Components of a Properly Written Prescription
NUR 5140
In this activity, explore the multiple components of a properly written prescription. Click 'start' to begin.
Start
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Directions: Click "Go!" to begin exploring the different parts of a prescription form. As you review each section, the next section will automatically appear for you to continue learning about the form’s components.
GO!
Way To Go! You reviewed all of the Components of a Properly Written Prescription!
Want to review the activity again?
RETURN TO HOME TO RESTART THE ACTIVITY
REVIEW THE FILLED OUT FORM COMPONENTS
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
DEA#
Your NPI number: National Provider Identifier number.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Directions: Click "Go!" to begin exploring the different parts of a prescription form. As you review each section, the next section will automatically appear for you to continue learning about the form’s components.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
next
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
next
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
next
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
next
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
next
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
next
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
next
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
NPI
Your NPI number: National Provider Identifier number.
next
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
DEA#
Your NPI number: National Provider Identifier number.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
next
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Background Information
- When hand-writing prescriptions, use indelible ink (not pencil or erasable ink), particularly controlled substances.
- Medicaid/TennCare prescriptions are required to be on tamper-proof prescription pads.
- Increasingly, practitioners are using computer-generated prescriptions to combat medication errors and reduce the possibility of forgeries and this practice will likely be required in the not-too-distant future.
- It is still important to know how to write out a prescription the old-fashioned way, and that is the method we will use in this class, including on tests.
NPI
Your NPI number: National Provider Identifier number.
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
next
Drug Information
- Drug name (including brand name and generic name is helpful, especially since similar brand names can be confused). The Tennessee Affordable Drug Act of 2005 requires prescribers to allow substitution with a generic equivalent of a brand name drug under the majority of circumstances. If the NP does not write the prescription in generic form, pharmacists may substitute less costly generics.
- Dosage form, particularly if more than one exists (tabs, elixir, liquid, patches, etc.).
- Dosage strength in mg or the suspension strength if liquid (250 mg/5 ml, for example).
- Quantity of drug to be dispensed, written in digits and in words to limit opportunity for alteration. If it is a liquid medication, tell the pharmacist how much volume to prepare.
- Amount of each dose in number of tabs or caps, or volume for liquid medication.
- Administration route: usually PO in primary care but it does vary.
- Administration schedule or time, including relationship to meals, if necessary.
M1: Components of a Properly Written Prescription
DLI
Created on September 17, 2025
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Transcript
Components of a Properly Written Prescription
NUR 5140
In this activity, explore the multiple components of a properly written prescription. Click 'start' to begin.
Start
Background Information
Directions: Click "Go!" to begin exploring the different parts of a prescription form. As you review each section, the next section will automatically appear for you to continue learning about the form’s components.
GO!
Way To Go! You reviewed all of the Components of a Properly Written Prescription!
Want to review the activity again?
RETURN TO HOME TO RESTART THE ACTIVITY
REVIEW THE FILLED OUT FORM COMPONENTS
Background Information
Background Information
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Drug Information
DEA#
Your NPI number: National Provider Identifier number.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Drug Information
Background Information
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Drug Information
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Background Information
Background Information
Directions: Click "Go!" to begin exploring the different parts of a prescription form. As you review each section, the next section will automatically appear for you to continue learning about the form’s components.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
next
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
next
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
next
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
next
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
next
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Background Information
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Background Information
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Drug Information
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
next
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
next
DEA#
Print your DEA# for controlled substances, if your state permits you to prescribe them. Do not include your DEA if the prescription is not a controlled substance, even if a blank for the DEA exists on the template.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
NPI
Your NPI number: National Provider Identifier number.
next
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Drug Information
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Signature
Sign the prescription on one of the two lines indicating Substitution Allowed (generic form) or Dispense As Written (requires brand name drug). You should routinely sign on the Substitution Permitted line unless you have a very specific reason for requiring the pharmacist to dispense a brand name. Do not sign both lines.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
DEA#
Your NPI number: National Provider Identifier number.
Drug Information
Background Information
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
next
Drug Information
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Refills
Indicate refills. Avoid giving PRN refills. If you are not allowing refills, write out “zero” or “none”. The digit 0 can be easily altered.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Physician Information
NP’s name and supervising physician’s name must be printed on prescription (required in TN). If there are multiple physicians at the site, all names must be printed on the prescription pad and the NP must circle or check the name of the relevant physician. Only the NP’s signature is required—there is NO requirement for a physician co-signature for any medication once you are a certified, credentialed FNP.
Patient Identification
Full name, sometimes address. Most pharmacies require DOB, especially with a new prescription for a patient, and it’s always a good idea for pediatric patients since many pediatric medications are dosed by weight. Putting the patient’s weight on the prescription in kilograms is good practice and is required by many e-prescribing templates.
Date
Relevant TN law states the prescription must include “the month and day the prescription order was issued, recorded in letters or in numerals or a combination thereof. The prescribing nurse practitioner must sign the prescription order on the day it is issued”.
Background Information
NPI
Your NPI number: National Provider Identifier number.
Drug Information
next
Drug Information