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Sample Medication Label Recording System Meets Federal and State Regulations as they pertain to documenting the dispensing of SAMPLE MEDICATIONS Ready to Order ? Click and Skip Direct to SECURE ORDER FORM The SecureGuard™ Custom Imprinted Sample Medication Recording System lets you write ONCE to create Two Labels and a Record Copy !

All prescription drug samples dispensed to patients
must include instructions that meet State and Federal guidelines.

The SecureGuard™ Sample Medication System is Imprinted with
the Practice Name, Address and Phone Number.
Our Standard Format meets all regulations.

The STANDARD FORMAT includes room for:

• the prescriber’s name
  
• the patient’s name
• the date
• the Rx Medication name
• dosage of the drug
  
• It is essential to provide written instructions on how to take the drug
  
• All special instructions must be included,
  similar to the instructions on a prescription filled by a pharmacist
  
• Special Instructions can be written on a label and placed on the sample package
  a zip-lock bag or an inexpensive brown lunch bag.

Dispensing Sample Medication The SecureGuard™ Sample Medication Label Recording System is Easy-to-Use. Give the required written instructions to your patient. The Green-bordered label affixes right to the medication sample. Your directions won’t get lost, or forgotten. This means fewer phone calls! Update the patient’s file. The Purple-bordered label affixes direct to the patient’s chart. You know exactly what medications you gave to your patient and the instructions you issued. This is a "write-it-once" system. Keep a separate record of all sample medications in one location.

Pre-punched duplicate log sheet slips easily into the binder. Record any useful information relative to drug recalls or inventory.

• Label Size: 3.5" x 1.5"
  
• 14 labels per set
  
  • 14 Green Border Labels
  • 14 Purple Border Labels + Record Copy

• Green Border Label to apply to package
• Purple Border Label to apply to patient record
• Keep the separate Record Log of all sample medications in one location.

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• Item Number: SP808-1
  SAMPLE MEDICATION LABEL Recording System
  100 sets (1400 medications) ... $290.00 including custom imprint
  plus shipping by UPS

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• Item Number: SP808-2
  SAMPLE MEDICATION LABEL Recording System
  200 sets (2800 medications) ... $460.00 including custom imprint
  plus shipping by UPS

Ready to Order ~~~

Click For SECURE ORDER FORM

Special Offer ...
FREE Side Grip CLIPBOARD
with your FIRST ORDER

If you dispense Sample Medications ...
You need the SecureGuard™ Sample Medication Label Recording System

Copyright © 2008-2013 inclusive
Micro Format, Inc
All Rights Reserved
Micro Format, Inc.
830-3 Seton Court ~ Wheeling, IL 60090
800/333-0549 ~ FAX 847/520-0197