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In addition, the regulations allow authorized hospitals/clinics with an on-site pharmacy and retail pharmacies to voluntarily maintain collection receptacles at long-term care facilities.

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Pharmacists and practitioners must comply with any state/local laws, regulations, or policies prohibiting any of these changes to controlled substance prescriptions.

The pharmacist is never permitted to make changes to the patient's name, controlled substance prescribed (except for generic substitution permitted by state law) or the prescriber's signature.

Food animal owners should have a written treatment records system in place to decrease the risk of violative residues in meat, milk or eggs. Food animal owners must keep records when engaging in ELDU, and when milk and or meat withdrawal of a certain drug may differ from its label.

Owner treatment records have been developed by several producer organizations and are available in conjunction with quality assurance programs.

All veterinary prescription drugs must be properly labeled when dispensed.

A complete label should include all the information set forth under the section on Basic Information for Records, Prescriptions, and Labels.Adequate written treatment records must be maintained by the veterinarian for at least two years (or as otherwise mandated by law), for all animals treated, to document that the drugs were supplied to clients in line with federal and state rules and policies, and AVMA’s Principles of Veterinary Medical Ethics.Such records must include the information set forth under Basic Information for Records, Prescriptions, and Labels.(5) In an institution, Schedule II controlled substances which the pharmacy dispensed and which were ultimately received by the patient shall be recorded and the record kept for 2 years.(c) A pharmacist may decline to fill or refill a prescription if the pharmacist knows or has reason to know that it is false, fraudulent or unlawful, or that it is tendered by a patient served by a public or private third-party payor who will not reimburse the pharmacist for that prescription.The pharmacist may add or change the dosage form, drug strength, drug quantity, directions for use, or issue date only after consultation with and agreement of the prescribing practitioner.

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