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Repacked Serial Number 6. Procedure for Compounding / Prepacking a. Ingredients b. Procedures 7. Ingredient Detail a. Ingredient b. Strength 8. Prepared By a. Name NAVMED 6570/2 (12-2008) c. Manufacturer d. Lot Number e. Exp Date f. Qty Used g. Tech h. Pharmacist 9. Final Product Verification b. Signature a. Name See Page 2 for Sample Label b. Signature Page 1 of 2 SAMPLE LABEL Pharmacy Name Compound / Prepacked Name and Strength Compound / Prepacked Serial Number Date Compounded.

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How to fill out the NAVMED 6570/2 online

Filling out the NAVMED 6570/2 form online is a straightforward process that ensures all necessary information is accurately recorded. This guide will provide you with clear, step-by-step instructions to assist you in completing the form with confidence.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the pharmacy name in the designated field. Ensure the name is accurate as it represents your facility.
  3. Input the date compounded. This should be the date when the compounding process was completed.
  4. Fill in the expiration date of the compounded product. This is crucial for ensuring the product's effectiveness and safety.
  5. Specify the compound or prepacked name and its strength in the appropriate field.
  6. Record the compound or prepacked serial number. This helps in tracking the product.
  7. In the 'Procedure for Compounding / Prepacking' section, outline the ingredients used. List each ingredient clearly.
  8. Detail the procedures followed for compounding or prepacking, ensuring that all steps are accurately documented.
  9. For the 'Ingredient Detail' section, list each ingredient along with its strength to ensure clarity.
  10. Input your name in the 'Prepared By' section, followed by the manufacturer's name, lot number, expiration date, and quantity used.
  11. Indicate the technician and pharmacist involved in the process.
  12. Complete the 'Final Product Verification' section by entering your name and signature, as well as the name and signature of the individual verifying the final product.
  13. Once you have filled out all sections of the form, you can save your changes, download the form, print it, or share it as needed.

Start completing your NAVMED 6570/2 form online today!

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