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PRESCRIPTION FORM TYPES updated October 2006 Paper type Colour Purpose Order code and format FP10NC FP10NC GPs - Glued at top 50-form Hand-written prescription prescriber pad Green details address etc. printed by manufacturer. For use by GPs Hospitals FP10HNC Hospitals - Glued at top 50-form pad FP10SS Computer single sheet prescription prescription prescriber name address etc printed by computer prescribing Green system. For use by GPs and hospital/ supplementary prescribers using accredited systems Drug Mis-use instalment prescription Can be either FP10 MDA Single sheet printer forms Box 2000 forms Also used by services eg. Deputising where the form is part printed and then the patient s prescribers details are entered onto the prescription when the patient is seen All products A4 width FP10MDA-S GPs - Glued pad of 10 Pre-printed with prescriber name forms address etc. printed by manufacturer FP10HMDA-S Hospitals Glued pad of occasional use form for GPs hospitals 50 forms and supplementary prescribers or FP10MDA-SP Supplementary Blue prescribers - Glued pad of 10 forms Single sheet blank forms with prescriber name address etc printed by prescriber s FP10MDA-SS - GPs hospitals and computer prescribing system. For use by supplementary prescribers box of 500 GPs hospitals and supplementary PCDSS eg. PRESCRIPTION FORM TYPES updated October 2006 Paper type Colour Purpose Order code and format FP10NC FP10NC GPs - Glued at top 50-form Hand-written prescription prescriber pad Green details address etc* printed by manufacturer. For use by GPs Hospitals FP10HNC Hospitals - Glued at top 50-form pad FP10SS Computer single sheet prescription prescription prescriber name address etc printed by computer prescribing Green system* For use by GPs and hospital/ supplementary prescribers using accredited systems Drug Mis-use instalment prescription Can be either FP10 MDA Single sheet printer forms Box 2000 forms Also used by services eg. Deputising where the form is part printed and then the patient s prescribers details are entered onto the prescription when the patient is seen All products A4 width FP10MDA-S GPs - Glued pad of 10 Pre-printed with prescriber name forms address etc* printed by manufacturer FP10HMDA-S Hospitals Glued pad of occasional use form for GPs hospitals 50 forms and supplementary prescribers or FP10MDA-SP Supplementary Blue prescribers - Glued pad of 10 forms Single sheet blank forms with prescriber name address etc printed by prescriber s FP10MDA-SS - GPs hospitals and computer prescribing system* For use by supplementary prescribers box of 500 GPs hospitals and supplementary PCDSS eg. Extended Formulary Nurse printed Lilac Out of Hours Centres Yellow Community Dentist prescription FP10PN Practice nurses - Glued pad of 50 forms FP10CN Community nurses - Glued FP10SP Supplementary prescribers Glued pad of 50 forms FP10P-Rec Out of Hours Centres Glued pad of 50 forms Glued pad of 50 forms Private Controlled Drug Single Sheet prescription* For use when prescribing Pink controlled drugs in a private environment only PCDNC NOTE Production of FP10C GP tractor feed prescriptions FP10HP hospital hand written prescriptions and FP10HP AD hospital treatment of drug misuse instalment prescriptions ceased in March 2004.

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