Prescription Form

A Prescription Form is a written (or electronic) order from a licensed healthcare provider authorizing a patient to be provided a medication or treatment. Prescriptions must include: patient name and date of birth, prescriber name and credentials, date written, drug name (generic or brand), strength, dosage form (tablet, liquid), quantity to dispense, directions for use (dose, frequency, route, duration), number of refills allowed, prescriber signature and DEA number (for controlled substances). Electronic prescribing (e-prescribing) is increasingly common, reducing errors from illegible handwriting and improving efficiency. For controlled substances, additional requirements apply including special prescription forms or electronic prescribing with two-factor authentication. Prescriptions must comply with state and federal regulations. They're typically valid for limited periods (one year for most drugs, shorter for controlled substances). Pharmacists verify prescriptions, check for interactions, and counsel patients on proper use.