1. (a) Upon receiving an order for a radiopharmaceutical, a nuclear pharmacy shall immediately reduce the prescription to writing or record the order in an automated data processing system. The written or electronic record shall contain at least the following:

   1. (1) the name of the institution and prescribing practitioner or the practitioner's agent;
   2. (2) the requested date of dispensing and the calibration time of the radiopharmaceutical;
   3. (3) the name of the procedure;
   4. (4) the name of the radiopharmaceutical;
   5. (5) the dose or quantity of the radiopharmaceutical;
   6. (6) the prescription number assigned to the order;
   7. (7) any specific instructions;
   8. (8) the identity of the person who dispenses the prescription or medication order; and(9) the patient's name if the prescription or medication order is for a therapeutic or blood-product radiopharmaceutical.

2. (b) The outer container (consisting of the radiation shielding) containing a radio-pharmaceutical to be dispensed shall be labeled with:

   1. (1) the name and address of the pharmacy;
   2. (2) the name of the prescribing practitioner;
   3. (3) the date of dispensing;
   4. (4) the prescription number;
   5. (5) if radioactive, the standard radiation symbol and the words "Caution: Radioactive Material";
   6. (6) the name of the procedure;
   7. (7) the radionuclide and chemical form;
   8. (8) the amount of radioactivity and the calibration date and time;
   9. (9) the expiration time;
   10. (10) the appropriate dosage units;
   11. (11) if a solid, the number of items or weight;
   12. (12) if a gas, the number of ampoules or vials; and(13) the patient name when intended for individual therapeutic use, or the words "For Physician Use" or "For Physician Use Only."

3. (c) The immediate inner container (containing the dose) of a radiopharmaceutical to be dispensed shall be labeled with:

   1. (1) the name of the radiopharmaceutical;
   2. (2) the serial number assigned to the prescription or medication order of the radiopharmaceutical;
   3. (3) the standard radiation symbol; and(4) the words "Caution: Radioactive Material."

(Adopted effective November 30, 2006)