negative, and two or more medications are often
administered to achieve a greater therapeutic effect.
Information Concerning Drug
Contraindications, Adverse Reactions, and
Descriptions of drug contraindications, adverse
reactions, and interactions may be found in several
publications, most notably the Physicians Desk
Reference. However, the most important location for
finding this information is the manufacturers package
insert and associated literature that accompanies each
p a r t s o f a p re s c r i p t i o n , a u t h o r i z e d
prescribers and how prescriptions are
written, filled, verified, labeled, and filed.
The most important tool used by the pharmacy is
A prescription is a written or
computerized order from a healthcare provider
(prescriber) directing the pharmacy to compound and
dispense a drug or medication for a patient to use.
Of special importance is your understanding and
conformance to the following protocols:
All information pertaining to a prescription is
confidential and should not be divulged to any
persons not specifically involved in the
No prescription or any of its parts may be applied
or transferred to any person other than the patient
To fill a prescription correctly, you must
thoroughly understand the prescription writing and
Because regulations and policies
governing pharmacies sometimes change, it is
important for you to be familiar with pharmacy
policies in the Manual of the Medical Department
(MANMED), NAVMED P-117. The MANMED is the
basic guide to pharmacy operations.
PARTS OF THE PRESCRIPTION
Currently, there are two standardized forms used
for prescriptions: the DoD Prescription, DD Form
1289 (fig. 6-3) and the Polyprescription, NAVMED
6710/6 (fig. 6-4). Information placed on these forms
must be either typewritten or legibly handwritten in ink
or indelible pencil. In addition to these two forms,
many of todays fixed medical facilities (e.g., naval
hospitals and medical clinics) now have automated
pharmacy systems that allow healthcare providers to
enter prescription requests into computers in their
offices instead of handwriting prescriptions.
Prescriptions, written or computerized, have, for the
most part, the same information requirements. The
only major difference is that automated prescriptions
do not require the prescribers signature.
DD 1289 is used extensively for outpatient
prescriptions. For this reason, the key parts of DD
1289 will be discussed in the following sections. See
figure 6-3 for examples of specific block entries.
Patient Information Block
In the patient information block, located at the top
of the DD 1289, the patients full name and date of birth
At most medical facilities, however,
additional patient information is added to this block.
This additional information usually includes the
patients duty station; social security number with
family member prefix; rate; and branch of service.
Medical Facility and Date Block
The medical facility block, located below the
patient information block, should contain the name of
the medical facility or ship where the prescription was
written. Completion of this block is important if the
source of the prescription needs to be traced.
The date block, located to the right of the medical
facility block, should contain the date in which the
prescription was written.
The large block in the center of the DD 1289 is the
It contains four parts:
superscription, the inscription, the subscription, and
SUPERSCRIPTION.The superscription Rx
means take or take thou or, in effect, I want this
patient to have the following medication.
INSCRIPTION.The inscription is that part of
the prescription that lists the names and quantities of
the ingredients to be used. This part of the prescription