(NAR) VOL. III NO. 3 / JULY - SEPTEMBER 1992
a) | for anxiolytic preparations — four (4) weeks supply for the patient or one hundred (100) tablets/capsules, whichever limit is more restrictive. |
b) | for hypnotic preparations — two (2) weeks supply or thirty (30) tablets/capsules, whichever limit is more restrictive. |
c) | where the preparation is prescribed as anxiolytic as well as hypnotic in one prescription, the limit set for hypnotics shall apply. |
d) | for preparations in ampuls prescribed as anxiolytic or hypnotic or both — three (3) ampuls x 2mL or one (1) ampul x 10mL per ampul except when such preparations are for hospital use in which case the ampuls shall be placed in the custody of the appropriate hospital personnel. |
a) | Date of prescription |
b) | Name and address of the prescribing practitioner |
c) | Privilege Tax Receipt (PTR) Number of the prescribing practitioner |
d) | Dangerous Drugs License Number (S2) of the prescribing practitioner |
e) | License (PRC) number of the prescribing practitioner |
f) | Name, age and address of the patient |
g) | Generic name of the drug (immediately followed by the strength of its principal active ingredient if the drug is a preparation) |
h) | Brand name(s) may be indicated below by the generic name |
i) | Total number of the units to be supplied in words followed by its equivalent in Roman numerals enclosed in parentheses |
j) | Direction for use and the words "Non Refillable". The use of the words "As directed" or other statements to the said effect in lieu of the directions for use is not allowed. |
k) | Signature of the practitioner |