Prescription Pads

What information do I need to include on my prescription pad? Do I need to list my supervising MD/DO's information? 

Prescription pads are required to include:

1. The name or names and address of the patient or patients
2. The name and quantity of the drug or device prescribed and the directions for use
3. The date of issue
4. Either rubber stamped, typed, or printed by hand or typeset, the name, address, and telephone number of the prescriber, his or her license classification, his or her National Provider Identification (NPI) number, and his or her ND furnishing number/DEA number
5. A legible, clear notice of the condition or purpose for which the drug is being prescribed, if requested by the patient or patients
6. If in writing, signed by the prescriber issuing the order
7. For controlled substances, prescription pads must meet CURES criteria.


Prescription pads do not need to include your supervising MD/DO's information.

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CNDA Practice Guide

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Numbers: DEA, NPI, Furnishing