Drug Regimen Review Request
SKU
MPSBRG-3541
In stock
MPN | 3541 |
---|---|
Packaging | 100 pad |
Size | 8 1/2 X 11 |
$33.33
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
This form is used to notify the pharmacist of the need for a Drug Regimen Review (DRR) for specific reasons other than the monthly DRR. It is designed for FAX/electronic transmission between the long-term care facility and the pharmacy.
- 8 1/2 X 11
- 100 pad
- Punched side and top
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