Sample Medication Log
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SAMPLE MEDICATION LOG
Drug Name________________Strength_______________________Drug Company___________________________
Amount Remaining from Previous Month_____________________Month and Year__________________________
Date
Quantity
Expiration
Drug
Date Out
Patient’s Name
Lot
Physician’s
received
Date
Detail
Number
Signature/Initial
Person
Initials
TOTAL RECEIVED________________________
TOTAL DISPENSED/EXPIRED______________________
Amount Remaining from Previous Month
_____________________
PLUS Total Qty. rec’d during Month
_____________________
Subtotal
_____________________
LESS Total Disp./Exp. During Month
_____________________
Total end of Month Inventory
_____________________
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Parent category: Medical