SPECIAL INSTRUCTIONS COVERING RESEARCH MEDICATION
LABELS FOR DELTA-9-TETRAHYDROCANNABINOL CONTAINERS
| HOSPITAL PHARMACY 1234 MAIN STREET ANYWHERE, ILLINOIS |
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| DEA NO. XX 0000000 | PHONE NO. ( ) 000-0000 |
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| RO NO: | 123-456 | PHYSICIAN: |
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| JOHN DOE | DATE: 10-10-80 |
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| ONE CAPSULE EVERY SIX HOURS AS NEEDED. |
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| DELTA-9-THC | 5MG (#25) |
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| VALID FROM 10-10-80 to 10-20-80 | (RPH INITIALS) |
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| CAUTION: FEDERAL LAW PROHIBITS THE TRANSFER OF THIS DRUG TO ANY PERSON OTHER THAN THE PATIENT FOR WHOM IT WAS PRESCRIBED. |
| THIS PRESCRIPTION CANNOT BE REFILLED RETURN UNUSED PORTION TO DISPENSING PHARMACY FOR PROPER DISPOSAL. |
| KEEP OUT OF REACH OF CHILDREN. IN CASE OF ACCIDENTAL OVERDOSE, CONTACT A PHYSICIAN IMMEDIATELY. |