Signature X_ Thomas Criag __ Cartia XT 300 mg # 30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Andrx
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Thomas Criag DVM. Refill 0 times


DAW
DAW
Dispense as Written
Serial #18978TG8
Drug Dispensed:

Exp. 05/2008
Lot # 600G08S1A

Please write a BRIEF description of the error/omission (3pts):


204. 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:
Claudia Fong, NP
8116 Warren Ave
Buffalo, NY 14086
716-666-6666
Lic# 741789 DEA MP252364
Name: Courtney Betts DOB: 07/15/41 Prescription Label:
Address:400 Goodyears Road Date:03/14/05
W. Seneca, NY 14150 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Estratest
Rx# 556999
Sig: i po daily Courtney Betts July, 15 2005
400 Goodyears Road
# 30 W. Seneca, NY 14150

Take one tablet once daily.

Prescriber Signature X___ Claudia Fong __ Estratest # 30


Refill: 6 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Solvay Pharmacetuicals
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Claudia Fong, MD. Refill 6 times


DAW
DAW
Dispense as Written
Serial #ZZ147852
Drug Dispensed:

Exp. 12/2006
Lot # H178547

Please write a BRIEF description of the error/omission (3pts):


205. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-666-6666
Lic# 112258 DEA AW114455
Name: Alfred Consantino DOB: 09/20/66 Prescription Label:
Address: 222 Gatewood Ave Date: 08/04/04
Hamburg, NY 14401 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Fiorinal
Rx# 656898
Sig: i – ii po q 4 h prn Alfred Consantino August 10, 2004
222 Gatewood Ave
# 120 ( one hundred twenty) Hamburg, NY 14401

Take one to two capsules every 4 hours as needed,


maximum daily dose of 6.
Prescriber Signature X_Patrick Wosinki_____ Buta/ASA/Caffeine 50/325/40 mg # 120
Refill: 5 ( five) MDD: 6
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Lannett

Patrick Wosinki, MD. Refill 5 times


Dispense as Written
Serial #Z98556874
Drug Dispensed:

Exp. 10/2006
Lot # 2006356563

Please write a BRIEF description of the error/omission (3pts):


206. 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:
Patrick Wosinki, MD
50 S Niagara Fall Blvd
Lockport, NY 14003
716-666-6666
Lic# 112258 DEA AW114455
Name: Alfred Consantino DOB: 09/20/66 Prescription Label:
Address: 222 Gatewood Ave Date: 08/04/04
Hamburg, NY 14401 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Fiorinal
Rx# 656898
Sig: i – ii po q 4 h prn Alfred Consantino August 10, 2004
222 Gatewood Ave
# 120 ( one hundred twenty) Hamburg, NY 14401

Take one to two capsules every 4 hours as needed,


maximum daily dose of 6.
Prescriber Signature X_ Patrick Wosinki __
Refill: 5 ( five) MDD: 6 Buta/APAP/Caffeine 50/325/40 mg # 120
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Qualitest

Patrick Wosinki, MD. Refill 5 times


Dispense as Written
Serial #Z98556874

Drug Dispensed:

Exp. 01/2007
Lot # C0070906A

Please write a BRIEF description of the error/omission (3pts):


171. 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:
Terrance Fransco, DO
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Pauline Gizzo DOB: 03/14/21 Prescription Label:
Address:4808 E Utica Ave Date:02/09/07
New York, NY 11250 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Detrol la 2 mg
Rx# 78789
Sig: i po daily Pauline Gizzo February 9, 2007
4808 E Utica Ave
# 30 New York, NY 11250

Take one tablet once daily.

Prescriber Signature X_ Terrance Fransco __ Detrol 2 mg # 30


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 # H789900

Please write a BRIEF description of the error/omission (3pts):


351. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Gale Chamberlin DOB: 03/15/77 Prescription Label:
Address:555 Parkwood Ave Date:03/08/11
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cipro 500mg
Rx# 66358
Sig: ii po tid x 7 days Gale Chamberlin March 9, 2011
555 Parkwood Ave
# 42 Synder, NY 14077

Take two tablets by mouth three times daily for 7 days.

Ciprofloxacin 500mg #42


Prescriber Signature X__Suzanne Brower_____
Refill: 0 MDD: MFR: Aurobindo
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzanne Brower, MD. Refill 0 times

Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2014
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


567. 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:
Rosemary Kazmierski, NP
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Adrian Kobrins DOB: 08/14/48 Prescription Label:
Address:78 Applewood Road Date:07/12/05
Angola, NY 14086 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx dicyclomine 20 mg
Rx# 78412
Adrian Kobrins July 13, 2005
Sig: 1 qid 78 Applewood Road
Angola, NY 14086
# 120
Take one tablet four times daily

Prescriber Signature X Rosemary Kazmierski __ Dicylcomine 20 mg tablets # 120


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mylan

Rosemary Kazmierski, NP. Refill times

Dispense as Written
Serial #741578M8
Drug Dispensed:

Exp. 12/2008
Lot # 1LKO125

Please write a BRIEF description of the error/omission (3pts):


352. 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:
Stanley Kaiser, MD
888 Robin Raod
Millersville, NY 14000
716-555-7788
Lic# 171756 DEA BK5278850
Name: Susanna Rusinski DOB: 07/25/80 Prescription Label:
Address:5123 Argonne Drive Date:03/03/06
Buffalo, NY 14220 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ortho-Cept
Rx# 202113
Sig: i po daily Susanna Rusinski March 3, 2006
5123 Argonne Drive
# 28 Buffalo, NY 14220

Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


453. 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

Take one tablet once daily

Prescriber Signature X__ Stephen Sigel __ Singulair 10 mg # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Merck and Co Inc

Stephen Sigel MD. Refill 5 times

Dispense as Written
Serial #230L25M6
Drug Dispensed:

Exp. 11/2008
Lot #F7526

Please write a BRIEF description of the error/omission (3pts):


454. 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:

Stephan Leid , MD Kevin William, RPA


Lic# 125896 Lic # 889851
DEA AL5121584 DEA MW2568965
232 Hampton Road
Buffalo, NY 14214 Prescription Label:
716-565-8896
Name: Carolina Belanger DOB: 12/28/49 Health Sciences Pharmacy Phone: 716-555-5555
Address: 6677 Stony Point Rd Date: 09/17/06 222 Cooke Hall
W. Seneca, NY 14222 Amherst, NY 14260

Rx Imitrex 50 mg Rx# 114567


Carolina Belanger September 17, 2006
6677 Stony Point Rd
Sig: uud W. Seneca, NY 14222

#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

Please write a BRIEF description of the error/omission(3pts):


172. 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:
Rosemary Kazmierski, DPM
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Adrian Kobrins DOB: 08/14/48 Prescription Label:
Address:78 Applewood Road Date:07/12/05
Angola, NY 14086 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Paxil 10mg
Rx# 78412
Sig: i po qd Adrian Kobrins July 13, 2005
78 Applewood Road
# 30 Angola, NY 14086

Take one tablet by mouth once daily

Prescriber Signature X_Rosemary Kazmierski__ Paroxetine 10mg # 30


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Aurobindo
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, DPM Refill 2 times

Dispense as Written
Serial #741578M8
Drug Dispensed:

Exp. 12/2008
Lot # 1LKO125

Please write a BRIEF description of the error/omission (3pts):


261. 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: Carmine Fernandez DOB: 03/10/36 Prescription Label:
Address: 9000 Applewood Road Date:09/15/06
Lackawanna, NY 14127 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lanoxin 250 mcg
Rx# 23000 September 16, 2006
Carmine Fernandez
Sig: i po daily 9000 Applewood Road
Lackawanna, NY 14127
# 30
Take one tablet once daily.

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

Please write a BRIEF description of the error/omission (3pts):


538. 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 Lee, MD Shirely Lee, RPA


Lic# 458793 Lic # 58963
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
716-478-8966
Health Sciences Pharmacy Phone: 716-555-5555
Name: Scott Fenigstein DOB: 08/28/43 222 Cooke Hall
Address: 718 Wedgewood Dr Date: 02/20/11 Amherst, NY 14260
Springville, NY 14212
Rx# 45145
Rx ProAir HFA Scott Fenigstein February 21, 2011
718 Wedgewood Dr
Sig: i puff q4h prn Springville, NY 14212

Inhale 1 puff by mouth every 4 hours as needed


# 1 inhaler
ProAir HFA #8.5 g
Prescriber Signature X__Mark Lee______
Refill: 2 MDD: MFR: Teva
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Mark Lee, MD. Refill 2 times

Dispense as Written
Serial #0147RE12

Drug Dispensed:

Exp. 02/28/2011
Lot # 60223589

Please write a BRIEF description of the error/omission(3pts):


262. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alexandra Rodriguez IV admixtures
allergies: NKA
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_69__ weight: ___121_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’3”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alexander Rodrigo


bag volume (ml): __100__________ Room:431B
Additives: Phenytoin 823mg
 drug additive
drug name: __Phenytoin_50mg/ml______
final bag concentration: __8.23mg/ml____ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/14___ Infusion Rate: 364ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
423. 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 Centino July 9, 2006
239 Battle Ave
# 60 Buffalo, NY 14334

Take one tablet twice daily.

Prescriber Signature X_ Richard Zakrajesek Probenecid 500 mg # 60


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. 05/2008
Lot # 1256J23

Please write a BRIEF description of the error/omission (3pts):


424. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Greg Adams IV admixtures
allergies: Penicillin (anaphylaxis)
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) (male) / female
date of birth: __04_/_30__/_69__ weight: ___181_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’9”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Greg Adams Room:432B


bag volume (ml): __50__________
Additives: Zosyn 3.375g
 drug additive
drug name: __Zosyn 3.375g powder____
final bag concentration: __67.5mg/ml____ Solution: 50ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 100ml/hour

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

 diluent for drug reconstitution


(circle) (SWFI) NS D5W other: _____
manufacturer: _____Hospira__________
lot: __G474___ exp: 12/31/15
volume used (ml): _______10_________
579. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/09
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Toviaz 8mg
Rx# 89872
Sig: 1 po qd Mary Foreman February 8, 2009
789 Parkwood Ave
Lackawanna, NY 14034
# 30
Take one tablet once daily.

Prescriber Signature X_ Mike Lou ____ Toviaz 8mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mike Lou, MD. Refill 3 times

Dispense as Written
Serial #2315KU78
Drug Dispensed:

Exp. 02/2010
Lot # K21452

Please write a BRIEF description of the error/omission (3pts):


387. 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

Take one tablet once daily.

Prescriber Signature X__ Kenneth Taung __ Felodipine ER 10 mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Kenneth Taung, MD. Refill 3 times
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written
Serial #ZU28569M

Drug Dispensed:

Exp. 11/2005
Lot # T23589

Please write a BRIEF description of the error/omission (3pts):


388. 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:
Nicolas Green, MD Kenneth Lee, RPA
Lic# 003985 Lic # 235893
DEA AG1254781 ML1542174
789 Maple Road, Suite #568
Amherst, NY 14226 Prescription Label:
716-478-8966
Name: Chingy Woo Hiang DOB: 04/21/53 Health Sciences Pharmacy Phone: 716-555-5555
Address: 889 Heatherwood Street Date: 06/01/06 222 Cooke Hall
E Amherst, NY 14228 Amherst, NY 14260

Rx Adderall XR 20mg Rx# 20328


Chingy Woo Hiang June 1, 2006
889 Heatherwood Street
Sig: i po qam
E Amherst, NY 14228
# 90 (ninety) CODE A
Take one capsule by mouth once daily in the morning

Prescriber Signature X__ Nicolas Green __ Adderall XR 20 mg # 90


Refill: 0 (zero) MDD: 1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Shire

Nicolas Green, MD Refill 0 times


DAW
DAW
Dispense as Written
Serial #0258TF39

Drug Dispensed:

Exp. 09/2008
Lot # 008998

Please write a BRIEF description of the error/omission(3pts):


128. 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: Shirley Grace DOB: 04/15/75 Prescription Label:
Address:148 Stuart Street Date:02/13/05
Orchard Park, NY 14141 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Claritin –D12
Rx# 78787
Sig: i po bid Shirley Grace February 13, 2005
148 Stuart Street
# 30 Orchard Park, NY 14141

Take one tablet twice daily if needed.

Prescriber Signature X_ Stephen Sigel ___ Claritin D 24 # 30


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Schering-Plough Health
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Stephen Sigel, MD. Refill 5 times


DAW
Dispense as Written
Serial #128PR124

Drug Dispensed:

Exp. 02/2009
Lot # 12458L6

Please write a BRIEF description of the error/omission (3pts):


146. 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 Sean Hunter, RPA
Lic# 124587 Lic # 123514
DEA AS4541252 DEA ML1223560
68 Elmhurst Dr
Orchard Park, NY14040
716-877-7777
Prescription Label:
Name: Garris Garvey DOB: 08/24/45
Address: 3569 Grand Island Blvd Date: 02/02/07 Health Sciences Pharmacy Phone: 716-555-5555
Hamburg, NY 14001 222 Cooke Hall
Amherst, NY 14260
Rx Cyclosporine 25 mg
Rx# 12001
Garris Garvey February 02, 2007
Sig: iii po bid ud 3569 Grands Island Blvd
Hamburg, NY 14001
# 180
Take 3 capsules twice daily as directed

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

Please write a BRIEF description of the error/omission(3pts):


173. 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:
Rosemary Kazmierski, DPM
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Adrian Kobrins DOB: 08/14/88 Prescription Label:
Address:78 Applewood Road Date:07/12/05
Angola, NY 14086 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Sprintec-28
Rx# 78412
Sig: i po qd Adrian Kobrins July 13, 2005
78 Applewood Road
# 28 Angola, NY 14086

Take one tablet by mouth once daily

Prescriber Signature X_Rosemary Kazmierski__ Sprintec 0.250/0.035 # 28


Refill: 10 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Barr
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, DPM Refill 10 times

Dispense as Written
Serial #741578M8
Drug Dispensed:

Exp. 12/2008
Lot # 1LKO125

Please write a BRIEF description of the error/omission (3pts):


147. 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 Sean Hunter, RPA
Lic# 124587 Lic # 123514
DEA AS4541252 DEA ML1223560
68 Elmhurst Dr
Orchard Park, NY14040
716-877-7777
Prescription Label:
Name: Garris Garvey DOB: 08/24/45
Address: 3569 Grand Island Blvd Date: 02/02/07 Health Sciences Pharmacy Phone: 716-555-5555
Hamburg, NY 14001 222 Cooke Hall
Amherst, NY 14260
Rx Cyclosporine 25 mg
Rx# 12001
Sig: iii po bid ud Garris Garvey February 02, 2007
3569 Grands Island Blvd
# 180 Hamburg, NY 14001

Take 3 capsules twice daily as directed

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

Please write a BRIEF description of the error/omission(3pts):


213. 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, DDS
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 Advair 250/50
Rx# 124007
Sig: i pff bid Jason Panko August 8, 2006
225 Sweetheaven Ct
# 1 diskus Buffalo, NY 14207

Inhale 1 puff by mouth twice daily

Prescriber Signature X_Jonathan Mallozzi____ Advair 250/50 # 60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Glaxosmithkline
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Jonathan Mallozzi, DDS Refill 5 times

Dispense as Written
Serial #78452K89
Drug Dispensed:

Exp. 08/2009
Lot # 1P3172

Please write a BRIEF description of the error/omission (3pts):


214. 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:
Floyd Olszak, MD
2225 Blossom Lane
Depew, NY 14028
716-757-5555
Lic# 722358 DEA AO1147746
Name: Kimberly Oliver DOB: 03/30/49 Prescription Label:
Address: 254 Sandrock Road Date:11/28/06
Angola, NY 14023 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Temazepam 30 mg
Rx# 12489
Sig: i po hs Kimberly Oliver November 28, 2006
254 Sandrock Road
# 30 ( thirty) Angola, NY 14023

Take one capsule at bedtime.

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

Please write a BRIEF description of the error/omission (3pts):


496. 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:__Vicki Liang DOB: 02/28/39 Prescription Label:
Address:_4788 Loving Lane_ Date: _12/8/06_
_Williamsville, NY 12258 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Climara 0.025 mg patch
Rx# 01258
Sig: apply 1 q week Vicki Liang December 9,2006
4788 Loving Lane
Williamsville, NY 12258
#4
Apply one patch once a week
Prescriber Signature X___Pauline Davidson___
Refill: 3 MDD: Climara 0.025 mg patch #4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Berlex

DAW Dr. Pauline Davidson Refill 3 times

Dispense as Written
Serial #112KJ125
Drug Dispensed:

Exp. 02/2008
Lot # 8956986

Please write a BRIEF description of the error/omission (3pts):


501. 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
Kenmore, NY 14789
# 1 inhaler
Inhale 2 puffs by mouth four times daily
Prescriber Signature X_ Kenneth Taung _____
Refill: 10 MDD: Combivent Inhaler #14.6g
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Boehringer Ingelheim

Dr. Kenneth Tang Refill 10 times

Dispense as Written
Serial #0085HJ89
Drug Dispensed:

Exp. 10/2008
Lot # L147896P

Please write a BRIEF description of the error/omission (3pts):


174. 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:
Rosemary Kazmierski, DPM
4458 Thompson Raod
Colden, NY 14033
716-333-3333
Lic#785982 DEA MK4121478
Name: Adrian Kobrins DOB: 08/14/48 Prescription Label:
Address:78 Applewood Road Date:07/12/05
Angola, NY 14086 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Atripla
Rx# 78412
Sig: i po qhs Adrian Kobrins July 13, 2005
78 Applewood Road
# 30 Angola, NY 14086

Take one tablet by mouth once daily at bedtime

Prescriber Signature X_Rosemary Kazmierski__ Atripla 600/200/300 # 30


Refill: 2 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Bristol Myers Squibb
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Rosemary Kazmierski, DPM Refill 2 times

Dispense as Written
Serial #741578M8
Drug Dispensed:

Exp. 12/2008
Lot # 1LKO125

Please write a BRIEF description of the error/omission (3pts):


175. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Margaret Louis DOB: 05/19/51 Prescription Label:
Address: 7417 Ashland Ave Date: 06/11/06
Kenmore, NY 14043 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Diazepam 5 mg
Rx# 74741
Sig: i po tid Margaret Louis June 11, 2006
7417 Ashland Ave
# 90 ( ninety) Kenmore, NY 14043

Take one tablet three times a day. Maximum daily dose


of 3 tablets.
Prescriber Signature X_Elaine Knell___ Diazepam 5 mg # 90
Refill: 0 ( zero) MDD:3
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Ivax

Elaine Knell, MD. Refill 0 times


Dispense as Written
Serial #1748G15H
Drug Dispensed:

Exp. 08/2008
Lot # K859856

Please write a BRIEF description of the error/omission (3pts):


578. 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:
Brain Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Jeanette Calzone DOB: 07/07/47 Prescription Label:
Address:101 Connecticut Ave Date:01/01/07
W Seneca, NY 14125 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Thalomid 50mg
Rx# 52356
Sig: i po qd Jeanette Calzone January 10, 2007
101 Connecticut Ave
# 30 W. Seneca, NY 14125

Take one capsule once daily.

Prescriber Signature X__ Brian Baksh __ Thalomid 50mg # 30


Refill: MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Manu: Celgene
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Brain Baksh, MD. Refill 0 times

Dispense as Written
Serial #7841CX39

Drug Dispensed:

Exp. 03/2009
Lot # L12488H

Please write a BRIEF description of the error/omission (3pts):


273. 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:
Suzanne Brower, MD
9988 Parkside Ave
Amherst, NY 14222
716-987-9876
Lic# 255897 DEA MB2536893
Name: Gale Chamberlin DOB: 03/15/29 Prescription Label:
Address:555 Parkwood Ave Date:03/08/06
Synder, NY 14077 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Exelon 4.5 mg
Rx# 66358
Sig: i po bid Gale Chamberlin March 9, 2006
555 Parkwood Ave
# 60 Synder, NY 14077

Take one capsule by mouth twice daily.

Exelon 4.5 mg #60


Prescriber Signature X__Suzanne Brower_____
Refill: 3 MDD: MFR: Novartis
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Suzette Brown, NP. Refill 3 times

Dispense as Written
Serial #568LK236
Drug Dispensed:

Exp. 08/2008
Lot # 1258789

Please write a BRIEF description of the error/omission (3pts):


274. 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:
Yin Ching Tee, MD
893 Lexington Ave
Getzville, NY 14209
716-234-2345
Lic# 225874 DEA BT2547896
Name: Harvey Chapman DOB: 09/07/53 Prescription Label:
Address:99 Birchwood Sq Date:12/18/05
Grand Island, NY 14412 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lithobid ER 300 mg
Rx# 2235
Sig: i po bid Harvey Chapman December 18, 2005
99 Birchwood Square
# 60 Grand Island, NY 14412

Take one tablet twice daily.

Lithium Carbonate ER 300 mg #60


Prescriber Signature X__Yin Ching Tee__
Refill: 3 MDD:2
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
MFR: Roxane
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Yin Ching Tee, MD. Refill 3 times

Dispense as Written
Serial #KL238745
Drug Dispensed:

Exp. 03/2007
Lot # K12458

Please write a BRIEF description of the error/omission (3pts):


155. 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: Randolph Harding DOB: 08/23/57 Prescription Label:
Address:5236 Southern Blvd Date:02/26/06
Grand Island, NY 14072 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cytoxan 25 mg
Rx# 300125
Sig: i po bid Randolph Harding February 26, 2006
5236 Southern Blvd
Grand Island, NY 14072
# 60
Take one tablet twice daily.

Prescriber Signature X__ Steven Hung _ Misoprostol 200 mg # 60


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Greenstone
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

Please write a BRIEF description of the error/omission (3pts):


141. 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 Kinsely, MD Diane Montgomery, RPA
Lic# 485147 Lic # 784147
DEA AK1687459 DEA MM4958746
124 Scamridge Street
Buffalo, NY 14111
716-577-4777
Prescription Label:
Name: Anthony Olson DOB: 04/17/32
Address: 214 Miami Road Date: 04/07/04 Health Sciences Pharmacy Phone: 716-555-5555
Hamburg, NY14207 222 Cooke Hall
Amherst, NY 14260
Rx Nadolol 40 mg
Rx# 045786
Sig: i po daily Anthony Olson April 7, 2004
214 Miami Road
# 30 Hamburg, NY 14207

Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


176. 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:
Elaine Knell, MD
2536 Rosewood Ave
Lancaster, NY 14150
716-111-7777
Lic# 784178 DEA AK7415892
Name: Margaret Louis DOB: 05/19/51 Prescription Label:
Address: 7417 Ashland Ave Date: 5/1/06
Kenmore, NY 14043 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Diazepam 5 mg
Rx# 74741
Sig: i po qd Margaret Louis June 11, 2006
7417 Ashland Ave
Kenmore, NY 14043
# 30 ( thirty)
Take one tablet once daily

Prescriber Signature X_ Elaine Knell ____ Diazepam 5 mg # 30


Refill: 0 zero MDD:1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Ivax
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Elaine Knell, MD. Refill 0 times

Dispense as Written
Serial #1748G15H

Drug Dispensed:

Exp. 02/2008
Lot # D741896

Please write a BRIEF description of the error/omission (3pts):


152. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/03
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Depakote 125
Rx# 89872
Sig: 1 po q12h Mary Foreman February 8, 2003
789 Parkwood Ave
Lackawanna, NY 14034
# 28
Take one tablet every 12 hours

Prescriber Signature X_ Mike Lou ____ Senokot # 28


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Purdue
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Mike Lou, MD. Refill 0 times

Dispense as Written
Serial #2315KU78
Drug Dispensed:

Exp. 02/2009
Lot # K21452

Please write a BRIEF description of the error/omission (3pts):


267. 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:
Stanley Kaiser, MD
888 Robin Raod
Millersville, NY 14000
716-555-7788
Lic# 171756 DEA BK5278850
Name: Lorraine Linsley DOB: 05/08/47 Prescription Label:
Address:5666 Manhattan Road Date:03/28/05
Aurora, NY 14031 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lonox
Rx# 71145
Sig: i-ii po 3-4 / day prn Lorraine Linsley March 28, 2005
5666 Manhattan Road
# 30 (thirty) Aurora, NY 14031

Take one to two tablets 3 to 4 times a day as needed,


maximum daily dose of 8 tablets.
Prescriber Signature X__ Stanley Kaiser _
Refill: 0 zero MDD: 6
Lonox # 30
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sandoz

daw Stanley Kaiser, MD Refill 0 times


Dispense as Written
Serial #K2587L12

Drug Dispensed:

Exp. 06/2008
Lot # W23235

Please write a BRIEF description of the error/omission (3pts):


576. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Shawnee Kessler DOB: 03/06/32 Prescription Label:
Address:8222 Crosswinds Ct Date: 05/23/08
Lockport, NY 14799 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Rasagiline 1mg
Rx# 114568
Sig: i po daily Shawnee Kessler May 23, 2008
8222 Crosswinds Ct
# 30 Lockport, NY 14799

Take one tablet once daily.

Prescriber Signature X__ Peterson Mineo __ Azilect 1mg # 30


Refill: 3 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Teva
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peterson Mineo, MD. Refill 3 times

Dispense as Written
Serial #985HG253

Drug Dispensed:

Exp. 11/2009
Lot # U56935

Please write a BRIEF description of the error/omission (3pts):


268.. 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:
Arnold Fletcher, MD
7523 Birch Place
Farmingdale, NY 17774
516-963-3333
Lic# 256387 DEA BF4587955
Name: Ralph McGreevy DOB: 06/21/33 Prescription Label:
Address:2369 Timberlane Ct Date:2/14/05
Farmingdale, NY 17770 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Lantus
Rx# 568888
Sig: uud Ralph McGreevy February 14, 2005
2369 Timberlane Ct
# 1 vial Farmingdale, NY 17770

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

Please write a BRIEF description of the error/omission (3pts):


357. 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:
Arnold Fletcher, MD
7523 Birch Place
Farmingdale, NY 17774
516-963-3333
Lic# 256387 DEA BF4587955
Name: Pamela Rushford DOB: 04/14/37 Prescription Label:
Address: 858 Waltercrest Tr Date:06/14/05
W Seneca, NY 14133 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Oxybutynin 5 mg
Rx# 102332
Sig: i po bid Pamela Rusford June 14, 2005
858 Waltercrest Tr
# 60 W Seneca, NY 14123

Take one tablet twice daily.

Prescriber Signature X___ Arnold Fletcher __ Oxybutynin ER 5 mg # 60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Arnold Fletcher, MD. Refill 5 times

Dispense as Written
Serial #Z235M587

Drug Dispensed:

Exp. 09/2007
Lot # 1N3111

Please write a BRIEF description of the error/omission (3pts):


358. 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

PHARMACY STERILE PRODUCT SERVICE IV ORDER


Hospital policy requires a maximum 24 hour expiration date on compounded
patient: Alexandra Rodriguez IV admixtures
allergies: NKA
room: 432B medical record no.: 8769
physician: Dr Toboggan, MD sex: (circle) male / (female)
date of birth: __04_/_30__/_69__ weight: ___121_____ (circle) (lb). / Kg
serum creatinine: ___0.9____mg/dl height: ___5’3”____ (circle) (in.) / cm

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

manufacturer: _US Products__________ Pharmacy Sterile Product Service IV Label

lot: _7997____ exp: __01/30/2014_ Patient Name: Alexandra Rodriguez


bag volume (ml): __100__________ Room:432B
Additives: Phenytoin 823mg
 drug additive
drug name: __Phenytoin_50mg/ml______
final bag concentration: __8.23mg/ml____ Solution: 100ml NS
manufacturer: ___UB Labs_________
lot: __D123___ exp: _12/31/12___ Infusion Rate: 364ml/hour

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

 diluent for drug reconstitution


(circle) SWFI NS D5W other: _____
manufacturer: ___________________
lot: __________ exp: ____/____/____
volume used (ml): ________________
503. 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:
Monica Greenfield, NP
290 Meyer Road
Amherst, NY 14216
716-787-8787
Lic# 235988 DEA MG4298341
Name:_Lily Grant __ DOB: 09/09/49 Prescription Label:
Address:_229 Young Road__ Date: 11/25/06_
_Buffalo, NY 12323__ Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Fentanyl 25 mcg patch
Rx# 23456
Sig: apply 1 patch q 72 h Lily Grant December 24, 2006
229 Young Road
# 10 ( Ten) Buffalo, NY 12323

Take one tablet every 72 hours. Maximum of 1 every 3


days.
Prescriber Signature X__ Monica Greenfield ___
Refill: 0 ( zero) MDD: 1 q 3d Fentanyl 25 mcg patch #10
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Mylan

Monica Greenfield, NP Refill 0 time


Dispense as Written
Serial #001UY569

Drug Dispensed:

Exp. 07/2009
Lot # L0000158

Please write a BRIEF description of the error/omission (3pts):


159. 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:
Brain Baksh, MD
2455 Wehrle Dr
Amherst, NY 14305
716-111-2222
Lic# 147852 DEA AB1235894
Name: Jeanette Calzone DOB: 07/07/57 Prescription Label:
Address:101 Connecticut Ave Date:01/01/07
W Seneca, NY 14125 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Dantrium 50 mg
Rx# 52356
Sig: i po qid Jeanette Calzone January 1, 2007
101 Connecticut Ave
# 120 W. Seneca, NY 14215

Take one tablet four times a day.

Prescriber Signature X__ Brian Baksh __ Dantrolene 50 mg # 100


Refill: 1 MDD:4
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Brain Baksh, MD. Refill 1 time
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written
Serial #7841CX39

Drug Dispensed:

Exp. 03/2009
Lot # L12488H

Please write a BRIEF description of the error/omission (3pts):


577. 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 Lee, MD Shirely Lee, RPA
Lic# 458793 Lic # 589633
DEA AL5224782
789 Maple Road, Suite #568
Amherst, NY 14226
716-898-8888
Prescription Label:
Name: Francis Rennick DOB: 12/16/88
Address: 5678 Sunset Drive Date: 06/01/06 Health Sciences Pharmacy Phone: 716-555-5555
Tonawanda, NY 12339 222 Cooke Hall
Amherst, NY 14260
Rx Concerta 54mg
Rx# 000123
Francis Rennick June 2, 2006
Sig: i tid 5678 Sunset Drive
Tonawanda, NY 12339

# 90 (ninety) Take 1 tablet three times daily.


Prescriber Signature X___ Mark Lee __
Refill: MDD: Concerta 54mg #90
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Janssen
DAW Mark Lee, MD. Refill 0 times
Dispense as Written
Serial #00TJI258

Drug Dispensed:

Exp.06/10
Lot # 060359W

Please write a BRIEF description of the error/omission (3pts):


123. 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:
Shirely Cunnigham, MD
7845 Grand Street
Williamsville, NY 14222
716-339-4589
Lic# 121548 DEA BC 1256381
Name: Frank Mumham DOB: 07/13/54 Prescription Label:
Address:5668 Highland Street Date:02/14/07
Kenmore, NY 14217 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Cyclobenzaprine 5 mg
Rx# 11245
Sig: i po tid prn Frank Mumham February 14, 2007
5668 Highland Street
Kenmore, NY 14217
# 90
Take one tablet three times a day

Prescriber Signature X__ Shirley Cunnigham _ Cyclobenzaprine 5 mg # 90


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Mylan
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Shirely Cunnigham, MD. Refill 1 times


Dispense as Written
Serial #T12589M1

Drug Dispensed:

Exp. 05/2008
Lot # 70289Z

Please write a BRIEF description of the error/omission (3pts):


568. 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 800mg
Rx# 12458
Sig: i po 3-4 x daily Carol Hoffman October 10, 2004
235 Million Street
# 60 Williamsville, NY 14145

Take one tablet by mouth 3-4 times daily

Prescriber Signature X___Joseph Koch____ Skelaxin 800 mg tablets # 60


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: King

DAW Joseph Koch, RPA. Refill 5 times


Dispense as Written
Serial #012KLI78

Drug Dispensed:

Exp. 08/2008
Lot # L12589

Please write a BRIEF description of the error/omission(3pts):


459. 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:
Peterson Mineo, MD
6485 Colvin Ave
Deprew, NY 14788
716-555-8888
Lic# 457859 DEA BM1417890
Name: Shawnee Kessler DOB: 03/06/32 Prescription Label:
Address:8222 Crosswinds Ct Date: 05/23/05
Lockport, NY 14799 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Synthroid 200 mcg
Rx# 114568
Sig: i po daily Shawnee Kessler May 23, 2005
8222 Crosswinds Ct
# 90 Lockport, NY 14799

Take one tablet once daily.

Prescriber Signature X__ Peterson Mineo __ Synthroid 200 mg # 90


Refill: 11 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Abott
PRESCRIBER WRITES “daw” IN THE BOX BELOW
Peterson Mineo, MD. Refill 11 times
DAW
Dispense as Written
Serial #985HG253

Drug Dispensed:

Exp. 11/2007
Lot # U56935

Please write a BRIEF description of the error/omission (3pts):


460. 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 Kinsely, MD Diane Montgomery, RPA


Lic# 485147 Lic # 784147
DEA AK1687459 DEA AM4958746
124 Scamridge Street
Buffalo, NY 14111 Prescription Label:
716-577-4777
Name: Clyde Nielsen DOB: 08/26/56 Health Sciences Pharmacy Phone: 716-555-5555
Address: 4578 Elmview Place Date: 03/17/06 222 Cooke Hall
Cheektowaga, NY 14669 Amherst, NY 14260

Rx Tenormin 100 mg Rx# 114569


Clyde Nielsen March 17, 2006
4578 Elmview Place
Sig: i po qd
Cheektowaga, NY 14669
# 30
Take one tablet once daily

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

Please write a BRIEF description of the error/omission(3pts):


131. 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 Clinoril 200 mg
Rx# 12458
Sig: i po bid prn Carol Hoffman October 10, 2004
235 Million Street
# 60 Williamsville, NY 14145

Take one tablet twice daily as needed


Prescriber Signature X_ Joseph Koch __ Ketoprofen ER 200 mg # 60
Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mylan

Joseph Koch, RPA. Refill 5 times


Dispense as Written
Serial #012KLI78

Drug Dispensed:

Exp. 10/2007
Lot #1N3304

Please write a BRIEF description of the error/omission(3pts):


134. 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: Harry Hugh DOB: 04/05/65 Prescription Label:
Address:5089 Niagara Blvd Date:01/05/06
Buffalo, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx CartiaXT 90mg
Rx# 78589
Sig: i po qd Harry Hugh January 5, 2006
5089 Niagara Blvd
# 30 Buffalo, NY 14225

Take one tablet once daily.

Prescriber Signature X__ Thomas Criag __ Procardia XL 90 mg # 90


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Pfizer
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Thomas Criag MD. Refill 0 times

Dispense as Written
Serial #18978TG8

Drug Dispensed:

Exp. 02/2011
Lot # 67P0Z0A

Please write a BRIEF description of the error/omission (3pts):


162. 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: Lucile Camalleri DOB: 05/18/74 Prescription Label:
Address: 678 Lafayette Ave Date: 05/17/00
Depew, NY 14000 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Imuran 50 mg
Rx# 147857
Sig: i po hs prn Lucile Camalleri June 16, 2005
678 Lafayette Ave
# 30 Depew, NY 14000

Take one tablet at bedtime if needed.

Prescriber Signature X_ Richard Zakrajesk __ Imuran 50 mg #30


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Prometheus
PRESCRIBER WRITES “daw” IN THE BOX BELOW

Richard Zakrajesk, MD. Refill 0 times


DAW
Dispense as Written
Serial #1257UY74

Drug Dispensed:

Exp. 02/2007
Lot # L088858

Please write a BRIEF description of the error/omission (3pts):


153. 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: Mary Foreman DOB: 05/14/33 Prescription Label:
Address:789 Parkwood Ave Date:02/08/03
Lackawanna, NY 14034 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Depakote 500 mg
Rx# 89872
Sig: i po q12h Mary Foreman February 8, 2003
789 Parkwood Ave
# 60 Lackawanna, NY 14034

Prescriber Signature X_____________ Take one tablet every 12 hours


Refill: 0 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS Depakote 500 mg # 60
PRESCRIBER WRITES “daw” IN THE BOX BELOW

MFR: Apothecon
DAW
DAW
Mike Lou, MD. Refill 0 times
Dispense as Written
Serial #2315KU78

Drug Dispensed:

Exp. 12/2009
Lot # 1587P145

Please write a BRIEF description of the error/omission (3pts):


575. 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: Harry Hugh DOB: 04/05/65 Prescription Label:
Address:5089 Niagara Blvd Date:01/05/08
Buffalo, NY 14225 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx xanax 0.5mg
Rx# 78589
Sig: i po TID prn Harry Hugh January 5, 2008
5089 Niagara Blvd
# 90 Buffalo, NY 14225

Take one tablet three times daily as needed. Maximum


daily dose of 3 tablets.
Prescriber Signature X__ Thomas Criag __
Refill: 2 MDD:3 Alprazolam 0.5mg # 90
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Greenstone

Thomas Criag MD. Refill 2 times


Dispense as Written
Serial #18978TG8

Drug Dispensed:

Exp. 02/2011
Lot # 67P0Z0A

Please write a BRIEF description of the error/omission (3pts):


465. 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:
George Spencer, MD
1001 Elmwood Ave
Aurora, NY 14120
716-999-8888
Lic#141423 DEA BS2314259
Name: Jayne Gilmore DOB: 09/30/87 Prescription Label:
Address:8112 Magnolia Street Date:07/22/06
S Wales, NY 14133 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Tiagabine 4 mg
Rx# 114570
Sig: i po tid Jenny Gilmore July 22, 2006
8112 Magnolia Street
# 90 S Wales, NY 14133

Take one tablet three times a day

Prescriber Signature X__ George Spencer __ Gabitril 4 mg # 90


Refill: 5 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS MFR: Cephalon
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

Please write a BRIEF description of the error/omission (3pts):


466. 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:
Terrance Fransco, DO
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Sophia Little DOB: 09/05/76 Prescription Label:
Address:2002 Fairfield Ave Date:01/31/11
Amherst, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Ovidrel 250 mcg
Rx# 114571
Sophia Little March 8, 2011
Sig: Inj SC UD 2002 Fairfield Ave
# 1 (one) Amherst, NY 14001

Inject subcutaneously as directed.


Prescriber Signature X__Terrance Fransco__
Refill: 0(zero) MDD:1 Ovidrel 250mcg/0.5ml #1
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW
MFR: Serono

Terrance Fransco, DO. Refill 0 times


Dispense as Written
Serial #852H56N8

Drug Dispensed:

Exp. 05/2012
Lot # G5856K

Please write a BRIEF description of the error/omission (3pts):


179. 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
Lic# 125898 Lic#874563
DEA BH1414250 DEA: AB1234567
78 Harlem Road
Bronx, NY 12365
716-333-4444 Prescription Label:
Name: Nicolas Lockard DOB: 04/29/78
Address:197 Hartford Road Date:05/05/05 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Aurora , NY 14228 Amherst, NY 14260

Rx Hydrocodone/APAP 7.5-750 Rx# 66698


Nicolas Lockard May 5, 2005
Sig: i po q4-6h prn 197 Hartford Road
Aurora, NY 14228
# 60 (sixty)
Take one tablet by mouth every four to six hours as
needed. Max of 5 tabs/day
Prescriber Signature X_ Lynn Marshall __
Refill: 0 (zero) MDD:5
Hydrocodone/APAP 7.5/750 # 60
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Sun

Lynn Marshall, RPA. Refill 0 times


Dispense as Written
Serial #17418H78

Drug Dispensed:

Exp. 08/2008
Lot # 1KJ2358

Please write a BRIEF description of the error/omission (3pts):


572. 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 Prescription Label:
Lic# 584612 DEA BR1144891
Health Sciences Pharmacy Phone: 716-555-5555
Name: Maria Sunstrum DOB: 12/26/52 222 Cooke Hall
Address:4555 Eggert Road Date:05/31/05 Amherst, NY 14260
Lockport, NY 14589
Rx# 66807
Rx Micronase 5mg Maria Sunstrum May 31, 2005
4555 Eggert Road
Sig: iii po BID Lockport, NY 14589

# 180 Take three tablets twice daily.

Glyburide 5mg # 180

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

Please write a BRIEF description of the error/omission (3pts):


571. 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 Prescription Label:
Lic# 125487 DEA BZ4557154
Health Sciences Pharmacy Phone: 716-555-5555
Name: Amy Celestino DOB: 02/29/59 222 Cooke Hall
Address:2390 Baxter Ave Date:07/09/06 Amherst, NY 14260
Buffalo, NY 14334
Rx# 90012
Rx Imitrex 100mg Amy Celestino July 9, 2006
2390 Baxter Ave
Sig: 1 po at onset of migraine, may repeat Buffalo, NY 14334
dose once after 2 hours.
Take 1 tablet at onset of migraine, may repeat dose once
#9 after 2 hours.

Imitrex 100mg #9

Prescriber Signature X_Richard Zakrajesek_ MFR: GSK


Refill: 1 MDD:
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW Richard Zakrajesek, MD. Refill 1 time

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

Take one tablet once every week.

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

Please write a BRIEF description of the error/omission (3pts):


574. 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:
Terrance Fransco, DO
7877 Easton Ave
New York, NY 10003
718-777-9999
Lic# 785745 DEA BF1425796
Name: Sophia Little DOB: 09/05/56 Prescription Label:
Address:2002 Fairfield Ave Date:01/31/09
Amherst, NY 14001 Health Sciences Pharmacy Phone: 716-555-5555
222 Cooke Hall
Amherst, NY 14260
Rx Treximet
Rx# 114571
Sophia Little January 31, 2009
Sig: 1 at onset of migraine. May 2002 Fairfield Ave
repeat dose once after 2 hours. Amherst, NY 14001
#9
Take one tablet at onset of migraine. May repeat dose
once after two hours.
Prescriber Signature X__Terrance Fransco__
Refill: 5 MDD: Treximet 85/500mg #9
THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS
PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: GSK

Terrance Fransco, DO. Refill 5 times


Dispense as Written
Serial #852H56N8

Drug Dispensed:

Exp. 05/2010
Lot # G5856K

Please write a BRIEF description of the error/omission (3pts):

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