Injectable Medication Log Sheet
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4Client Injectable Medication Log
Drug Name: ______________________
NDC #: _________________
Manufacturer
Dose
Expiration
Date
convert to
Date
Client Name
Unicare #
Opened
Dose (mg)
Date
mL
Comments:
1. NDC # refers to the 10 digit National Drug Code found on each vial.
2. For MDV, the vial needs to be dated when open.
3. Un-used portion expires after 30 days from open date and should be returned to Pharmacy.
4. Use one vial at a time (Do not keep multiple open vials on hand).
Client Inj Med Log
5. Keep log on file for 1 year.
rev. 03/02/07
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Parent category: Medical