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Description

Dosage form actually prepared for the patient.

On-Screen Instructions

n/a

Field Type

Dropdown (single select)

Responses

  • Aerosol

  • Capsule

  • Chewable

  • Cream, gel, or lotion

  • Ear drops

  • Enteric-coated

  • Extended- or sustained-release

  • Eye drops

  • Immediate-release

  • Inhaler

  • Long-acting

  • Nasal spray

  • Nebulizer

  • Ointment

  • Paste

  • Pill or tablet

  • Powder

  • Skin patch

  • Solution or suspension

  • Suppository

  • Vaginal ring

  • Vaporizer

  • Other (please describe)

Guide for Use

If “Other” is selected, a text box for a description will also appear.

History

Start Date

2013

End Date

n/a

Change History

n/a

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