Retail Pharmacies. Rx Labels, Forms, and Supplies Catalog

Transcription

1 Retail Pharmacies Rx Labels, Forms, and Supplies Catalog

2 Benefits of Partnering with : Improve profit margins Help define your brand identity Maintain a professional image Printing Services is your single source for high quality printed products and supplies for the pharmacy industry. With more than 30 years experience and dedication to our pharmacy customers, we enable you to create a personalized, professional image with high quality printed products essential to pharmacy operations. Printing Services is like my own personal marketing department. They are able to customize my products with my own logo and tagline which helps me compete more effectively with chains. I value the service that Printing Services supplies since I don t have the time or the creativity to do this on my own. Jonathan Brunswig Owner and R.Ph Scott City Health Mart Scott City, KS 1

3 Printing Services is your single source for high quality printed products and supplies for the pharmacy industry. To help you distinguish your pharmacy from the competition, we enable you to create a personalized, professional image with highquality printed products essential to pharmacy operations. Printing Services offers a wide range of products, with experience and customer service that is unmatched in our industry. We focus entirely on the needs of your pharmacy and the printing services you require. Customer service and satisfaction are at the core of 's company-wide shared principles. We can even overnight the many products you require when time is critical. Our investment in people and technology ensures that you can offer your customers the best in printing quality. Printing Services will satisfy your printing needs in today s dynamic pharmacy environment. Table of Contents Direct Thermal Rx Labels 3 License Plates, Back Tags & Bag Labels 4 Full Page Rx Labels 5 Laser Rx Labels 9 Piggyback Rx Labels 10 EnterpriseRx /Pharmaserv Patient Information Monograph Receipt 11 A/R Forms & Envelopes 12 Long Term Care Forms 14 Supplies 16 Prescription Bags 17 Art Design and Colors Refer to this easy to use color chart to match compatibility with the software you use. EnterpriseRx Convenient Ways For You To mpsprintingservices@mckesson.com Phone: opt 7 Fax: Pharmaserv Rx Zadall Condor 2

4 Direct Thermal Rx Labels 1 D Direct Thermal Labels provide a quick, dependable way to. 2 improve the workflow 1 process in your pharmacy. 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1-1/2 x 1/2 1.5 x x x x.5.5 x x 9/16 3 x 9/16 3 x 1-3/8 3 x 9/16 3 x 2-3/16 3 x 9/16 3 x x x 9/16 3 x 2-1/8 3 x x 2-3/8 3 x 2-1/8 DTRX /8 x 6-1/2 3 x x DTRX /8 x 8-1/8 1-1/2 x 25/64 1-1/2 x 25/64 1-1/2 x 25/64 1-1/2 x 25/64 1-1/2 x 27/64 2 x 25/32 DTRX /8 x 8-1/8 1-1/2 x 25/64 1-1/2 x 25/64 1-1/2 x 25/64 1-1/2 x 25/64 1-1/2 x 27/64 2 x 25/32 DTRX /8 x 8-1/8 Fast and easy to use High-quality print Reduce hardware maintenance Improved turn-around Improved customer satisfaction 3-1/4 x 2 1-1/2 x 2 3 x 1 3 x /32 x /32 x 2 3-1/4 x 1/2 1-1/2 x 1/2 DTRX-1 4 x 4 1/2 DTRX-5 4 x 4 1/2 DTRX-8 4-3/4 x 2-1/2 May cause dizziness May cause drowsiness. Alcohol may intensify this effect. Use care when operating a car or machinery. 1-1/2 x 29/64 1-1/2 x29/64 1-1/2 x 13/32 1-1/2 x 13/32 4-1/8 x 2-1/4 2-5/8 This medicine contains Acetaminophen. Taking more than recommended may cause serious liver problems. Taking more of this medication than recommended may cause serious breathing problems. 1-1/2 2-5/8 x 2-1/4 1-1/2 x29/64 1-1/2 x 29/64 1-1/2 x29/64 3-1/4 x 2 1-1/2 x 13/32 1-1/2 x 13/32 1-1/2 x 13/32 2-3/16 x 7/8 1-15/16 x 7/8 2-3/16 x 7/8 1-15/16 x 7/8 3-1/4 x 1/2 1-1/2 x 1/2 DTRX-2 4 1/8 x 3 1/8 DTRX-3 4 1/8 x 3 1/8 DTRX-9 4-3/4 x 2-1/ Sales opt 7 Printing Services

5 License Plates and Back Tags Sample Workflow 1.) New script received. 2.) Enter script into reception; affix a license plate to the hardcopy script. 3.) Scan in the hardcopy script; system will recognize and associate the license plate to the script. 4.) Set hardcopy script aside for filing. 5.) Script is pushed to next workflow step. 6.) Navigate to the back tag printing feature (Tools>Print>Back Tags). 7.) Scan the license plate and the associated back tag will print. 8.) Adhere back tag to the back of the hardcopy script. 9.) File hardcopy. 10 digit and 12 digit available DTBT-2 4 1/8 x 2 1/2 Back Tag Labels 4 1/8 x 2 1/2 DTBT-3 4 1/8 x 1 3/8 4 1/8 x 1 3/8 DTBT-4 3 x 2 EnterpriseRx Pharmaserv Rx Zadall Condor Sales opt 7 Printing Services 4

6 THIS IS YOUR RECEIPT. PLEASE RETAIN FOR Full Page Laser Rx Labels The following are our most popular standard label styles. In addition to these items, we also produce custom Rx labels. For a more professional image, consider custom labels. Your label order will be shipped approximately six weeks after the order is placed, and you have approved the proof of your new artwork. In case of an emergency, we always stock blank labels for your convenience. Federal regulations mandate that Patient Information Leaflets be printed with a font size of 10 or larger. For this reason, it should be expected that the entire Patient Information Leaflet will not be printed on your label and additional pages will be required to accommodate the full text of the leaflet. CAUTION: Federal law prohibits transfer of this drug to any person other than the patient for whom it was prescribed. Form # CL /16 x 2 2 9/16 x 13/16 McKESSON PRINTING SERVICES X /8 x 1 1/16 3 5/8 x 3/8 2 3/16 x 5/16 3 5/8 x 1 3/8 2 3/16 x 1/2 8 1/2 x 5 13/16 EnterpriseRx Pharmaserv Rx Zadall Condor 4 1/4 x 1 11/16 4 1/4 x 1 11/16 CL Full Page Label 8 1/2 x 11 1,000 / carton PROGRAM 103, 104, 3400, 3600 PROGRAM 175 Form # CL /32 x /32 x 13/ /32 x 13/ /32 x 13/ /32 x 13/ /32 x 13/32 McKESSON PRINTING SERVICES X /16 x 1 1/2 3 13/16 x 1/2 Printing Services Form # x8550 CL /16 x 7/ /16 x 7/ /16 x 7/ /16 x 7/ /16 x 7/16 3 3/16 x 2 3 x 11/16 2 3/16 x 11/16 3 3/16 x 11/16 8 1/2 x 6 5/32 5 7/8 x 7 7/8 2 5/8 x 3 7/8 THIS IS YOUR RECEIPT. PLEASE PLEASE RETAIN RETAIN FOR FOR YOUR TAX OR INSURANCE USE. USE. 2 5/8 x 4 4 1/4 x 2 1/16 4 1/4 x 2 1/16 CL Full Page Label 8 1/2 x 11 1,000 / carton CL Full Page Label 8 1/2 x 11 1,000 / carton THIS IS YOUR RECEIPT. PLEASE RETAIN FOR YOUR TAX OR INSURANCE USE. USE. PROGRAM 1800, 1900 PROGRAM 140 PROGRAM 109, 14109, 110, Sales opt 7 Printing Services

7 Form# CL111 Feed McKESSON PRINTING SERVICES X550 Full Form# CL Feed McKESSON PRINTING SERVICES X /4 x 2 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 13/32 3 1/2 x 2 CAUTION: Federal & state laws prohibit transfer of this drug to any person other than the patient for whom prescribed. 1 9/16 x 1/2 1 9/16 x 1/2 1 9/16 x 1/2 1 9/16 x 1/2 3 13/16 x 2 5/8 Page 3 1/4 x 7/8 1 9/16 x 7/8 3 7/16 x 7/8 4 9/16 x 21/32 4 1/2 x 1 15/16 RECEIPT 4 1/2 x 1 15/16 DUPLICATE RECEIPT 4 5/16 x 2 4 3/16 x 2 Laser Rx 8 1/2 x 5 11/16 8 1/2 x 5 21/32 Labels CL Full Page Label 8 1/2 x 11 1,000 / carton CL111 Full Page Label 8 1/2 x 11 1,000 / carton Reorder # CL Printing Services X /2 x 3/8 1 1/2 x 3/8 1 1/2 x 3/8 1 1/2 x 9/16 3 x 2 1/8 3 7/8 x 2 1/2 3/8 x 1 9/16 3/8 x 1 9/16 3/8 x 1 9/16 3/8 x 1 9/16 4 1/4 x 1 15/16 4 1/4 x 1 15/16 EnterpriseRx Pharmaserv Rx Zadall Condor 8 1/2 x 5 29/32 CL Full Page Label 8 1/2 x 11 1,000 / carton Federal regulations mandate that Patient Information Leaflets be printed with a font size of 10 or larger. For this reason, it should be expected that the entire Patient Information Leaflet will not be printed on your label and additional pages will be required to accommodate the full text of the leaflet Sales opt 7 Printing Services 6

8 CAUTION: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed. Full Page Laser Rx Labels Reorder # CL2015 Printing Services X /2 x 3/8 1 1/2 x 3/8 1 1/2 x 3/8 1 1/2 x 9/16 3 x 2 1/8 3 7/8 x 2 1/2 4 1/4 x 1 15/16 4 1/4 x 1 15/16 8 1/2 x 4 13/16 8 1/2 x 4 1/2 Federal regulations mandate that Patient Information Leaflets be printed with a font size of 10 or larger. For this reason, it should be expected that the entire Patient Information Leaflet will not be printed on your label and additional pages will be required to accommodate the full text of the leaflet. CL2015 Full Page Label 8 1/2 x 14 1,000 / carton CAUTION: State or Federal laws prohibit transfer of this drug to any person other than the patient for whom prescribed. Form # CL117832L 1 17/32 x 13/ /32 x 13/ /32 x 13/ /32 x 13/ /32 x 13/32 McKESSON PRINTING SERVICES X /16 x 1 1/2 3 13/16 x 1/2 Form # CL /16 x 2 2 9/16 x 13/16 2 3/16 x 5/16 2 3/16 x 1/2 McKESSON PRINTING SERVICES X /8 x 1 1/16 3 5/8 x 3/8 3 5/8 x 1 3/8 8 1/2 x 9 1/8 8 1/2 x 9 4 1/4 x 2 4 1/4 x 2 CL117832L Full Page Label 8 1/2 x 14 1,000 / carton 4 1/4 x 1 1/2 4 1/4 x 1 1/2 CL Full Page Label 8 1/2 x 14 1,000 / carton PROGRAM 105, 106, 107, PROGRAM Sales opt 7 Printing Services

9 Full Page Laser Rx Labels EnterpriseRx Pharmaserv Rx Zadall Condor Federal regulations mandate that Patient Information Form# CL141 Feed McKESSON PRINTING SERVICES X /4 x 2 3 1/4 x 7/8 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 13/32 1 9/16 x 7/8 3 7/16 x 2 3 7/16 x 7/8 Leaflets be printed with a font RECEIPT 4 1/4 x 1 7/8 4 1/4 x 1 7/8 DUPLICATE RECEIPT size of 10 or larger. For this reason, it should be expected that the entire Patient Information Leaflet will not be 8 1/2 x 8 11/16 printed on your label and additional pages will be required to accommodate the full text of the leaflet. CL141 Full Page Label 8 1/2 x 14 1,000 / carton Sales opt 7 Printing Services 8

10 Laser Rx Labels (LL Series ) The LL Series of label styles are for use with Pharmaserv. These labels have peel-off tabs for printing caution messages associated with the dispensed drug. The tabs can be used for drug information or any additional information that may be useful for your pharmacy. The actual text message from your drug file is printed on the tabs to eliminate the use of separate caution labels. 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 3 x 1 3/8 3 x 1 3/8 3 x 1/2 3 x 1/2 3 x 1/2 3 x 1/2 3 x 2 5/8 3 x 2 3/8 LL-703 LL /2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 All Labels 4 x 8 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 1 1/2 x 1/2 3 x 1 3/8 3 x 1/2 3 x 1/2 3 x 1 3/8 3 x 1 EnterpriseRx Pharmaserv Rx Zadall Condor 3 x 2 5/8 3 x 2 5/8 LL-705 LL Sales opt 7 Printing Services

11 Piggyback Rx Labels CAUTION: Federal law prohibits transfer of this prescription to any person other than patient for whom prescribed w x 1w x Horizontal Face-Slit 4 x Vertical Face-Slit EnterpriseRx Pharmaserv Rx Zadall Condor w x 1w x 2 Vertical Face-Slit CAUTION: Federal law prohibits transfer of this prescription to any person other than patient for whom prescribed w PBSA1 x 1w 2w x 2 2w x 1x Piggyback, pressure-sensitive, selfadhesive labels provide a duplicate label. These labels are designed for filling prescriptions for Long Term Care Facilities. They allow for easy refill ordering by the facility with two labels in one. Information printed on the top label is automatically duplicated to a second, separate label. Rounded corner labels are featured for easy dispensing and a permanent adhesive is used to adhere the label to the vial x 3591m 4 x Vertical Face-Slit w x 1a x Horizontal Face-Slit x 1v 4 x Vertical Face-Slit All vertical slits are moveable and can be positioned as desired x Vertical Face-Slit These are just a few of the many styles we offer. Select one of ours, or send us your label to duplicate. LTC Thermal Rx Labels LTC741 LTC x 2 1d x n 1d x n 32 x 2 Blister Pack Labels POSSL 1 x π 1 x π 1 x π 1 x π 1 x π 1 x π 3n x s x 4 1 x π 1 x π 1 x π 1 x π 1 x π 1 x π 3n x s x Sales opt 7 Printing Services 10

12 EnterpriseRx Monograph Receipt EnterpriseRx Pharmaserv Rx Zadall Condor R E C E I P T Prescription Information For: R E C E I P T R Prescription Information E For: C E I P T R E C E I P T In addition to these stock items, we also produce custom Monograph Receipts and PILs with your store s logo for a more professional look. 8½ x Schoolcraft Livonia, MI Pharmaserv PIL Patient Information Leaflet 8½ x Sales opt 7 Printing Services

13 TRANSACTION RETAIN THIS STATEMENT FOR YOUR RECORDS TRANSACTION R ETAIN THIS STATEMENT FOR YOUR RECORDS Accounts Receivable Forms and Envelopes PAGE PAGE AMOUNT DUE AMOUNT DUE ACCOUNT NO. BILLING DATE AMT. ENCLOSED $ PLEASE DETACH AND RETURN THIS PORTION WITH YOUR REMITTANCE DATE DESCRIPTION / TRANSACTION NUMBER CHARGE SALES TAX PAYMENT/CREDIT ACCOUNT NO. BILLING DATE AMT. ENCLOSED $ PLEASE DETACH AND RETURN THIS PORTION WITH YOUR REMITTANCE DATE DESCRIPTION / TRANSACTION NUMBER CHARGE SALES TAX PAYMENT/CREDIT FINANCE CHARGES are calculated at a MONTHLY BAL. LAST STATEMENT THIS MONTHS CHARGES PAYMENTS/CREDITS PERIODIC RATE OF (ANNUAL RATE TOTAL AMOUNT DUE OF ) based upon an unpaid balance of outstanding days or more as of billing date: CURRENT 30 DAYS PAST DUE 60 DAYS PAST DUE 90 DAYS & OVER FINANCE CHARGES are calculated at a MONTHLY BAL. LAST STATEMENT THIS MONTHS CHARGES PAYMENTS/CREDITS PERIODIC RATE OF (ANNUAL RATE TOTAL AMOUNT DUE OF ) based upon an unpaid balance of outstanding days or more as of billing date: CURRENT 30 DAYS PAST DUE 60 DAYS PAST DUE 90 DAYS & OVER LHM-400 (R3-07) PLEASE PAY THIS AMOUNT LHM-400 (R3-07) PLEASE PAY THIS AMOUNT L-400 Laser Accounts Receivable Statement x 11 2,500 per carton Use envelopes L1WE, L2WE, LL2WE LHM-400 Laser Accounts Receivable Statement x 11 2,500 per carton Use envelopes L1WE, L2WE, LL2WE LL2WE Mailing Envelope for L-400 and LHM-400 A/R Statement #24 White Wove with inside blue tint Latex Seal x per carton L2WE Mailing Envelope for L-400 and LHM-400 A/R Statement #24 White Wove with inside blue tint Gum Seal x per carton L1WE Customer Return Envelope for L-400 and LHM-400 A/R Statement #24 White Wove Gum Seal x ,500 per carton Sales opt 7 Printing Services 12

14 Accounts Receivable Forms and Envelopes EnterpriseRx Pharmaserv Rx Zadall Condor PAGE ACCOUNT # BILLING DATE PLEASE ENTER AMOUNT ENCLOSED PAGE ACCOUNT # BILLING DATE PLEASE DETACH HERE AT PERFORATION AND RETURN THE TOP PORTION WITH YOUR REMITTANCE. PLEASE ENTER AMOUNT ENCLOSED TRANSACTION DATE DESCRIPTION / TRANSACTION NUMBER CHARGES PAYMENTS/ CREDITS PLEASE DETACH HERE AT PERFORATION AND RETURN THE TOP PORTION WITH YOUR REMITTANCE. TRANSACTION DATE DESCRIPTION / TRANSACTION NUMBER CHARGES PAYMENTS/ CREDITS Current Charges Balance Last This Monthʼs Payments/ Statement Charges Credits Days 60 Days 90 Days Over 90 PastDue PastDue PastDue DaysPastDue = AMOUNT DUE Form # L500 (122882) L-500 Laser A/R Statement x 11 2,000 per carton Use envelopes LL2WE567, L2WE567, ARRE Current Charges Balance Last Statement 30 Days 60 Days PastDue PastDue This Monthʼs Charges Days PastDue Payments/ Credits Over 90 DaysPastDue L-600 Laser A/R Statement x 11 2,000 per carton Use envelopes LL2WE567, L2WE567, ARRE + = AMOUNT DUE SERVICE CHARGES are calculated at a MONTHLY PERIODIC RATE OF (ANNUAL RATE OF ) based upon an unpaid balance of outstanding days or of this billing date more as Form # L600 (122882) L2WE567 Double Window Envelope for L-500 & L-600 Statements FROM PLACE STAMP HERE YOUR PHARMACY 123 MAIN STREET ANYTOWN, US ARRE Customer Return Envelope for L-500 & L-600 Statements x Custom Imprint Item LL2WE567 Double Window Envelope for L-500 & L-600 Statements Latex Seal Sales opt 7 Printing Services

15 DAY SHIFT EVENING SHIFT NIGHT SHIFT NURSE S MEDICATION NOTES MEDICATION REVIEWED DATE MEDICATION REVIEWED DATE PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER ORDER DATE DISCOUNT DATE DIAGNOSIS & COMMENTS PHYSICIAN S NAME & ADDRESS ALLERGIES PATIENT NAME LOCATION DATE OF BIRTH DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER MEDICATION HOUR DAY SHIFT EVENING SHIFT NIGHT SHIFT DIAGNOSIS & COMMENTS INIT. SIGNATURE DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT ALLERGIES PHYSICIAN S NAME & ADDRESS PATIENT NAME LOCATION DATE OF BIRTH PHYSICIAN S PHONE PHYSICIAN S DEA # SEX PAGE PATIENT # ORDER TEXT MEDICATION REVIEWED MEDICATION REVIEWED DATE DATE R.N. PHYSICIAN S PHONE SEX PAGE R. Ph. PHYSICIAN S DEA # PATIENT # DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER DAY SHIFT EVENING SHIFT NIGHT SHIFT MEDICATION HOUR DIAGNOSIS & COMMENTS INIT. SIGNATURE DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT ALLERGIES PHYSICIAN S NAME & ADDRESS PATIENT NAME LOCATION DATE OF BIRTH PHYSICIAN S PHONE SEX PAGE INIT. PHYSICIAN S DEA # PATIENT # L o n g T e r m C a r e F o r m s DOT MATRIX FORMS FACILITY PHARMACY PHYSICIAN S ORDER FORM DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT Ply 3 Ply 1 & 2 FACILITY PHARMACY MEDICATION CHART PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER MEDICATION HOUR FACILITY PHARMACY PHYSICIAN S ORDER FORM INIT. SIGNATURE PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER CURRENT ORDERS HOUR PHYSICIAN S ORDERS Part Physicians Form 1000 per carton x 11 INIT. SIGNATURE NURSE S MEDICATION NOTES SA-102HR TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES x550 DIAGNOSIS & COMMENTS NURSE S MEDICATION NOTES DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT ALLERGIES PHYSICIAN S NAME & ADDRESS PHYSICIAN S PHONE PHYSICIAN S DEA # PATIENT NAME LOCATION DATE OF BIRTH SEX PAGE PATIENT # DIAGNOSIS & COMMENTS ALLERGIES Back MEDICATION CHART FACILITY PHARMACY INIT. SIGNATURE PHYSICIAN S NAME & ADDRESS R.N. R. Ph. PHYSICIAN S PHONE PHYSICIAN S DEA # PATIENT NAME LOCATION DATE OF BIRTH SEX PAGE PATIENT # 102HR 3 - Part Combined Physicians Med Chart Form 500 per carton x 11 SA-105HR TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES x550 NURSE S MEDICATION NOTES Back 105HR 1 - Part Medication Chart 1000 per carton x 11 UNIT DOSE FILL SHEET FACILITY PHARMACY Copy PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER MEDICATION HOUR NURSE S MEDICATION NOTES TREATMENT CHART FACILITY PHARMACY INIT. SIGNATURE SA-104HR TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES DIAGNOSIS & COMMENTS ALLERGIES PHYSICIAN S NAME & ADDRESS PATIENT NAME LOCATION DATE OF BIRTH PHYSICIAN S PHONE PHYSICIAN S DEA # SEX PAGE PATIENT # SA-106HR TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES NURSE S MEDICATION NOTES Back 104HR 1 - Part Unit Dose Fill Sheet 1000 per carton x HR 1 - Part Treatment Chart 1000 per carton x Sales opt 7 Printing Services 14

16 DAY SHIFT EVENING SHIFT NIGHT SHIFT 102L (N 3/10) TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES x L TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES x550 MEDICATION REVIEWED DATE MEDICATION REVIEWED DATE DAY SHIFT EVENING SHIFT NIGHT SHIFT 106L 104L TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES x8550 TO REORDER THIS FORM CONTACT McKESSON PRINTING SERVICES x8550 L o n g T e r m C a r e F o r m s FACILITY PHARMACY PHYSICIANʼS ORDER FORM PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER UNIT DOSE FILL SHEET Copy FACILITY PHARMACY PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER CURRENT ORDERS HOUR PHYSICIANʼS ORDERS MEDICATION HOUR DIAGNOSIS & COMMENTS ALLERGIES DIAGNOSIS & COMMENTS ALLERGIES PHYSICIANʼS NAME & ADDRESS R.N. R. Ph. PHYSICIANʼS PHONE PHYSICIANʼS DEA # PHYSICIAN S NAME & ADDRESS PHYSICIAN S PHONE PHYSICIAN S DEA # PATIENT NAME LOCATION DATE OF BIRTH SEX PAGE PATIENT # PATIENT NAME LOCATION DATE OF BIRTH SEX PAGE PATIENT # 102L Physician s Form 1000 per carton x L Laser Unit Dose Fill Sheet 1000 per carton x 11 LASER FORMS NURSE S MEDICATION NOTES MEDICATION NOTES DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT DATE TIME INITIAL DRUG STRENGTH DOSE REASON RESULT FACILITY PHARMACY MEDICATION CHART PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER MEDICATION HOUR TREATMENT CHART FACILITY PHARMACY PATIENT NAME LOCATION DATE OF BIRTH SEX MO. YEAR PATIENT NUMBER MEDICATION HOUR INIT. SIGNATURE INIT. SIGNATURE INIT. SIGNATURE INIT. SIGNATURE DIAGNOSIS & COMMENTS ALLERGIES DIAGNOSIS & COMMENTS ALLERGIES PHYSICIAN S NAME & ADDRESS PATIENT NAME LOCATION DATE OF BIRTH PHYSICIAN S PHONE PHYSICIAN S DEA # SEX PAGE PATIENT # Back PHYSICIAN S NAME & ADDRESS PHYSICIAN S PHONE PHYSICIAN S DEA # Back 105L Laser Medication Chart 1000 per carton x 11 PATIENT NAME LOCATION DATE OF BIRTH 106L Laser Treatment Chart 1000 per carton x 11 SEX PAGE PATIENT # Sales opt 7 Printing Services

17 1. Set accurate Promise Times! 2. Review the Home Page for Announcements and Activity information. 3. Navigation/Hot Keys: ALT+ Underlined letter = Hotkey TAB = Advance through current window SHIFT + TAB = Go back within current window ENTER = Select current option ESC = Close current window F1-F12 -Key = Access specific functionality in workflow header F2 = Rx Intake F3 = All Rx Status 4. Where are you? Look to the Title Bar and Status Bar 5. Use Next to: Send a prescription to the next activity/queue Keep orders together Stay within your assigned activity 6. Use Next Workflow Step to: Follow one prescription to the next activity Override assigned activity 7. Use Decline to send a prescription back to earlier steps for corrections. A variety of supplies are available for your pharmacy system. Please call for additional information. EnterpriseRx Extras Supplies Toners Lexmark MS810 series printer (810, 811, 812) LEXT810 New LEXT810IU Imaging Unit Lexmark T650 series printer (650, 652, 654) LEXT650 New MCK650 Refurbished Lexmark T640 series printer (640, 642, 644) LEXT640 New MCK640 Refurbished Lexmark T630 series printer (630, 632, 634) LEXT630 New MCK630 Refurbished ITEM # ERXMP Golden Rules for working prescriptions in EnterpriseRx. Mouse Pad Back-up Tapes ITEM # SLR5 SLR3/1.2 BUT6525 SLR60 SLR75 SLR100 TANCK TRAVAN20 TRAVAN8 REV120 DESCRIPTION Tandberg 4/8GB Tandberg 1.2GB Tandberg MB Tandberg SLR60GB Tandberg SLR75GB Tandberg SLR100GB Tandberg Cleaning Tape Travan 10/20GB Travan 4/8GB Rev Disk 120GB ERXKS ERXBC Keyboard Stickers Badge Covers POS Register Tape ITEM # POSTHERM DESCRIPTION POS Thermal Register Tape x 230 Black Image Thermal 50 rolls per case Prescription/Receipt Pads ITEM # DESCRIPTION PP Generic Prescription Pad HMPP Health Mart Prescription Pad PPTR Generic Prescription Pad (tamper resistant) HMPPTR Health Mart Prescription Pad (tamper resistant) ERXTHERM Electronic RX Thermal Paper (Zadall) All pads are fully customizable. 5,000 per case ERXBZ Zip Clips Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA-1088 FEDWL FDA Caution Labels 1,000 labels per pack 5,000 minimum Sales opt 7 Printing Services 16

18 Prescription Bags Stock Rx Bags 2,000 / carton Minimum order: 1 carton Shipped daily from warehouse SBHM7 7 x 10 SB5F 5 x 2 x 10 Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA-1088 Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA-1088 Call your doctor for medical advice about side effects. You may report side effects to FDA at FDA-1088 SBHM x x SBHM5 5 x 2 x 10 Custom Square Bottom Bags 1,000 / carton Minimum order: 6,000 Item Code Size SOS1 6 x x 11 SOS2 7 x x Custom Rx Bags 2,000 / carton Minimum order: 10,000 Price Break Quantities: 10,000 16,000 30,000 s ship four weeks after approval of proof Item Code Size PB x x PB5 5 x 2 x 10 PB7 7 x Prescriptions Your 123 Main Street Anytown, US PH For refills call 2-3 days in advance if possible Sales opt 7 Printing Services

19 Label Art and Design Printing Services has a fully equipped Graphics Department. We can duplicate your current label, or design a new layout for you. This page shows some of the many logos and art clips you can choose from as part of your label design Standard Ink Colors PANTONE Black PANTONE Yellow PANTONE 347 PANTONE 199 PANTONE 194 PANTONE 300 PANTONE 287 PANTONE 165 PANTONE 168 PANTONE 872 = PANTONE 2945 PANTONE Sales opt 7 Printing Services All PANTONE colors are available. The colors shown on this page and throughout this manual have not been evaluated by Pantone for accuracy and may not match the PANTONE Color Standards. Consult current PANTONE Publications for accurate color. PANTONE is the property of Pantone LLC. 18

20 Printing Services Schoolcraft Road Livonia, MI pharmacysystems.mckesson.com Sales opt 7 Printing Services Version: 4/14