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Errors and Omissions Practice problems

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This section is worth a total of 20 points. There are 10 questions, each worth 2 points, with no partial credit. Decide if the prescription can be dispensed as is. If so, place a checkmark in the line to dispense the prescription. If not, there is one, and only one, reason for the prescription to not be dispensed. Possible problems with the prescription may include: 1. A clinical issue that requires you to contact the prescriber for a change or clarification 2. An error in the prescription 3. An omission An error or omission must only include things that are required by law to be included. For example, the quantity need not appear on the label. The problem with the prescription must be given in 10 words or less. Examples of ways to state the problem include “wrong drug” or “wrong directions.” For any incorrect information given, or if there is more than one problem listed, the question will be marked incorrect. Assumptions:  Assume that the prescriber’s license number and DEA information are correct.  Assume that the prescriptions do not need to be on an official New York State prescription blank.  Assume that the “date” you are filling the prescription, is the date on the prescription  For generic drugs being dispensed, wether or not the manufacturer is on the label does not matter

421. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). Prescription:
Richard Zakrajesek, MD 5899 Sweet Home Road E Amherst, NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Amy Celestino DOB: 02/29/59 Address:2390 Baxter Ave Date:07/09/06 Buffalo, NY 14334 Rx Probenecid 500 mg Sig: i po bid # 60

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 90012 Amy Celestino 2390 Baxter Ave Buffalo, NY 14334 Take one tablet twice daily.

July 9, 2006

Prescriber Signature X_Richard Refill: 1

Zakrajesek_
MDD:

Probenecid 500 mg MFR: Watson Richard Zakrajesek, MD.

# 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 1 time

Dispense as Written

Serial #3636K258

Drug Dispensed:

Exp. 05/2010 Lot # 1256J23 Please write a BRIEF description of the error/omission (3pts):

36. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Emilio Estevez, DDS Lic# 458793 DEA AL5224782 789 Maple Road, Suite #568 Amherst, NY 14226 716-898-8888

Name: Charlie Sheen Address: 5678 Sunset Drive Tonawanda, NY 12339 Rx Percocet 7.5/325

DOB: 12/16/58 Date: 06/01/06

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Sig: 1 po q6h prn knee pain # 60 (sixty)
Prescriber Signature X__Emilio Refill: 0 (none)

Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda, NY 12339

June 2, 2006

Estevez _
MDD: 4

Take 1tablet by mouth every six hours as needed for knee pain Oxycodone/APAP 7.5/325 MFR: Mallinckrodt # 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written

Serial #00TJI258

Emilio Estevez, DDS times

Refill 0

Drug Dispensed:

Exp.06/08 Lot # 060359W Please write a BRIEF description of the error/omission (3pts):

1. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Thomas Grands, MD 432 Nottingham Blvd. Buffalo, NY 14223 716-444-4444 Lic# 543211 DEA AG4298341 Name: Jean Horton DOB: 11/06/65 Address: 500 Main Street Date: 05/22/06 Bflo., NY 14235 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Accolate 20 mg Sig: i po bid #60
Prescriber Signature X Refill: 5

Rx# 23456 Jean Horton 500 Main Street, Buffalo, NY 14235 Take one tablet twice daily.

May 22, 2006

Thomas Grands___
MDD:

Accolate 20 mg MFR: AstraZeneca Pharmaceuticals Dr. Thomas Grands

#60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
Dispense as Written

Refill 5 times

Serial #125L65K6

Drug Dispensed:

Exp. 02/2010 Lot # 123456 Please write a BRIEF description of the error/omission (3pts):

4. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Sharon White, MD 425 Millersport Road. Amherst, NY 14226 716-111-1111 Lic# 145896 DEA BW4857871 Name:__Jolie Yang ___ DOB:01/05/89__ Address:_4577 Kensington Rd Date: 12/01/06_ _Kenmore, NY 11447_ Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Accupril 20 mg Sig: i po daily # 30

Rx# 23456 Jolie Yang 4577 Kensington Road Kenmore, NY 11447 Take one tablet once daily. Quinapril 20 mg

December 2, 2006

#30

Prescriber Signature X___Sharon Refill: 3

White____
MDD:

MFR: Greenstone Dr. Sharon White Refill 3 times

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Drug Dispensed:

Dispense as Written

Serial #125L1258

Exp: 05/2010 Lot # 05896583 Please write a BRIEF description of the error/omission (3pts):

7. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Howard Siemer, MD Lic# 124587 DEA AS4541252 Mary May, Midwife CNM Lic # 123514 DEA MF1223560 WNY OB/GYN 68 Elmhurst Dr Orchard Park, NY14040 716-877-7777

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Name: John May Address:144 Lake Shore Road Buffalo, NY 14222 Rx Diovan 160 mg Sig: i po qd # 30

DOB: 12/14/60 Date:12/12/02

Rx# 200012 John May 144 Lake Shore Road Buffalo, NY 14222 Take one tablet once daily.

December 12, 2002

Prescriber Signature XMary Refill: 8

May CNM___
MDD:

Diovan 160 mg MFR: Novatis Mary May, CNM.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 8 times

Dispense as Written

Serial #1258U233

Drug Dispensed:

Exp. 02/2004 Lot # J7841235 Please write a BRIEF description of the error/omission (3pts):

10. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Kenneth Taung, MD 1478 Morrison Ct Cheektowaga, NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Angelina Pulaski ___ DOB: 11/2/78 Address:_115 Harry Street_ Date: 07/01/06_ Kenmore, NY 14789___ Rx Viibryd 40mg Sig: i po qd # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore, NY 14789 Take one tablet by mouth once daily.

July 4, 2006

Prescriber Signature X__Kenneth Refill: 5

Taung_____
MDD:

Viibryd 40 mg MFR: Lannett Dr. Kenneth Taung

#30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

Dispense as Written

Serial #0085HJ89

Drug Dispensed:

Exp. 10/2009 Lot # L147896P Please write a BRIEF description of the error/omission (3pts):

59. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Samuel Fishman, MD 6985 Sheridan Drive Buffalo, NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca, NY17895 Rx Depo Testosterone 2000mg/10ml Sig: 250mg im biw ud # 1 (1 vial)

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca, NY 17895

February 3, 2007

Inject 1.25ml subcutaneously twice a week as directed
Prescriber Signature X_Samuel Refill: 0 (zero)

Fishman__
MDD:1 dose

Testosterone Cypionate 200mg/ml MFR: Watson Samuel Fishman, MD.

# 10

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #KM1258T0

Drug Dispensed:

Exp. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts):

45. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
John Rousseau, MD 789 Walden Ave, Suite 120 Cheektowaga, NY 14875 716-565-5555 Lic# 258963 DEA BR4512453 Name: Yasminda Kim DOB:01/17/99 Address:101 Waterview Road Date: 12/12/06 Hamburg, NY 11487 Rx Z – pack Sig: UUD #1

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg, NY 11487 Take as directed.

December 12, 2006

Prescriber Signature X__ Refill: 0

John Rousseau ____
MDD:

Azithromycin 250 mg MFR: Greenstone

#6

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

John Rousseau, MD.
Dispense as Written

Refill 0 times

Serial #12258OP8

Drug Dispensed:

Exp. 12/2010 Lot # L123969N Please write a BRIEF description of the error/omission (3pts):

476. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). Prescription:
Elaine Knell, MD 2536 Rosewood Ave Lancaster, NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Taneja Crafton DOB: 05/23/74 Address:4564 Norfolk Ave Date:06/25/06 Lancaster, NY 14120 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Zestril 40 mg Sig: i po hs # 30

Rx# 114574 Taneja Crafton 4564 Norfolk Ave Lancaster, NY 14120 Take one capsule at bedtime.

June 25, 2006

Prescriber Signature X__ Refill: 3

Elaine Knell __
MDD:

Vistaril 50 mg MFR: Pifzer Elaine Knell, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 3 times

DAW
Dispense as Written

Serial #1K56L523

Drug Dispensed:

Exp. 08/2010 Lot # H255523 Please write a BRIEF description of the error/omission (3pts):

479. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). Prescription:
Benjamin Stockwell, MD Cynthia MaCare, RPA Lic# 474851 Lic # 325896 DEA AS222589 DEA MM2587458 822 Paramount Ave Williamsville, NY 14004 716-111-9999

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Name: Ivory Clapp Address: 2332 Minnesota Ave Buffalo, NY 14010 Rx

DOB: 04/28/69 Date: 11/25/05

Zyrtec 10 mg Sig: i po qd # 30

Rx# 114575 Ivory Clapp 2332 Minnesota Ave Buffalo, NY 14010 Take one tablet once daily

November 25, 2005

Prescriber Signature X_ Refill: 3

Cynthia MaCare __
MDD:

Zyrtec 10 mg MFR: Pfizer Cynthia MaCare, RPA.

#30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
Dispense as Written

Refill 3 times

Serial #0235JK87

Drug Dispensed:

Exp. 12/2009 Lot # 25558LK Please write a BRIEF description of the error/omission(3pts):

41. September 8. NY 14260 Phone: 716-555-5555 Rx# 122122 Chi Wai Lam 8990 Coley Street Williamsville. and product it was filled with. Dispense as Written Refill 11 times Serial #565D52H9 Drug Dispensed: Exp. Prescription: Tommy Reed. NY 11223 Rx Avandia 2 mg Sig: i po BID # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Chi Wai Lam DOB:03/06/44 Address:8990 Coley Street Date: 09/08/06 Williamsville. 2006 Prescriber Signature X__ Refill: 11 Tommy Reed ____ MDD: Coumadin 2 mg MFR: Bristol-Myers Squibb # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Tommy Reed. MD 85 Grand Street Lockport. 03/2009 Lot # L12589 Please write a BRIEF description of the error/omission (3pts): . NY 11223 Take one tablet twice daily. prescription label. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. MD. Only one error/omission per exercise.

2006 Prescriber Signature X Refill: 1 Richard Zakrajesek __ MDD: Probenecid 500 mg MFR: Watson Richard Zakrajesek. NY 14334 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. and product it was filled with. Prescription: Richard Zakrajesek. July 9. (Assume DEA #’s and License #’s are correct). NY 14260 Phone: 716-555-5555 Procanbid 500 mg Sig: i po bid # 60 Rx# 90012 Amy Celestino 2390 Baxter Ave Buffalo. 05/2009 Lot # 1256J23 Please write a BRIEF description of the error/omission (3pts): .422. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time DAW Dispense as Written Serial #3636K258 Drug Dispensed: Exp. NY 14334 Take one tablet twice daily. MD 5899 Sweet Home Road E Amherst. prescription label. NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Amy Celestino DOB: 02/29/59 Address:2390 Baxter Ave Date:07/09/06 Buffalo. Briefly describe the error/omission at the bottom of the page.

prescription label. RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst. Prescription: William Zaklikowski. (Assume DEA #’s and License #’s are correct). NY 14051 Rx Proctocream HC Sig: apply 3-4 x/day x 2 weeks # 30 DOB: 04/30/72 Date: 03/27/06 Rx# 90013 Lewis Connell 2525 Woodshire Street Depew. 08/2010 Lot # T2M2352 Please write a BRIEF description of the error/omission(3pts): . MD Lisa Chant. NY 14260 Phone: 716-555-5555 Name: Lewis Connell Address: 2525 Woodshire Street Depew. Only one error/omission per exercise. MD # 28. NY 14869 716-889-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.425. NY 14051 March 27. and product it was filled with. 2006 Apply 3 to 4 times a day for 2 weeks Prescriber Signature X_ Refill: 2 William Zaklikowski MDD: Proctocort 1% Cr MFR: Salix William Zaklikowski. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.35 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written DAW Serial #K2268238 Drug Dispensed: Exp.

Only one error/omission per exercise. prescription label. (Assume DEA#’s and License#’s are correct). NY 14789 Take one tablet by mouth once daily. 10/2009 Lot # L147896P Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 85697 James Polanski 15 Hare Street Kenmore. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. July 4. NY 14789___ Rx Viibryd 40mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: John Pulaski ___ DOB: 11/2/38 Address:_115 Harry Street_ Date: 07/01/06_ Kenmore.12. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X__Kenneth Refill: 5 Taung_____ MDD: Viibryd 40 mg MFR: Lannett Dr. Kenneth Taung #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #0085HJ89 Drug Dispensed: Exp. Prescription: Kenneth Taung. MD 1478 Morrison Ct Cheektowaga. and product it was filled with.

Prescription: Julius Hibbert. (Assume DEA#’s and License#’s are correct). and product it was filled with. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . NY 14228 Rx Ibuprofen 800mg Sig: i po qid prn # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.13. NY 12365 716-333-4444 Name: Frank Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora . prescription label. Briefly describe the error/omission at the bottom of the page. 2011 Take 1 tablet by mouth four times daily as needed Prescriber Signature X_ Refill: 1 Julius Hibbert __ MDD: Ibuprofen 800mg MFR: Amneal Julius Hibbert. MD. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. NY 14228 March 5. NY 14260 Phone: 716-555-5555 Rx# 66698 Frank Grimes 197 Hartford Road Aurora. MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

625 mg/5 mg MFR: Wyeth Patrick Wosinki. Briefly describe the error/omission at the bottom of the page. and product it was filled with.416 ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14100 Take one tablet once daily. MD 50 S Niagara Fall Blvd Lockport. NY 14260 Phone: 716-555-5555 Rx# 66808 Nora Tetowski 303 Southwest Blvd Eden. NY 14100 Rx Premphase Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 08/2009 Lot # F020002 Please write a BRIEF description of the error/omission (3pts): . NY 14003 716-333-3333 Lic# 112258 DEA AW1144550 Name: Nora Tetowski DOB: 05/30/48 Address:303 Southwest Blvd Date: 12/31/06 Eden. January 2. #28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written daw Serial #F2563M25 Drug Dispensed: Exp. MD. Prescription: Patrick Wosinki. 2007 Prescriber Signature X_ Refill: 5 Patrick Wosinki __ MDD: Prempro 0. prescription label.

2006 Take one tablet by mouth once daily Prescriber Signature X__Chester Refill: 5 Cross____ MDD: Amturnide 300mg/5/25mg MFR: Novartis Chester Cross. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z2578456 Drug Dispensed: Exp. MD 9229 Peckham Road Buffalo. NY 14220 716-858-8889 Lic# 235211 DEAAC5278951 Name: Shawn Dimeo DOB: 06/21/34 Address:700 Embassy Sq Date: 02/08/06 Depew. prescription label. Prescription: Chester Cross. 03/2008 Lot # 235800 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14209 Rx Amturnide 300/5/25 Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. NY 14209 February 8. Only one error/omission per exercise. MD. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.324. NY 14260 Phone: 716-555-5555 Rx# 23533 Shawn Dimeo 700 Embassy Sq Depew.

Prescription: Adam Erving. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #B2148Z00 Drug Dispensed: Exp. MD. NY 14260 Phone: 716-555-5555 Metadate CD 20 mg Sig: i po am # 30 ( thirty) Rx# 29009 Niema Fiorello 36 Tacoma Ave W Amherst. prescription label. MD 616 Hartford Ave Buffalo. NY 14150 Take one capsule every morning March 8. 06/2009 Lot # 235985 Please write a BRIEF description of the error/omission (3pts): .325. (Assume DEA#’s and License#’s are correct). NY 14500 716-999-4444 Lic#123568 DEA AA1252143 Name: Niema Fiorello DOB: 02/25/87 Address:36 Tacoma Ave Date:03/08/07 W Amherst. and product it was filled with. 2007 Prescriber Signature X__Adam Refill: 0 Erving______ MDD: 1 Metadate CD 20 mg MFR: UCB Pharma Inc Adam Erving. Only one error/omission per exercise. NY 14150 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 DEA: AB1234567 716-555-5689 Name: Clifford Hennessy DOB: 08/16/70 Address: 699 Lovering Road Date: 09/21/06 Aurora. MD. MD Buffalo.419. (Assume DEA#’s and License#’s are correct). 2006 Prescriber Signature X_Deepak Refill: 2 (two) Singh___ MDD:6 Take one to two capsules by mouth every four hours as needed. NY 14000 Rx Fioricet + codeine Sig: i-ii po q4h prn # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 66809 Clifford Hennessy 699 Lovering Road Aurora. 12/2008 Lot # 145974A Please write a BRIEF description of the error/omission (3pts): . Refill 2 times Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. Caffeine Codeine 50/325/40/30 # 120 MFR: Watson THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #R2358962 Deepak Singh. APAP. Only one error/omission per exercise. Prescription: Buffalo General Hospital 100 High Street Deepak Singh. NY 14000 September 21. Maximum of 6 capsules/day Butalbital. and product it was filled with.

2007 Prescriber Signature X___ Refill: 3 Thomas Criag __ MDD: Alora 0. Prescription: Thomas Criag. NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: _Beanette Bush DOB:06/18/30_ Address4545 Delancey Lane Date: 01/21/07_ _Williamsville. Briefly describe the error/omission at the bottom of the page. 11/2009 Lot # B00156 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 123256 Beanette Bush 4545 Delancey Lane Williamsville. prescription label. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.05mg/24hr patch MFR: Waston Thomas Criag. NY 12589 Use as directed. January 21. NY 12589___ Rx Aldara 5 % Sig: UUD # 12 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). MD #12 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #00012KL8 Drug Dispensed: Exp.17. MD 1208 Alberta Drive Rochester.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. and product it was filled with. Briefly describe the error/omission at the bottom of the page.37. MD 5255 Cobblestone Dr Clarence. Prescription: Mike Lou. (Assume DEA#’s and License#’s are correct). MD Dispense as Written Refill 5 times Serial #125TDEF2 Drug Dispensed: Exp. 2006 Prescriber Signature X___Mike Refill: 5 Lou________ MDD: Ambien 10 mg MFR: Sanoli Aventis . # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Mike Lou. 09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts): . NY 11896 Rx Ambien 10 mg Sig: i po hs # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Fanny Pruchinewiz DOB: 04/01/59 Address: 1147 North Forest Rd Date: 03/11/06 Buffalo. NY 14260 Phone: 716-555-5555 Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo. NY 11896 Take one tablet at bedtime March 12. prescription label.

332. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Gilbert Hunter, MD 125 Beverly Drive Buffalo, NY 14200 716-866-6666 Lic# 526385 DEA BH256387 Name: Courtney Iannone DOB: 08/27/38 Address: 22 Greenmeadow Dr Date:06/17/05 Getzville, NY 14077 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Micronase 5mg Sig: i po bid # 60

Rx# 30333 Courtney Iannone 22 Greenmeadow Dr Getzville, NY 14077 Take one capsule twice daily.

August 17, 2005

Prescriber Signature X_ Refill: 6

Gilbert Hunter __
MDD:

Potassium Cl 10mEq MFR: Ethex Gilbert Hunter, MD.

# 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 6 times

Dispense as Written

Serial #K258L563

Drug Dispensed:

Exp. 04/2010 Lot # 235233 Please write a BRIEF description of the error/omission (3pts):

337. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Cassandra Moninski, MD 900 Apollo Drive Cheektowaga, NY 14070 716-666-4555 Lic# 123363 DEA BM1252573 Name: Melvin Platko DOB: 07/25/70 Address:3322 Trentwood Tr Date:09/28/06 Buffalo, NY 14120 Rx Norvasc 10 mg Sig: i po daily # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 85522 Melvin Platko 3322 Trentwood Tr Buffalo, NY 14120 Take one table once daily.

September 28, 2006

Prescriber Signature X_Cassandra Refill: 5

Moninski__
MDD:

Norvasc 10 mg MFR: Pfizer Cassandra Moninski, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

Dispense as Written

Serial #M2539P60

Drug Dispensed:

Exp. 11/2009 Lot # T008986 Please write a BRIEF description of the error/omission (3pts):

344. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Julius Hibbert, MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Fran Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx vit B 12 1000mcg/ml

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Sig: inj im 100mcg qd for 1 wk, then 100mcg qod for 2 wks, then 200mcg q month # 10
Prescriber Signature X_ Refill: 0

Rx# 66698 Fran Grimes 197 Hartford Road Aurora, NY 14228

March 5, 2011

Julius Hibbert __
MDD:

Inject 1ml intramuscularly once daily for 1 week, then inject 1ml intramuscularly every other day for 2 weeks, then inject 2ml intramuscularly once a month. Cyanocobalamin 1000mcg/ml MFR: American Regent # 10

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written

Julius Hibbert, MD.
Serial #17418H78

Refill 0 times

Drug Dispensed:

Exp. 08/2014 Lot # 1KJ235 Please write a BRIEF description of the error/omission (3pts):

47. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Steven Hung, MD 9856 Simonds Road Lockport, NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randell Przpiora DOB: 03/24/77 Address: 789 Maple Road Date: 05/25/06 Amherst, NY 1178_ Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Prandin 2 mg Sig: 1 po ac # 90

Rx# 125889 Randell Przpiora 789 Maple Road Amherst, NY 1178 Take one tablet before meals

May 25, 2006

Prescriber Signature X_ Refill: 5

Steven Hung ____
MDD:

Avandia 2 mg MFR: Glaxo Smith Kline Steven Hung, MD.

# 90

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

Dispense as Written

Serial #1258LLT8

Drug Dispensed:

Exp. 01/2011 Lot # L2258C Please write a BRIEF description of the error/omission (3pts):

14.ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Julius Hibbert, MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Frank Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx Ibuprofen 800mg Sig: ii po tid prn # 120

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 66698 Frank Grimes 197 Hartford Road Aurora, NY 14228

March 5, 2011

Take two tablets by mouth three times daily as needed.
Prescriber Signature X_ Refill: 1

Julius Hibbert __
MDD:

Ibuprofen 800mg MFR: Amneal Julius Hibbert, MD.

# 120

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 1 times

Dispense as Written

Serial #17418H78

Drug Dispensed:

Exp. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts):

49. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Patrick Wosinki, MD 50 S Niagara Fall Blvd Lockport, NY 14003 716-333-3333 Lic# 112258 DEA AW1144550 Name: Gloria Peifer DOB: 01/13/20 Address: 229 Bedford Ave Date: 10/10/06 Amherst, NY 11478 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Betapace 80 mg Sig: 1 po bid # 60

Rx# 489586 Gloria Peifer 229 Bedford Ave Amherst, NY 11478 Take one tablet twice daily.

October 10, 2006

Prescriber Signature X__Patrick Refill: 6

Wosinski__
MDD:

Sotalol 80 mg MFR: Teva Patrick Wosinki, MD.

# 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 6 times

Dispense as Written

Serial #1258TJU1

Drug Dispensed:

Exp. 10/2009 Lot # 14556PA Please write a BRIEF description of the error/omission (3pts):

519. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Steven Johnson, MD Lic# 456922 DEA BJ5224782 Karen Swanson, RPA Lic # 555233

85 Greek Road Lockport, NY 14458 716-558-8888

Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. Tonawanda, NY 14789 Rx Nasacort AQ Sig: UAD #1

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789 Use as directed

February 4, 2007

Prescriber Signature X__ Refill: 2

Karen Swanson_rpa _
MDD:

Azmacort inhaler MFR:Abbott Karen Swanson, RPA.

# 20g

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 2 times

Dispense as Written

Serial #12TJU568

Drug Dispensed:

Exp. 06/2009 Lot # 16X1258 Please write a BRIEF description of the error/omission (3pts):

520. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Esther Tredinnick, MD Weight:20kg 2535 Porterville Road Elma, NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/06 Address:5050 Madaline Ln Date:02/28/11 Williamsville, NY 14002 Rx Augmentin ES 600mg-42.9mg/5ml Sig: 1.5tsp po BID x 10d # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Take one and a half teaspoonfuls by mouth twice daily for 10 days
Prescriber Signature X_Esther Refill: 0 (zero)

Tredinnick_
MDD:

Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 75 MFR: Sandoz Esther Tredinnick, MD Refill 0 times

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written

Serial #C2538M27

Drug Dispensed:

Exp. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts):

2. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Thomas Grands, M 432 Nottingham Blvd. Buffalo, NY 14223 716-444-4444 Lic# 543211 DEA AG4298341 Name: Jean Horton DOB: 11/06/65 Address: 500 Main Street Date: 05/22/06 Bflo., NY 14235 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Accolate 20 mg Sig: i po daily #30

Rx# 23456 Jean Horton 500 Main Street, Buffalo., NY 14235

May 22, 2006

Prescriber Signature X__ Refill: 5

Thomas Grands ___
MDD:

Take one capsule once daily. Accutane 20 mg MFR: Roche #30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
Dr. Thomas Grands
Dispense as Written

Refill 5 times

Serial #125L65K6

Drug Dispensed:

Exp. 02/2010 Lot # 12568 Please write a BRIEF description of the error/omission (3pts):

544. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Jack Hoover, MD Lynn Marshall, RPA 78 Harlem Road Bronx, NY 12365 716-333-4444 Lic# 125898 DEA BH1414250 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:03/05/07 Aurora , NY 14228 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Chantix starter pack Sig: TAD # starter kit

Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora, NY 14228 Take as directed

March 5, 2007

Prescriber Signature X_Lynn Refill: 0

Marshall____
MDD:

Chantix Starting Pack MFR: Pfizer Lynn Marshall, RPA.

# 53

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #17418H78

Drug Dispensed:

Exp. 08/2010 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts):

549. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
John Rousseau, MD 789 Walden Ave, Suite 120 Cheektawaga, NY 14875 716-878-7887 Lic#784589 DEA BR4512453 Name: Neslson Lococo DOB: 03/16/48 Address:1125 Mineral Spring Rd Date:03/20/11 Gatesville, NY 14788 Rx invega 6mg Sig: i po qam # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 32535 Neslson Lococo 1125 Mineral Spring Road Gatesville, NY 14788

March 21, 2011

Take one tablet by mouth every morning
Prescriber Signature X__John Refill: 0

Rousseau____
MDD:

Invega 6 mg tablets MFR: Janssen John Rousseau, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #14415L78

Drug Dispensed:

Exp. 02/2011 Lot # 17485900

Please write a BRIEF description of the error/omission (3pts):

and product it was filled with. NP 878 Sweet Home Road Lancaster. September 16. prescription label. NY 14260 Phone: 716-555-5555 Lasix 20mg Sig: i po qd # 30 Rx# 23000 Carmine Fernandez 9000 Applewood Road Lackawanna. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14127 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14127 Take one tablet once daily. 08/2009 Lot # L12325 Please write a BRIEF description of the error/omission (3pts): . 2006 Prescriber Signature X_ Refill: 6 Alfredo Gallagher _ MDD: Lanoxin 250 mcg MFR: GlaxoSmithKline Alfredo Gallagher.260. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times DAW Dispense as Written Serial #P2315248 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. Prescription: Alfredo Gallagher. NP. NY 14200 716-666-7500 Lic# 363636 DEA MG5568970 Name: Carmine Fernandez DOB: 03/10/36 Address: 9000 Applewood Road Date:09/15/06 Lackawanna.

Only one error/omission per exercise. MD. 05/2010 Lot # 85585 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14150 716-666-9998 Lic# 232567 DEA AH8457586 Name: Gunter Jammal DOB: 08/26/52 Address:7190 Wellington Rd Date:01/01/06 Lake View. and product it was filled with. NY 14271 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Prescription: Gary Heresy. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #ZZ233256 Drug Dispensed: Exp. January 1. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Lanoxin 250 mcg Sig: i po daily # 30 Rx# 65554 Gunter Jammal 7190 Wellington Road Lake View. 2006 Prescriber Signature X_ Refill: 3 Gary Heresy __ MDD:1 Levoxyl 25 mcg MFR: Jones Pharma Gary Heresy. Briefly describe the error/omission at the bottom of the page. MD 89Valley Circle W Seneca.263. NY 14271 Take one tablet once daily.

and product it was filled with. Prescription: Arron Fletcher. prescription label. DVM 7523 Birch Place Farmingdale. 02/2010 Lot # 15687L Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 568888 Ralph McGreevy 2369 Timberlane Ct Farmingdale. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 17770 Use as directed February 14. NY 17774 516-963-3333 Lic# 111253 DEA BF2357487 Name: Ralph McGreevy DOB: 06/21/33 Address: 2369 Timberlane Ct Date:2/14/05 Farmingdale. DVM # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #36LK2577 Drug Dispensed: Exp. 2005 Prescriber Signature X_ Refill: 5 Arron Fletcher _ MDD: Lantus MFR: Sanofi-Aventis Arron Fletcher. Briefly describe the error/omission at the bottom of the page. NY 17770 Rx Lantus Sig: uud # 1 vial Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.270.

NY 12589 Use as directed. MD 1208 Alberta Drive Rochester. Prescription: Thomas Criag.16. 2007 Prescriber Signature X___Thomas Refill: 3 Criag____ MDD: Aldara 5% Cream MFR: Graceway Pharmaceuticals Thomas Criag. NY 12589___ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. January 21. NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: _Beanette Bush DOB:06/18/30_ Address4545 Delancey Lane Date: 01/21/07_ _Williamsville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Aldara 5 % Sig: UUD # 12 Rx# 123256 Beanette Bush 4545 Delancey Lane Williamsville. 11/2010 Lot # 008996 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. MD times #12 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 DAW Dispense as Written Serial #00012KL8 Drug Dispensed: Exp. prescription label. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.

Only one error/omission per exercise. MD 222 Main street. 03/2010 Lot # 0222589 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 23456 Katie Swonski 568 Main Street. Prescription: Andrew McDonald. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.5 mg MFR: Waston Andrew McDonald MD. prescription label. Suite 111. 2007 Prescriber Signature X__ Refill: 0 zero Andrew McDonald___ MDD: 1 Lorazepam 0. Briefly describe the error/omission at the bottom of the page.23. and product it was filled with. 3/FL Date: 01/27/07_ Buffalo. Buffalo. NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name:_Katie Swonski __ DOB: 09/25/55 Address:_568 Main street. 3/FL Buffalo. (Assume DEA#’s and License#’s are correct). NY 14233 Rx Xanax 0. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K1258LP1 Drug Dispensed: Exp. January 30.5 mg Sig: i po hs # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14233 Take one tablet at bedtime.

NY 12589___ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2008 Prescriber Signature X__ Refill: 3 Thomas Criag ____ MDD: Aldara 5% Cream MFR: Graceway Pharmaceuticals Thomas Criag. NY 14260 Phone: 716-555-5555 Aldara 5 % Sig: UUD # 12 Rx# 123256 Beanette Bush 4545 Delancey Lane Williamsville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: _Beanette Bush DOB:06/18/30_ Address4545 Delancey Lane Date: 01/21/08_ _Williamsville. MD #12 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 3 times Serial #00012KL8 Drug Dispensed: Exp. prescription label. Prescription: Thomas Criag. and product it was filled with. 12/2007 Lot # 008996 Please write a BRIEF description of the error/omission (3pts): . MD 1208 Alberta Drive Rochester. January 21.18. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. NY 12589 Use as directed.

prescription label. (Assume DEA#’s and License#’s are correct). NY 12236 May 10.ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 06/2009 Lot # BH025896 Please write a BRIEF description of the error/omission (3pts): . 2006 Take one tablet once daily as needed Prescriber Signature X___Helen Refill: 5 Miller______ MDD: Viagra 50 mg MFR: Pfizer Gary Busey. NY 12233 716-557-7777 Lic# 511125 DEA# BM1258917 Name: Gary Busey __ DOB: 05/08/49 Address:_236 Knowlton Street Date: 05/09/06 _Hamburg. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.19. DVM #120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #012HJI123 Drug Dispensed: Exp. DVM 1001 N Ford Road Hamburg. and product it was filled with. NY 12236_ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Viagra 50 mg Sig: i po daily prn # 120 Rx# 236989 Gary Busey 236 Knowlton Street Hamburg. Prescription: Gary Busey.

MD Shirely Lee. Only one error/omission per exercise. and product it was filled with. NY 14260 Phone: 716-555-5555 Victoza Sig: once daily as directed #9 Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda. MD.483. RPA Lic# 458793 Lic # 589633 DEA AL5224782 789 Maple Road. #9 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #00TJI258 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 14226 716-898-8888 Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda. 2006 Take one tablet by mouth once daily as directed Prescriber Signature X__Mark Refill: 1 Lee MD_ MDD: Hydrocodone/APAP 5/500 MFR: Mallinckrodt Mark Lee. NY 12339 Rx DOB: 12/16/88 Date: 06/01/06 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 12339 June 2. Prescription: Mark Lee. Suite #568 Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label.06/08 Lot # 060359W Please write a BRIEF description of the error/omission (3pts): .

NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. prescription label. Refill 5 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. NY17895 Rx Pradaxa 150mg Sig: ii cap po BID # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. Prescription: Samuel Fishman. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Take two capsules by mouth twice daily Prescriber Signature X_Samuel Refill: 5 Fishman__ MDD: Pradaxa 150mg capsules # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Boehringer Ingelheim Pharmaceuticals Inc Samuel Fishman. Briefly describe the error/omission at the bottom of the page. MD.26. MD 6985 Sheridan Drive Buffalo. Only one error/omission per exercise. NY 17895 February 3.

MD 9988 Parkside Ave Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14077 Take one by mouth twice daily. 2011 Prescriber Signature X__Suzanne Refill: 0 Brower_____ MDD: Anucort HC 25mg MFR: G & W Labs Suzanne Brower. and product it was filled with. MD. 08/2014 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 66358 Wilt Chamberlin 555 Parkwood Ave Synder. March 9. (Assume DEA#’s and License#’s are correct). prescription label.21. NY 14077 Rx Anucort HC 25mg Sig: i bid # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. #28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #568LK236 Drug Dispensed: Exp. Only one error/omission per exercise. Prescription: Suzanne Brower. NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Wilt Chamberlin DOB: 03/15/77 Address:555 Parkwood Ave Date:03/08/11 Synder.

NY 14260 Phone: 716-555-5555 Name: Jason May Address:144 Lake Shore Road Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. MD Lic# 124587 DEA AS4541252 Mary May. CNM. 02/2004 Lot # J7841235 Please write a BRIEF description of the error/omission (3pts): . 2002 Inhale two puffs by mouth four times daily. Midwife CNM Lic # 123514 DEA MF1223560 WNY OB/GYN 68 Elmhurst Dr Orchard Park. NY 14222 Rx Combivent Sig: 2 puffs QID #1 DOB: 12/14/60 Date:12/12/02 Rx# 200012 Jason May 144 Lake Shore Road Buffalo.7 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times Dispense as Written Serial #1258U233 Drug Dispensed: Exp. Only one error/omission per exercise. and product it was filled with. Prescriber Signature XMary Refill: 8 May CNM___ MDD: Combivent MFR: Boehringer Ingelheim Mary May. Prescription: Howard Siemer. # 14. (Assume DEA#’s and License#’s are correct). NY 14222 December 12. Briefly describe the error/omission at the bottom of the page. NY14040 716-877-7777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.8.

Prescription: Andrew McDonald. Suite 111. 3/FL Buffalo. 3/FL Date: 01/27/07_ Buffalo. Briefly describe the error/omission at the bottom of the page. NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name:_Katie Swonski __ DOB: 09/25/55 Address:_568 Main street. and product it was filled with. NY 14233 Take one tablet at bedtime. prescription label.22. NY 14260 Phone: 716-555-5555 Rx# 23456 Katie Swonski 568 Main Street. (Assume DEA#’s and License#’s are correct). 03/2008 Lot # 0223369 Please write a BRIEF description of the error/omission (3pts): . #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K1258LP1 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 222 Main street.5 mg Sig: i po hs # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. January 30. Only one error/omission per exercise.5 mg MFR: Greenstone Andrew McDonald MD. Buffalo. 2007 Prescriber Signature X__Andrew Refill: 0 ( zero) McDonald__ MDD: 1 Alprazolam 0. NY 14233 Rx Xanax 0.

5/325 Sig: i po q 6 h prn # 120 (one hundred twenty) Rx# 20326 Isolina Haller 400 Cleveland Dr Amherst. 2006 Take one tablet every 6 hours if needed Prescriber Signature X__ Refill: 0 (zero) Pauline Davidson __ MDD:4 Oxycodone/APAP 7. Prescription: Pauline Davidson. NY 14260 Phone: 716-555-5555 Percodan 4. 05/2008 Lot # 45L2586 Please write a BRIEF description of the error/omission (3pts): . E Amherst. Only one error/omission per exercise. and product it was filled with. Briefly describe the error/omission at the bottom of the page. MD 5529 Northtown Raod. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #LK859967 Drug Dispensed: Exp. NY 14223 December 25. (Assume DEA#’s and License#’s are correct). NY 14333 716-123-4567 Lic# 147891 DEA AD1122580 Name: Isolina Haller DOB: 03/19/53 Address: 400 Cleveland Dr Date: 12/25/06 Amherst.ERRORS AND OMISSIONS Exercise A: You will be given a prescription.5/325 mg MFR: Mallinckrodt Pauline Davidson. NY 14223 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.383. MD. prescription label.

NY 14260 Phone: 716-555-5555 Name: Chingy Woo Hiang DOB: 04/21/53 Address: 889 Heatherwood Street Date: 06/01/06 E Amherst. NY 14228 Rx Adderall XR 20mg Sig: i po qam # 120(one hundred twenty) CODE B Rx# 20328 Chingy Woo Hiang 889 Heatherwood Street E Amherst.390. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. prescription label. MD Kenneth Lee. NY 14228 June 1. (Assume DEA#’s and License#’s are correct). NY 14226 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. RPA Lic# 003985 Lic # 235893 DEA AG1254781 ML1542174 789 Maple Road. 2006 Take one capsule by mouth once daily in the morning Prescriber Signature X__ Refill: 0 (zero) Nicolas Green __ MDD: 1 Adderall XR 20 mg MFR: Shire Nicolas Green. 09/2008 Lot # 008998 Please write a BRIEF description of the error/omission(3pts): . Only one error/omission per exercise. Prescription: Nicolas Green. and product it was filled with. MD # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written DAW Refill 0 times Serial #0258TF39 Drug Dispensed: Exp. Suite #568 Amherst.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Jason Panko DOB: 04/28/48 Address:225 Sweetheaven Ct Date:08/08/06 Buffalo. 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. NY 14207 Rx Percocet 5/325 mg Sig: i po q6h prn foot pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Jonathan Mallozzi. prescription label. Prescriber Signature X_Jonathan Refill: 0 (zero) Mallozzi____ MDD:4 Oxycodone/APAP 5/325 mg MFR: Mallinckrodt Jonathan Mallozzi. DPM 99 Brookside Ave S Wale. (Assume DEA#’s and License#’s are correct). NY 14207 August 8.. NY 14260 Phone: 716-555-5555 Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo. DPM # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #78452K89 Drug Dispensed: Exp.211. 2006 Take one tablet by mouth every six hours as needed for foot pain. Briefly describe the error/omission at the bottom of the page.

NY 14207 August 8. Prescriber Signature X_Jonathan Refill: 6 Mallozzi____ MDD: Ampyra 10mg ER tab MFR: Acorda Therapeutics Jonathan Mallozzi. prescription label. (Assume DEA#’s and License#’s are correct). Prescription: Jonathan Mallozzi. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Jason Panko DOB: 04/28/48 Address:225 Sweetheaven Ct Date:08/08/06 Buffalo.217. 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. 2006 Take one tablet by mouth twice daily. Only one error/omission per exercise. DO 99 Brookside Ave S Wale. DO. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #78452K89 Drug Dispensed: Exp. NY 14207 Rx Ampyra 10 mg ER Sig: i po BID # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

DO. 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts): .218. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #78452K89 Drug Dispensed: Exp. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Jason Panko DOB: 04/28/48 Address:225 Sweetheaven Ct Date:08/08/06 Buffalo. 2006 Prescriber Signature X_Jonathan Refill: 6 Mallozzi____ MDD: Ampyra 10 mg MFR: Acorda Therapeutics Jonathan Mallozzi. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo. Briefly describe the error/omission at the bottom of the page. Prescription: Jonathan Mallozzi. August 8. NY 14207 Rx Ampyra 10mg ER Sig: take i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). DO 99 Brookside Ave S Wale. NY 14207 Take one tablet once daily. and product it was filled with. Only one error/omission per exercise. prescription label.

Thomas Girard #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #125L65K6 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page.. MD 432 Nottingham Blvd. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Accolate 20 mg Sig: i po bid # 60 Rx# 23456 Jean Horton 500 Main Street. NY 14235 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. NY 14235 Take one tablet twice daily. May 22. 02/2009 Lot # 123456 Please write a BRIEF description of the error/omission (3pts): . Buffalo. Prescription: Thomas Grands. Only one error/omission per exercise. Buffalo.3. 2006 Prescriber Signature X___ Refill: 5 Thomas Grands _ MDD: Accolate 20 mg MFR: AstraZeneca Pharmaceuticals Dr. prescription label. NY 14223 716-444-4444 Lic# 543211 DEA AG4298341 Name: Jean Horton DOB: 11/06/65 Address: 500 Main Street Date: 05/22/06 Bflo.

NY 14228 Rx Ibuprofen 600mg Sig: ii po qid prn # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 14228 March 5. MD. and product it was filled with.15. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. Prescription: Julius Hibbert. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 66698 Frank Grimes 197 Hartford Road Aurora. Briefly describe the error/omission at the bottom of the page. NY 12365 716-333-4444 Name: Frank Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora . 2011 Take 2 tablets by mouth four times daily as needed Prescriber Signature X_ Refill: 1 Julius Hibbert __ MDD:3 Ibuprofen 600mg MFR: Ascend Julius Hibbert.

# 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #P2258H52 Drug Dispensed: Exp. 2007 Prescriber Signature X__ Refill: 11 Rosemary Kazmierski MDD: Trivora MFR: Watson Rosemary Kazmierski. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 114573 Deanna Schmidt 5414 Capital Height Gowanda. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Deanna Schmidt DOB: 01/02/78 Address:5414 Capital Height Date:01/03/07 Gowanda. Only one error/omission per exercise.473. Prescription: Rosemary Kazmierski. 09/2008 Lot # H52268 Please write a BRIEF description of the error/omission (3pts): . NP 4458 Thompson Raod Colden. and product it was filled with. NY 14080 Take one tablet once daily. NY 14080 Rx TriNorinyl Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NP. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). January 3. prescription label.

NY 14077 Rx Exelon 4. NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Gale Chamberlin DOB: 03/15/29 Address:555 Parkwood Ave Date:03/08/06 Synder. MD. and product it was filled with. (Assume DEA #’s and License #’s are correct). Prescriber Signature X__Suzanne Refill: 3 Brower_____ MDD: Exelon 4. prescription label. NY 14077 March 9. Prescription: Suzanne Brower. NY 14260 Phone: 716-555-5555 Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder.5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #568LK236 Drug Dispensed: Exp. Only one error/omission per exercise. MD 9988 Parkside Ave Amherst. 2006 Take one capsule by mouth twice daily. 08/2008 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page.272.5 mg MFR: Novartis Suzanne Brower.

MD 893 Lexington Ave Getzville. NY 14412 Take one tablet twice daily.275. prescription label.375 mg Sig: i po bid # 60 Rx# 2235 Harvey Chapman 99 Birchwood Square Grand Island. NY 14412 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #KL238745 Drug Dispensed: Exp. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Yin Ching Tee. NY 14260 Phone: 716-555-5555 Levbid 0. 2005 Prescriber Signature X__ Refill: 3 Yin Ching Tee __ MDD:2 Lithium Carbonate ER 300 mg MFR: Roxane Yin Ching Tee. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. and product it was filled with. MD. NY 14209 716-234-2345 Lic# 225874 DEA BT2547896 Name: Harvey Chapman DOB: 09/07/53 Address:99 Birchwood Sq Date:12/18/05 Grand Island. 03/2007 Lot # K12458 Please write a BRIEF description of the error/omission (3pts): . December 18.

NY 14443 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 745 Glenwood Ave Sardnia. and product it was filled with. MD. NY 14033 716-877-5777 Lic# 554784 DEA AM415147 Name: Jefferson Eleanor DOB: 05/24/66 Address:5685 Sundown Tr Date:06/28/07 Clarence. NY 14260 Phone: 716-555-5555 Levbid 0. Briefly describe the error/omission at the bottom of the page. June 28. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. NY 14443 Take one tablet twice daily. 05/2009 Lot # P23568 Please write a BRIEF description of the error/omission (3pts): .375 mg Sig: i po bid # 60 Frederick Morris _ MDD: Rx# 23323 Jefferson Eleanor 5685 Sundown Tr Clarence. (Assume DEA#’s and License#’s are correct). Prescription: Frederick Morris. Gemfibrozil 600 mg MFR: Teva Frederick Morris. 2007 Prescriber Signature X__ Refill: 11 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW # 60 Refill 11 times Dispense as Written Serial #Z258M568 Drug Dispensed: Exp. Only one error/omission per exercise.278.

02/2008 Lot # P1000011 Please write a BRIEF description of the error/omission (3pts): . prescription label. # 10 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #T7874899 Drug Dispensed: Exp.5% MFR: Falcon Jonathan Mallozzi. NY 14260 Phone: 716-555-5555 Levocabastine 0. Briefly describe the error/omission at the bottom of the page. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Mitchell Gellman DOB: 3/18/31 Address:9000 Four Winds Way Date:02/08/06 E Amherst. Only one error/omission per exercise. Prescription: Jonathan Mallozzi. DO 99 Brookside Ave S Wale.05% Sig: i gtt affected eye qid # 10 Rx# 665566 Mitchell Gellman 9000 Four Winds Way E Amherst. NY 14008 February 8. 2006 Instill one drop into affected eye(s) four times daily Prescriber Signature X__ Refill: 6 Jonathan Mallozzi_ MDD: Levobunolol 0. DO.284. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14008 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with.

Amherst. NY 14260 Phone: 716-555-5555 Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo.4 mg patch Sig: apply qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW daw Dispense as Written Drug Dispensed: Serial #12548T23 Exp. MD. and product it was filled with.525.2 mg patch December 12. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. prescription label. NY 14896 716-898-0009 Lic# 148569 DEA BZ1448566 Name: Crawford Robinson DOB: 05/06/70 Address:876 Vermont Street Date:12/12/05 Buffalo. 2005 # 30 Prescriber Signature X_ Refill: 0 William Zaklikowski MDD: MFR: graceway William Zaklikowski. NY 11446 Apply one patch daily Minitran 0. Prescription: William Zaklikowski. MD 896 Tonawanda Cheek Road E. NY 11446 Rx Minitran 0. 02/2009 Lot # 148265S Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise.

526. MD. Briefly describe the error/omission at the bottom of the page. MD 6985 Sheridan Drive Buffalo. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. prescription label. NY17895 Rx Patanol eye drops Sig: 1 gtt ou BID # trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 Take one capsule by mouth twice daily Prescriber Signature X_Samuel Refill: 5 Fisher__ MDD: Pradaxa 150mg capsules # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Boehringer Ingelheim Pharmaceuticals Inc Samuel Fishman. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. NY 17895 February 3. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Refill 5 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. Only one error/omission per exercise. Prescription: Samuel Fisher. and product it was filled with.

480. and product it was filled with. Only one error/omission per exercise. NY 14010 Chew one tablet once daily November 25. (Assume DEA #’s and License #’s are correct). RPA Lic# 474851 Lic # 325896 DEA AS222589 DEA MM2587458 822 Paramount Ave Williamsville. RPA. NY 14010 Rx DOB: 04/28/69 Date: 11/25/05 Zyrtec chew 10 mg Sig: i po qd # 30 Rx# 114575 Ivory Clapp 2332 Minnesota Ave Buffalo. 11/2006 Lot # 235K2555 Please write a BRIEF description of the error/omission(3pts): . Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Name: Ivory Clapp Address: 2332 Minnesota Ave Buffalo. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 3 times Serial #0235JK87 Drug Dispensed: Exp. prescription label. NY 14004 716-111-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Benjamin Stockwell. MD Cynthia MaCare. 2005 Prescriber Signature X__ Refill: 3 Cynthia MaCare _ MDD: Zyrtec 10 mg MFR: Pfizer Cynthia MaCare.

prescription label. RPA # 21 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2356K569 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 565552 Lic # 858546 DEA BT2355267 772 Princeton Ave Depew. 2004 Prescriber Signature X_ Refill: 0 Kent Zheng __ MDD: Prednisone 5 mg MFR: Roxane Kent Zheng. NY 14044 716-555-4444 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Name: Becky Albrecht Address: 89 Castlewood Place Angola. Briefly describe the error/omission at the bottom of the page. MD Kent Zheng. Prescription: Stanley Turner. NY 14222 Rx Methylprednisolone 4 mg Sig: uud # 21 DOB: 08/01/79 Date: 03/30/04 Rx# 223412 Becky Albrecht 89 Castlewood Place Angola.317. (Assume DEA#’s and License#’s are correct). and product it was filled with. Only one error/omission per exercise. NY 14222 Take as directed March 30. 05/2006 Lot # L5500111 Please write a BRIEF description of the error/omission(3pts): .

NY 14300 Take one tablet once daily. Prescription: Clifford Bookbinder.320. Briefly describe the error/omission at the bottom of the page. NY 14300 Rx Metolazone 5 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. August 7. prescription label. DO 955 Glenwood Ave Buffalo. DO. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #L2536Z00 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). NY 14221 716-323-3333 Lic# 238745 DEA BB2415417 Name: Ida Cimato DOB: 03/08/52 Address:822 Rainbow Blvd Date:08/07/06 Lancaster. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X_ Refill: 6 Clifford Bookbinder __ MDD: Metoclopramide 5 mg MFR: Pliva Clifford Bookbinder. NY 14260 Phone: 716-555-5555 Rx# 10222 Ida Cimato 822 Rainbow Blvd Lancaster. Only one error/omission per exercise. 04/2010 Lot # P102100 Please write a BRIEF description of the error/omission (3pts): .

and product it was filled with.323. 03/2008 Lot # 235800 Please write a BRIEF description of the error/omission (3pts): . # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #Z2578456 Drug Dispensed: Exp. 2006 Take one tablet by mouth once daily Prescriber Signature X__Chester Refill: 11 Cross____ MDD: Amturnide 300mg/10mg/25mg MFR: Novartis Chester Cross. NY 14220 716-858-8889 Lic# 235211 DEAAC5278951 Name: Shawn Dimeo DOB: 06/21/34 Address:700 Embassy Sq Date: 02/08/06 Depew. Only one error/omission per exercise. prescription label. NY 14209 Rx Amturnide 300/10/25 Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 9229 Peckham Road Buffalo. MD. NY 14209 February 8. Briefly describe the error/omission at the bottom of the page. Prescription: Chester Cross. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 23533 Shawn Dimeo 700 Embassy Sq Depew. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

24. Buffalo. 3/FL Buffalo. NY 14260 Phone: 716-555-5555 Rx# 23456 Katie Swonski 568 Main Street. prescription label. Briefly describe the error/omission at the bottom of the page. 3/FL Date: 01/27/07_ Buffalo.5 mg MFR: Greenstone Andrew McDonald MD. MD 222 Main street. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K1258LP1 Drug Dispensed: Exp. Suite 111. Prescription: Andrew McDonald. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 03/2008 Lot # 0223369 Please write a BRIEF description of the error/omission (3pts): . NY 14233 Rx Xanax 0. 2007 Prescriber Signature X__ Refill: 0 (zero) Andrew McDonald___ MDD:1 Alprazolam 0. NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name:_Katie Swonski __ DOB: 09/25/55 Address:_568 Main street.5 mg Sig: i po hs # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14233 Take one tablet at bedtime February 28. and product it was filled with. Only one error/omission per exercise.

NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Beverly Feasley DOB: 09/14/77 Address:7874 Bellwood Ln Date:02/16/07 Clarence. 2007 Take one teaspoonful every 6 hours as needed for cough Prescriber Signature X_ Refill: 0 Mark Flinchbaguh MDD: 20 cc Promethazine w/codeine MFR: Actavis Mark Flinchbaguh.428. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1K2348M5 Drug Dispensed: Exp. and product it was filled with. (Assume DEA #’s and License #’s are correct). Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. prescription label. NY 14774 Rx Phenergan Sig: i tsp po q6h prn cough # 150 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 90014 Beverly Feasley 7874 Bellwood Ln Clarence. 06/2008 Lot # K25877 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14774 February 16. MD 74 Quail Hollow Lane E Amherst. Prescription: Mark Flinchbaguh. MD.

Prescription: Evan Fitzaptrick. DO. DO 7458 Nostrand Ave Brooklyn. Only one error/omission per exercise. 02/2011 Lot # 6HP006E Please write a BRIEF description of the error/omission (3pts): .alternate nostrils #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.516. NY 12142 Rx Miacalcin nasal spray Sig: i spray one nostril daily. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). prescription label. # 3. NY 12142 June 9. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 76698 Josepine Lehman 147 Harring Street Brookly. 2004 Instill 1 spray into each nostril daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.alternating nostrils Prescriber Signature X__ Refill: 4 Evan Fitzpatrick __ MDD: Miacalcin nasal spray MFR:Novartis Evan Fitzaptrick. NY 11235 716-222-3333 Lic# 123323 DEA BF122258 Name: Josephine Lehman DOB: 04/26/41 Address:147 Harring Street Date: 06/09/04 Brooklyn.7 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 4 times Dispense as Written DAW Serial # M1258TU8 Drug Dispensed: Exp.

Suite 290 Amherst. 2006 Take one tablet by mouth twice daily. MD 1245 Ocean Ave. NY 14200 November 25. and product it was filled with.431. Metformin 500 mg MFR: Sandoz Victoria Flemming MD. 11/2008 Lot # 3P2040 Please write a BRIEF description of the error/omission (3pts): . NY 14200 Rx Metformin 500 mg Sig: i po bid # 60 Byetta 10mcg Sig: inj 10mcg SC bid ud #1 pen Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #W2538Y25 Drugs Dispensed: Rx# 90016 Frank Barrett 8888 Michigan Ave Buffalo. Refill 3 times #1 Exp. NY 14260 Phone: 716-555-5555 Rx# 90015 Frank Barrett 8888 Michigan Ave Buffalo. Prescription: Prescription Labels: Victoria Flemming. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. prescription label. 2006 Inject 10mcg subcutaneously twice daily as directed Byetta 10 mcg MFR: Lilly Victoria Flemming MD. NY 14200 November 25. NY 11228 716-505-5050 Lic# 223658 DEA BF1111587 Name: Frank Barrett DOB: 03/15/59 Address:8888 Michigan Ave Date:11/25/06 Buffalo. (Assume DEA #’s and License #’s are correct). Refill 3 times Phone: 716-555-5555 # 60 Prescriber Signature X_Victoria Refill: 3 Flemming__ MDD: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

July 19. (Assume DEA #’s and License #’s are correct). NY 14228 716-233-3333 Lic# 123123 DEA BC2255897 Name: Cirillo Roth DOB: 06/26/35 Address:8005 Monroe Ave Date: 07/19/06 Amherst. prescription label.434. and product it was filled with. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times DAW Dispense as Written Serial #G2584K23 Drug Dispensed: Exp. MD 7845 Sheepshead Bay Buffalo. NY 14260 Phone: 716-555-5555 Quinine 300 mg Sig: i po q8h # 90 Rx# 90016 Cirillo Roth 8005 Monroe Ave Amherst. Prescription: Shirley Cummings. Only one error/omission per exercise. 09/2008 Lot # J238009 Please write a BRIEF description of the error/omission (3pts): . NY 14720 Take one tablet every 8 hours. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14720 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X_ Refill: 1 Shirley Cummings_ MDD: Quinidine gluconate 324 mg MFR: Mutual Pharmaceutical Co Shirley Cummings.

Only one error/omission per exercise. Prescription: Tommy Reed. and product it was filled with.5 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14589 Take one tablet once daily. NY 14260 Phone: 716-555-5555 Rx# 66807 Maria Sunstrum 4555 Eggert Road Lockport. 11/2007 Lot # W2003 Please write a BRIEF description of the error/omission (3pts): . 2005 Prescriber Signature X__ Refill: 5 Tommy Reed _ MDD: Premarin 0. Briefly describe the error/omission at the bottom of the page. NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Maria Sunstrum DOB: 12/26/52 Address:4555 Eggert Road Date:05/31/05 Lockport. MD 85 Grand Street Lockport. prescription label.413. (Assume DEA#’s and License#’s are correct). MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #M25693K45 Drug Dispensed: Exp.45 mg MFR: Wyeth Pharmaceuticals Tommy Reed. May 31. NY 14589 Rx Provera 2.

NY 10228 July 13. Only one error/omission per exercise. NY 14004 716-111-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.209. 06/2008 Lot # 541487 Please write a BRIEF description of the error/omission(3pts): . NY 14260 Phone: 716-555-5555 Name: Kosda Johnson Address: 235 Union Road Angola. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY. RPA. 10228 Rx DOB: 11/08/39 Date: 06/12/06 Elmiron Sig: i po tid ac # 90 Rx# 01215 Kosda Johnson 235 Union Road Angola. 2006 Take one tablet three times a day before meals Azathioprine 50 mg # 90 Prescriber Signature X_ Refill: 5 Cynthia MaCare ___ MDD: MFR: Roxanne Cynthia MaCare. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #ZM741589 Exp. Briefly describe the error/omission at the bottom of the page. Prescription: Benjamin Stockwell. RPA Lic# 474851 Lic # 325896 DEA AS222589 822 Paramount Ave Williamsville. MD Cynthia MaCare. prescription label. and product it was filled with. (Assume DEA#’s and License#’s are correct).

(Assume DEA#’s and License#’s are correct). RPA Lic# 474851 Lic # 325896 DEA AS222589 822 Paramount Ave Williamsville. NY 14004 716-111-9999 Prescription Label: Health Sciences Pharmacy Rx# 01215 Kosda Johnson 235 Union Road Angola. 10228 Rx DOB: 11/08/39 Date: 06/12/06 Elmiron Sig: i po tid ac June 13. 07/2009 Lot # T415896 Please write a BRIEF description of the error/omission(3pts): . prescription label. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #ZM741589 Drug Dispensed: Exp. RPA. Prescription: Benjamin Stockwell. NY 10228 Phone: 716-555-5555 Name: Kosda Johnson Address: 235 Union Road Angola. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.210. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. 2006 Take one capsule three times a day before meals # 90 Prescriber Signature X__ Refill: 5 Elmiron # 90 Cynthia McCare __ MDD: MFR: Ivax Cynthia MaCare. and product it was filled with. MD Cynthia MaCare. NY.

(Assume DEA#’s and License#’s are correct). MD Buffalo. 2006 Prescriber Signature X_Deepak Refill: 2 (two) Singh___ MDD: Take one to two capsules by mouth every four hours as needed. 12/2008 Lot # 145974A Please write a BRIEF description of the error/omission (3pts): . APAP. and product it was filled with.420. Butalbital. NY 14260 Phone: 716-555-5555 Rx# 66809 Clifford Hennessy 699 Lovering Road Aurora. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. Caffeine Codeine 50/325/40/30 # 20 MFR: Watson THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #R2358962 Deepak Singh. NY 14260 DEA: AB1234567 716-555-5689 Name: Clifford Hennessy DOB: 08/16/70 Address: 699 Lovering Road Date: 09/21/06 Aurora. NY 14000 September 21. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Refill 2 times Drug Dispensed: Exp. NY 14000 Rx Fioricet + codeine Sig: i-ii po q4h prn # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Buffalo General Hospital 100 High Street Deepak Singh. MD.

NY 17895 February 3. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. (Assume DEA#’s and License#’s are correct). Refill 5 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . Prescription: Samuel Fishman. prescription label. 2007 Take one capsule by mouth four times daily Prescriber Signature X_Samuel Refill: 5 Fishman__ MDD: Pradaxa 150mg capsules # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Boehringer Ingelheim Pharmaceuticals Inc Samuel Fishman. and product it was filled with. MD 6985 Sheridan Drive Buffalo. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. Briefly describe the error/omission at the bottom of the page. NY17895 Rx Pradaxa 150mg Sig: i cap po 4x/day # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.25. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca.

prescription label. NY 14000 Rx Prograf 0. 2005 Prescriber Signature X__Joyce Refill: 5 Campenella_ MDD: Gengraf 25 mg MFR: Abbott Joyce Campanella. Briefly describe the error/omission at the bottom of the page. Prescription: Joyce Campanella. NY 14260 Phone: 716-555-5555 Rx# 141578 Dolores Ennis 789 Kinsey Ave Tonawanda. NY 14002 716-363-3636 Lic# 787782 DEA AC 8857851 Name: Dolores Ennis DOB: 06/18/56 Address:789 Kinsey Ave Date: 04/05/05 Tonawanda. NY 14000 Take one capsule twice daily. Only one error/omission per exercise. MD.5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 2366 Autumnview Road Clarence. (Assume DEA#’s and License#’s are correct). April 5. and product it was filled with. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1145J569 Drug Dispensed: Exp. 10/2008 Lot #H74158 Please write a BRIEF description of the error/omission (3pts): .221.

504. (Assume DEA#’s and License#’s are correct). Prescription: Monica Greenfield. DVM #20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 time DAW Dispense as Written Serial #001UY569 Drug Dispensed: Exp. NY 12323 Apply 2 patches every 72 hours November 25. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X__ Refill: 0 zero Monica Greenfield __ MDD: 2q72 h Duragesic 75 mcg patch MFR: Janssen Monica Greenfield. NY 12323__ Rx Duragesic 75 mcg Sig: apply 2 patches q72 h # 20 ( twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Only one error/omission per exercise. NY 14216 716-787-8787 Lic# 235988 DEA MG4298341 Name:_Lily Grant __ DOB: 09/09/49 Address:_229 Young Road__ Date: 11/25/06_ _Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 23456 Lily Grant 229 Young Road Buffalo. DVM 290 Meyer Road Amherst. 07/2009 Lot # L0000158 Please write a BRIEF description of the error/omission (3pts): .

4 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #M1245789 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). 11/2009 Lot # J125468 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 125888 Gosh Engel 25 Fieldstone Dr W. NY 14031 Take one capsule once daily. Briefly describe the error/omission at the bottom of the page. and product it was filled with. Prescription: Charles Goslinski. NY 14031 Rx Flomax 0. February 8.224. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Seneca. prescription label. Only one error/omission per exercise. Seneca. DO.4 mg MFR: Charles Goslinski. 2007 Prescriber Signature X__Charles Refill: 5 Goslinski____ MDD: Tamsulosin 0. NY 14211 716-555-1112 Lic# 632235 DEA BG4587450 Name: Gosh Engel DOB: 09/07/55 Address:25 Fieldstone Dr Date: 02/08/07 W. DO 2255 Cherrywood Ave Buffalo.

NY 11896 Rx Actonel 35 mg Sig: i po q week # 12 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. NY 11896 March 12. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 5255 Cobblestone Dr Clarence. 09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). prescription label. NY 14260 Phone: 716-555-5555 Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo. Briefly describe the error/omission at the bottom of the page. #12 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Mike Lou. and product it was filled with.486. Prescription: Mike Lou. 2006 Take one tablet by mouth once a week Prescriber Signature X__ Refill: 4 Mike Lou _____ MDD: Actonel 35 mg MFR: Procter and Gamble . NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Fanny Pruchinewiz DOB: 04/01/59 Address: 1147 North Forest Rd Date: 03/11/06 Buffalo. MD Dispense as Written Refill 4 times Serial #125TDEF2 Drug Dispensed: Exp.

and product it was filled with. prescription label. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1221E125 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page.227. Prescription: Dean Potter. MD 456 Ashland Ave Buffalo. NY 14260 Phone: 716-555-5555 Rx# 55474 Norma Hess 999 Somerville Ave Eden. MD. NY 14433 Rx Mirapex 1mg Sig: 1po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 14433 January 14. 08/2012 Lot # H145826 Please write a BRIEF description of the error/omission (3pts): . NY 14444 716-444-5555 Lic# 112214 DEA AP6878954 Name: Norma Hess DOB: 09/09/77 Address:999 Somerville Ave Date:01/14/06 Eden. 2006 Take 1 tablet by mouth three times a day Prescriber Signature X__ Refill: 0 Dean Potter __ MDD:2 Mirapex 1mg MFR: Kremers Urban Dean Potter. Only one error/omission per exercise.

Prescriber Signature X__Suzanne Refill: 0 Brower_____ MDD: Anucort HC 25mg MFR: G & W Labs Suzanne Brower. NY 14260 Phone: 716-555-5555 Rx# 66358 Wilt Chamberlin 555 Parkwood Ave Synder. Only one error/omission per exercise. 08/2014 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14077 Rx Anucort HC 25mg Sig: i pr bid # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Suzanne Brower.20. 2011 Insert 1 suppository rectally twice daily. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. #28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #568LK236 Drug Dispensed: Exp. NY 14077 March 9. NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Wilt Chamberlin DOB: 03/15/77 Address:555 Parkwood Ave Date:03/08/11 Synder. MD. MD 9988 Parkside Ave Amherst. and product it was filled with.

(Assume DEA#’s and License#’s are correct). prescription label. Refill 5 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. NY17895 Rx Pradaxa 150mg Sig: ii cap po tid # 180 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 17895 February 3. MD 6985 Sheridan Drive Buffalo. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. Only one error/omission per exercise. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.27. 2007 Take two capsules by mouth three times daily Prescriber Signature X_Samuel Refill: 5 Fishman__ MDD: Pradaxa 150mg capsules # 180 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Boehringer Ingelheim Pharmaceuticals Inc Samuel Fishman. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. Briefly describe the error/omission at the bottom of the page. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. Prescription: Samuel Fishman.

Prescription: Jack Hoover. NY 14260 Phone: 716-555-5555 Lidoderm patch Sig: apply 1 qd for 12 h # 30 Rx# 001236 Ronnie Mitrowski 756 Symmon Road Bronx. NY 12370 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 09/2010 Lot # 506015 Please write a BRIEF description of the error/omission (3pts): . NY 12370 February 13.511. MD. Lidoderm Patch MFR: Endo Jack Hoover. Only one error/omission per exercise. NY 12365 716-333-4444 Name: Ronnie Mitrowski DOB: 03/16/56 Address: 756 Symmon Road Date: 02/13/07 Bronx. (Assume DEA#’s and License#’s are correct). 2007 Prescriber Signature X_Jack Refill: 6 Hoover________ MDD:1 Apply 1 patch every day and wear for 12 hours daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Refill 6 times # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #K1258TU8 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. RPA Lic# 125898 Lic# 147845 DEA BH1414250 78 Harlem Road Bronx. and product it was filled with. MD Lynn Marshall.

(Assume DEA#’s and License#’s are correct). MD 6985 Sheridan Drive Buffalo. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. and product it was filled with. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): .60. Only one error/omission per exercise. 2007 Inject 1.5ml intramuscularly twice a week as directed Prescriber Signature X_Samuel Refill: 0 (zero) Fishman__ MDD:1 dose Testosterone Cypionate 200mg/ml MFR: Watson Samuel Fishman. NY 17895 February 3. Prescription: Samuel Fishman. NY17895 Rx Depo Testosterone 2000mg/10ml Sig: 300mg im biw ud # 3 (3 vials) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca.

and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Jackson Hundson. 2006 Prescriber Signature X__Jackson Refill: 5 Hundson____ MDD: Altace 5 mg MFR: Monarch Pharm Jackson Hundson. MD 452 Main Street Buffalo. (Assume DEA#’s and License#’s are correct). 08/2009 Lot # 1100755 Please write a BRIEF description of the error/omission (3pts): . NY 14532 716-999-9999 Lic# 485632 DEA BH4712584 Name: Crawford Reukauf__ DOB: 3/18/66_ Address: 876 Vermont Street__ Date: _10/10/06 Buffalo. Only one error/omission per exercise. October 11.28. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Drug Dispensed: Serial #125ULK01 Exp. MD. Briefly describe the error/omission at the bottom of the page. NY 11446 Rx Altace 5 mg Sig: i po QD # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 606062 Crawford Reukauf 876 Vermont Street Buffalo. NY 11446 Take one tablet once daily. prescription label.

Only one error/omission per exercise. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Angelina Pulaski ___ DOB: 11/2/78 Address:_115 Harry Street_ Date: 03/01/11_ Kenmore. and product it was filled with.11. March 4. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14789___ Rx Viibryd 40mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Kenneth Taung #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #0085HJ89 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore. MD 1478 Morrison Ct Cheektowaga. NY 14789 Take one tablet by mouth once daily. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. Prescription: Kenneth Taung. 2011 Prescriber Signature X__Kenneth Refill: 5 Taung_____ MDD: Viibryd 40 mg MFR: Lannett Dr. 2/2011 Lot # L147896P Please write a BRIEF description of the error/omission (3pts): . prescription label.

Only one error/omission per exercise. NY 11447_ Rx Accupril 20 mg Sig: i po QD # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Amherst. NY 14226 716-111-1111 Lic# 145896 DEA BW4857871 Name:__Jolie Yang ___ DOB:03/14/52__ Address:_4577 Kensington Rd Date: 12/01/06_ _Kenmore. 2006 Prescriber Signature X___ Refill: 3 Sharon White ______ MDD: Quinapril 20 mg MFR: Greenstone Dr. and product it was filled with. MD 425 Millersport Road. NY 11447 Take one tablet once daily. prescription label. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. December 2.6. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 23456 Joel Yang 4577 Kensington Road Kenmore. Prescription: Sharon White. Sharon White #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #125L1258 Drug Dispensed: Exp: 05/2009 Lot # 05896583 Please write a BRIEF description of the error/omission (3pts): .

Prescription: Jackson Hundson. NY 14260 Phone: 716-555-5555 Rx# 606062 Crawford Reukauf 876 Vermont Street Buffalo. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #125ULK01 Drug Dispensed: Exp. NY 11446 Take one tablet once daily.30. NY 14532 716-999-9999 Lic# 485632 DEA BH4712584 Name: Crawford Reukauf__ DOB: 3/18/66_ Address: 876 Vermont Street__ Date: _10/10/06 Buffalo. 2006 Prescriber Signature X__ Refill: 5 Jackson Hundson __ MDD: Altace 5 mg MFR: Monarch Pharm Jackson Hundson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 11446 Rx Altace 5 mg Sig: i po QD Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. MD. Briefly describe the error/omission at the bottom of the page. prescription label. 08/2009 Lot # 1100755 Please write a BRIEF description of the error/omission (3pts): . October 11. MD 452 Main Street Buffalo. and product it was filled with.

UNIVERSITY HOSPITAL School of Pharmacy. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Cyclophosphamide 803mg Solution: 250ml D5W Infusion Rate: 125ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B  drug additive drug name:cyclophosphamide_1g powder final bag concentration: __3. Buffalo. 222 Cooke Hall. prescription label. and product it was filled with. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Andy Roberts allergies: Penicillin room: 432B physician: Dr Toboggan. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. Briefly describe the error/omission at the bottom of the page.2____ ml ___803_____ mg Administration Rate___125__ ml/hr  diluent for drug reconstitution (circle) (SWFI) NS D5W other: _____ manufacturer: ___Hospira________ lot: __555g____ exp: 12/31/15 volume used (ml): ___50_____ Please write BRIEF description of the error/omission Dr: aToboggan. / Kg height: ___72____ (circle) (in.: 8769 sex: (circle) (male) / female weight: ___175_____ (circle) (lb).21mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/14___ volume added to bag: drug amount in bag: ___40. MD RPh: (3pts): YOU . MD Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __250__________ IV Label: University Hospital 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise.) / cm Cyclophosphamide 400mg/m2 in 250ml D5W.376. Toboggan.9____mg/dl 3/15/11 0730 medical record no. New York. infuse over 2 hours Dr.

) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.: 8769 sex: (circle) (male) / female weight: ___161_____ (circle) (lb). MD medical record no. Dr. 222 Cooke Hall. Infuse over 45 min. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. UNIVERSITY HOSPITAL School of Pharmacy. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Jason Smith Additives: Tobramycin 657mg Solution: 100ml NS Infusion Rate: 133ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:32A  drug additive drug name: __Tobramycin_40mg/ml____ final bag concentration: __6. Toboggan.57mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___16. and product it was filled with. Only one error/omission per exercise.9____mg/dl 3/15/11 0730 Tobramycin 9mg/kg/day DIV q8h in 100ml NS. Prepare 1 dose. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. New York. Buffalo. prescription label.381. / Kg height: ___70____ (circle) (in. MD RPh: (3pts): YOU .4____ ml ___657_____ mg Administration Rate___133__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. Briefly describe the error/omission at the bottom of the page. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Jason Smith allergies: NKA room: 32A physician: Dr Toboggan.

Briefly describe the error/omission at the bottom of the page. Maximum daily dose of 4 tablets.5/325 mg MFR: Mallinckrodt Pauline Davidson. (Assume DEA#’s and License#’s are correct). and product it was filled with. NY 14223 Rx Percocet 7. MD 5529 Northtown Raod. E Amherst.5/325 Sig: i po q 6 h prn # 120 ( one hundred twenty) Prescriber Signature X_Pauline Refill: 0 (zero) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label.382. NY 14223 December 25. 2006 Take one tablet every 6 hours as needed. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #LK859967 Drug Dispensed: Exp. MDD:4 Davidson____ Oxycodone/APAP 7. 05/2008 Lot # 45L2586 Please write a BRIEF description of the error/omission (3pts): . MD. NY 14333 716-123-4567 Lic# 147891 DEA AD1122580 Name: Isolina Haller DOB: 03/19/53 Address: 400 Cleveland Dr Date: 12/25/06 Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. Prescription: Pauline Davidson. NY 14260 Phone: 716-555-5555 Rx# 20326 Isolina Haller 400 Cleveland Dr Amherst.

NY 17895 Take one tablet once daily. MD 1235 Millersport Road Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X__ Refill: 5 Sharon White ____ MDD: Altace 5 mg MFR: Monarch Pharmaceuticals Inc Sharon White. May 4. (Assume DEA#’s and License#’s are correct).32. and product it was filled with. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #0148KJG2 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 665866 Joel Rettig 444 Clarence Center East Seneca. MD. 08/2009 Lot # 1100755 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. prescription label. Prescription: Sharon White. NY 14265 716-666-6666 Lic# 234587 DEA BW5861489 Name: Joel Rettig DOB:05/01/33_ Address:444 Clarence Center__ Date: 04/05/06 East Seneca NY. 17895__ Rx Artane 5 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. NY 14228 Rx Doxepin 100 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. RPA. May 5.181. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. 2005 Prescriber Signature X_Lynn Refill: 3 Marshall____ MDD: Doxepin 100 mg MFR: Par Lynn Marshall. Prescription: Jack Hoover. MD Lynn Marshall. Only one error/omission per exercise. NY 14228 Take one capsule once daily. Briefly describe the error/omission at the bottom of the page. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). RPA 78 Harlem Road Bronx. prescription label. NY 12365 716-333-4444 Lic# 125898 DEA BH1414250 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora .

07/2008 Lot # 17485900 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 32535 Sly Stallone 1125 Mineral Spring Road Gatesville. 2005 Prescriber Signature X__John Refill:5 (five) Rousseau____ MDD:2 Apply 2 grams (4 pumps) to inner thighs once daily in the morning Fortesta 2% MFR: Abbott # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #14415L78 John Rousseau. MD 789 Walden Ave. Suite 120 Cheektowaga. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Prescription: John Rousseau. NY 14788 April 29. Briefly describe the error/omission at the bottom of the page. NY 14875 716-878-7887 Lic#784589 DEA BR4512453 Name: Sly Stallone DOB: 03/16/48 Address:1125 Mineral Spring Rd Date:04/28/05 Gatesville. MD.186. Only one error/omission per exercise. Refill 5 times Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). prescription label. NY 14788 Rx Fortesta pump Sig: apply 2g (4 pumps) to inner thighs qam # 1 (one) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

Prescription: Karen Douglas. and product it was filled with. Only one error/omission per exercise. DO 190 E Robinson Road Lancaster. (Assume DEA#’s and License#’s are correct). prescription label. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: David McPhea DOB: 10/01/38 Address:747 Athens Blvd Date: 12/27/03 Arkron. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #17854KH7 Drug Dispensed: Exp.187. NY 14001 December 27. 2003 Take one tablet by mouth once daily Prescriber Signature X__Karen Refill: 0 Douglas___ MDD: DynaCirc CR 5 mg MFR: Reliant Karen Douglas. 10/2005 Lot # L1024158 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 32541 David McPhea 747 Athens Blvd Arkron. NY 14001 Rx DynaCirc CR 5 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. DO.

May 4. 2006 Prescriber Signature X____________________ Refill: 5 MDD: THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Trihexyphenidyl 5 mg MFR: Watson Sharon White. Briefly describe the error/omission at the bottom of the page. NY 14265 716-666-6666 Lic# 234587 DEA BW5861489 Name: Joel Rettig DOB:05/01/33_ Address:444 Clarence Center__ Date: 04/05/06 East Seneca NY. NY 14260 Phone: 716-555-5555 Rx# 665866 Joel Rettig 444 Clarence Center East Seneca. prescription label. 17895__ Rx Trihexyphenidyl 5 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. (Assume DEA#’s and License#’s are correct). Prescription: Sharon White. and product it was filled with. NY 17895 Take one tablet once daily.ERRORS AND OMISSIONS Exercise A: You will be given a prescription. #30 Refill 5 times Dispense as Written Serial #0148KJG2 Drug Dispensed: Exp. MD 1235 Millersport Road Amherst. 02/2008 Lot # L6B0232 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise.33.

NP 878 Sweet Home Road Lancaster. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #H22563M6 Drug Dispensed: Exp. prescription label. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 234512 Herbert Rayford 8080 Beaumont Drive Hamburg. Briefly describe the error/omission at the bottom of the page. NY 14200 716-666-7500 Lic# 363636 DEA MG5568970 Name: Herbert Rayford DOB: 12/08/63 Address:8080 Beaumont Drive Date: 10/14/06 Hamburg. NY 14280 Take one capsule three times a day October 14. Only one error/omission per exercise. 2006 Prescriber Signature X_ Refill: 6 Alfredo Gallagher_ MDD: Nicardipine 20 mg MFR: Teva Alfredo Gallagher.347. Prescription: Alfredo Gallagher. NP. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 11/2009 Lot # 332685 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14280 Rx Nifedipine 20 mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

Briefly describe the error/omission at the bottom of the page. NP 878 Sweet Home Road Lancaster. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14200 716-666-7500 Lic# 363636 DEA MG5568970 Name: Herbert Rayford DOB: 12/08/63 Address:8080 Beaumont Drive Date: 10/14/06 Hamburg.348. NY 14280 Take one tablet once daily. Refill 6 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Serial #H22563M6 Drug Dispensed: Exp. 11/2009 Lot # 332685 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). Nifedical XL 30 mg October 14. Prescription: Alfredo Gallagher. NY 14260 Phone: 716-555-5555 Rx# 234512 Herbert Rayford 8080 Beaumont Drive Hamburg. prescription label. NY 14280 Rx Nifedical XL 30 mg Sig: i po daily # 30 Prescription Label: 222 Cooke Hall Amherst. Only one error/omission per exercise. 2006 # 30 Prescriber Signature X_ Refill: 6 Alfredo Gallagher __ MDD: MFR: Teva Alfredo Gallagher. NP. and product it was filled with.

489. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Dispense as Written Refill 3 times Serial #12258OP8 Drug Dispensed: Exp. and product it was filled with. Suite 120 Cheektowaga. 2006 Prescriber Signature X__ Refill: 3 John Rousseau ____ MDD: Advair 500/50 MFR: GSK # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW John Rousseau. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. 12/2010 Lot # L123969N Please write a BRIEF description of the error/omission (3pts): . MD. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg. NY 11487 Inhale 1 puff by mouth twice daily December 12. NY 14875 716-565-5555 Lic# 258963 DEA BR4512453 Name: Yasminda Kim DOB:01/17/99 Address:101 Waterview Road Date: 12/12/06 Hamburg. MD 789 Walden Ave. NY 11487 Rx Advair 500/50 Sig: 1 puff by mouth twice daily # 1 inhaler Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: John Rousseau.

349. Prescription: Suzanne Brower. Prescriber Signature X__Suzanne Refill: 0 Brower_____ MDD: Levaquin 500mg MFR: Pricara Suzanne Brower. MD 9988 Parkside Ave Amherst. NY 14260 Phone: 716-555-5555 Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder. Only one error/omission per exercise. NY 14222 716-987-9876 Lic# 255897 Name: Gale Chamberlin Address:555 Parkwood Ave Synder. Briefly describe the error/omission at the bottom of the page. #14 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #568LK236 Drug Dispensed: Exp. 08/2014 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts): . NY 14077 Rx Levaquin 500mg Sig: i po bid x 7 days # 14 weight: 25kg DEA MB2536893 DOB: 03/15/07 Date:03/08/11 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14077 March 9. (Assume DEA#’s and License#’s are correct). prescription label. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2011 Take one tablet by mouth two times daily for 7 days. MD.

and product it was filled with. # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time DAW Dispense as Written Serial #Y2587M58 Drug Dispensed: Exp. NY 14220 Rx Solia Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X__ Refill: 11 Stanley Kaiser __ MDD: Solia MFR: Prasco Stanley Kaiser. NY 14220 Take one tablet once daily. prescription label. Prescription: Stanley Kaiser. Briefly describe the error/omission at the bottom of the page. March 3. (Assume DEA#’s and License#’s are correct).354. MD. NY 14000 716-555-7788 Lic# 171756 DEA BK5278850 Name: Susanna Rusinski DOB: 07/25/80 Address:5123 Argonne Drive Date:03/03/06 Buffalo. NY 14260 Phone: 716-555-5555 Rx# 202113 Susanna Rusinski 5123 Argonne Drive Buffalo. Only one error/omission per exercise. MD 888 Robin Raod Millersville. 05/2009 Lot # TT2325 Please write a BRIEF description of the error/omission (3pts): .

: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb). Buffalo. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan. prescription label. Briefly describe the error/omission at the bottom of the page.359. Toboggan. UNIVERSITY HOSPITAL School of Pharmacy.3____ ml ___1815____ mg Administration Rate___165__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alexandra Rodriguez Room:432B Additives: Phenytoin 1815mg Solution: 100ml NS Infusion Rate: 165 ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Phenytoin_50mg/ml______ final bag concentration: __18. Only one error/omission per exercise. New York.9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus. and product it was filled with. 222 Cooke Hall.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. / Kg height: ___5’3”____ (circle) (in. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Infuse at 50mg/min Dr. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.15mg/ml___ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___36. MD medical record no. MD RPh: (3pts): YOU .

NY 14787 Take one tablet once daily. 2007 # 30 Prescriber Signature X_ Refill: 6 Terrance Fransco _ MDD: MFR: Roxane Terrance Fransco. 01/2011 Lot # A14587 Please write a BRIEF description of the error/omission (3pts): .242. and product it was filled with. Prescription: Terrance Fransco. prescription label. NY 14260 Phone: 716-555-5555 Imdur 60 mg Sig: i po daily # 30 Rx# 89982 Anita Szyklinski 5258 Woodcreek Ln Eggertsville. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14787 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Anita Szyklinski DOB: 08/25/49 Address:5258 Woodcreek Ln Date:02/11/07 Eggertsville. Refill 6 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #L8521478 Exp. MD. MD 7877 Easton Ave New York. Azathioprine 50 mg February 11.

NY 14260 Phone: 716-555-5555 Rx# 66566 Rhonda Alderman 180 Flickinger Ct Alden. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #P21352147 Drug Dispensed: Exp. 06/2007 Lot # 778585 Please write a BRIEF description of the error/omission (3pts): . prescription label. Prescription: Elaine Knell. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 14075 Rx Vimpat 100mg Sig: i po bid # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. MD 2536 Rosewood Ave Lancaster. MD. Briefly describe the error/omission at the bottom of the page. NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Rhonda Alderman DOB: 06/09/40 Address:180 Flickinger Ct Date:06/26/05 Alden. NY 14075 Take one tablet twice daily. 2005 Prescriber Signature X__Elaine Refill: 0 (zero) Knell__ MDD:2 Vimpat 100mg MFR: UCB Inc Elaine Knell.247. July 27.

# 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #2358P258 Drug Dispensed: Exp. Prescription: Melvin Barren.251. and product it was filled with. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 888 Transit Road Springville. NY 14777 716-222-7777 Lic# 856985 DEA BB6553627 Name: Nick Cavalleri DOB: 06/06/75 Address:2356 Lafayette Road Date:01/28/07 Buffalo. NY 14051 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). prescription label. NY 14051 Rx Lamictal 200 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. January 31. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 633333 Nick Cavalleri 2356 Lafayette Road Buffalo. 2007 Prescriber Signature X__ Refill: 1 Melvin Barren __ MDD: Lamisil 250 mg MFR: Novartis Melvin Barren. 07/2009 Lot # Y25369 Please write a BRIEF description of the error/omission (3pts): .

#2. prescription label. and product it was filled with. Prescription: Emerson Brzozowski. NY 14043 716-666-9999 Lic# 556896 DEA AE2685759 Name: Alemondo Clarey DOB: 08/17/53 Address:8585 Ostrander Road Date:05/05/05 Aurora. 2005 Instill one drop to the right eye two to four times daily for 7 days Prescriber Signature X_Emerson Refill: 0 Brzozowski___ MDD: Zymaxid 0.5% MFR: Allergan Emerson Brzozowski. NY 14044 May 5. MD.301. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 24200 Alemondo Clarey 8585 Ostrander Road Aurora. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. NY 14044 Rx Zymaxid Sig: i gtt od bid-qid x 7 days # trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1245L1200 Drug Dispensed: Exp: 02/2007 Lot # 1258700 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. MD 688 Remington Dr N Tonawanda.

5 mg Sig: 4 tabs qw # 16 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. February 3. prescription label.314. Prescription: Charlotte Thompson. MD. 08/2008 Lot #1P2868 Please write a BRIEF description of the error/omission (3pts): . 2006 Prescriber Signature X__ Refill: 3 Charlotte Thompson _ MDD: Metolazone 2. NY 14510 Rx Methotrexate 2. NY 14404 716-777-9999 Lic# 362132 DEA BT2259984 Name: Natalie Weller DOB: 12/02/48 Address:606 Edgewater Dr Date:02/03/06 Gowanda.5 mg MFR: Mylan Charlotte Thompson. NY 14510 Take four tablets once weekly. NY 14260 Phone: 716-555-5555 Rx# 3999 Natalie Weller 606 Edgewater Dr Gowanda. (Assume DEA#’s and License#’s are correct). and product it was filled with. # 16 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #U1258L25 Drug Dispensed: Exp. MD 808 Mulberry Road E Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise.

# 16 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1458LL89 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14478 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 74 Quail Hollow Lane E Amherst. prescription label.507. NY 14260 Phone: 716-555-5555 Flonase Sig: 2 sprays each nostril qd #1 Rx# 200048 Eugene Page 6900 Nashua Road Long Island. Briefly describe the error/omission at the bottom of the page. NY 14478 October 13. Only one error/omission per exercise. 2006 Instill 1 spray into each nostril daily Prescriber Signature X__ Refill: 0 Mark Flinchbaguh__ MDD: Fluticasone Nasal Spray MFR: Roxane Mark Flinchbaguh. (Assume DEA#’s and License#’s are correct). MD. 10/2010 Lot # A125012 Please write a BRIEF description of the error/omission (3pts): . Prescription: Mark Flinchbaguh. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Eugene Page DOB: 05/28/60 Address:6900 Nashua Road Date: 09/14/06 Long Island.

prescription label. MD 452 Main Street Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Januvia 100 mg Sig: 1 po qd # 30 Rx# 77777 Janet Pinto 85 Maple Trail Buffalo. and product it was filled with. MD. Prescription: Jackson Hundson. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7482L748 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct).552. 2007 Prescriber Signature X__ Refill: 1 Jackson Hundson __ MDD: Januvia 100 mg tablets MFR: Merck and CO Jackson Hundson. NY 14042 Take 1 tablet by mouth daily January 14. 02/2010 Lot # T101257 Please write a BRIEF description of the error/omission (3pts): . NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Jeremy Paneinto DOB: 07/04/77 Address:805 Mapleview Road Date:01/14/07 Buffalo. NY 14042 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

Only one error/omission per exercise. Prescription: Steven Johnson. prescription label. # 10 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #74158987 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron. 05/2008 Lot # 70000052 Please write a BRIEF description of the error/omission (3pts): . MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14004 Rx Levemir insulin Sig: inject as directed daily # 10 ml DOB: 5/24/76 Date: 02/18/07 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 Prescriber Signature X_Karen Refill: 1 Swanson____ MDD: Levemir Insulin MFR: Novo Nordisk Steven Johnson. RPA Lic # 555233 85 Greek Road Lockport. NY 14004 Inject as directed once daily February 18.553. (Assume DEA#’s and License#’s are correct). NY 14458 716-558-8888 Name: Kristen Paralato Address:6253 Auburn Ave Akron. Briefly describe the error/omission at the bottom of the page. MD Lic# 456922 DEA BJ5224782 Karen Swanson.

11/2008 Lot # 144867A Please write a BRIEF description of the error/omission (3pts): . # 12 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 4 times Serial #11253LP8 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 696987 Ester Osoki 6900 Nashua Road Long Island. NY 17789 Take one tablet once weekly September 25. (Assume DEA#’s and License#’s are correct).508. Briefly describe the error/omission at the bottom of the page. Prescription: Paul Flicinski. MD. NY 17789 Rx Fosamax 70 mg Sig: i poq week # 12 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. MD 789 Brown Street Bronx. NY 10059 716-700-0000 Lic# 147896 DEA AF4587955 Name: Ester Osoki DOB:09/08/39 Address: 6900 Nashua Road Date: 09/23/06 Long Island. 2006 Prescriber Signature X_Paul Refill: 4 Flicinski____ MDD: Fosamax 70mg tablets MFR: Merck Paul Flicinski. Only one error/omission per exercise. and product it was filled with.

Only one error/omission per exercise. NY 14141 Inhale 1 puff by mouth twice daily February 13. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Shirley Grace DOB: 04/15/75 Address:148 Stuart Street Date:02/13/05 Orchard Park. Prescription: Stephen Sigel. Briefly describe the error/omission at the bottom of the page. prescription label.531. MD 789 Ward Street Lancaster. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #128PR124 Drug Dispensed: Exp. 2005 Prescriber Signature X_ Refill: 5 Stephen Sigel __ MDD: Serevent diskus MFR: GSK Stephen Sigel. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. 02/2005 Lot # 12458KL Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park. NY 14141 Rx Serevent diskus Sig: i puff bid #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD.

and product it was filled with.06/08 Lot # 060359W Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14226 716-898-8888 Prescription Label: DOB: 12/16/88 Date: 06/01/06 Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Millard Fillmore Suburban Hospital 789 Maple Road.34. NY 14260 Phone: 716-555-5555 Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda. MD_ MDD: 4 Take 1tablet by mouth every six hours as needed for knee pain Oxycodone/Apap 7. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Clinton. NY 12339 Rx Percocet 7. NY 12339 June 2. MD. Serial #00TJI258 Refill 0 times Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Amherst.5/325 MFR: Mallinckrodt # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Bill Clinton.5/325 Sig: 1 po q6h prn knee pain # 60 (sixty) Prescriber Signature X__Bill Refill: 0 (zero) Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda. prescription label.

NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name: Sylvia Rappold DOB: 01/08/56 Address: 3355 Pinewood Dr Date: 02/26/07 Great View. Buffalo. Suite 111. Only one error/omission per exercise. Prescription: Andrew McDonald.401. MD. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial # 896Z5682 Exp. NY 14260 Phone: 716-555-5555 Prinivil 20 mg Sig: i po hs # 30 Rx# 66803 Sylvia Rappold 3355 Pinewood Dr Great View. and product it was filled with. 05/2008 Lot # P29062 Please write a BRIEF description of the error/omission (3pts): . MD 222 Main Street. NY 14223 Take one tablet at bedtime Pravastatin 20 mg February 26. Briefly describe the error/omission at the bottom of the page. NY 14223 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 # 30 Prescriber Signature X__ Refill: 5 Andrew McDonald _ MDD: MFR: Teva Andrew McDonald. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct).

2006 Prescriber Signature X_ Refill: 9 Monica Greenfield _ MDD: Precare Premier MFR: Ther-Rx Corp Monica Greenfield. NY 14253 Take one tablet once daily. NY 14216 716-787-8787 Lic# 235988 DEA MG4298341 Name: Ramona Savage DOB: 07/21/79 Address:7654 Wright Road Date:03/15/06 Getzville. Briefly describe the error/omission at the bottom of the page. NP. and product it was filled with. NY 14253 Rx PreCose 50 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Monica Greenfield. prescription label. 06/2007 Lot # P236522 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 66804 Ramona Savage 7654 Wright Road Getzville. March 15. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NP 290 Meyer Road Amherst.404. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 9 times Dispense as Written DAW Serial #MK256321 Drug Dispensed: Exp.

Prescription: Julius Hibbert. Only one error/omission per exercise. NY 12365 716-333-4444 Name: Milhouse Van Houten DOB: 1/29/2009 Address:197 Hartford Road Date:03/05/11 Aurora . NY 14228 March 5. MD weight: 12kg Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. MD. Briefly describe the error/omission at the bottom of the page. # 180 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. and product it was filled with. prescription label.407. NY 14260 Phone: 716-555-5555 Rx# 66698 Milhouse Van Houten 197 Hartford Road Aurora. 2011 Take three teaspoonfuls by mouth every 6-8hours as needed Prescriber Signature X_ Refill: 0 Julius Hibbert __ MDD: Ibuprofen 100mg/5ml MFR: Perrigo Julius Hibbert. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14228 Rx Ibuprofen susp 100/5ml Sig: 3 tsp q6-8h prn # 180ml Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): .

NY 14002 Feb 28. Prescription: Esther Tredinnick. Briefly describe the error/omission at the bottom of the page. NY 14002 Rx Amoxicillin 250/5ml Sig: 10ml po q12h x10days # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Take two teaspoonfuls by mouth every 12 hours for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin 250mg/5ml MFR: Sandoz Esther Tredinnick. MD # 100 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. prescription label. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.410. MD Weight:14kg 2535 Porterville Road Elma. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/08 Address:5050 Madaline Ln Date:02/28/11 Williamsville.

MD Lisa Chant. (Assume DEA#’s and License#’s are correct). NY 11489 February 1. NY 11489 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Azmacort Sig: 1 puff QID #1 Rx# 223326 Donna Parker 1133 Pershing Ave Kenmore. Briefly describe the error/omission at the bottom of the page. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. 2006 Inhale 1 puff by mouth four times a day Prescriber Signature X_ Refill: 0 William Zaklikowski _ MDD: Azmacort MFR: Abbott William Zaklikowski. NY 14869 716-889-9999 Name: Donald Parker DOB:03/22/21 Address: 1133 Pershing Ave Date: 02/01/06 Kenmore. prescription label. # 20 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K1242156 Drug Dispensed: Exp. 06/2008 Lot # 26060403A Please write a BRIEF description of the error/omission (3pts): . RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst. and product it was filled with. Prescription: William Zaklikowski.492.

Only one error/omission per exercise. NY 14235 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Timothy Grands Serial #125L65K6 Refill 5 times Drug Dispensed: Exp.495. 2006 Prescriber Signature X___ Refill: 5 Thomas Grands _ MDD: Apply as directed Bactroban 2 %Cream MFR: GSK #30g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written DAW Dr. Buffalo.. NY 14235 May 22. Briefly describe the error/omission at the bottom of the page. 02/2009 Lot # 123456 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Thomas Grands. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14223 716-444-4444 Lic# 543211 DEA AG4298341 Name: Jean Horton DOB: 11/06/65 Address: 500 Main Street Date: 05/22/06 Bflo. MD 432 Nottingham Blvd. prescription label. Buffalo. NY 14260 Phone: 716-555-5555 Bactroban 2% cream Sig: UAD # 30 gram tube Rx# 23456 Jean Horton 500 Main Street.

09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts): . Prescriber Signature X__ Refill: 6 ( six) Mike Lou _____ MDD: 1 Ambien 10 mg MFR:Sanofi-Aventis Mike Lou. 2006 Take one tablet at bedtime. Maximum daily dose of 1 tablet. MD . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Fanny Pruchinewiz DOB: 04/01/59 Address: 1147 North Forest Rd Date: 03/11/06 Buffalo. (Assume DEA#’s and License#’s are correct). Prescription: Mike Lou. and product it was filled with. MD 5255 Cobblestone Dr Clarence. Briefly describe the error/omission at the bottom of the page. NY 11896 Rx Ambien 10 mg Sig: i po hs # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.39. prescription label. Only one error/omission per exercise. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 6 times Serial #125TDEF2 Drug Dispensed: Exp. NY 11896 March 12. NY 14260 Phone: 716-555-5555 Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo.

MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Janet Smith Additives: Gentamicin 82. 222 Cooke Hall. Toboggan.40. Infuse over 30 min Dr. MD medical record no. MD RPh: (3pts): YOU .5mg/kg/dose (IBW) q8h in 50ml D5W.: 8769 sex: (circle) male / (female) weight: ___125_____ (circle) (lb).1mg Solution: 50ml D5W Infusion Rate: 104ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:2A  drug additive drug name: __Gentamicin_40mg/ml____ final bag concentration: __1. Buffalo. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Janet Smith allergies: NKA room: 2A physician: Dr Toboggan.05____ ml ___82. Briefly describe the error/omission at the bottom of the page. and product it was filled with.9____mg/dl 3/15/11 0730 Gentamicin 1. New York. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. UNIVERSITY HOSPITAL School of Pharmacy. prescription label. Only one error/omission per exercise.1_____ mg Administration Rate___104__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. / Kg height: ___64____ (circle) (in.) / cm Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __50__________ IV Label: University Hospital 222 Cooke Hall Amherst.58mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___2.

and product it was filled with. Briefly describe the error/omission at the bottom of the page. MD.56. NY 14006 716-666-6668 Lic# 114586 DEA AS5266879 Name: Gregory Hunt DOB: 06/29/46 Address: 2285 Eggert Road Date: 04/09/06 Kenmore. Effient 10mg MFR: Lilly Henry Sweeney. NY 11148 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Effient 10 Sig: 6 po qd day 1. then i po qd # 35 Rx# 18896 Gregory Hunt 2285 Eggert Road Kenmore. NY 11148 April 9. 2006 Prescriber Signature X__Henry Refill: 3 Sweeney______ MDD: Take 6 tablets by mouth at one time on day 1. Prescription: Henry Sweeney. MD 8769 Transit Road E Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. then take 1 tablet by mouth once daily. (Assume DEA#’s and License#’s are correct). 05/2008 Lot # P1002896 Please write a BRIEF description of the error/omission (3pts): . Refill 3 times # 35 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #012VN258 Drug Dispensed: Exp.

NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Chi Wai Lam DOB:03/06/44 Address:8990 Coley Street Date: 09/08/06 Williamsville. 2006 Prescriber Signature X__ Refill: 11 Tommy Reed ___ MDD: Avandia 2 mg MFR: Beecham Div # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Tommy Reed. M. NY 11223 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 11223 Take one tablet once daily. 01/2011 Lot # L2258C Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. MD 85 Grand Street Lockport. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Avandia 4 mg Sig: i po QD # 30 Rx# 122122 Chi Wai Lam 8990 Coley Street Williamsville. and product it was filled with. September 8. Dispense as Written Refill 11 times Serial #565D52H9 Drug Dispensed: Exp. prescription label.42. Prescription: Tommy Reed.

UNIVERSITY HOSPITAL School of Pharmacy.7____ ml ___547_____ mg Administration Rate___200__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. / Kg height: ___64____ (circle) (in. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. Prep 1 dose Dr. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Janet Smith Additives: Gentamicin 547mg Solution: 100ml D5W Infusion Rate: 200ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:2A  drug additive drug name: __Gentamicin_40mg/ml____ final bag concentration: __5. Briefly describe the error/omission at the bottom of the page. Infuse over 30 min. Only one error/omission per exercise.43.: 8769 sex: (circle) male / (female) weight: ___125_____ (circle) (lb). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with.) / cm Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.9____mg/dl 3/15/11 0730 Gentamicin 10mg/kg/dose (IBW) q8h in 100ml D5W. Buffalo. New York. Toboggan. 222 Cooke Hall. prescription label.47mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___13. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Janet Smith allergies: NKA room: 2A physician: Dr Toboggan. MD RPh: (3pts): YOU . MD medical record no.

Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna. NY 14034 Rx Levalbuterol 0. (Assume DEA#’s and License#’s are correct). # 72 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2315KU78 Drug Dispensed: Exp. and product it was filled with. Prescription: Mike Lou.537.63 mg solution Sig: i vial via nebulizer q8h prn # 2 boxes Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 12/2009 Lot # 1587P145 Please write a BRIEF description of the error/omission (3pts): .63 mg inhalation solution MFR: Sepracor Mike Lou. 2003 Inhale 1 vial via nebulizer every 8 hours if needed. Prescriber Signature X_Mike Refill: 0 Lou____________ MDD: Xopenex 0. Only one error/omission per exercise. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/03 Lackawanna. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. MD. MD 5255 Cobblestone Dr Clarence. NY 14034 February 8.

(Assume DEA #’s and License #’s are correct). NY 14133 Take one tablet three times a day July 22.463. prescription label. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #J2512K23 Drug Dispensed: Exp. MD 1001 Elmwood Ave Aurora. 2006 Prescriber Signature X__George Refill: 5 Spencer__ MDD: Tizanidine 4 mg MFR: Dr Reddys Laboratories. Briefly describe the error/omission at the bottom of the page. Prescription: George Spencer. NY 14260 Phone: 716-555-5555 Rx# 114570 Jayne Gilmore 8112 Magnolia Street S Wales. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14120 716-999-8888 Lic#141423 DEA BS2314259 Name: Jayne Gilmore DOB: 09/30/87 Address:8112 Magnolia Street Date:07/22/06 S Wales. MD. and product it was filled with. 12/2007 Lot # K258745 Please write a BRIEF description of the error/omission (3pts): . Inc George Spencer. NY 14133 Rx Zanaflex 4 mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.

and product it was filled with. MD. RPA Lic # 123514 DEA ML1223560 68 Elmhurst Dr Orchard Park. Only one error/omission per exercise. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written DAW Serial #00254HG9 Drug Dispensed: Exp.470. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. 06/2008 Lot # 1JK2550 Please write a BRIEF description of the error/omission(3pts): . NY14040 716-877-7777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Name: Madelyn Byrne Address: 11 Richmond Ave Getzville. NY 14077 September 28. 2007 Instill 1 to 2 drops into affected eye four times a day Prescriber Signature X_ Refill: 0 Howard Siemer_ MDD: TobraDex ophthalmic suspension MFR: Alcon Howard Siemer. NY 14077 Rx Tobrex ophth soln Sig: i – ii gtts affected eye qid # 5ml DOB: 03/03/82 Date: 09/28/07 Rx# 114572 Madelyn Byrne 11 Richmond Ave Getzville. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). Prescription: Howard Siemer. MD Lic# 124587 DEA AS4541252 Sean Hunter.

MD. Prescription: Paulette Kohler. NY 14000 Take one capsule three times daily. April 1. NY 14000 716-111-8888 Lic# 101523 DEA AK2365890 Name: Cathy Lombardo DOB: 06/15/77 Address:8500 Castle Hill Ave Date:04/01/06 Amherst. 04/2008 Lot #L1257853 Please write a BRIEF description of the error/omission (3pts): . NY 14000 Rx Librium 10 mg Sig: i po tid #90 (nintely) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. prescription label. 2006 Prescriber Signature X_ Refill: 0 ( zero) Paulette Kohler _ MDD: Chlordiazepoxide 10 mg MFR: Par Paulette Kohler. Only one error/omission per exercise.287. MD 89 Gate Circle Buffalo. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 55000 Cathy Lombardo 8500 Castle Hill Ave Amherst. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #P12588965 Drug Dispensed: Exp.

01/2007 Lot # J200012 Please write a BRIEF description of the error/omission (3pts): . NY 14204 716-565-6565 Lic# 784574 DEA AG4512756 Name: Lannie Greene DOB: 01/07/26 Address:2233 Woodland Ct Date:01/02/04 Genesee. Prescription: Ryan Gibson. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Drug Dispensed: Dispense as Written Serial #LL12541256 Exp. MD. NY 14200 Take one tablet twice daily Minoxidil 10 mg MFR: Mutual Pharmaceutical Co January 7. NY 14260 Phone: 716-555-5555 Lioresal 10 mg Sig: i po bid # 60 Rx# 233000 Lannie Greene 2233 Woodland Ct Genesee. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. prescription label. MD 7877 Hedgewood Drive Naussa.290. 2004 # 60 Prescriber Signature X_ Refill: 5 Ryan Gibson __ MDD:2 Ryan Gibson. and product it was filled with. NY 14200 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

MD 456 Ashland Ave Buffalo.25 mg Sig: i tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Dean Potter.25mg MFR: Boehringer Dean Potter. 2006 Prescriber Signature X__ Refill: 0 Dean Potter _ MDD: Mirapex 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14433 Take one tablet three times a day January 14. NY 14444 716-444-5555 Lic# 112214 DEA AP6878954 Name: Norma Hess DOB: 09/09/77 Address:999 Somerville Ave Date:01/14/06 Eden. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #1221E125 Drug Dispensed: Exp. MD.228. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 55474 Norman Hess 999 Somerville Ave Eden. Only one error/omission per exercise. NY 14433 Rx Mirapex 0. 08/2012 Lot # Y41578 Please write a BRIEF description of the error/omission (3pts): .

# 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #587LK569 Drug Dispensed: Exp. 2006 Prescriber Signature X__ Refill: 11 Curt Roche __ MDD: Humulin R MFR: Lilly Curt Roche. (Assume DEA#’s and License#’s are correct). MD 6588 Sheridan Drive Williamsville. and product it was filled with. prescription label. Prescription: Curt Roche. NY 14227 Rx Humalog Sig: UUD # 1 vial Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 04/2007 Lot # P12111 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 32323 Louis Sarcone 2356 Delaware Ave Amherst. MD. NY 14227 Use as directed. Only one error/omission per exercise. NY 14001 716-555-9998 Lic# 784774 DEA BR6568969 Name: Louis Sarcone DOB: 01/19/53 Address:2356 Delaware Ave Date:04/15/06 Amherst.236. April 15.

and product it was filled with. #54 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7482L748 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Eurax Cream Sig: A AD # 60 g Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo. NY 14042 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 Prescriber Signature X__ Refill: 1 Jackson Hundson __ MDD: Eurax cream MFR: Bristol MyersSquibb Jackson Hundson. MD 452 Main Street Buffalo. NY 14042 Apply as directed. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. Prescription: Jackson Hundson. January 14. prescription label.192. 02/2010 Lot # T101257 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Jeremy Paneinto DOB: 07/04/77 Address:805 Mapleview Road Date:01/14/07 Buffalo.

194. # 40 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #74158987 Drug Dispensed: Exp. 05/2009 Lot # A700415 Please write a BRIEF description of the error/omission (3pts): . RPA Lic # 555233 85 Greek Road Lockport. NY 14004 Rx Ketoprofen 50 mg Sig: i po q 6-8 h prn # 40 DOB: 5/24/76 Date: 07/18/04 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lic# 456922 DEA BJ5224782 Karen Swanson. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NY 14004 July 18. Prescription: Steven Johnson. NY 14458 716-558-8888 Name: Kristen Paralato Address:6253 Auburn Ave Akron. 2004 Take one tablet every 6 to 8 hour as needed Prescriber Signature X_ Refill: 1 Steven Johnson _ MDD: Amitriptyline 50 mg MFR: Qualitest Steven Johnson. NY 14260 Phone: 716-555-5555 Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron. prescription label. MD. (Assume DEA#’s and License#’s are correct). and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

NY 14004 Rx Ketoprofen 200 mg Sig: i po q 6-8 h prn # 40 DOB: 5/24/76 Date: 07/18/04 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.195. MD Lic# 456922 DEA BJ5224782 Karen Swanson. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron. NY 14004 July. Only one error/omission per exercise. 05/2008 Lot # 70000052 Please write a BRIEF description of the error/omission (3pts): . MD. Prescription: Steven Johnson. # 40 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #74158987 Drug Dispensed: Exp. RPA Lic # 555233 85 Greek Road Lockport. and product it was filled with. NY 14458 716-558-8888 Name: Kristen Paralato Address:6253 Auburn Ave Akron. Briefly describe the error/omission at the bottom of the page. prescription label. 18 2004 Take one capsule every 6 to 8 hour as needed Prescriber Signature X__ Refill: 1 Steven Johnson__ MDD: Ketoprofen 200 mg MFR: Teva Steven Johnson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

NY 17895 February 3. Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. NY17895 Rx Lantus 100mg/ml Sig: inj 10U sc qhs # 10 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. (Assume DEA#’s and License#’s are correct). Prescription: Samuel Fishman. 2007 Inject 1ml subcutaneously once daily at bedtime. MD. Prescriber Signature X_Samuel Refill: 3 Fishman__ MDD: Lantus 100U/ml MFR: Sanofi # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Aventis Refill 3 times Samuel Fishman. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. prescription label. MD 6985 Sheridan Drive Buffalo.239.

NY 14001 Rx Abstral fentanyl sublingual tablets200 mcg Sig: i sl q4-6h prn pain # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Briefly describe the error/omission at the bottom of the page.296. 2005 Prescriber Signature X__Jonathan Refill: 0 (zero) Mallozzi__ MDD: 4 Take one tablet sublingually every 4-6 hours as needed for pain. Maximum daily dose is 4/day Onsolis 200mcg MFR: Meda Pharmaceuticals # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Jonathan Mallozzi. (Assume DEA#’s and License#’s are correct). MD 99 Brookside Ave S Wale. Prescription: Jonathan Mallozzi. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts): . NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Gwen MacBeth DOB: 06/30/68 Address: 445 Wardman Ave Date: 06/01/05 Akron. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14001 June 15. MD. and product it was filled with. Serial #P322258L Refill 0x Drug Dispensed: Exp. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 10012 Gwen MacBeth 445 Wardman Ave Akron.

NY 14200 716-888-2222 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. #45 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #Z12B1245 Drug Dispensed: Exp. 2006 Prescriber Signature X_ Refill: 2 Pitt Paolucci __ MDD: Betamethasone/ Clotrimazole Cr MFR: Fougera Pitt Paolucci. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.299. prescription label. NY 14260 Phone: 716-555-5555 Name: Anna Schmitz DOB: 02/10/81 Address: 5898 Teahouse Street Date: 07/04/06 Bowmansville. NY 14102 Apply to affected area twice daily July 4. (Assume DEA#’s and License#’s are correct). RPA Lic # 365269 145 Amsterdam Ave Hamburg. NY 14102 Rx Lotrimin 1% Cr Sig: Apply affected area bid # trade size Rx# 898111 Anna Schmitz 5898 Teahouse Street Bowmansville. MD. MD Lic# 458789 DEA BP2554120 Carl Rizek. and product it was filled with. Only one error/omission per exercise. 03/2009 Lot # T1202449 Please write a BRIEF description of the error/omission(3pts): . Briefly describe the error/omission at the bottom of the page. Prescription: Pitt Paolucci.

(Assume DEA#’s and License#’s are correct). NY 14102 Rx Clotrimazole Cr 1% Sig: AAA bid # 30 g Rx# 898111 Anna Schmitz 5898 Teahouse Street Bowmansville. NY 14260 Phone: 716-555-5555 Name: Anna Schmitz DOB: 02/10/81 Address: 5898 Teahouse Street Date: 07/04/06 Bowmansville. prescription label. NY 14200 716-888-2222 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. NY 14102 Apply to affected area twice daily July 4. 2006 Prescriber Signature X Refill: 2 Pitt Paolucci __ MDD: Clotrimazole Cr 1% MFR: Taro Pitt Paolucci. MD Lic# 458789 DEA BP2554120 Carl Rizek. Prescription: Pitt Paolucci. RPA Lic # 365269 145 Amsterdam Ave Hamburg. and product it was filled with. Briefly describe the error/omission at the bottom of the page. 02/2008 Lot # T112455 Please write a BRIEF description of the error/omission(3pts): .300. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #Z12B1245 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD.

Briefly describe the error/omission at the bottom of the page. NY 14007 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Risperdal 1mg Sig: i po bid # 60 Rx# 90017 Jacob Frost 2333 Harmony Ave Gowanda. Only one error/omission per exercise. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #9K25Z237 Drug Dispensed: Exp. NY 14007 Take one tablet twice daily March 24. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NP. 2006 Prescriber Signature X_ Refill: 3 Nicole Bissonette __ MDD: Reserpine 0. (Assume DEA #’s and License #’s are correct). NP 7895 West 4th Street New York. Prescription: Nicole Bissonette. NY 10003 716-565-5555 Lic# 785963 DEA MB1477757 Name: Jacob Frost DOB: 07/19/51 Address:2333 Harmony Ave Date: 03/24/06 Gowanda. 09/2007 Lot # E200358 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with.437.1 mg MFR: Eon Nicole Bissonette. prescription label.

(Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Refill 0 times # 120ml Prescriber Signature X_ Refill: 0 zero Jack Hoover ____ MDD: 6 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Serial #F2536K22 Drug Dispensed: Exp.440. Roxanol solution MFR: Roxane Jack Hoover. NY 12365 716-333-4444 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. 08/2007 Lot # H20036 Please write a BRIEF description of the error/omission(3pts): . and product it was filled with. Prescription: Jack Hoover. NY 14799 July 29. prescription label. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Name: Otto Hoyer Address: 8555 Arlington Ave Perrysburg. 2006 Take 1 ml by mouth every 4 hours as needed. NY 14799 Rx DOB: 07/29/59 Date: 07/25/06 Roxicet soln Sig: 1 ml po q4h prn # 120ml ( one hundred twenty ) Rx# 90018 Otto Hoyer 8555 Arlington Ave Perrysburg. RPA Lic# 147845 DEA MM2535625 78 Harlem Road Bronx. MD Lic# 125898 DEA BH1414250 Lynn Marshall. Maximum daily dose of 6ml.

prescription label. MD 425 Millersport Road. NY 14260 Phone: 716-555-5555 Accupril 20 mg Sig: i po QD # 30 Sharon White____ MDD: Rx# 23456 Jolie Yang 4577 Kensington Road Kenmore. (Assume DEA#’s and License#’s are correct). and product it was filled with.5. NY 11447 Take one tablet once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Amherst. 2006 Prescriber Signature X___ Refill: 3 Aciphex 20 mg MFR: Eisai Dr. Prescription: Sharon White. Only one error/omission per exercise. December 2. NY 11447_ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Sharon White #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #125L1258 Drug Dispensed: Exp: 01/2008 Lot # 1489586 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. NY 14226 716-111-1111 Lic# 145896 DEA BW4857871 Name:__Jolie Yang ___ DOB:01/05/89__ Address:_4577 Kensington Rd Date: 12/01/06_ _Kenmore.

Erythromycin 250 mg December 12. NY 11487 Take as directed. (Assume DEA#’s and License#’s are correct). MD 789 Walden Ave.44. NY 14875 716-565-5555 Lic# 258963 DEA BR4512453 Name: Yasminda Kim DOB:01/17/99 Address:101 Waterview Road Date: 12/12/06 Hamburg. Briefly describe the error/omission at the bottom of the page. Prescription: John Rousseau. NY 11487 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Only one error/omission per exercise. 12/2008 Lot # 028M123 Please write a BRIEF description of the error/omission (3pts): . Dispense as Written Drug Dispensed: Serial #12258OP8 Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. NY 14260 Phone: 716-555-5555 Azithromycin 250 mg Sig: UUD #6 Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg. Suite 120 Cheektowaga. prescription label. 2006 #6 Prescriber Signature X__ Refill: 0 John Rousseau __ MDD: MFR: Abbott Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW John Rousseau.

Briefly describe the error/omission at the bottom of the page. NY 12339 Rx Percocet 7.35. Suite #568 Amherst.5/325 Sig: 1 po q4h prn pain DOB: 12/16/88 Date: 06/01/06 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Serial #00TJI258 Refill 0 times Drug Dispensed: Exp. 2006 # 240 (two hundred forty) Prescriber Signature X__Shirley Refill: 0 (zero) Lee RPA_ MDD: 6 Take 1tablet by mouth every four hours as needed for pain Oxycodone/APAP 7. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. RPA.5/325 MFR: Mallinckrodt # 240 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Shirely Lee. and product it was filled with. NY 14226 716-898-8888 Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda. Prescription: Mark Lee. NY 12339 June 2. RPA Lic# 458793 Lic # 589633 DEA AL5224782 789 Maple Road. NY 14260 Phone: 716-555-5555 Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda.06/08 Lot # 060359W Please write a BRIEF description of the error/omission (3pts): . prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Shirely Lee.

CNM. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258U233 Drug Dispensed: Exp. Only one error/omission per exercise. and product it was filled with. Briefly describe the error/omission at the bottom of the page. Midwife CNM Lic # 123514 DEA MF1223560 WNY OB/GYN 68 Elmhurst Dr Orchard Park. prescription label. 2002 Take one tablet by mouth three times daily. Prescription: Howard Siemer. NY 14222 Rx Requip 1mg Sig: i po tid # 90 DOB: 12/14/60 Date:12/12/02 Rx# 200012 Jack May 144 Lake Shore Road Buffalo. (Assume DEA#’s and License#’s are correct).9. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14222 December 12. 02/2004 Lot # J7841235 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Name: Jack May Address:144 Lake Shore Road Buffalo. NY14040 716-877-7777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lic# 124587 DEA AS4541252 Mary May. Prescriber Signature XMary Refill: 5 May CNM___ MDD: Requip 1mg MFR: Heritage Mary May.

prescription label. Briefly describe the error/omission at the bottom of the page. 02/2008 Lot # 8956986 Please write a BRIEF description of the error/omission (3pts): . MD 5529 Northtown Raod. (Assume DEA#’s and License#’s are correct). Pauline Davidson #4 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #112KJ125 Drug Dispensed: Exp. 2006 Prescriber Signature X_ Refill: Pauline Davidson __ MDD: Estradiol 0.498. NY 14260 Phone: 716-555-5555 Estradiol 0.075 patch Sig: apply 1 patch weekly #4 Rx# 01258 Vicki Liang 4788 Loving Lane Williamsville. Prescription: Pauline Davidson. E Amherst. December 19. and product it was filled with. NY 12258 Apply one patch daily. NY 14333 716-123-4567 Lic# 147891 DEA AD1122580 Name:__Vicki Liang DOB: 02/28/39 Address:_4788 Loving Lane_ Date: _12/8/06_ _Williamsville. NY 12258 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise.075 patch MFR: Mylan Dr.

10/2008 Lot # L147896P Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Angelina Pulaski ___ DOB: 11/2/38 Address:_115 Harry Street_ Date: 07/01/06_ Kenmore. MD 1478 Morrison Ct Cheektowaga.499. Prescription: Kenneth Taung. NY 14260 Phone: 716-555-5555 Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Kenneth Taung #14. NY 14789 Inhale 2 puffs by mouth four times daily July 4.7 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 10 times Dispense as Written Serial #0085HJ89 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). and product it was filled with. prescription label. NY 14789___ Rx Combivent Sig: 2 puff po qid # 1 inhaler Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2006 Prescriber Signature X__Kenneth Refill: 10 Taung_____ MDD: Combivent Inhaler MFR: Boehringer Ingelheim Dr.

prescription label. 2006 Prescriber Signature X__Sharon Refill: 5 White______ MDD: Trihexyphenidyl 5 mg MFR: Watson Sharon White. 17895__ Rx Artane 5 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 1235 Millersport Road Amherst. May 4. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. and product it was filled with. Prescription: Sharon White. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. 02/2008 Lot # L6B0232 Please write a BRIEF description of the error/omission (3pts): . NY 14265 716-666-6666 Lic# 234587 DEA BW5861489 Name: Joel Rettig DOB:05/01/33_ Address:444 Clarence Center__ Date: 04/05/06 East Seneca NY. NY 14260 Phone: 716-555-5555 Rx# 665866 Joel Rettig 444 Clarence Center East Seneca. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #0148KJG2 Drug Dispensed: Exp.31. NY 17895 Take one tablet once daily.

NY 14225 Take as directed March 8. 2006 Prescriber Signature X_ Refill: 0 Salvatore Bruce _ MDD: K-Phos Original Mfg: Beach Salvatore Bruce. NY 14260 Phone: 716-555-5555 Rx# 89877 Colleen Bell 2356 Knollwood Dr Eden. 11/2008 Lot # 788785 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct).254. MD. NY 14225 Rx Neutra – Phos-K Sig: uud # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14228 716-123-1234 Lic# 663521 DEA AB5474123 Name: Colleen Bell DOB: 02/22/90 Address:2356 Knollwood Dr Date:03/07/06 Eden. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K2541458 Drug Dispensed: Exp. MD 123 Abbott Road N. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. Prescription: Salvatore Bruce. and product it was filled with. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Tonawanda.

MD Mary Esposito.257. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2003 Prescriber Signature X_ Refill: 0 Herbert Dombrowski _ MDD: Lomotil MFR: Pharmacia Herbert Dombrowski. (Assume DEA#’s and License#’s are correct). 01/2006 Lot # P212333 Please write a BRIEF description of the error/omission(3pts): . RPA Lic# 445114 Lic # 636563 DEA AL5224782 333 Moore Ave Colins. prescription label. and product it was filled with. NY 14217 Take one tablet once daily June 23. NY 14057 716-555-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. NY 14217 Rx Lamictal 25 mg Sig: i po qd # 30 DOB: 08/22/71 Date: 06/23/03 Rx# 9999 Angelina Ferris 5000 Sunrise Blvd Akron. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #D125T235 Drug Dispensed: Exp. Prescription: Herbert Dombrowski. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Name: Angelina Ferris Address: 5000 Sunrise Blvd Akron.

RPA Lic# 445114 Lic # 636563 DEA AL5224782 333 Moore Ave Colins.258. prescription label. NY 14260 Phone: 716-555-5555 Name: Angelina Ferris Address: 5000 Sunrise Blvd Akron. 2003 Prescriber Signature X_ Refill: 0 Herbert Dombrowski _ MDD: Lamictal 200 mg MFR: GlaxoSmithKline Herbert Dombrowski. MD. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #D125T235 Drug Dispensed: Exp. NY 14217 Take one tablet once daily June 23. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Mary Esposito. and product it was filled with. Prescription: Herbert Dombrowski. NY 14057 716-555-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. 01/2006 Lot # P212333 Please write a BRIEF description of the error/omission(3pts): . NY 14217 Rx Lamictal 200 mg Sig: i po qd # 30 DOB: 08/22/71 Date: 06/23/03 Rx# 9999 Angelina Ferris 5000 Sunrise Blvd Akron. (Assume DEA#’s and License#’s are correct).

Briefly describe the error/omission at the bottom of the page. NY 14127 Rx Lanoxin 250 mcg Sig: i po qd # 30 Prescriber Signature X__Alfredo Refill: 6 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2006 Gallagher___ MDD: Lanoxin 250 mcg MFR: GlaxoSmithKline Alfredo Gallagher. 08/2009 Lot # L12325 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times DAW Dispense as Written Serial #P2315248 Drug Dispensed: Exp. Prescription: Alfredo Gallagher. NY 14200 716-666-7500 Lic# 363636 DEA MG5568970 Name: Carmine Fernandez DOB: 03/10/36 Address: 9000 Applewood Road Date:09/15/06 Lackawanna. NY 14260 Phone: 716-555-5555 Rx# 23000 Carmine Fernandez 9000 Applewood Road Lackawanna. NP. prescription label. (Assume DEA#’s and License#’s are correct). September 16. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14127 Take one tablet once daily. NP 878 Sweet Home Road Lancaster.259.

MD. and product it was filled with.196. 19 2006 Prescriber Signature X__Edwin Refill: 5 Pizarro_____ MDD: Amitriptyline 10 mg MFR: Qualitest Edwin Pizarro. MD 474 Woodcreast Dr Amherst. October. NY 14260 Phone: 716-555-5555 Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster. Briefly describe the error/omission at the bottom of the page. NY 14414 716-555-1111 Lic# 748514 DEA AP9542588 Name: Andrew Reichert DOB: 12/17/33 Address: 5556 Cottonwood Dr Date: 10/19/06 Lancaster. NY 14141 Rx Elavil 10 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 14141 Take one tablet once daily. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z4158P85 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Edwin Pizarro. 11/2009 Lot # U147854 Please write a BRIEF description of the error/omission (3pts): .

Seneca. 12/2006 Lot # H178547 Please write a BRIEF description of the error/omission (3pts): . Prescription: Claudia Fong. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 6 times Serial #ZZ147852 Drug Dispensed: Exp. Seneca. NP 8116 Warren Ave Buffalo.202. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. (Assume DEA#’s and License#’s are correct). July 15. NY 14086 716-666-6666 Lic# 741789 DEA MP252364 Name: Courtney Betts DOB: 07/15/41 Address:400 Goodyears Road Date:07/14/05 W. and product it was filled with. NP. Briefly describe the error/omission at the bottom of the page. NY 14150 Take one tablet once daily. 2005 Prescriber Signature X__Claudia Refill: 6 Fong____ MDD: Estratest MFR: Solvay Pharmacetuicals Claudia Fong. NY 14150 Rx Estratest Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 556999 Courtney Betts 400 Goodyears Road W. Only one error/omission per exercise.

(Assume DEA#’s and License#’s are correct). July15. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.203. and product it was filled with. 2005 Prescriber Signature X_ Refill: 6 Claudia Fong _____ MDD: Estratest MFR: Solvay Pharmacetuicals Claudia Fong. Only one error/omission per exercise. 12/2006 Lot # H178547 Please write a BRIEF description of the error/omission (3pts): . Seneca. NY 14150 Rx Estratest hs Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Seneca. Briefly describe the error/omission at the bottom of the page. NY 14086 716-666-6666 Lic# 741789 DEA MP252364 Name: Courtney Betts DOB: 07/15/41 Address:400 Goodyears Road Date:06/14/05 W. NY 14260 Phone: 716-555-5555 Rx# 556999 Courtney Betts 400 Goodyears Road W. NY 14150 Take one tablet once daily. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times DAW Dispense as Written Serial #ZZ147852 Drug Dispensed: Exp. NP. NP 8116 Warren Ave Buffalo. Prescription: Claudia Fong.

NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. Max 10/day Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: 10 Hydrocodone. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . MD # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp.APAP 5-500 mg MFR: Mallinckrodt Esther Tredinnick. (Assume DEA#’s and License#’s are correct). NY 14002 July 28. 2006 Take one to two tablets by mouth every four to six hours as needed for pain. Briefly describe the error/omission at the bottom of the page. MD 2535 Porterville Road Elma. and product it was filled with. NY 14002 Rx Lortab 5mg Sig: 1-2 q4-6h po prn pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Only one error/omission per exercise.306. Prescription: Esther Tredinnick.

(Assume DEA#’s and License#’s are correct). NY 14052 716-888-1111 Lic# 235214 DEA AL5255446 Name: Molly Martins DOB: 06/15/39 Address:33 Perrysburg Ave Date:03/07/06 West Falls. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. prescription label. then i gtt OS bid X 1 wk # 1 trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 08/2008 Lot # 1P3314 Please write a BRIEF description of the error/omission (3pts): . NY 14100 March 7. Prescription: Gordon Laffler. MD 6888 Loving Ave Grand Island. Only one error/omission per exercise. NY 14100 Rx Durezol Sig: i gtt OS qid X 2 weeks. then instill 1 drop to each eye twice daily for 1 week Prescriber Signature X_Gordon Refill: 0 Laffler___ MDD: Durezol 0.05% MFR: Sirion Gordon Laffler. NY 14260 Phone: 716-555-5555 Rx# 90001 Molly Martins 33 Perrysburg Ave West Falls. MD. 2006 Instill 1 drop into each eye 4 times daily for 2 weeks.307. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #P1220302 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page.

and product it was filled with. # 16 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #U1258L25 Drug Dispensed: Exp. February 3. (Assume DEA#’s and License#’s are correct). MD 808 Mulberry Road E Amherst. NY 14510 Take four tablets once weekly. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.5 mg Sig: 4 tabs qw # 16 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.313. Prescription: Charlotte Thompson. prescription label. MD. NY 14510 Rx Methotrexate 2. 2006 Prescriber Signature X__Charlotte Refill: 3 Thompson__ MDD: Methotrexate 2. Briefly describe the error/omission at the bottom of the page.5 mg MFR: Barr Charlotte Thompson. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 3999 Natalie Weller 606 Edgewater Dr Gowanda. 05/2009 Lot #K1254100 Please write a BRIEF description of the error/omission (3pts): . NY 14404 716-777-9999 Lic# 362132 DEA BT2259984 Name: Natalie Weller DOB: 12/02/48 Address:606 Edgewater Dr Date:02/03/06 Gowanda.

2006 Prescriber Signature X__Steven Refill: 5 Hung____ MDD: Prandin 2 mg MFR:Novo Nordisk Steven Hung. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Prandin 2 mg Sig: 1 po ac # 90 Rx# 125889 Randell Przpiora 789 Maple Road Amherst. 06/2008 Lot # 00PCJ1236 Please write a BRIEF description of the error/omission (3pts): .46. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258LLT8 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Prescription: Steven Hung. Briefly describe the error/omission at the bottom of the page. MD. NY 1178 Take one tablet before meals May 25. NY 1178_ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). MD 9856 Simonds Road Lockport. prescription label. NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randell Przpiora DOB: 03/24/77 Address: 789 Maple Road Date: 05/25/06 Amherst.

(Assume DEA#’s and License#’s are correct).29. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times DAW Dispense as Written Serial #125ULK01 Drug Dispensed: Exp. NY 11446 Rx Altace 2 mg Sig: i po QD # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. MD. 09/2007 Lot # 1080075 Please write a BRIEF description of the error/omission (3pts): . October 11. NY 11446 Take one tablet once daily. 2006 Prescriber Signature X__ Refill: 5 Jackson Hundson __ MDD: Amaryl 2 mg MFR: Aventis Jackson Hundson. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 606062 Crawford Reukauf 876 Vermont Street Buffalo. NY 14532 716-999-9999 Lic# 485632 DEA BH4712584 Name: Crawford Reukauf__ DOB: 3/18/66_ Address: 876 Vermont Street__ Date: _10/10/06 Buffalo. and product it was filled with. Prescription: Jackson Hundson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 452 Main Street Buffalo.

Prescription: Steven Hung.48. 2006 Prescriber Signature X__ Refill: 5 Steven Hung ___ MDD: Prandin 2 mg MFR:Novo Nordisk Steven Hung. and product it was filled with. Briefly describe the error/omission at the bottom of the page. NY 1178_ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. prescription label. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Prandin 2 mg Sig: 1 po ac # 90 Rx# 125889 Randell Przpiora 789 Maple Road Amherst. MD 9856 Simonds Road Lockport. NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randell Przpiora DOB: 03/24/77 Address: 789 Maple Road Date: 05/25/06 Amherst. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258LLT8 Drug Dispensed: Exp. NY 1178 Take one tablet with meals May 25. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 06/2008 Lot # 00PCJ1236 Please write a BRIEF description of the error/omission (3pts): .

prescription label. NY 14260 Phone: 716-555-5555 Rx# 489586 Gloria Peifer 229 Bedford Ave Amherst. MD 50 S Niagara Fall Blvd Lockport. Prescription: Patrick Wosinki. 10/2009 Lot # 14556PA Please write a BRIEF description of the error/omission (3pts): . NY 14003 716-333-3333 Lic# 112258 DEA AW1144550 Name: Gloria Peifer DOB: 01/13/20 Address: 229 Bedford Ave Date: 10/10/06 Amherst. 2006 Prescriber Signature X__ Refill: 6 Patrick Wosinski __ MDD: Sotalol 80 mg MFR: Apotex Patrick Wosinki. NY 11478 Take one tablet twice daily. and product it was filled with. (Assume DEA#’s and License#’s are correct). # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #1258TJU1 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. October 10. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.50. MD. NY 11478 Rx Sotalol AF 80 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.

25 % Sig: i gtt ou bid # 15 Rx# 565689 Leslie Peehler 3458 Harbor Lane Lake View. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Betoptic S 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 11447 October 19. (Assume DEA#’s and License#’s are correct). and product it was filled with. NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Leslie Peehler DOB: 02/28/33 Address: 3458 Harbor Lane Date: 10/19/06 Lake View.25% MFR: Alcon Brian Baksh. NY 11447 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 2455 Wehrle Dr Amherst.52. 10/2012 Lot # LCM12589 Please write a BRIEF description of the error/omission (3pts): . Prescriber Signature X__Brian Refill: 11 Baksh____ MDD: Betoptic S 0. Prescription: Brian Baksh. 2006 Instill 1 drop into both eyes twice daily. Only one error/omission per exercise. MD. # 15 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #1215YR58 Drug Dispensed: Exp. prescription label.

2006 Prescriber Signature X__ Refill: 11 Brian Baksh ____ MDD: Instill 1 drop into both eyes twice daily. Levobunolol Hydrochloride 0. MD. (Assume DEA#’s and License#’s are correct).53. 08/2010 Lot # LC100009 Please write a BRIEF description of the error/omission (3pts): . NY 11447 October 19. prescription label. NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Leslie Peehler DOB: 02/28/33 Address: 3458 Harbor Lane Date: 10/19/06 Lake View.5% Opth Solution MFR: Alcon # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Brian Baksh. Serial #1215YR58 Refill 11 times Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. NY 11447 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Brian Baksh. MD 2455 Wehrle Dr Amherst. and product it was filled with. NY 14260 Phone: 716-555-5555 Betoptic 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.5 % Sig: i gtt ou bid # 10 Rx# 565689 Leslie Peehler 3458 Harbor Lane Lake View.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. MD 2455 Wehrle Dr Amherst. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #1215YR58 Drug Dispensed: Exp. 2006 Instill 1 drop into both eyes twice daily. NY 11447 October 19.5% MFR: Alcon Brian Baksh. NY 14260 Phone: 716-555-5555 Betoptic S Sig: i gtt ou bid #5 Rx# 565689 Leslie Peehler 3458 Harbor Lane Lake View. NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Leslie Peehler DOB: 02/28/33 Address: 3458 Harbor Lane Date: 10/19/06 Lake View. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise.54. NY 11447 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. prescription label. (Assume DEA#’s and License#’s are correct). 10/2011 Lot # L0000123 Please write a BRIEF description of the error/omission (3pts): . Prescriber Signature X_ Refill: 11 Brian Baksh ____ MDD: Betaxolol 0. Prescription: Brian Baksh.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription.55. 05/2008 Lot # P1002896 Please write a BRIEF description of the error/omission (3pts): . MD 8769 Transit Road E Amherst. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #012VN258 Drug Dispensed: Exp. Prescription: Henry Sweeney. NY 14006 716-666-6668 Lic# 114586 DEA AS5266879 Name: Gregory Hunt DOB: 06/29/46 Address: 2285 Eggert Road Date: 04/09/06 Kenmore. 2006 Take one tablet by mouth once daily as needed. (Assume DEA#’s and License#’s are correct). NY 11148 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Effient 10 Sig: i po qd # 30 Rx# 18896 Gregory Hunt 2285 Eggert Road Kenmore. NY 11148 April 9. MD. Prescriber Signature X__Henry Refill: 3 Sweeney______ MDD: Effient 10mg MFR: Lilly Henry Sweeney. Only one error/omission per exercise.

Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Prilosec 20 mg Sig: i po daily # 30 Rx# 66800 Vanessa Jaworski 8412 Wellingwood Drive Smallsville. MD 1001 N Ford Road Hamburg. prescription label. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #2593LK85 Drug Dispensed: Exp. NY 12233 716-557-7777 Lic# 511125 DEA# BM1258917 Name: Vanessa Jaworski DOB: 03/13/59 Address:8412 Wellingwood Drive Date:08/09/06 Smallsville. and product it was filled with. NY 14525 Take one capsule once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Helen Miller. MD. August 9. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). 2006 Prescriber Signature X__Helen Refill: 5 Miller_____ MDD: Omeprazole 20 mg MFR: Mylan Helen Miller. 01/2008 Lot # 1P3860 Please write a BRIEF description of the error/omission (3pts): . NY 14525 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.391.

MD. Only one error/omission per exercise. prescription label. 2006 # 30 Prescriber Signature X_ Refill: 5 Harold Kozlowsky_ MDD: MFR: Mylan Harold Kozlowsky. RPA Lic# 256336 Lic # 556963 DEA AK5858937 DEA ML2256368 5263 Monterey Creek Greensville. NY 14260 Phone: 716-555-5555 Name: Cameron Matz Address: 5255 Eaglecrest Street Alden. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Exp.396. NY 14520 716-852-8525 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14222 Rx Prinivil 10 mg Sig: i po daily # 30 DOB: 07/15/46 Date: 08/25/06 Rx# 66801 Cameron Matz 5255 Eaglecrest Street Alden. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14222 Take one tablet once daily Lisinopril 10 mg August 26. MD Kathryn Langenfeld . Prescription: Harold Kozlowsky. 01/2008 Lot # 1N4117 Please write a BRIEF description of the error/omission(3pts): . (Assume DEA#’s and License#’s are correct). and product it was filled with.

NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alexandra Rodriguez Room:432B Additives: Phenytoin 823mg Solution: 100ml NS Infusion Rate: 50ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Phenytoin_50mg/ml______ final bag concentration: __8. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. 222 Cooke Hall. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan.9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus.360. MD RPh: (3pts): YOU . Only one error/omission per exercise. Buffalo.23mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___16. New York. UNIVERSITY HOSPITAL School of Pharmacy. prescription label. MD medical record no.5____ ml ___823_____ mg Administration Rate___50__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. / Kg height: ___5’3”____ (circle) (in. Infuse at 50mg/min Dr.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb). Toboggan.

9____ ml ___39. .9____mg/dl 3/15/11 0730 medical record no.397. MD RPh: (3pts): YOU . 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Andy Roberts allergies: Penicillin room: 432B physician: Dr Toboggan. Dr.) / cm Doxorubicin 20mg/m2 . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. / Kg height: ___5’7”____ (circle) (in. prescription label.9ml Infusion Rate: 239ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B bag volume (ml): ____________  drug additive drug name: Doxorubicin 2mg/ml final bag concentration: __2mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/11___ volume added to bag: drug amount in bag: ___19. Briefly describe the error/omission at the bottom of the page. Buffalo.8_____ mg Administration Rate___239__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___ ________ lot: __ ____ exp: __________ volume used (ml): ________ Please write BRIEF description of the error/omission Dr: aToboggan.8mg Solution: 19. UNIVERSITY HOSPITAL School of Pharmacy. Prefilled syringe. MD Dispensed:  bag fluid (circle) NS D5W other:__________ manufacturer: _ __________ lot: ________ exp: _____________ IV Label: University Hospital 222 Cooke Hall Amherst. 222 Cooke Hall. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. administer IV push over 5 min. and product it was filled with. Toboggan.: 8769 sex: (circle) (male) / female weight: ___185_____ (circle) (lb). NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Doxorubicin 39. Only one error/omission per exercise. New York.

NY 17895 February 3. MD 6985 Sheridan Drive Buffalo.5ml intramuscularly twice a week as directed Prescriber Signature X_Samuel Refill: 0 (zero) Fishman__ MDD:1 dose Testosterone Cypionate 200mg/ml MFR: Watson Samuel Fishman. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. prescription label. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. Prescription: Samuel Fishman. and product it was filled with. 2007 Inject 1.58. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . NY17895 Rx Depo Testosterone 200mg/ml Sig: 250mg im biw ud # 10 (1 vial) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

11/2009 Lot # N20036 Please write a BRIEF description of the error/omission (3pts): . DO # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written DAW Serial #U258K236 Drug Dispensed: Exp. and product it was filled with. 2007 Prescriber Signature X____ Refill: 5 Karen Douglas MDD: Sarafem 10 mg MFR: Warner Chilcott Karen Douglas. Only one error/omission per exercise. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: Paula Howells DOB: 04/24/63 Address:2233 Dunlop Ave Date:01/13/07 Williamsville. NY 14227 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Sarafem 10 mg Sig: i po qd # 28 Paula Howells 2233 Dunlop Ave Williamsville. NY 14227 Take one capsule once daily. (Assume DEA #’s and License #’s are correct). DO 190 E Robinson Road Lancaster.444. Prescription: Karen Douglas. prescription label. January 13.

3006 Take one tablet by mouth once daily Prescriber Signature X_Samuel Refill: 10 Fisher__ MDD: Intuniv 2 mg MFR: Shire US Inc Samuel Fisher. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L25K2365 Drug Dispensed: Exp. NY 14078 September 23. NY 14078 Rx Intuniv 2 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 02/2010 Lot # 136669 Please write a BRIEF description of the error/omission (3pts): . MD. (Assume DEA #’s and License #’s are correct). prescription label. Briefly describe the error/omission at the bottom of the page.450. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Samuel Fisher. NY 14260 Phone: 716-555-5555 Rx# 90021 Rosie Lockwood 3535 Herkimer Ave Colden. and product it was filled with. MD 6985 Sheridan Drive Buffalo. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Rosie Lockwood DOB: 01/19/87 Address: 3535 Herkimer Ave Date: 09/23/06 Colden.

NY 14260 Phone: 716-555-5555 Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo.38. NY 11896 Rx AmbienCR 10 mg Sig: i po hs # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 11896 Take one tablet at bedtime March 12. Only one error/omission per exercise. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Mike Lou. prescription label. 09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Refill 5 times Serial #125TDEF2 Drug Dispensed: Exp. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Fanny Pruchinewiz DOB: 04/01/59 Address: 1147 North Forest Rd Date: 03/11/06 Buffalo. Briefly describe the error/omission at the bottom of the page. MD 5255 Cobblestone Dr Clarence. Prescription: Mike Lou. 2006 Prescriber Signature X__ Refill: 5 ( five) Mike Lou ____ MDD: Ambien10 mg MFR: Greenstone .

RPA Lic# 256336 Lic # 556963 DEA AK5858937 DEA ML2256368 5263 Monterey Creek Greensville. Only one error/omission per exercise. NY 11148 April 9. Prescription: Henry Sweeney. (Assume DEA#’s and License#’s are correct). NY 14520 716-852-8525 Name: Gregory Hunt Address: 2285 Eggert Road Kenmore. MD Kathryn Langenfeld . 2006 Take one tablet by mouth once daily. RPA. Briefly describe the error/omission at the bottom of the page. 05/2008 Lot # P1002896 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #012VN258 Drug Dispensed: Exp. and product it was filled with. Prescriber Signature X__Henry Refill: 3 Sweeney______ MDD: Effient 10mg MFR: Lilly Kathyrn Langfeld.57. NY 11148 Rx DOB: 06/29/46 Date: 04/09/06 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Effient 10 Sig: i po qd # 30 Rx# 18896 Gregory Hunt 2285 Eggert Road Kenmore. prescription label.

NY 14260 Phone: 716-555-5555 Rx# 114566 Tabatha Sanford 7787 Brown Hill Road Springville.451. 11/2008 Lot #F7526 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. 2005 Sigel___ MDD: Singulair 10 mg MFR: Merck and Co Inc Stephen Sigel MD. NY 14778 Rx Singulair 10 mg Sig: i po daily # 30 Prescriber Signature X_Stephen Refill: 5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Tabatha Sanford DOB: 11/11/46 Address:7787 Brown Hill Rd Date:03/25/05 Springville. Prescription: Stephen Sigel. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #230L25M6 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. (Assume DEA #’s and License #’s are correct). NY 14778 Take one tablet once daily March 25. Briefly describe the error/omission at the bottom of the page. MD 789 Ward Street Lancaster. prescription label.

Prescription: Stephan Leid . NY 14260 Phone: 716-555-5555 Name: Carolina Belanger Address: 6677 Stony Point Rd W. Briefly describe the error/omission at the bottom of the page. 06/2008 Lot # P2356J Please write a BRIEF description of the error/omission(3pts): . prescription label. NY 14214 716-565-8896 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lic# 125896 DEA AL5121584 Kevin William. NY 14222 Take as directed September 17. RPA. RPA Lic # 889851 DEA MW2568965 232 Hampton Road Buffalo. and product it was filled with. (Assume DEA #’s and License #’s are correct). Only one error/omission per exercise. NY 14222 Rx Imitrex Nasal Spray Sig: uud #1 DOB: 12/28/49 Date: 09/17/06 Rx# 114567 Carolina Belanger 6677 Stony Point Rd W. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Imitrex Nasal Spray (20 mg/actuation) Prescriber Signature X_ Refill: 3 #1 Kevin William __ MDD: MFR: GlaxoSmithKline Kevin William. Seneca. Seneca. Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Serial #25P352H5 Drug Dispensed: Exp.456.

Only one error/omission per exercise. NY 14799 Rx Synthroid 200 mcg Sig: i po daily # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. MD 6485 Colvin Ave Deprew. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times DAW Dispense as Written Serial #985HG253 Drug Dispensed: Exp. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Shawnee Kessler DOB: 03/06/32 Address:8222 Crosswinds Ct Date: 05/23/05 Lockport. May 23. and product it was filled with. prescription label. 2005 Prescriber Signature X__Peterson Refill: 11 Mineo___ MDD: Synthroid 200 mcg MFR: Abott Peterson Mineo. 11/2007 Lot # U56935 Please write a BRIEF description of the error/omission (3pts): .457. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 114568 Shawnee Kessler 8222 Crosswinds Ct Lockport. Prescription: Peterson Mineo. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). NY 14799 Take one tablet once daily.

New York.8_____ mg Administration Rate___239__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___ ________ lot: __ ____ exp: __________ volume used (ml): ________ Please write BRIEF description of the error/omission (3pts): YOU Dr: aJameson Patterson.9____mg/dl 3/15/11 0730 medical record no. MD RPh: .) / cm Doxorubicin 20mg/m2 . and product it was filled with. MD Dispensed:  bag fluid (circle) NS D5W other:__________ manufacturer: _ __________ lot: ________ exp: _____________ IV Label: University Hospital 222 Cooke Hall Amherst.: 8769 sex: (circle) (male) / female weight: ___185_____ (circle) (lb). MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9ml Infusion Rate: 239ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B bag volume (ml): ____________  drug additive drug name: Doxorubicin 2mg/ml final bag concentration: __2mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/11___ volume added to bag: drug amount in bag: ___19. Buffalo. prescription label. Only one error/omission per exercise. UNIVERSITY HOSPITAL School of Pharmacy.8mg Solution: 19.9____ ml ___39. administer IV push over 5 min. James Peterson. 222 Cooke Hall. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Andy Roberts allergies: Penicillin room: 432B physician: James Peterson.398. / Kg height: ___5’7”____ (circle) (in. Briefly describe the error/omission at the bottom of the page. Prefilled syringe. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Doxorubicin 39. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

and product it was filled with. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville. Briefly describe the error/omission at the bottom of the page.APAP 5-500 mg MFR: Mallinckrodt Esther Tredinnick.361. NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14002 Rx Lortab 5mg Sig: 1-2 q4-6h po prn pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 2535 Porterville Road Elma. 2006 Take one to two tablets by mouth every four to six hours as needed for pain. Only one error/omission per exercise. Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: 8 Hydrocodone. MD # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Esther Tredinnick. prescription label. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . NY 14002 July 28.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Bromocriptine 2. NY 14078 71-565-1111 Lic# 568957 DEA BV256963 Name: Roxana Volker DOB: 06/28/29 Address:2588 Crystal Springs Date:06/28/06 Wales. MD. Prescription: Leonard Valentine. (Assume DEA#’s and License#’s are correct). Refill 6 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Drug Dispensed: Dispense as Written Serial #Z852M232 Exp. NY 14111 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.365.5 mg June 29. Briefly describe the error/omission at the bottom of the page.5 mg Sig: i po bid # 60 Rx# 69696 Roxana Volker 2588 Crystal Springs Wales. 11/2007 Lot # L235685 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Parlodel 2. prescription label. NY 14111 Take one tablet twice daily. MD 9999 Heather Drive Angola. 2006 #60 Prescriber Signature X_ Refill: 6 Leonard Valentine _ MDD: MFR: Mylan Leonard Valentine.

5___ ml Please write BRIEF description of the error/omission Dr: aToboggan. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alex Rodriguez allergies: NKA room: 432A physician: Dr Toboggan. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alex Rodriguez Room:432A Additives: Tobramycin 500mg Solution: 100ml NS Infusion Rate: 133ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Tobramycin_40mg/ml____ final bag concentration: __5mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___500_____ mg Administration Rate___133__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ ___12. Prepare 1 dose Dr. Infuse over 45 min.368. Toboggan. prescription label.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.: 8769 sex: (circle) (male) / female weight: ___120_____ (circle) (lb). / Kg height: ___63____ (circle) (in. Briefly describe the error/omission at the bottom of the page. MD RPh: (3pts): YOU .9____mg/dl 3/15/11 0730 Tobramycin 500mg q8h in 100ml NS. 222 Cooke Hall. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. New York. Buffalo. Only one error/omission per exercise. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. MD medical record no. UNIVERSITY HOSPITAL School of Pharmacy.

NY 14669 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Only one error/omission per exercise. 07/2006 Lot # 1582K56 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). MD 2345 Countryside Ave Eden. MD. 2004 Prescriber Signature X_ Refill: 0 Geraldine Aldinger __ MDD: Pediazole Suspension MFR: Abbott Geraldine Aldinger. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Pediapred Sig: i tsp po bid # 100 Rx# 20323 Katrina Cavalli 871 Madison Square Cheektowaga. # 100 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #185PH258 Drug Dispensed: Exp. and product it was filled with. Prescription: Geraldine Aldinger. Briefly describe the error/omission at the bottom of the page.374. NY 14669 Give one teaspoonful twice daily June 22. NY 14787 716-666-7474 Lic#124741 DEA AA2566389 Name: Katrina Cavalli DOB: 08/25/99 Address:871 Madison Square Date:06/22/04 Cheektowaga.

# 100 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #185PH258 Drug Dispensed: Exp. MD 2345 Countryside Ave Eden. NY 14787 716-666-7474 Lic#124741 DEA AA2566389 Name: Katrina Cavalli DOB: 08/25/99 Address:871 Madison Square Date:06/22/04 Cheektowaga. prescription label. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 20323 Katrina Cavalli 871 Madison Square Cheektowaga. 07/2006 Lot # 1582K56 Please write a BRIEF description of the error/omission (3pts): . NY 14669 Give one teaspoonful twice daily June 22. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). 2004 Prescriber Signature X__ Refill: 0 Geraldine Aldinger _ MDD: Pediapred Soln (5mg/5ml) MFR: UCB Pharma Inc Geraldine Aldinger. NY 14669 Rx Pediapred 5mg/5ml Sig: i tsp po bid # 100 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. MD. Prescription: Geraldine Aldinger. and product it was filled with.375.

MD. NY 14003 716-333-3333 Lic# 112258 DEA AW1144550 Name: Gloria Peifer DOB: 01/13/20 Address: 229 Bedford Ave Date: 10/10/06 Amherst. 10/2012 Lot # LCM12589 Please write a BRIEF description of the error/omission (3pts): . prescription label. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #1258TJU1 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Patrick Wosinki. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. October 10. NY 11478 Rx Sotalol 80 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. and product it was filled with. MD 50 S Niagara Fall Blvd Lockport. NY 11478 Take one tablet twice daily. 2006 Prescriber Signature X__ Refill: 6 Patrick Wosinski __ MDD: Sotalol 80 mg MFR: Teva Patrick Woshi.51. NY 14260 Phone: 716-555-5555 Rx# 489586 Gloria Peifer 229 Bedford Ave Amherst.

04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . 2007 Inject 10 units subcutaneously 3-4 times daily before meals. NY 17895 February 3. Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. Prescription: Samuel Fishman. NY17895 Rx Lantus Solostar Sig: inj 10U sc tid-qid ac # 15 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescriber Signature X_Samuel Refill: 3 Fishman__ MDD: Lantus Solostar 100U/ml MFR: Sanofi # 15 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Aventis Refill 3 times Samuel Fishman. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). and product it was filled with. MD 6985 Sheridan Drive Buffalo.229. MD.

NY 17895 February 3. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. and product it was filled with. MD. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. MD 6985 Sheridan Drive Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. Prescription: Samuel Fishman.230. 2007 Inject 10 units subcutaneously twice daily with food Prescriber Signature X_Samuel Refill: 3 Fishman__ MDD: Levemir Flexpen 100U/ml MFR: Novo # 15 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Nordisk Refill 3 times Samuel Fishman. (Assume DEA#’s and License#’s are correct). prescription label. NY17895 Rx Levemir Flexpen Sig: inj 10U sc bid w/ food # 15 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): .

AND OMISSIONS Exercise A: You will be given a prescription. NY 14222 Take one tablet every 12 hours. MD 898 Blossom Ln Cheektowaga. NY 14211 716-343-3333 Lic# 855689 DEA BP6357897 Name: Minnie Radish DOB: 03/03/79 Address:700 Castlebrooke Ln Date:06/27/03 Angola. Prescription: Vincent Patterson. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L1458K879 Drug Dispensed: Exp. MD. 2003 Prescriber Signature X_ Refill: 0 Vincent Patterson __ MDD: Guanfacine 2 mg MFR: Mylan Vincent Patterson. Only one error/omission per exercise. NY 14222 Rx Guaifenesin 200 mg Sig: i po q12h # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). June 27. 07/2005 Lot # J125896 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 415885 Minnie Radish 700 Castlebrooke Ln Angola. prescription label.233. and product it was filled with.

2005 Take one tablet by mouth four times daily Prescriber Signature X_ Refill: 0 Lynn Marshall __ MDD: Metformin 1000mg MFR: Aurobindo Lynn Marshall. NY 14228 May 5. RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx.446. Only one error/omission per exercise. NY 14228 Rx Metformin 1000mg Sig: i po QID # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. MD Lynn Marshall. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. (Assume DEA #’s and License #’s are correct). NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . Briefly describe the error/omission at the bottom of the page. and product it was filled with. RPA. Prescription: Jack Hoover. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #L25K2365 Drug Dispensed: Exp. NY 14078 Rx Intuniv 2 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA #’s and License #’s are correct). NY 14260 Phone: 716-555-5555 Rx# 90021 Rosie Lockwood 3535 Herkimer Ave Colden.449. NY 14078 September 23. MD 6985 Sheridan Drive Buffalo. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Rosie Lockwood DOB: 01/19/87 Address: 3535 Herkimer Ave Date: 09/23/06 Colden. Prescription: Samuel Fisher. 02/2010 Lot # 136669 Please write a BRIEF description of the error/omission (3pts): . prescription label. 2006 Take one tablet by mouth once daily Prescriber Signature X_Samuel Refill: 1 Fisher__ MDD: Guanfacine 2 mg MFR: Watson Samuel Fisher. Only one error/omission per exercise. MD. Briefly describe the error/omission at the bottom of the page. and product it was filled with.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. prescription label. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 4 times Serial # M1258TU8 Drug Dispensed: Exp. Only one error/omission per exercise. DO. NY 12142 Take one tablet once daily June 9. NY 12142 Rx Wellbutrin 300 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 02/2011 Lot # 6HP006E Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct).102. NY 14260 Phone: 716-555-5555 Rx# 76698 Joseph Lehman 147 Harring Street Brookly. Prescription: Evan Fitzaptrick. Briefly describe the error/omission at the bottom of the page. NY 11235 716-222-3333 Lic# 123323 DEA BF122258 Name: Joseph Lehman DOB: 04/26/41 Address:147 Harring Street Date: 06/09/04 Brooklyn. DO 7458 Nostrand Ave Brooklyn. 2004 Prescriber Signature X__ Refill: 4 Evan Fitzpatrick __ MDD: Wellbutrin XL 300 mg MFR: GlaxoSmithKline Evan Fitzaptrick.

prescription label. NY 14001 Rx Abstral 100 mcg Sig: i sl q4-6h prn pain # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 Dispense as Written Serial #P322258L Drug Dispensed: Exp. MD 99 Brookside Ave S Wale. NY 14260 Phone: 716-555-5555 Rx# 10012 Ben Affleck 123 Fake St Buffalo. (Assume DEA#’s and License#’s are correct). NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Matt Damon DOB: 06/30/68 Address: 123 Fake St Date: 05/01/05 Buffalo. Only one error/omission per exercise. and product it was filled with. 2005 Take one tablet sublingually every 4-6 hours as needed for pain. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page.297. Maximum daily dose is 4/day. Prescriber Signature X__Jonathan Refill: 0 (zero) Mallozzi__ MDD: 4 ABSTRAL 100mcg MFR: Prostrakan Jonathan Mallozzi. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Jonathan Mallozzi. NY 14001 May 15. MD.

02/2009 Lot # T120235 Please write a BRIEF description of the error/omission(3pts): . prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic # 365269 145 Amsterdam Ave Hamburg. NY 14200 716-888-2222 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Name: Anna Schmitz DOB: 02/10/81 Address: 5898 Teahouse Street Date: 07/04/06 Bowmansville. and product it was filled with. Prescription: Pitt Paolucci. # 30 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #Z12B1245 Drug Dispensed: Exp. MD. NY 14102 Apply to affected area twice daily July 4. 2006 Prescriber Signature X_Pitt Refill: 2 Paolucci____ MDD: Clotrimazole Cr 1% MFR: Taro Pitt Paolucci. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).298. Only one error/omission per exercise. MD Lic# 458789 DEA BP2554120 Carl Rizek. NY 14102 Rx Lotrimin 1% cr Sig: Apply AA bid # 30 g Rx# 898111 Anna Schmitz 5898 Teahouse Street Bowmansville.

NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Albert Paganello DOB:12/24/46 Address: 889 Hubbell Ct Date: 02/12/11 Lancaster.61. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times Dispense as Written Serial #145TO236 Drug Dispensed: Exp. and product it was filled with. MD 5899 Sweet Home Road E Amherst. 03/2014 Lot # D01035 Please write a BRIEF description of the error/omission (3pts): . 2011 Prescriber Signature X_Richard Refill: 8 Zakrajesek___ MDD: Diltiazem 30 mg MFR: Teva Richard Zakrajesek. Only one error/omission per exercise. NY 11148 Take one tablet three times a day February 2. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Diltiazem 30 mg Sig: i po tid #90 Rx# 048968 Albert Paganello 889 Hubbell Ct Lancaster. NY 11148 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. MD. Prescription: Richard Zakrajesek. Briefly describe the error/omission at the bottom of the page.

95. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 02/2008 Lot # 032698M Please write a BRIEF description of the error/omission (3pts): . DO 190 E Robinson Road Lancaster. and product it was filled with. NY 14789 Take 1 tablet by mouth once daily February 19. NY 14260 Phone: 716-555-5555 Rx# 068975 Lisa Murphy 1478 Grider Street Buffalo.6mg MFR: Vision Pharma Karen Douglas.6mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DO. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). prescription label. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: Lisa Murphy DOB: 05/21/67 Address: 1478 Grider Street Date: 02/19/07 Buffalo. NY 14789 Rx Colcyrs 0. Briefly describe the error/omission at the bottom of the page. 2007 Prescriber Signature X___Karen Refill: 5 Douglas___ MDD: Colchicine 0. Prescription: Karen Douglas. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial # P145893T Drug Dispensed: Exp.

2006 Prescriber Signature X_Mark Refill: 0(zero) Flinchbaguh____ Take one tablet twice daily. Codeine Sulfate 30 mg MFR: Roxane Mark Flinchbaguh. NY 14478 October 13. NY 14478 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. 10/2010 Lot # A125012 Please write a BRIEF description of the error/omission (3pts): . Prescription: Mark Flinchbaguh. and product it was filled with. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise.64. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Codeine 30 mg Sig: i po bid # 60( sixty) Rx# 200048 Eugene Page 6900 Nashua Road Long Island. MD 74 Quail Hollow Lane E Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Refill 0 times # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #1458LL89 Drug Dispensed: Exp. Maximum daily dose of 2 tablets. MD. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Eugene Page DOB: 05/28/60 Address:6900 Nashua Road Date: 09/14/06 Long Island.

NY 11235 716-222-3333 Lic# 123323 DEA BF122258 Name: Joseph Lehman DOB: 04/26/41 Address:147 Harring Street Date: 06/09/04 Brooklyn. 09/2009 Lot # 305345 Please write a BRIEF description of the error/omission (3pts): . DO. prescription label. and product it was filled with. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 4 times Dispense as Written Serial # M1258TU8 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 12142 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). DO 7458 Nostrand Ave Brooklyn. Prescription: Evan Fitzaptrick. 2004 Prescriber Signature X_ Refill: 4 Evan Fitzpatrick__ MDD: Buspirone 15 mg MFR: Watson Evan Fitzaptrick. NY 14260 Phone: 716-555-5555 Bsuproprion 150mg Sig: i po bid # 60 Rx# 76698 Joseph Lehman 147 Harring Street Brookly. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 12142 Take one tablet twice daily June 9.101.

January 13.443. Briefly describe the error/omission at the bottom of the page. NY 14227 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DO 190 E Robinson Road Lancaster. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: Paula Howells DOB: 04/24/63 Address:2233 Dunlop Ave Date:01/13/07 Williamsville. NY 14227 Take one tablet once daily. Prescription: Karen Douglas. NY 14260 Phone: 716-555-5555 Sarafem 20 mg Sig: i po qd # 28 Rx# 90019 Paula Howells 2233 Dunlop Ave Williamsville. 2007 Prescriber Signature X__ Refill: 5 Karen Douglas MDD: Serophene 50 mg MFR: Serono Karen Douglas. Only one error/omission per exercise. DO # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times DAW Dispense as Written Serial #U258K236 Drug Dispensed: Exp. 12/2009 Lot # M258006 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA #’s and License #’s are correct). prescription label.

445. NY 14228 May 5. 2005 Take two tablets by mouth twice daily Prescriber Signature X_ Refill: 0 Lynn Marshall __ MDD: Metformin 1000mg MFR: Aurobindo Lynn Marshall. (Assume DEA #’s and License #’s are correct). 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . Prescription: Jack Hoover. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. NY 14228 Rx Metformin 1000mg Sig: ii po bid # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lynn Marshall. and product it was filled with. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . RPA. RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx.

MD 1001 N Ford Road Hamburg. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times DAW Dispense as Written Serial #2593LK85 Drug Dispensed: Exp. 2006 Prescriber Signature X__ Refill: 5 Helen Miller __ MDD: Prilosec 20 mg MFR: Mylan Helen Miller. prescription label. August 9. Prescription: Helen Miller. Only one error/omission per exercise.392. (Assume DEA#’s and License#’s are correct). MD. 05/2008 Lot # L1256MK Please write a BRIEF description of the error/omission (3pts): . NY 12233 716-557-7777 Lic# 511125 DEA# BM1258917 Name: Vanessa Jaworski DOB: 03/13/59 Address:8412 Wellingwood Drive Date:08/09/06 Smallsville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Plendil 20 mg Sig: i po daily # 30 Rx# 66800 Vanessa Jaworski 8412 Wellingwood Drive Smallsville. NY 14525 Take one capsule once daily. NY 14525 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Briefly describe the error/omission at the bottom of the page.

Only one error/omission per exercise. NY 14222 Take one tablet once daily Pletal 100 mg August 26. and product it was filled with. NY 14260 Phone: 716-555-5555 Name: Cameron Matz Address: 5255 Eaglecrest Street Alden.395. Inc Harold Kozlowsky. prescription label. RPA Lic# 256336 Lic # 556963 DEA AK5858937 DEA ML2256368 5263 Monterey Creek Greensville. MD Kathryn Langenfeld . NY 14222 Rx DOB: 07/15/46 Date: 08/25/06 Prinivil 10 mg Sig: i po daily # 30 Rx# 66801 Cameron Matz 5255 Eaglecrest Street Alden. MD. (Assume DEA#’s and License#’s are correct). NY 14520 716-852-8525 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Drug Dispensed: Serial #05LT2387 Exp. Prescription: Harold Kozlowsky. 2006 # 30 Prescriber Signature X__ Refill: 5 Harold Kozlowsky _ MDD: MFR: Otsuka America Pharmaceutical. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. 07/2009 Lot # P251422 Please write a BRIEF description of the error/omission(3pts): .

11/2008 Lot # 144867A Please write a BRIEF description of the error/omission (3pts): .67. Prescription: Paul Flicinski. NY 17789 Rx Cardura 2 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 10059 716-700-0000 Lic# 147896 DEA AF4587955 Name: Edward Osoki DOB:09/08/49 Address: 6900 Nashua Road Date: 09/23/06 Long Island. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. and product it was filled with. Briefly describe the error/omission at the bottom of the page. MD 789 Brown Street Bronx. NY 14260 Phone: 716-555-5555 Rx# 696987 Edward Osoki 6900 Nashua Road Long Island. NY 17789 Take one tablet once daily. September 23. 2006 Prescriber Signature X_Paul Refill: 5 Flicinski____ MDD: Doxazosin 2 mg MFR: Teva Paul Flicinski. MD. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #11253LP8 Drug Dispensed: Exp.

MD. Only one error/omission per exercise. (Assume DEA #’s and License #’s are correct).464. NY 14133 Rx Tiagabine 4 mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 1001 Elmwood Ave Aurora. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #J2512K23 Drug Dispensed: Exp. 12/2007 Lot # K258745 Please write a BRIEF description of the error/omission (3pts): . 2006 Prescriber Signature X__ Refill: 5 George Spencer__ MDD: Tizanidine 4 mg MFR: Dr Reddys Laboratories. NY 14133 Take one tablet three times a day July 22. Inc George Spencer. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 114570 Jayne Gilmore 8112 Magnolia Street S Wales. NY 14120 716-999-8888 Lic#141423 DEA BS2314259 Name: Jayne Gilmore DOB: 09/30/87 Address:8112 Magnolia Street Date:07/22/06 S Wales. and product it was filled with. prescription label. Prescription: George Spencer.

Maximum 8 tabs/day Prescriber Signature X_______________ Refill: 5 (five) MDD: 8 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Hydrocodone. Only one error/omission per exercise. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville. (Assume DEA #’s and License #’s are correct). MD # 240 Refill 5 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 14002 July 28. and product it was filled with. prescription label. 2006 Take one to two tablets by mouth every four to six hours as needed for pain. NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. Prescription: Pravin Mehta. NY 14002 Rx Lortab 5mg Sig: 1-2 po q4-6h prn pain # 240 (two hundred forty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.APAP 5-500 mg MFR: Mallinckrodt Pravin Mehta.467. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 100 3rd St Niagara Falls. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): .

NY 14458 716-558-8888 Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. NY 14260 Phone: 716-555-5555 Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. NY 14789 Rx Celebrex 200 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 Prescriber Signature X__Karen Refill: 2 Swanson_rpa__ MDD: Celebrex 200 mg MFR: Pfizer Karen Swanson. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #12TJU568 Drug Dispensed: Exp. Only one error/omission per exercise. prescription label. Briefly describe the error/omission at the bottom of the page. Prescription: Steven Johnson. RPA. Tonawanda. Tonawanda. 06/2009 Lot # 16X1258 Please write a BRIEF description of the error/omission (3pts): . MD Lic# 456922 DEA BJ5224782 Karen Swanson. RPA Lic # 555233 85 Greek Road Lockport. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct).106. NY 14789 Take one capsule once daily February 4.

NY 11209 September 26. 02/08 Lot # 70081 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 77890 Charolette O’Dannell 111 Fruitwood Terr Williamsville. NY 17899 716-999-0000 Lic# 118964 DEA MF1222140 Name: Charolette O’Dannell DOB: 08/23/77 Address: 111 Fruitwood Terr Date: 09/26/06 Williamsville. (Assume DEA#’s and License#’s are correct). FNP. # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #125893P7 Drug Dispensed: Exp. FNP 7523 Birch Place Farmingdale. prescription label.70. Prescription: Kelly Fletcher. and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. 2006 Take one tablet twice daily for 10 days Prescriber Signature X__Kelly Refill: 0 Fletcher____ MDD: Cefprozil 500 mg MFR: Teva Kelly Fletcher. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 11209 Rx Cefzil 500 mg Sig: i po bid x 10 d # 20 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

and product it was filled with.116. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #12548T23 Drug Dispensed: Exp. MD. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 11446 Take one tablet twice daily December 12. 2005 Prescriber Signature X_ Refill: 0 William Zaklikowski _ MDD: Clonazepam 1 mg MFR: Teva William Zaklikowski. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo. Prescription: William Zaklikowski. MD 896 Tonawanda Cheek Road E. NY 14896 716-898-0009 Lic# 148569 DEA BZ1448566 Name: Crawford Robinson DOB: 05/06/70 Address:876 Vermont Street Date:12/12/05 Buffalo. 1 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. 10/2008 Lot # 146106A Please write a BRIEF description of the error/omission (3pts): . NY 11446 Rx Clonidine 0. Briefly describe the error/omission at the bottom of the page. Amherst.

and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 2536 Rosewood Ave Lancaster.248. NY 14260 Phone: 716-555-5555 Rx# 66566 Rhonda Alderman 180 Flickinger Ct Alden. July 27. NY 14075 Take one tablet twice daily. Prescription: Elaine Knell. prescription label. (Assume DEA#’s and License#’s are correct). NY 14075 Rx Vimpat 50mg Sig: i po bid # 60 (sizty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2005 Prescriber Signature X__Elaine Refill: 0 (zero) Knell__ MDD:2 hydroxyzine 50mg MFR: Watson Elaine Knell. MD. 06/2007 Lot # 778585 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Rhonda Alderman DOB: 06/09/40 Address:180 Flickinger Ct Date:06/26/05 Alden. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #P21352147 Drug Dispensed: Exp.

Prescription: Joyce Campanella. Only one error/omission per exercise. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1145J569 Drug Dispensed: Exp. prescription label. 2005 Prescriber Signature X__ Refill: 5 Joyce Campenella _ MDD: Prograf 0. and product it was filled with. April 7. NY 14260 Phone: 716-555-5555 Rx# 141578 Dolores Ennis 789 Kinsey Ave Tonawanda. 10/2008 Lot # L478572 Please write a BRIEF description of the error/omission (3pts): . NY 14002 716-363-3636 Lic# 787782 DEA AC 8857851 Name: Dolores Ennis DOB: 06/18/56 Address:789 Kinsey Ave Date: 05/04/05 Tonawanda. NY 14000 Rx Prograf 0.5 mg MFR: Asteilas Joyce Campanella.5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 2366 Autumnview Road Clarence. Briefly describe the error/omission at the bottom of the page.222. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14000 Take one capsule twice daily. (Assume DEA#’s and License#’s are correct). MD.

11/2009 Lot # J125468 Please write a BRIEF description of the error/omission (3pts): .4 mg MFR: Boehringer Ingelheim Charles Goslinski. (Assume DEA#’s and License#’s are correct). DO 2255 Cherrywood Ave Buffalo. NY 14031 Take one capsule once daily. and product it was filled with. Seneca. 2007 Prescriber Signature X__Charles Refill: 5 Goslinski____ MDD: Flomax 0. DO. NY 14211 716-555-1112 Lic# 632235 DEA BG4587450 Name: Gosh Engel DOB: 09/07/55 Address:25 Fieldstone Dr Date: 02/08/07 W.4 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. February 8. Seneca. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 125888 Gosh Engel 25 Fieldstone Dr W.223. prescription label. Prescription: Charles Goslinski. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #M1245789 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 14031 Rx Flomax 0.

(Assume DEA#’s and License#’s are correct). NY 14003 716-666-6666 Lic# 112258 DEA AW114455 Name: Gary Leiber DOB: 10/11/49 Address:10 Keller Road Date:01/19/07 E. MD 50 S Niagara Fall Blvd Lockport. January 20. prescription label.111. Amherst. 2007 Prescriber Signature X___ Refill: 5 _______ MDD: Uloric 40mg MFR: Takeda Patrick Wosinki. NY 14260 Phone: 716-555-5555 Uloric 40 mg Sig: i po qd # 30 Rx# 23552 Gary Leiber 10 Keller Road E. Amherst. Prescription: Patrick Wosinki. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #125KM128 Drug Dispensed: Exp. NY 14789 Take one tablet once daily. 07/2008 Lot # 143569A Please write a BRIEF description of the error/omission (3pts): . NY 14789 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. and product it was filled with. Only one error/omission per exercise.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Jay Skruski DOB: 04/22/48 Address:41 Ford Street Date:01/01/07 Buffalo. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 124785 Jay Skruski 41 Ford Street Buffalo. MD 6485 Colvin Ave Deprew. NY 14152 Rx Spiriva Sig: i puff qd #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. 02/2011 Lot # F08989 Please write a BRIEF description of the error/omission (3pts): . NY 14152 Inhale 1 puff by mouth once daily January 2. Briefly describe the error/omission at the bottom of the page. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K0001257 Drug Dispensed: Exp. prescription label.533. Only one error/omission per exercise. Prescription: Peterson Mineo. 2007 Prescriber Signature X_ Refill: 0 Peterson Mineo ___ MDD: Spiriva Handihaler MFR: Pfizer Peter Mineo.

NY 14111 Rx Vyvanse 50 mg Sig: i cap po daily # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14111 March 25. and product it was filled with. MD. prescription label.336. (Assume DEA#’s and License#’s are correct). Prescription: Philips Kern. 2006 Take one tablet by mouth once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14066 716-939-3333 Lic# 232351 DEA BK2358972 Name: Susan Matecki DOB: 08/13/56 Address:2366 Lakefront Blvd Date:03/25/06 Tonawanda. MD 232 Homecrest Road Clearance. NY 14260 Phone: 716-555-5555 Rx# 32333 Susan Matecki 2366 Lakefront Blvd Tonawanda. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K2358523 Drug Dispensed: Exp: 05/2008 Lot # F06048 Please write a BRIEF description of the error/omission (3pts): . Prescriber Signature X__Philips Refill: NR (no refills) Kern___ MDD:1 Vyvanse 50mg MFR: Shire Philips Kern.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Shirely Lee. # 9ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #00TJI258 Drug Dispensed: Exp. Only one error/omission per exercise.06/08 Lot # 060359W Please write a BRIEF description of the error/omission (3pts): .8mg by mouth once daily June 2. prescription label. NY 12339 Rx DOB: 12/16/88 Date: 06/01/06 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.8 mg QD # 9 ml Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda. (Assume DEA#’s and License#’s are correct). NY 12339 Inhale 1.482. and product it was filled with. RPA Lic# 458793 Lic # 589633 DEA AL5224782 789 Maple Road. Prescription: Mark Lee. Suite #568 Amherst. 2006 Prescriber Signature X__Shirley Refill: 2 Lee RPA_ MDD: Victoza 18mg/3ml pen MFR: Novo Nordisk Shirely Lee. NY 14226 716-898-8888 Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Victoza Sig: 1. RPA.

NY 11209 Rx Cefprozil 250/5 Sig: 250 mg po bid x 10d # QS Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 11209 September 26. Briefly describe the error/omission at the bottom of the page. NY 17899 716-999-0000 Lic# 118964 DEA MF1222140 Name: Charolette O’Dannell DOB: 08/23/99 Address: 111 Fruitwood Terr Date: 09/26/06 Williamsville. Prescription: Kelly Fletcher. NY 14260 Phone: 716-555-5555 Rx# 77890 Charolette O’Dannell 111 Fruitwood Terr Williamsville. 2006 Take one tablet twice daily for 10 days Prescriber Signature X_ Refill: 0 Kelly Fletcher ___ MDD: Cefprozil 250 mg MFR: Teva Kelly Fletcher. and product it was filled with. Only one error/omission per exercise. FNP 7523 Birch Place Farmingdale. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 02/08 Lot # 70081 Please write a BRIEF description of the error/omission (3pts): . # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #125893P7 Drug Dispensed: Exp. FNP. prescription label.72.

and product it was filled with. NY 11235 716-888-0000 Lic# 123332 DEA AF1222582 Name: Amy O’Conner DOB: 06/18/98 Address:90 Wayside Road Date: 11/11/06 Brooklyn. Briefly describe the error/omission at the bottom of the page. # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial # 1235JK55 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 11235 November 11. (Assume DEA#’s and License#’s are correct). 2006 Take one tablet twice a daily for 10 days Prescriber Signature X_Evan Refill: 0 Fitzpatrick______ MDD: Ciprofloxacin 500 mg MFR: Dr. DDS 7458 Nostrand Ave Brooklyn. NY 14260 Phone: 716-555-5555 Rx# 444888 Amy O’Conner 90 Wayside Road Brooklyn. prescription label. Inc Evan Fitzpatrick. DDS.73. Reddys Laboratories. Prescription: Evan Fitzpatrick. 05/2010 Lot # 5060601 Please write a BRIEF description of the error/omission (3pts): . NY 11235 Rx Cipro 500 mg Sig: i po bid x 10d # 20 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

(Assume DEA#’s and License#’s are correct). MD. NY 14875 716-222-2220 Lic# 258963 DEA BR4512453 Name: Marvin Nespal DOB: 04/15/00 Address: 78 Regent Street Date: 10/10/06 Buffalo. Suite 120 Cheektowaga. NY 11477 October 10. and product it was filled with. prescription label. Prescription: John Rousseau. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Cefaclor 125 mg/5 ml Sig: i tsp po q8h x10 days # QS Rx# 556566 Marvin Nespal 78 Regent Street Buffalo. NY 11477 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.77. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #000KM120 Exp. MD 789 Walden Ave. 02/2009 Lot # P02228 Please write a BRIEF description of the error/omission (3pts): . 2006 Give one teaspoonful every 8 hours x 10 days Cephalexin 125mg/5ml # 150 Prescriber Signature X_ Refill: 0 John Rousseau ___ MDD: MFR: Ranbaxy John Rousseau. Only one error/omission per exercise.

and product it was filled with. Briefly describe the error/omission at the bottom of the page. 2007 Prescriber Signature X_ Refill: 5 Samuel Fisher __ MDD:1 Cozaar 100 mg MFR: Merck and Co Inc Samuel Fisher. NY17895 Rx Hyzaar 100 mg Sig: i po hs # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 10/2009 Lot # 1461223 Please write a BRIEF description of the error/omission (3pts): . MD. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. prescription label. Prescription: Samuel Fisher.119. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times DAW Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. MD 6985 Sheridan Drive Buffalo. NY 17895 Take one tablet at bedtime February 3. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca.

05/2008 Lot # P526L23 Please write a BRIEF description of the error/omission (3pts): . NY 14552 716-444-3787 Lic#858695 DEA AD1257484 Name: Louanne Fayett DOB: 02/66/88 Address:2334 Homer Lane Date:06/25/06 Williamsville. NY 14225 Take one tablet four times a day June 25. NY 14225 Rx Penicillamine 250 mg Sig: i po qid # 40 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DDS #40 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #GF258768 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). 2006 Prescriber Signature X_ Refill: 0 Joseph Delucci ____ MDD: Penicillin VK 250 mg MFR: Sandoz Joseph Delucci. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. DDS 633 Hillcrest Height Dr Clarence. prescription label. Prescription: Joseph Delucci. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise.377. NY 14260 Phone: 716-555-5555 Rx# 20324 Louanne Fayett 2334 Homer Lane Williamsville.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14211 716-343-3333 Lic# 855689 DEA BP6357897 Name: Minnie Radish DOB: 03/03/79 Address:700 Castlebrooke Ln Date:06/27/03 Angola. and product it was filled with. MD 898 Blossom Ln Cheektowaga. 2003 Prescriber Signature X__ Refill: 0 Vincent Patterson _ MDD: Guanfacine 2 mg MFR: Mylan Vincent Patterson. prescription label. NY 14222 Rx Guanfacine 2 mg Sig: i po qHS # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. NY 14222 Take one tablet by mouth daily June 27. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L1458K879 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 415885 Minnie Radish 700 Castlebrooke Ln Angola. (Assume DEA#’s and License#’s are correct). Prescription: Vincent Patterson. Only one error/omission per exercise.234. 08/2005 Lot # F12452 Please write a BRIEF description of the error/omission (3pts): .

Buffalo.9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat. UNIVERSITY HOSPITAL School of Pharmacy. MD medical record no.235.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb).23mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/10___ volume added to bag: drug amount in bag: ___16. MD RPh: (3pts): YOU . ERRORS AND OMISSIONS Exercise A: You will be given a prescription.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. Infuse at 50mg/min Dr. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alexandra Rodriguez Room:432B Additives: Phenytoin 823mg Solution: 100ml NS Infusion Rate: 364ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Phenytoin_50mg/ml______ final bag concentration: __8. Briefly describe the error/omission at the bottom of the page. prescription label.5____ ml ___823_____ mg Administration Rate___364__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. New York. Toboggan. 222 Cooke Hall. / Kg height: ___5’3”____ (circle) (in. Only one error/omission per exercise. and product it was filled with. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.

2005 Let one tablet dissolve under the tongue as needed for chest pain. prescription label. Prescription: William Zaklikowski. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. Amherst. NY 14260 Phone: 716-555-5555 Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo. MD.4 mg SL Sig: 1 tab SL q5m prn chest pain. 10/2008 Lot # 146106A Please write a BRIEF description of the error/omission (3pts): . # 25 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #12548T23 Drug Dispensed: Exp. NY 11446 December 12.4 SL tablets MFR: Teva William Zaklikowski. Can repeat up every 5 min up to 3 doses Prescriber Signature X_ Refill: 0 William Zaklikowski _ MDD: Nitroglycerin 0. NY 11446 Rx nitroquick 0. MD 896 Tonawanda Cheek Road E. Briefly describe the error/omission at the bottom of the page. up to 3 doses # 25 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.524. NY 14896 716-898-0009 Lic# 148569 DEA BZ1448566 Name: Crawford Robinson DOB: 05/06/70 Address:876 Vermont Street Date:12/12/05 Buffalo.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: David McPhea DOB: 10/01/38 Address:747 Athens Blvd Date: 12/27/03 Arkron. 2003 Prescriber Signature X_ Refill: 0 Karen Douglas __ MDD: Nystatin Cream MFR: Taro Karen Douglas. (Assume DEA#’s and License#’s are correct). DO # 30g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0times Dispense as Written Serial #17854KH7 Drug Dispensed: Exp. 01/2005 Lot # 0088008 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. NY 14001 Apply as directed December 27.542. Only one error/omission per exercise. Prescription: Karen Douglas. NY 14001 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DO 190 E Robinson Road Lancaster. NY 14260 Phone: 716-555-5555 Mycolog II cream Sig: Apply as directed # 30 Rx# 32541 David McPhea 747 Athens Blvd Arkron. Briefly describe the error/omission at the bottom of the page.

11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Take one and a half teaspoonfuls by mouth twice daily for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin/clavulanic acid 600mg-42. MD Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #C2538M27 Drug Dispensed: Exp.557. NY 14002 Feb 28. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/08 Address:5050 Madaline Ln Date:02/28/11 Williamsville. Only one error/omission per exercise.9mg/5ml # 150 MFR: Sandoz Esther Tredinnick. NY 14002 Rx Augmentin ES 600mg-42. prescription label. MD Weight:15kg 2535 Porterville Road Elma. Prescription: Esther Tredinnick.9mg/5ml Sig: 1. and product it was filled with. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).5tsp po BID x 10d # 150ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville.

NY17895 Rx Pradaxa 75mg Sig: 1 po BID # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). and product it was filled with.75 mg tabs MFR: Torrent Pharmaceuticals Samuel Fishman.527. MD. 2007 Take one tablet by mouth twice daily Prescriber Signature X_Samuel Refill: 5 Fishman__ MDD: Pramipexole 0. NY 17895 February 3. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Samuel Fishman. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. Only one error/omission per exercise. prescription label. MD 6985 Sheridan Drive Buffalo. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): .

: 8769 sex: (circle) male / (female) weight: ___120_____ (circle) (lb). 222 Cooke Hall. Buffalo. / Kg height: ___62____ (circle) (in.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.08mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___5. Only one error/omission per exercise. prescription label. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. Infuse over 45 min. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Lily Smith Additives: Tobramycin 219mg Solution: 100ml NS Infusion Rate: 141ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:32A  drug additive drug name: __Tobramycin_40mg/ml____ final bag concentration: __2. MD RPh: (3pts): YOU . New York. Toboggan. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Lily Smith allergies: NKA room: 32A physician: Dr Toboggan. Briefly describe the error/omission at the bottom of the page.380. Prepare 1 dose Dr. and product it was filled with.48____ ml ___219_____ mg Administration Rate___141__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD medical record no.9____mg/dl 3/15/11 0730 Tobramycin 9mg/kg/day DIV q8h in 100ml NS. UNIVERSITY HOSPITAL School of Pharmacy.

(Assume DEA#’s and License#’s are correct).78. 2006 Give one teaspoonful every 8 hours x 10 days Prescriber Signature X_ Refill: 0 John Rousseau___ MDD: Cefaclor 125mg/5ml MFR: Ranbaxy John Rousseau. MD. prescription label. NY 11477 October 10. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #000KM120 Drug Dispensed: Exp. MD 789 Walden Ave. NY 14875 716-222-2220 Lic# 258963 DEA BR4512453 Name: Marvin Nespal DOB: 04/15/00 Address: 78 Regent Street Date: 10/10/06 Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 09/2006 Lot # 158996 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Cefaclor 125 mg/5 ml Sig: i tsp po q8h x 10 days # QS Rx# 556566 Marvin Nespal 78 Regent Street Buffalo. Prescription: John Rousseau. NY 11477 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Suite 120 Cheektowaga. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. and product it was filled with.

Briefly describe the error/omission at the bottom of the page.331. NY 14260 Phone: 716-555-5555 Rx# 30333 Courtney Iannone 22 Greenmeadow Dr Getzville. (Assume DEA#’s and License#’s are correct). and product it was filled with. MD 125 Beverly Drive Buffalo. Prescription: Gilbert Hunter. prescription label. Only one error/omission per exercise. NY 14077 Rx Micro-K 10 Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. NY 14200 716-866-6666 Lic# 526385 DEA BH256387 Name: Courtney Iannone DOB: 08/27/38 Address: 22 Greenmeadow Dr Date:06/17/05 Getzville. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #K258L563 Drug Dispensed: Exp. August 17. 2005 Prescriber Signature X__Gilbert Refill: 6 Hunter___ MDD: Potassium Chloride 10 mEq MFR: Ethex Gilbert Hunter. 04/2007 Lot # 1P2587 Please write a BRIEF description of the error/omission (3pts): . NY 14077 Take one capsule twice daily.

2006 Prescriber Signature X__Victoria Refill: 0 Flemming___ MDD: Zyprexa 20 mg MFR: Lily Victoria Flemming. MD. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2356KT125 Drug Dispensed: Exp. MD 1245 Ocean Ave. Prescription: Victoria Flemming. and product it was filled with. Only one error/omission per exercise. prescription label. (Assume DEA#’s and License#’s are correct). 07/2008 Lot # 143573A Please write a BRIEF description of the error/omission (3pts): . Suite 290 Brooklyn. NY 14260 Phone: 716-555-5555 Rx# 77856 Dainelle Newman 112 Warner Ave N Gawanda. Briefly describe the error/omission at the bottom of the page. NY 12258 Rx Zyprexa 20 mg Sig: i po QD # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 11228 716-505-5050 Lic# 223658 DEA BF1111587 Name: Dainelle Newman DOB: 09/24/74 Address: 112 Warner Ave Date: 07/05/06 N Gawanda.79. NY 12258 Take one tablet once daily. July 5. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

Prescription: Paulette Kohler. prescription label. NY 14000 Take one capsule three times daily. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 55000 Cathy Lombardo 8500 Castle Hill Ave Amherst. 04/2008 Lot #U125482 Please write a BRIEF description of the error/omission (3pts): . April 1. (Assume DEA#’s and License#’s are correct). 2006 Prescriber Signature X__ Refill: 5 ( five) Paulette Kohler _ MDD:3 Chlordiazepoxide 10 mg MFR: Par Pharmaceuticals Paulette Kohler. MD 89 Gate Circle Buffalo. NY 14000 716-111-8888 Lic# 101523 DEA AK2365890 Name: Cathy Lombardo DOB: 06/15/77 Address:8500 Castle Hill Ave Date:04/01/06 Amherst. Briefly describe the error/omission at the bottom of the page. MD.ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #P12588965 Drug Dispensed: Exp. and product it was filled with. NY 14000 Rx Librium 10 mg Sig: i po tid #90 n( ninety) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.288.

prescription label. NY 14200 Rx Lioresal 20 mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. January 7.289. Only one error/omission per exercise. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #LL12541256 Drug Dispensed: Exp. MD 7877 Hedgewood Drive Naussa. 01/2007 Lot # J200012 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. (Assume DEA#’s and License#’s are correct). Prescription: Ryan Gibson. 2004 Prescriber Signature X__Ryan Refill: 5 Gibson_____ MDD: Baclofen 20 mg MFR: Qualitest Ryan Gibson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 233000 Lannie Greene 2233 Woodland Ct Genesee. NY 14200 Take one tablet three times daily. MD. NY 14204 716-565-6565 Lic# 784574 DEA AG4512756 Name: Lannie Greene DOB: 01/07/26 Address:2233 Woodland Ct Date:01/02/04 Genesee.

NY 14500 716-999-4444 Lic#123568 DEA AA1252143 Name: Niema Fiorello DOB: 02/25/87 Address:36 Tacoma Ave Date:03/08/07 W Amherst. prescription label. Only one error/omission per exercise. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #B2148Z00 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. 2007 Prescriber Signature X_ Refill: 0 ( zero) Adam Erving __ MDD: Methylphenidate ER 10 mg MFR: Mallinckrodt Adam Erving.327. NY 14150 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). AND OMISSIONS Exercise A: You will be given a prescription. 06/2010 Lot # P2356820 Please write a BRIEF description of the error/omission (3pts): . MD 616 Hartford Ave Buffalo. Prescription: Adam Erving. NY 14260 Phone: 716-555-5555 Metadate CD 10 mg Sig: i po am # 30 ( thirty) Rx# 29009 Niema Fiorello 36 Tacoma Ave W Amherst. NY 14150 Take one tablet every morning March 8. MD.

MD 911 Paradise Road Williamsville. MD. and product it was filled with.328. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #LP238547 Drug Dispensed: Exp. NY 14220 Rx Metoprolol 50 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Elizabeth Ganter. 10/2008 Lot # 1P3253 Please write a BRIEF description of the error/omission (3pts): . NY 14077 716-899-1111 Lic# 123225 DEA BG2225539 Name: Juliet Hall DOB: 06/17/48 Address:255 Cottage Road Date:01/08/07 Orchard Park. NY 14260 Phone: 716-555-5555 Rx# 25555 Juliet Hall 255 Cottage Road Orchard Park. January 9. prescription label. 2007 Prescriber Signature X_Elizabeth Refill: 11 Ganter___ MDD: Metoprolol Tartrate 50 mg MFR: Mylan Elizabeth Ganter. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14220 Take one tablet twice daily. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).

(Assume DEA#’s and License#’s are correct). MD 911 Paradise Road Williamsville. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. 11/2008 Lot #H52568 Please write a BRIEF description of the error/omission (3pts): . January 9. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #LP238547 Drug Dispensed: Exp. NY 14220 Rx Metoprolol 100 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Elizabeth Ganter. NY 14077 716-899-1111 Lic# 123225 DEA BG2225539 Name: Juliet Hall DOB: 06/17/48 Address:255 Cottage Road Date:01/08/07 Orchard Park.329. NY 14220 Take one tablet twice daily. MD. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 25555 Juliet Hall 255 Cottage Road Orchard Park. 2007 Prescriber Signature X__ Refill: 11 Elizabeth Ganter _ MDD: Misoprostol 200 mg MFR: Greenstone Elizabeth Ganter.

prescription label. Prescription: Rosemary Kazmierski. #120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #741578M8 Drug Dispensed: Exp. 2005 Prescriber Signature X_Rosemary Refill: 11 Kazmierski__ MDD: Dicyclomine 20 mg tablets MFR: Mylan Rosemary Kazmierski. NY 14260 Phone: 716-555-5555 Rx# 78412 Adrian Kobrins 78 Applewood Road Angola. NP. 12/2008 Lot # 1LKO125 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Adrian Kobrins DOB: 08/14/48 Address:78 Applewood Road Date:07/12/05 Angola. NY 14086 Take one tablet four times a day July 13. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14086 Rx bentyl 20 mg Sig: i po qid # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NP 4458 Thompson Raod Colden.565.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Cardizem 30 mg Sig: i po tid #90 Rx# 048968 Albert Paganello 889 Hubbell Ct Lancaster. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NY 11148 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 03/2009 Lot # D01035 Please write a BRIEF description of the error/omission (3pts): . NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Albert Paganello DOB:12/24/46 Address: 889 Hubbell Ct Date: 06/27/06 Lancaster. MD 5899 Sweet Home Road E Amherst. 2006 Prescriber Signature X_ Refill: 8 Richard Zakrajesek _ MDD: Diltiazem 30 mg MFR: Teva Richard Zakrajesek. and product it was filled with. NY 11148 Take one tablet three times a day June 28. (Assume DEA#’s and License#’s are correct).62. Prescription: Richard Zakrajesek. MD # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times DAW Dispense as Written Serial #145TO236 Drug Dispensed: Exp. prescription label.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 1245 Ocean Ave. NY 12258 Take one tablet once daily. Suite 290 Brooklyn. prescription label. NY 14260 Phone: 716-555-5555 Rx# 77856 Daniel Newman 112 Warner Ave N Gawanda. July 5. NY 12258 Rx Zyprexa 20 mg Sig: i po QD # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 07/2008 Lot # 143573A Please write a BRIEF description of the error/omission (3pts): . 2006 Prescriber Signature X__ Refill: 0 Victoria Flemming__ MDD: Zyprexa 20 mg MFR: Lily Victoria Flemming. Prescription: Victoria Flemming.81. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. MD. and product it was filled with. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2356KT125 Drug Dispensed: Exp. NY 11228 716-505-5050 Lic# 223658 DEA BF1111587 Name: Dainelle Newman DOB: 09/24/74 Address: 112 Warner Ave Date: 07/05/06 N Gawanda.

570. Refill 5 times Dispense as Written Serial #012KLI78 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14242 716-789-7897 Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville. Broadway Buffalo. RPA. NY 14145 October 10. prescription label. MD Joseph Koch. NY 14145 Rx Skelaxin 800 mg Sig: 1 po qid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. and product it was filled with. 08/2008 Lot # L12589 Please write a BRIEF description of the error/omission(3pts): . (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 12458 Carol Hoffman 235 Million Street Williamsville. Only one error/omission per exercise. RPA Lic# 478958 Lic # 587745 DEA AH5224782 8856 E. Prescription: Jackson Hundson. 2004 Take one tablet by mouth four times a day Prescriber Signature X_ Joseph Koch__ Refill: 5 Robaxin 750 mg MDD: # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Schwarz Joseph Koch.

NY 14787 Rx Imdur 60 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #L8521478 Drug Dispensed: Exp. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 89982 Anita Szyklinski 5258 Woodcreek Ln Eggertsville. Only one error/omission per exercise. MD 7877 Easton Ave New York. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.241. NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Anita Szyklinski DOB: 08/25/49 Address:5258 Woodcreek Ln Date:02/11/07 Eggertsville. MD. Prescription: Terrance Fransco. (Assume DEA#’s and License#’s are correct). February 11. 2007 Prescriber Signature X__Terrance Refill: 6 Fransco__ MDD: Isosorbide MN 60 mg MFR: Ethex Terrance Fransco. NY 14787 Take one tablet once daily. and product it was filled with. 01/2010 Lot # 0898963 Please write a BRIEF description of the error/omission (3pts): .

NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Tabatha Sanford DOB: 11/11/46 Address:7787 Brown Hill Rd Date:03/25/05 Springville. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Sinequan 10 mg Sig: i po daily # 30 Stephen Sigel __ MDD: Rx# 114566 Tabatha Sanford 7787 Brown Hill Road Springville. (Assume DEA #’s and License #’s are correct). NY 14778 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 11/2008 Lot #F7526 Please write a BRIEF description of the error/omission (3pts): . MD 789 Ward Street Lancaster. 2005 # 30 Prescriber Signature X_ Refill: 5 MFR: Merck and Co Inc Stephen Sigel MD. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #230L25M6 Exp. Briefly describe the error/omission at the bottom of the page.452. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Prescription: Stephen Sigel. NY 14778 Take one tablet once daily Singulair 10 mg March 25.

Seneca. 2006 #9 Prescriber Signature X_ Refill: 3 Kevin William __ MDD: MFR: GlaxoSmithKline Kevin William. (Assume DEA #’s and License #’s are correct).06/2008 Lot # 52588D Please write a BRIEF description of the error/omission(3pts): . RPA Lic # 889851 DEA MW2568965 232 Hampton Road Buffalo. RPA. Only one error/omission per exercise. Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #25P352H5 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Name: Carolina Belanger Address: 6677 Stony Point Rd W. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Prescription: Stephan Leid . and product it was filled with.455. MD Lic# 125896 DEA AL5121584 Kevin William. NY 14214 716-565-8896 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. Seneca.5 mg September 17. NY 14222 Take as directed Zomig 2. NY 14222 Rx Sumatriptan 25 mg Sig: uud #9 DOB: 12/28/49 Date: 09/17/06 Rx# 114567 Carolina Belanger 6677 Stony Point Rd W.

NY 17899 716-999-0000 Lic# 118964 DEA MF1222140 Name: Charolette O’Dannell DOB: 08/23/77 Address: 111 Fruitwood Terr Date: 09/26/06 Williamsville. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 11209 September 26. NY 14260 Phone: 716-555-5555 Rx# 77890 Charolette O’Dannell 111 Fruitwood Terr Williamsville. NY 11209 Rx Cefzil 500 mg Sig: i po bid x 10 d # 20 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 07/08 Lot # 0F10097 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. 2006 Take one tablet twice daily for 10 days Prescriber Signature X__ Refill: 0 Kelly Fletcher ____ MDD: Cefuroxime 500 mg MFR: Wockhardt Kelly Fletcher.71. Briefly describe the error/omission at the bottom of the page. Prescription: Kelly Fletcher. FNP 7523 Birch Place Farmingdale. FNP. # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #125893P7 Drug Dispensed: Exp. prescription label.

(Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. Max 4/day # 30 (thirty) Sig: i sl prn breakthrough cancer pain. and product it was filled with. rept Rx# 10012 Gwen MacBeth 445 Wardman Ave Akron. Repeat dose 30 minutes later if needed.82. RPA. ABSTRAL 100mcg MFR: Prostrakan # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #P322258L Shirley Lee. MD Lic# 458793 DEA AL5224782 Shirely Lee. RPA__ MDD: 4 Take one tablet sublingually as needed for breakthrough cancer pain. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts): . 2005 Prescriber Signature X__Shirley Refill: 0 (zero) Lee. NY 14001 Rx Abstral 100 mcg DOB: 06/30/68 Date: 06/14/05 dose 30 min later if needed. Briefly describe the error/omission at the bottom of the page. Refill 0 Drug Dispensed: Exp. RPA Lic # 589633 DEA BA6947782 789 Maple Road. Prescription: Mark Lee. prescription label. NY 14260 Phone: 716-555-5555 Name: Gwen MacBeth Address: 445 Wardman Ave Akron. Suite #568 Amherst. NY 14226 716-898-8888 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14001 June 15. Maximum 4 doses per day.

65. 10/2010 Lot # L023589 Please write a BRIEF description of the error/omission (3pts): . NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Eugene Page DOB: 05/28/60 Address:6900 Nashua Road Date: 09/14/06 Long Island. (Assume DEA#’s and License#’s are correct). 2006 Prescriber Signature X_ Refill: 0 ( zero) Mark Flinchbaguh _ MDD:2 Codeine 30 mg MFR: Myland Mark Flinchbaguh. MD 74 Quail Hollow Lane E Amherst. NY 14260 Phone: 716-555-5555 Codeine 30 mg Sig: i po bid # 60 ( sixty) Rx# 200048 Eugene Page 6900 Nashua Road Long Island. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Briefly describe the error/omission at the bottom of the page. NY 14478 Take one tablet twice daily. October 13. Prescription: Mark Flinchbaguh. Only one error/omission per exercise. MD. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1458LL89 Drug Dispensed: Exp. NY 14478 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label.

2005 Prescriber Signature X_ Refill: 2 Lynn Marshall __ MDD: Doxepin 100 mg MFR: PAR Lynn Marshall. NY 14260 Phone: 716-555-5555 Doxepin 100 mg Sig: i po daily # 30 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. May 5. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise.182. Prescription: Jack Hoover. NY 12365 716-333-4444 Lic# 125898 DEA BH1414250 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . NY 14228 Take one capsule once daily. Briefly describe the error/omission at the bottom of the page. MD Lynn Marshall. NY 14228 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. RPA. RPA 78 Harlem Road Bronx.

Prescription: John Rousseau. and product it was filled with. MD. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 32535 Sly Stallone 1125 Mineral Spring Road Gatesville. Briefly describe the error/omission at the bottom of the page. NY 14788 Rx Androgel Sig: apply 5g QD # 12 75g pumps (twelve) CODE F Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14875 716-878-7887 Lic#784589 DEA BR4512453 Name: Sly Stallone DOB: 03/16/48 Address:1125 Mineral Spring Rd Date:04/28/05 Gatesville. MD 789 Walden Ave. prescription label. (Assume DEA#’s and License#’s are correct). 07/2008 Lot # 17485900 Please write a BRIEF description of the error/omission (3pts): . # 900g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #14415L78 Drug Dispensed: Exp.185. Suite 120 Cheektowaga. NY 14788 Apply 5 grams once daily April 29. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2005 Prescriber Signature X__John Refill:0 (zero) Rousseau____ MDD:5 Androgel 1% MFR: Abbott John Rousseau.

NY 14100 March 7. 2006 Instill 1 drop into the left eye once daily for 2 weeks. (Assume DEA#’s and License#’s are correct). prescription label. Prescription: Gordon Laffler. Only one error/omission per exercise. then i gtt OS bid X 1 wk # 1 trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.308. 08/2008 Lot # 1P3314 Please write a BRIEF description of the error/omission (3pts): . NY 14052 716-888-1111 Lic# 235214 DEA AL5255446 Name: Molly Martins DOB: 06/15/39 Address:33 Perrysburg Ave Date:03/07/06 West Falls. NY 14260 Phone: 716-555-5555 Rx# 90001 Molly Martins 33 Perrysburg Ave West Falls. NY 14100 Rx Durezol Sig: i gtt OS qid X 2 weeks. MD 6888 Loving Ave Grand Island. MD.05% MFR: Sirion Gordon Laffler. and product it was filled with. Briefly describe the error/omission at the bottom of the page. then instill 1 drop to the left eye twice daily for 1 week Prescriber Signature X_Gordon Refill: 0 Laffler___ MDD: Durezol 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #P1220302 Drug Dispensed: Exp.

08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 66698 Frank Grimes 197 Hartford Road Aurora. MD. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page.311. 2011 Take two tablets by mouth twice daily as needed Prescriber Signature X_ Refill: 1 Julius Hibbert __ MDD: Naproxen 500mg MFR: Mylan Julius Hibbert. NY 14228 March 5. and product it was filled with. MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. NY 14228 Rx Naproxen 500mg Sig: ii po bid prn # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 12365 716-333-4444 Name: Frank Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora . Prescription: Julius Hibbert. prescription label.

MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. prescription label. MD. and product it was filled with. Only one error/omission per exercise.312. 2011 Take one tablet by mouth three times daily Prescriber Signature X_ Refill: 1 Julius Hibbert __ MDD: Naproxen 550mg MFR: Teva Julius Hibbert. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 66698 Frank Grimes 197 Hartford Road Aurora. NY 12365 716-333-4444 Name: Frank Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora . NY 14228 March 5. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14228 Rx Naproxen sodium 550mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Julius Hibbert.

#4 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Mike Lou. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo. and product it was filled with. 09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts): . NY 11896 Rx Actonel + Calcium Sig: i po q week #4 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.485. MD Dispense as Written Refill 5 times Serial #125TDEF2 Drug Dispensed: Exp. Only one error/omission per exercise. prescription label. NY 11896 March 12. MD 5255 Cobblestone Dr Clarence. Prescription: Mike Lou. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Fanny Pruchinewiz DOB: 04/01/59 Address: 1147 North Forest Rd Date: 03/11/06 Buffalo. 2006 Take one tablet by mouth once a week Prescriber Signature X__ Refill: 5 Mike Lou ____ MDD: Actonel MFR: Procter and Gamble . (Assume DEA#’s and License#’s are correct).

NY 14207 Rx Tylenol # 3 Sig: i-ii po q4h prn foot pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14207 August 8. Briefly describe the error/omission at the bottom of the page. DPM 99 Brookside Ave S Wale. and product it was filled with. 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Jason Panko DOB: 04/28/48 Address:225 Sweetheaven Ct Date:08/08/06 Buffalo. NY 14260 Phone: 716-555-5555 Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo. DPM # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 1 times Serial #78452K89 Drug Dispensed: Exp. prescription label. (Assume DEA#’s and License#’s are correct). Maximum 12 tablets/day Prescriber Signature X_Jonathan Refill: 1 (one) Mallozzi____ MDD:12 Tylenol with Codeine #3 MFR: PriCara Jonathan Mallozzi.212. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Take one to two tablets by mouth every four hours for foot pain. Prescription: Jonathan Mallozzi.

NY 14260 Phone: 716-555-5555 Temazepam 30 mg Sig: i po hs # 30 ( thirty) Rx# 12489 Kimberly Oliver 254 Sandrock Road Angola. November 28.215. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. Prescription: Floyd Olszak. MD 2225 Blossom Lane Depew. 08/2009 Lot # U78421 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. MD. NY 14028 716-757-5555 Lic# 722358 DEA AO1147746 Name: Kimberly Oliver DOB: 03/30/49 Address: 254 Sandrock Road Date:11/28/06 Angola. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #8569KL78 Drug Dispensed: Exp. 2006 Prescriber Signature X_ Refill: 0 ( zero) Floyd Olszak ____ MDD:1 Flurazepam 30 mg MFR: Mylan Floyd Olszak. NY 14023 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14023 Take one capsule at bedtime. prescription label.

prescription label. Prescription: Floyd Olszak. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. November 28.216. (Assume DEA#’s and License#’s are correct). NY 14023 Rx Temazepam 30 mg Sig: i po hs # 90 ( ninety) code F Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X___ Refill: 0 (zero) Floyd Olszak __ MDD: 1 Temazepam 30 mg MFR: Mylan Floyd Olszak. #90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #8569KL78 Drug Dispensed: Exp. NY 14023 Take one capsule at bedtime. MD. MD 2225 Blossom Lane Depew. NY 14260 Phone: 716-555-5555 Rx# 12489 Kimberly Oliver 254 Sandrock Road Angola. 08/2009 Lot # U78421 Please write a BRIEF description of the error/omission (3pts): . NY 14028 716-757-5555 Lic# 722358 DEA AO1147746 Name: Kimberly Oliver DOB: 03/30/49 Address: 254 Sandrock Road Date:11/28/06 Angola.

NY 11478 February 20. MD 432 Nottingham Blvd. NY 11478 Rx Lortab 5/500 Sig: i po q6h # 120 ( one hundred twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). timess # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 Dispense as Written Serial #1258JKI4 Drug Dispensed: Exp. 10/2008 Lot # 9236V485 Please write a BRIEF description of the error/omission (3pts): . MD. and product it was filled with. 2007 Take one tablet every 6 hours. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Buffalo.85. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 12325 Jennifer Needham 89 Cleen Ct Rochester. NY 14223 716-111-1112 Lic# 543215 DEA AG4298341 Name: Jennifer Needham DOB:11/12/82 Address: 89 Cleen Ct Date: 02/14/07 Rochester. Maximum daily dose of 4 tablets. Prescriber Signature X_ Refill: 5 ( five) Thomas Grands _ MDD: 4 Hydrocodone/ APAP 5/500 mg MFR: Mallinckrodt Inc Thomas Grands. Only one error/omission per exercise. Prescription: Thomas Grands.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #12TJU568 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. 2007 Prescriber Signature X__ Refill: 2 Karen Swanson_rpa _ MDD: Celebrex 200 mg MFR: Pfizer Karen Swanson. NY 14789 Rx Celebrex 200 mg Sig: i po qd prn # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Tonawanda. (Assume DEA#’s and License#’s are correct). prescription label. Only one error/omission per exercise.108. Briefly describe the error/omission at the bottom of the page. Tonawanda. NY 14789 Take one capsule once daily February 4. RPA. NY 14458 716-558-8888 Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. 06/2009 Lot # 16X1258 Please write a BRIEF description of the error/omission (3pts): . MD Lic# 456922 DEA BJ5224782 Karen Swanson. Prescription: Steven Johnson. RPA Lic # 555233 85 Greek Road Lockport.

and product it was filled with. Maximum daily dose of 4 tablets. NY 14260 Phone: 716-555-5555 Rx# 12325 Jennifer Needham 89 Cleen Ct Rochester. Hydrocodone/ APAP 5/500 mg MFR: Mallinckrodt Inc Thomas Grands. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14223 716-111-1112 Lic# 543215 Name: Jennifer Needham Address: 89 Cleen Ct Rochester. Refill 5 times # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #1258JKI4 Drug Dispensed: Exp. MD. NY 11478 February 14. Buffalo.87. Prescription: Thomas Grands. MD 432 Nottingham Blvd. NY 11478 Rx Lortab 5/500 Sig: i po q6h # 120 ( one hundred twenty) DOB:11/12/82 Date: 02/14/07 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. 10/2008 Lot # 9236V485 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). 2007 Prescriber Signature X_ Refill: 5 ( five) Thomas Grands __ MDD: 4 Take one tablet every 6 hours.

Prescription: Nicole Bissonette. and product it was filled with.438. MD 7895 West 4th Street New York. MD. (Assume DEA #’s and License #’s are correct). 2006 Prescriber Signature X_ Refill: 3 Nicole Bissonette _ MDD: Risperdal 1 mg MFR: Janssen Nicole Bissonette. Briefly describe the error/omission at the bottom of the page. NY 14007 Rx Risperdal 1 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 90017 Jacob Frost 2333 Harmony Ave Gowanda. prescription label. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #9K25Z237 Drug Dispensed: Exp. Only one error/omission per exercise. NY 14007 Take one tablet twice daily March 24. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 10003 716-565-5555 Lic# 785963 DEA BB1477757 Name: Jacob Frost DOB: 07/19/51 Address:2333 Harmony Ave Date: 03/24/06 Gowanda. 05/2007 Lot # T2003639 Please write a BRIEF description of the error/omission (3pts): .

Briefly describe the error/omission at the bottom of the page. Prescriber Signature X_Jack Refill: 0 ( zero) Hoover____ MDD:6 ml Morphine Sulfate Conc 20 mg/ml MFR: Mallinckrodt Jack Hoover. NY 14799 July 29. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Maximum daily dose of 6 mls. NY 12365 716-333-4444 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD # 30ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #F2536K22 Drug Dispensed: Exp. 2006 Take 1 ml by mouth every 4 hours as needed. 08/2007 Lot # H20036 Please write a BRIEF description of the error/omission(3pts): . NY 14799 Rx DOB: 07/29/59 Date: 07/25/06 Roxanol conc sol Sig: 1 ml po q4h prn # 30 ml ( thirty) Rx# 90018 Otto Hoyer 8555 Arlington Ave Perrysburg. Prescription: Jack Hoover. (Assume DEA#’s and License#’s are correct). and product it was filled with. MD Lic# 125898 DEA BH1414250 Lynn Marshall.439. NY 14260 Phone: 716-555-5555 Name: Otto Hoyer Address: 8555 Arlington Ave Perrysburg. Only one error/omission per exercise. prescription label. RPA Lic# 147845 DEA MM2535625 78 Harlem Road Bronx.

Prescription: Karen Douglas. and product it was filled with. 2003 Take one capsule by mouth once daily Prescriber Signature X_ Refill: 0 Karen Douglas __ MDD: Dynacirc CR 5 mg MFR: Reliant Karen Douglas. DVM 190 E Robinson Road Lancaster. NY 14260 Phone: 716-555-5555 DynaCirc CR 5 mg Sig: i po qd # 30 Rx# 32541 David McPhea 747 Athens Blvd Arkron. NY 14001 December 27.188. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. DVM # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0times DAW Dispense as Written Serial #17854KH7 Drug Dispensed: Exp. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: David McPhea DOB: 10/01/38 Address:747 Athens Blvd Date: 12/27/03 Arkron. Briefly describe the error/omission at the bottom of the page. NY 14001 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). 01/2005 Lot # 0088008 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. prescription label.

NY 14222 Rx Hyoscyamine SL 0. 04/2010 Lot # R1244444 Please write a BRIEF description of the error/omission (3pts): . NY 14222 March 12.282. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription: Floyd Olszak. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #P2358743 Drug Dispensed: Exp. 2007 Dissolve one tablet under tongue four times a day as directed Prescriber Signature X__ Refill: 2 Floyd Olszak _ MDD: Hyoscyamine 0.125 mg MFR: Ethex Floyd Olszak. Only one error/omission per exercise. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14028 716-757-5555 Lic# 722358 DEA AO1147746 Name: Doris Eldridge DOB: 03/09/65 Address: 7700 Columbus Pkwy Date:03/11/07 Hamburg.125 Sig: i SL qid ad # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 2225 Blossom Lane Depew. prescription label. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 336633 Doris Eldridge 7700 Columbus Pkwy Hamburg.

# 10 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #T7874899 Drug Dispensed: Exp. NY 14008 Rx Levobunolol 0. prescription label. NY 14260 Phone: 716-555-5555 Rx# 665566 Mitchell Gellman 9000 Four Winds Way E Amherst. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Mitchell Gellman DOB: 3/18/31 Address:9000 Four Winds Way Date:02/08/06 E Amherst. Prescription: Jonathan Mallozzi.5% Sig: i gtt ou daily # 10 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.283. 02/2008 Lot # P1000011 Please write a BRIEF description of the error/omission (3pts): . NY 14008 February 8. DO 99 Brookside Ave S Wale. (Assume DEA#’s and License#’s are correct). 2006 Instill one drop into both eyes once daily Prescriber Signature X_Jonathan Refill: 6 Mallozzi__ MDD: Levobunolol 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. DO.5% MFR: Falcon Jonathan Mallozzi. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. and product it was filled with.

2007 Instill 2 sprays into each nostril daily Prescriber Signature X_ Refill: 2 Karen Swanson_rpa __ MDD: Nasacort AQ nasal spray MFR: Sanofi Aventis Steven Johnson. MD Lic# 456922 DEA BJ5224782 Karen Swanson. NY 14458 716-558-8888 Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. 05/2011 Lot # 6ZP859 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14789 Rx Nasacort AQ Sig: iisprays qd each nostril #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. RPA Lic # 555233 85 Greek Road Lockport. # 16. Tonawanda. NY 14260 Phone: 716-555-5555 Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Briefly describe the error/omission at the bottom of the page.7g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 2 times Serial #12TJU568 Drug Dispensed: Exp. MD. Only one error/omission per exercise. Tonawanda. NY 14789 February 4. and product it was filled with.518. prescription label. Prescription: Steven Johnson.

NY 14002 Rx Augmentin ES 600mg-42. NY 14260 Phone: 716-555-5555 Take two and one quarter teaspoonfuls by mouth twice daily for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin/clavulanic acid 600mg-42. (Assume DEA#’s and License#’s are correct). and product it was filled with. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Weight:32kg 2535 Porterville Road Elma. prescription label.9mg/5ml # 175 MFR: Sandoz Esther Tredinnick. Briefly describe the error/omission at the bottom of the page. Prescription: Esther Tredinnick.521. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/05 Address:5050 Madaline Ln Date:02/28/11 Williamsville. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . NY 14002 Feb 28. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.9mg/5ml Sig: 2 1/4 tsp po BID x 10d # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. MD Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #C2538M27 Drug Dispensed: Exp.

DDS. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 444888 Amy O’Conner 90 Wayside Road Brooklyn. # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial # 1235JK55 Drug Dispensed: Exp. and product it was filled with. 2006 Take one tablet twice a daily for 10 days Prescriber Signature X_ Refill: NR Evan Fitzpatrick ___ MDD: Cefuroxime 500 mg MFR: Mockhardt Evan Fitzaptrick. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. Prescription: Evan Fitzaptrick. NY 11235 716-888-0000 Lic# 123332 DEA AF1222582 Name: Amy O’Conner DOB: 06/18/98 Address:90 Wayside Road Date: 11/11/06 Brooklyn. NY 11235 November 11.74. DDS 7458 Nostrand Ave Brooklyn. 07/08 Lot # 0F10097 Please write a BRIEF description of the error/omission (3pts): . NY 11235 Rx Cipro 500 mg Sig: i po bid x 10d # 20 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

NY 14072 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). MD 9856 Simonds Road Lockport. and product it was filled with. Briefly describe the error/omission at the bottom of the page. Prescription: Steven Hung. NY 14260 Phone: 716-555-5555 Ezetimibe Sig: i po qd # 90 Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. 02/2006 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts): .563. NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randolph Harding DOB: 08/23/57 Address:5236 Southern Blvd Date:02/26/06 Grand Island. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #586JU782 Drug Dispensed: Exp. 2006 Take one tablet by mouth once daily. MD. prescription label. NY 14072 February 26. Prescriber Signature X__ Refill: 1 Steven Hung _ MDD: Zetia 10mg tablets MFR: Merck Steven Hung.

9____mg/dl 3/15/11 0730 medical record no. administer IV push over 5 min.7mg Solution: 18. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. Dr. MD Dispensed:  bag fluid (circle) NS D5W other:__________ manufacturer: _ __________ lot: ________ exp: _____________ IV Label: University Hospital 222 Cooke Hall Amherst. 222 Cooke Hall. MD RPh: (3pts): YOU .: 8769 sex: (circle) (male) / female weight: ___185_____ (circle) (lb). Buffalo.4____ ml ___36. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. New York. / Kg height: ___5’7”____ (circle) (in. and product it was filled with.4ml Infusion Rate: 220ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B bag volume (ml): ____________  drug additive drug name: Doxorubicin 2mg/ml final bag concentration: __2mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/11___ volume added to bag: drug amount in bag: ___18. Only one error/omission per exercise. UNIVERSITY HOSPITAL School of Pharmacy.7_____ mg Administration Rate___220__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___ ________ lot: __ ____ exp: __________ volume used (ml): ________ Please write BRIEF description of the error/omission Dr: aToboggan. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Doxorubicin 36. Prefilled syringe. Toboggan.399.) / cm Doxorubicin 20mg/m2 . 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Andy Roberts allergies: Penicillin room: 432B physician: Dr Toboggan. Briefly describe the error/omission at the bottom of the page.

2006 # 60 Prescriber Signature X__ Refill: 0 John Rousseau __ MDD: MFR: GSK Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW John Rousseau. Only one error/omission per exercise. NY 11487 Inhale 1 puff by mouth twice daily Advair 250/50 December 12.488. (Assume DEA#’s and License#’s are correct). NY 11487 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Dispense as Written Drug Dispensed: Serial #12258OP8 Exp. Briefly describe the error/omission at the bottom of the page. Prescription: John Rousseau. prescription label. MD. and product it was filled with. NY 14260 Phone: 716-555-5555 Advair 250/50 Sig: 1 puff BID # 1 inhaler Rx# 120236 Lucy Kim 101 Waterview Road Hamburg. NY 14875 716-565-5555 Lic# 258963 DEA BR4512453 Name: Yasminda Kim DOB:01/17/99 Address:101 Waterview Road Date: 12/12/06 Hamburg. Suite 120 Cheektowaga. 12/2008 Lot # 028M123 Please write a BRIEF description of the error/omission (3pts): . MD 789 Walden Ave. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

NY 14260 Phone: 716-555-5555 Pravachol 80 mg Sig: i po hs # 30 Rx# 66803 Sylvia Rappold 3355 Pinewood Dr Great View. NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name: Sylvia Rappold DOB: 01/08/56 Address: 3355 Pinewood Dr Date: 02/26/07 Great View. MD. Buffalo. MD 222 Main Street. (Assume DEA#’s and License#’s are correct).400. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW W as Written Dispense Serial # 896Z5682 Refill 5 times Drug Dispensed: Exp. 10/2008 Lot # 1B23332 Please write a BRIEF description of the error/omission (3pts): . NY 14223 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Prescription: Andrew McDonald. Suite 111. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Prescriber Signature X__Andrew Refill: 5 McDonald__ MDD: Pravachol 80 mg MFR: Bristol Myers Squibb co Andrew McDonald. and product it was filled with. NY 14223 Take one tablet at bedtime February 26. Briefly describe the error/omission at the bottom of the page.

and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Shirley Grace DOB: 04/15/75 Address:148 Stuart Street Date:02/13/05 Orchard Park. prescription label. (Assume DEA#’s and License#’s are correct). NY 14141 Rx Serevent Sig: i puff BID # 1 diskus Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 789 Ward Street Lancaster. MD. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #128PR124 Drug Dispensed: Exp. NY 14141 Inhale 1 puff by mouth twice a day. February 13. 2005 Prescriber Signature X_ Refill: 5 Stephen Sigel ___ MDD: Serevent Diskus MFR: GSK Stephen Sigel. NY 14260 Phone: 716-555-5555 Rx# 78787 Stuart Grace 148 Stuart Street Orchard Park. Prescription: Stephen Sigel. 02/2009 Lot # 12458L6 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise.530.

MD 6985 Sheridan Drive Buffalo. Prescription: Samuel Fishman. prescription label. 2007 Inject 2 ml subcutaneously twice daily with food Prescriber Signature X_Samuel Refill: 3 Fishman__ MDD: Levemir Flexpen 100U/ml MFR: Novo # 15 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Nordisk Refill 3 times Samuel Fishman. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. NY 17895 February 3. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. and product it was filled with. MD. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca.240. NY17895 Rx Levemir Flexpen Sig: inj 20U sc bid w/ food # 15 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

# 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times DAW Dispense as Written Drug Dispensed: Serial #M2539P60 Exp. Briefly describe the error/omission at the bottom of the page. prescription label. 2006 Take one table by mouth twice daily. Prescription: Cassandra Moninski. MD 900 Apollo Drive Cheektowaga. NY 14120 September 28. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 85522 Melvin Platko 3322 Trentwood Tr Buffalo. and product it was filled with. Prescriber Signature X__ Refill: 5 Cassandra Moninski _ MDD: Norvasc 10 mg MFR: Pfizer Cassandra Moninski. NY 14070 716-666-4555 Lic# 123363 DEA BM1252573 Name: Melvin Platko DOB: 07/25/70 Address:3322 Trentwood Tr Date:09/28/06 Buffalo. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14120 Rx Norvasc 10 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 11/2010 Lot # L203825 Please write a BRIEF description of the error/omission (3pts): .338. MD.

prescription label. Only one error/omission per exercise. 19 2006 Prescriber Signature X_ Refill: 5 Edwin Pizarro ___ MDD: Selegiline 5 mg MFR: Stada Edwin Pizarro. and product it was filled with. NY 14414 716-555-1111 Lic# 748514 DEA AP9542588 Name: Andrew Reichert DOB: 12/17/33 Address: 5556 Cottonwood Dr Date: 10/19/06 Lancaster. October. (Assume DEA#’s and License#’s are correct). Prescription: Edwin Pizarro. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.197. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z4158P85 Drug Dispensed: Exp. MD 474 Woodcreast Dr Amherst. 11/2010 Lot # Y741589 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. NY 14141 Take one capsule twice daily. NY 14260 Phone: 716-555-5555 Elavil 5 mg Sig: i po bid # 60 Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster. MD. NY 14141 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Prescriber Signature X__ Refill: 1 Jackson Hundson _ MDD: Januvia 100 mg tablets MFR: Merck and Co Jackson Hundson.551. Briefly describe the error/omission at the bottom of the page. prescription label. MD 452 Main Street Buffalo. Only one error/omission per exercise. NY 14042 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14042 Take 1 tablet by mouth daily January 14. MD. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Jeremy Paneinto DOB: 07/04/77 Address:805 Mapleview Road Date:01/14/07 Buffalo. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7482L748 Drug Dispensed: Exp. and product it was filled with.10/2010 Lot # G145879 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). Prescription: Jackson Hundson. NY 14260 Phone: 716-555-5555 Januvia 100 mg Sig: Take 1 po qam # 1 month Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo.

(Assume DEA#’s and License#’s are correct). 2007 Prescriber Signature X_ Refill: 1 Steven Johnson _ MDD: Levemir insulin MFR: Novo Nordisk Steven Johnson. MD. 05/2009 Lot # A700415 Please write a BRIEF description of the error/omission (3pts): . prescription label. Prescription: Steven Johnson. RPA Lic # 555233 85 Greek Road Lockport. Briefly describe the error/omission at the bottom of the page. NY 14004 Inject daily as directed February 18. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Lic# 456922 DEA BJ5224782 Karen Swanson. NY 14260 Phone: 716-555-5555 Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron. Only one error/omission per exercise. # 10ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #74158987 Drug Dispensed: Exp. NY 14458 716-558-8888 Name: Kristen Paralato Address:6253 Auburn Ave Akron. NY 14004 Rx Levemir Sig: 10 units qd # 1 vial DOB: 5/24/76 Date: 07/18/07 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.554.

Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. NY 14477 Rx Enalapril 10 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.200. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14200 716-444-3333 Lic# 123689 DEA MP522248 Name: Addie Bibbs DOB: 02/29/48 Address: 856 Circle Lane Date:05/08/06 N. prescription label. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times Dispense as Written Serial #1748EE74 Drug Dispensed: Exp. May 8. Tonawanda. Tonawanda. NY 14477 Take one capsule once daily. 2006 Prescriber Signature X_ Refill: 8 Colleen Battagelia _ MDD: Enalapril 10 mg MFR: Teva Colleen Battagelia. NY 14260 Phone: 716-555-5555 Rx# 22568 Addie Bibbs 856 Circle Lane N. NP. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NP 3457 Bear Ridge Road Buffalo. Prescription: Colleen Battagelia. 12/2009 Lot # 001258 Please write a BRIEF description of the error/omission (3pts): .

Tonawanda. Prescription: Colleen Battagelia. NY 14477 Rx Enalapril 10 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 1477 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). prescription label. NP 3457 Bear Ridge Road Buffalo. May 8. NP. NY 14200 716-444-3333 Lic# 123689 DEA MP522248 Name: Addie Bibbs DOB: 02/29/48 Address: 856 Circle Lane Date:05/08/06 N. 2006 Prescriber Signature X__ Refill: 8 Colleen Battagelia _ MDD: Enalapril 10 mg MFR: Teva Colleen Battagelia. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with.201. 11/2010 Lot # 74157 Please write a BRIEF description of the error/omission (3pts): . Tonawanda. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 22568 Addie Bibbs 856 Circle Lane N. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times Dispense as Written Serial #1748EE74 Drug Dispensed: Exp.

MD 858 Delham Ave Kenmore. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Nizoral 200 Sig: i po daily # 14 Rx# 50010 Carolyn Ruggerio 333 Candice Ct Buffalo. Prescription: Herman Podlewski.341. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). MD. NY 14222 Take one capsule once daily. # 14 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L526M254 Drug Dispensed: Exp. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2005 Prescriber Signature X__ Refill: 0 Herman Podlewski _ MDD: Neoral 25 mg MFR: Novartis Herman Podlewski. 10/2007 Lot # L230001 Please write a BRIEF description of the error/omission (3pts): . NY 14006 716-848-8888 Lic# 239858 DEA BP2548987 Name: Carolyn Ruggerio DOB: 02/22/65 Address: 333 Candice Ct Date: 03/08/05 Buffalo. NY 14222 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. March 8.

Briefly describe the error/omission at the bottom of the page. prescription label.264. Only one error/omission per exercise. MD 89Valley Circle W Seneca. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 3 times Serial #ZZ233256 Drug Dispensed: Exp. 2006 Prescriber Signature X_ Refill: 3 Gary Heresy _ MDD: Levoxyl 25 mcg MFR: Jones Pharma Gary Heresy. 05/2008 Lot # 85585 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 65554 Gunter Jammal 7190 Wellington Road Lake View. (Assume DEA#’s and License#’s are correct). NY 14150 716-666-9998 Lic# 232567 DEA AH8457586 Name: Gunter Jammal DOB: 08/26/52 Address:7190 Wellington Rd Date:01/01/06 Lake View. NY 14271 Take one tablet once daily. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. January 1. MD. Prescription: Gary Heresy. NY 14271 Rx Levoxyl125 mcg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

NY 14031 Rx Lonox Sig: i-ii po 2-3 / day prn # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 06/2008 Lot # W23235 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. Prescription: Stanley Kaiser. NY 14260 Phone: 716-555-5555 Rx# 71145 Lorraine Linsley 5666 Manhattan Road Aurora. MD 888 Robin Raod Millersville. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW daw Dispense as Written Refill 0 times Serial #K2587L12 Drug Dispensed: Exp.265. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. maximum daily dose of 6 tablets. Prescriber Signature X_Stanley Refill: 0 zero Kaiser___ MDD: 6 Lonox MFR: Sandoz Stanley Kaiser. (Assume DEA#’s and License#’s are correct). NY 14000 716-555-7788 Lic# 171756 DEA BK5278850 Name: Lorraine Linsley DOB: 05/08/47 Address:5666 Manhattan Road Date:03/28/05 Aurora. NY 14031 March 28. 2005 Take one to two tablets 2 to 3 times a day as needed. Only one error/omission per exercise. MD. prescription label. Briefly describe the error/omission at the bottom of the page.

25 mg MFR: PAR Nicole Bissonette.25 mg Sig: i po bid # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). Prescription: Nicole Bissonette. MD 7895 West 4th Street New York. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #125893A5 Drug Dispensed: Exp. 2007 Take one tablet by mouth twice daily.88. NY 10003 716-565-5555 Lic# 785963 DEA MB1477757 Name: Rebecca Hudson DOB: 08/07/35 Address:295 Ridge Park Ave Date:01/17/07 New York. Prescriber Signature X__Nicole Refill: 3 (three) Bissonette___ MDD: 2 Clonazepam ODT 0. 02/2010 Lot # 023583 Please write a BRIEF description of the error/omission (3pts): . NY 11236 January 18. NY 11236 Rx Clozazepam ODT 0. and product it was filled with. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx#454156 Rebecca Hudson 295 Ridge Park Ave New York. prescription label. MD.

Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NY 10059 716-700-0000 Lic# 147896 DEA AF4587955 Name: Edward Osoki DOB:09/08/49 Address: 6900 Nashua Road Date: 09/23/06 Long Island. September 23. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Cardura 2 mg Sig: i po QD #30 Rx# 696987 Edward Osoki 6900 Nashua Road Long Island. 07/2008 Lot # 065814 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). prescription label. and product it was filled with. NY 17789 Take one tablet once daily.68. Prescription: Paul Flicinski. 2006 Prescriber Signature X_ Refill: 5 Paul Flicinski __ MDD: Warfarin 2 mg MFR: Taro Paul Flicinski. NY 17789 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. MD 789 Brown Street Bronx. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #11253LP8 Drug Dispensed: Exp.

and product it was filled with. Only one error/omission per exercise. NY 14122 716-233-7777 Lic# 155227 DEA AG8577489 Name: Emma Cuccia DOB: 08/05/47 Address: 8333 Woodstock Rd Date:11/28/06 Glenwood. NY 14550 Take one tablet once daily. Prescription: Josh Gembala. 03/2009 Lot # T528988 Please write a BRIEF description of the error/omission (3pts): . MD.372. (Assume DEA#’s and License#’s are correct). #3 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Drug Dispensed: Serial #D582T845 T Exp. November 28. NY 14260 Phone: 716-555-5555 Rx# 20322 Emma Cuccia 8333 Woodstock Road Glenwood. Briefly describe the error/omission at the bottom of the page. MD 6911 Bloomingdale Road S Wale. NY 14550 Rx Paxil CR 25 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. 2006 Prescriber Signature X_ Refill: 5 Josh Gembala __ MDD: Paxil CR 25 mg MFR: GlaxoSmithKline Josh Gembala. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

NY 14260 Phone: 716-555-5555 Rx# 20323 Katrina Cavalli 871 Madison Square Cheektowaga. Only one error/omission per exercise.373. MD. Prescription: Geraldine Aldinger. NY 14669 Give one teaspoonful twice daily June 22. prescription label. (Assume DEA#’s and License#’s are correct). 07/2006 Lot # 1582K56 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. MD 2345 Countryside Ave Eden. # 100 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #185PH258 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2004 Prescriber Signature X_Geraldine Refill: 0 Aldinger__ MDD: Prednisolone Sodium Phospate 5mg/5ml MFR: Morton Grove Pharmaceutical Ins Geraldine Aldinger. NY 14787 716-666-7474 Lic#124741 DEA AA2566389 Name: Katrina Cavalli DOB: 08/25/99 Address:871 Madison Square Date:06/22/04 Cheektowaga. and product it was filled with. NY 14669 Rx Pediapred 5mg/ml Sig: i tsp po bid # 100 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

prescription label. NY 11236 Rx Clozazepam ODT 0. NY 11236 February 25. Briefly describe the error/omission at the bottom of the page.25 mg MFR: PAR Nicole Bissonette. MD. MD 7895 West 4th Street New York. 02/2010 Lot # 023583 Please write a BRIEF description of the error/omission (3pts): . Prescription: Nicole Bissonette. NY 10003 716-565-5555 Lic# 785963 DEA MB1477757 Name: Rebecca Hudson DOB: 08/07/35 Address:295 Ridge Park Ave Date:01/17/07 New York.25 mg Sig: i po bid # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescriber Signature X__Nicole Refill: 0 (zero) Bissonette___ MDD: 2 Clonazepam ODT 0. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx#454156 Rebecca Hudson 295 Ridge Park Ave New York. Only one error/omission per exercise. 2007 Take one tablet by mouth twice daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #125893A5 Drug Dispensed: Exp.90.

NY 14260 Phone: 716-555-5555 Miacalcin spray Sig: I spray alternating nostrils daily # 3.7 ml Prescriber Signature X_ Refill: 4 Evan Fitzpatrick__ MDD: MFR: Novartis Evan Fitzaptrick.alternate nostrils Miacalcin Nasal spray # 3. NY 12142 June 9.7 ml Rx# 76698 Joseph Lehman 147 Harring Street Brookly. DO. Prescription: Evan Fitzaptrick. and product it was filled with. NY 12142 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 09/2009 Lot # 305345 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page.515. prescription label. Refill 4 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW daw Drug Dispensed: Dispense as Written Serial # M1258TU8 Exp. DO 7458 Nostrand Ave Brooklyn. NY 11235 716-222-3333 Lic# 123323 DEA BF122258 Name: Josepine Lehman DOB: 04/26/41 Address:147 Harring Street Date: 06/09/04 Brooklyn. (Assume DEA#’s and License#’s are correct). 2004 Instill 1 spray in one nostril daily. Only one error/omission per exercise.

MD. Prescription: Adam Erving. (Assume DEA#’s and License#’s are correct). NY 14500 716-999-4444 Lic#123568 DEA AA1252143 Name: Niema Fiorello DOB: 02/25/87 Address:36 Tacoma Ave Date:03/08/07 W Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14150 Take one tablet every morning March 8. NY 14260 Phone: 716-555-5555 Rx# 29009 Niema Fiorello 36 Tacoma Ave W Amherst. 2007 Prescriber Signature X__ Refill: 0 zero Adam Erving __ MDD:1 Methadone 10 mg MFR: Roxane Adam Erving.326. prescription label. NY 14150 Rx Metadate CD 10 mg Sig: i po am # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 616 Hartford Ave Buffalo. 03/2010 Lot # J235682 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #B2148Z00 Drug Dispensed: Exp.

Prescription: Karen Douglas. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. and product it was filled with. prescription label. # 30 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17854KH7 Drug Dispensed: Exp.543. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: David McPhea DOB: 10/01/38 Address:747 Athens Blvd Date: 12/27/03 Arkron. 10/2005 Lot # L1024158 Please write a BRIEF description of the error/omission (3pts): . DO 190 E Robinson Road Lancaster. NY 14001 Apply as directed December 27. NY 14001 Rx Mycolog II ointment Sig: apply as directed # 30g Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DO. 2003 Prescriber Signature X__ Refill: 0 Karen Douglas _ MDD: Nystatin.Triamcinolone cream MFR: Fougera Karen Douglas. NY 14260 Phone: 716-555-5555 Rx# 32541 David McPhea 747 Athens Blvd Arkron. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

January 9. MD. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #LP238547 Drug Dispensed: Exp. 2007 Prescriber Signature X____ Refill: 11 Elizabeth Ganter _ MDD: Toprol XL 25 mg MFR: AstraZeneca Elizabeth Ganter. Prescription: Elizabeth Ganter. 12/2008 Lot # 56333P Please write a BRIEF description of the error/omission (3pts): .330. NY 14260 Phone: 716-555-5555 Rx# 25555 Juliet Hall 255 Cottage Road Orchard Park. and product it was filled with. NY 14220 Take one tablet once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). prescription label. NY 14220 Rx Toprol XL 25 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. NY 14077 716-899-1111 Lic# 123225 DEA BG2225539 Name: Juliet Hall DOB: 06/17/48 Address:255 Cottage Road Date:01/08/07 Orchard Park. MD 911 Paradise Road Williamsville.

NY 14002 Feb 28. Prescription: Esther Tredinnick. MD Weight:33kg 2535 Porterville Road Elma. NY 14002 Rx Biaxin 250/5ml Sig: ½ tsp q12h x 10d # 10 DS Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). MD # 50 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Take one half teaspoon by mouth every 12 hours for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Clarithromycin 250mg/5ml MFR: Sandoz Esther Tredinnick. Briefly describe the error/omission at the bottom of the page. and product it was filled with.91. Only one error/omission per exercise. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/05 Address:5050 Madaline Ln Date:02/28/11 Williamsville. prescription label.

and product it was filled with. DDS. 2006 Take one tablet twice a daily for 10 days Prescriber Signature X_ Refill: 0 Evan Fitzpatrick ____ MDD: Cipro 500 mg MFR: Bayer Evan Fitzaptrick. 04/2008 Lot # 540075J Please write a BRIEF description of the error/omission (3pts): . Prescription: Evan Fitzaptrick. NY 11235 Rx Cipro 500 mg Sig: i po bid x 10d # 20 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 11235 November 11. NY 11235 716-888-0000 Lic# 123332 DEA AF1222582 Name: Amy O’Conner DOB: 06/18/98 Address:90 Wayside Road Date: 11/11/06 Brooklyn. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise.75. # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial # 1235JK55 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 444888 Amy O’Conner 90 Wayside Road Brooklyn. prescription label. DDS 7458 Nostrand Ave Brooklyn. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

MD # 75 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Only one error/omission per exercise. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . NY 14002 Feb 28. NY 14260 Phone: 716-555-5555 Take 3ml by mouth every 12 hours until gone Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Clarithromycin 250mg/5ml MFR: Sandoz Esther Tredinnick. Briefly describe the error/omission at the bottom of the page. NY 14002 Rx Biaxin 250/5ml Sig: ¾ tsp q12h til gone # 75 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/05 Address:5050 Madaline Ln Date:02/28/11 Williamsville. MD Weight:40kg 2535 Porterville Road Elma.92. Prescription: Esther Tredinnick. (Assume DEA#’s and License#’s are correct). 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with.

NY 11148 Take one tablet three times a day June 28. Briefly describe the error/omission at the bottom of the page.63. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X_ Refill: 8 Richard Zakrajesek _ MDD: Diltiazem 30 mg MFR: Teva Richard Zakrajesek. MD # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times Dispense as Written Serial #145TO236 Drug Dispensed: Exp. MD 5899 Sweet Home Road E Amherst. and product it was filled with. prescription label. NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Albert Paganello DOB:12/24/46 Address: 889 Hubbell Ct Date: 06/27/06 Lancaster. NY 14260 Phone: 716-555-5555 Cardizem 30 mg Sig: i po tid # Rx# 048968 Albert Paganello 889 Hubbell Ct Lancaster. 03/2009 Lot # D01035 Please write a BRIEF description of the error/omission (3pts): . NY 11148 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Richard Zakrajesek.

Briefly describe the error/omission at the bottom of the page. Max 2/day Sig: i sl prn breakthrough cancer pain. MD. Prescription: Mark Lee. Repeat dose 30 minutes later if needed. prescription label. NY 14001 Rx Abstral 100 mcg DOB: 06/30/68 Date: 06/14/05 dose 30 min later if needed. NY 14001 June 15. 2005 # 120 (one hundred twenty) CODE B Take one tablet sublingually as needed for breakthrough cancer pain.84. rept Rx# 10012 Gwen MacBeth 445 Wardman Ave Akron. and product it was filled with. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts): . MD Lic# 458793 DEA AL5224782 Shirely Lee. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Maximum 2 doses per day. Suite #568 Amherst. RPA Lic # 589633 DEA BA6947782 789 Maple Road. Refill 0 # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #P322258L Exp. MDD: 2 Prescriber Signature X__Mark Refill: 0 (zero) Lee_____ ABSTRAL 100mcg MFR: Prostrakan Mark Lee. NY 14260 Phone: 716-555-5555 Name: Gwen MacBeth Address: 445 Wardman Ave Akron. (Assume DEA#’s and License#’s are correct). NY 14226 716-898-8888 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.

prescription label. NY 14799 Take one tablet once daily. Briefly describe the error/omission at the bottom of the page. 11/2007 Lot # U56888 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. May 23. MD.458. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #985HG253 Drug Dispensed: Exp. MD 6485 Colvin Ave Deprew. and product it was filled with. 2005 Prescriber Signature X__ Refill: 11 Peterson Mineo _ MDD: Synthroid 100 mcg MFR: Abbott Peterson Mineo. (Assume DEA #’s and License #’s are correct). NY 14260 Phone: 716-555-5555 Symmetrel 100 mg Sig: i po daily # 90 Rx# 114568 Shawnee Kessler 8222 Crosswinds Ct Lockport. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Shawnee Kessler DOB: 03/06/32 Address:8222 Crosswinds Ct Date: 05/23/05 Lockport. NY 14799 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Peterson Mineo. Only one error/omission per exercise.

NY 11489 Take 2 tablets 3-4 times a day Azmacort February 1. 2006 # 20 g Prescriber Signature X_ Refill: 0 William Zaklikowski _ MDD: MFR: Abbott William Zaklikowski. NY 11489 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).491. RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst. Prescription: William Zaklikowski. NY 14869 716-889-9999 Name: Donald Parker DOB:03/22/21 Address: 1133 Pershing Ave Date: 02/01/06 Kenmore. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 08/08 Lot # 313131 Please write a BRIEF description of the error/omission (3pts): . prescription label. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Azmacort Sig: 2 puffs 3-4 x daily #1 Rx# 223326 Donald Parker 1133 Pershing Ave Kenmore. MD Lisa Chant. MD. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #K1242156 Drug Dispensed: Exp.

NY 14152 Rx Tiotropium Inhaler Sig: i puff qd #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 62. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 124785 Jay Skruski 41 Ford Street Buffalo. prescription label. 07/2009 Lot # A014589 Please write a BRIEF description of the error/omission (3pts): . 2007 Prescriber Signature X_ Refill: 0 Peterson Mineo __ MDD: Ipratropium Bromide Inhalation Solution MFR:DEY Peterson Mineo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with.5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K0001257 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Peterson Mineo. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Jay Skruski DOB: 04/22/78 Address:41 Ford Street Date:01/01/07 Buffalo.534. MD. MD 6485 Colvin Ave Deprew. NY 14152 Inhale 1 puff by mouth daily February 12. Briefly describe the error/omission at the bottom of the page.

Prescription: Richard Kinsely. (Assume DEA #’s and License #’s are correct). 06/2007 Lot # P20053 Please write a BRIEF description of the error/omission(3pts): . Briefly describe the error/omission at the bottom of the page. NY 14111 716-577-4777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.461. MD Diane Montgomery. 2006 # 30 Prescriber Signature X_ Refill: 6 Richard Kinsely __ MDD: MFR: AstraZeneca Richard Kinsely. Only one error/omission per exercise. and product it was filled with. NY 14669 Rx Thiamine 50 mg Sig: i po daily # 30 Rx# 114569 Clyde Nielsen 4578 Elmview Place Cheektowaga. NY 14260 Phone: 716-555-5555 Name: Clyde Nielsen DOB: 08/26/56 Address: 4578 Elmview Place Date: 03/17/06 Cheektowaga. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA AM4958746 124 Scamridge Street Buffalo. Refill 6 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written DAW Serial #058HG256 Drug Dispensed: Exp. prescription label. NY 14669 Take one tablet once daily Tenormin 50 mg March 17.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Only one error/omission per exercise. Refill 6 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #058HG256 Drug Dispensed: Exp. MD Diane Montgomery.462. Prescription: Richard Kinsely. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). MD. NY 14669 Rx Pyridoxine 100mg Sig: i po qd # 30 Rx# 114569 Clyde Nielsen 4578 Elmview Place Cheektowaga. 2006 # 30 Prescriber Signature X__ Refill: 6 Richard Kinsely MDD:1 MFR: Rugby Richard Kinsely. RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA AM4958746 124 Scamridge Street Buffalo. NY 14260 Phone: 716-555-5555 Name: Clyde Nielsen DOB: 08/26/56 Address: 4578 Elmview Place Date: 03/17/06 Cheektowaga. 12/2007 Lot # 368809K Please write a BRIEF description of the error/omission(3pts): . NY 14669 Take one tablet once daily Vitamin B-1 100 mg March 17. NY 14111 716-577-4777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label.

NY 14043 Take one tablet once daily. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #K8788800 Drug Dispensed: Exp. 08/2009 Lot # K235236 Please write a BRIEF description of the error/omission (3pts): . NP. and product it was filled with. Only one error/omission per exercise. June 22. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14043 Rx Benazapril 10 mg Sig: i po bid # 30 Prescriber Signature X_ Refill: 6 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Elissa Hoffmaster. 2006 Elissa Hoffmaster _ MDD: Benazepril 10 mg MFR: Teva Elissa Hoffmaster.294. NY 14260 Phone: 716-555-5555 Rx# 33344 Jacqueling Kerr 6665 Sterling Road Springville. NP 52 Riverdale Drive Orchard Park. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). NY 14080 716-998-8889 Lic# 963636 DEA MH235214 Name: Jacqueline Kerr DOB: 09/14/37 Address:6665 Sterling Road Date:06/22/06 Springville.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 19 2006 Take one tablet by mouth twice a day. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster. NY 14141 October. MD. NY 14141 Rx Ultram 50 mg Sig: i po BID # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14414 716-555-1111 Lic# 748514 DEA AP9542588 Name: Andrew Reichert DOB: 12/17/33 Address: 5556 Cottonwood Dr Date: 10/19/06 Lancaster. 11/2009 Lot # U147854 Please write a BRIEF description of the error/omission (3pts): . #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times daw Dispense as Written Serial #Z4158P85 Drug Dispensed: Exp.559. MD 474 Woodcreast Dr Amherst. prescription label. Prescription: Edwin Pizarro. (Assume DEA#’s and License#’s are correct). Prescriber Signature X__Edwin Refill: 5 Pizarro_____ MDD: Tramadol 50 mg tablets MFR: Mylan Edwin Pizarro.

prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14001 Rx Abstral 100 mcg Sig: i sl q4-6h prn pain # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 10012 Gwen MacBeth 445 Wardman Ave Akron. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Gwen MacBeth DOB: 06/30/68 Address: 445 Wardman Ave Date: 05/01/05 Akron. (Assume DEA#’s and License#’s are correct). MD 99 Brookside Ave S Wale. Prescription: Jonathan Mallozzi. MD. Maximum daily dose is 4/day. 2005 Prescriber Signature X__Jonathan Refill: 0 (zero) Mallozzi__ MDD: 4 Take one tablet sublingually every 4-6 hours as needed for pain.295. ABSTRAL 100mcg MFR: Prostrakan # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Jonathan Mallozzi. NY 14001 June 15. Serial #P322258L Refill 0 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts): .

NY 14002 Feb 28. prescription label. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/05 Address:5050 Madaline Ln Date:02/28/11 Williamsville. MD Weight:33kg 2535 Porterville Road Elma. Prescription: Esther Tredinnick. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14002 Rx Biaxin 250/5ml Sig: ½ tsp q12h x 10d # 10 DS Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Take one half teaspoon by mouth every 12 hours for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Clarithromycin 250mg/5ml MFR: Sandoz Esther Tredinnick. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.93. MD # 50 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page.

Refill 6 times # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #Z98556874 Drug Dispensed: Exp. NY 14401 August 10. and product it was filled with. NY 14003 716-666-6666 Lic# 112258 DEA AW114455 Name: Alfred Consantino DOB: 09/20/66 Address: 222 Gatewood Ave Date: 08/04/04 Hamburg. MD. 2004 Prescriber Signature X__ Refill: 6 ( six) Patrick Wosinki _ MDD: 6 Take one to two capsules every 4 hours if needed. maximum daily dose of 6. Only one error/omission per exercise.207. Buta/ASA/Caffeine 50/325/40 mg MFR: Lannett Patrick Wosinki. Prescription: Patrick Wosinki. NY 14401 Rx Fiorinal Sig: i – ii po q 4 h prn # 120 ( one hundred twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 656898 Alfred Consantino 222 Gatewood Ave Hamburg. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 10/2006 Lot # 2006356563 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. MD 50 S Niagara Fall Blvd Lockport.

NY. NY 14004 716-111-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 474851 Lic # 325896 DEA AS222589 822 Paramount Ave Williamsville. Briefly describe the error/omission at the bottom of the page. Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #ZM741589 Drug Dispensed: Exp. Prescription: Benjamin Stockwell. NY 14260 Phone: 716-555-5555 Name: Kosda Johnson Address: 235 Union Road Angola. Only one error/omission per exercise. 2006 Take one capsule three times a day before meals Elmiron # 90 Prescriber Signature X_Cynthia Refill: 5 MaCare_____ MDD: MFR: Ivax Cynthia MaCare. and product it was filled with. 07/2009 Lot # T415896 Please write a BRIEF description of the error/omission(3pts): . (Assume DEA#’s and License#’s are correct). MD Cynthia MaCare. NY 10228 July 13.208. RPA. 10228 Rx DOB: 11/08/39 Date: 06/12/06 Elmiron Sig: i po tid ac # 90 Rx# 01215 Kosda Johnson 235 Union Road Angola.

Mupirocin 2% Ointment MFR: Teva #22 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dr. and product it was filled with. NY 14235 May 22. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. 2006 Prescriber Signature X__ Refill: 5 Thomas Grands ___ MDD: Apply to affected area three times a day.. NY 14235 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14223 716-444-4444 Lic# 543211 DEA AG4298341 Name: Jean Horton DOB: 11/06/65 Address: 500 Main Street Date: 05/22/06 Bflo. prescription label. Prescription: Thomas Grands.. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.494. Thomas Grands Dispense as Written Refill 5 times Serial #125L65K6 Drug Dispensed: Exp. MD 432 Nottingham Blvd. Buffalo. NY 14260 Phone: 716-555-5555 Bactroban 2% ointment Sig: AAA TID #30 gram tube Rx# 23456 Jean Horton 500 Main Street. (Assume DEA#’s and License#’s are correct). 02/2008 Lot # 12568 Please write a BRIEF description of the error/omission (3pts): . Buffalo.

536. MD 5255 Cobblestone Dr Clarence. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/03 Lackawanna. NY 14260 Phone: 716-555-5555 Xopenex Solution Sig: one vial via nebulizer q8h # 4 boxes Prescriber Signature X_ Refill: 0 Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna. and product it was filled with. MD. 02/2009 Lot # K21452 Please write a BRIEF description of the error/omission (3pts): . NY 14034 February 8. 2003 Inhale 1 vial via nebulizer every 8 hours Mike Lou ____ MDD: Xopenex 0. Briefly describe the error/omission at the bottom of the page. Prescription: Mike Lou. NY 14034 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 288ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2315KU78 Drug Dispensed: Exp. prescription label.31 mg Nebulizer solution MFR: Sepracor Mike Lou. (Assume DEA#’s and License#’s are correct).

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. MD Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. MD Weight:20kg 2535 Porterville Road Elma. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14002 Rx Augmentin ES 600mg-42.9mg/5ml Sig: 3 tsp po BID x 10d # 300ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. NY 14260 Phone: 716-555-5555 Take three teaspoonfuls by mouth twice daily for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin/clavulanic acid 600mg-42. Prescription: Esther Tredinnick. NY 14002 Feb 28. prescription label. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/06 Address:5050 Madaline Ln Date:02/28/11 Williamsville.558. (Assume DEA#’s and License#’s are correct).9mg/5ml # 300 MFR: Sandoz Esther Tredinnick.

and product it was filled with. Briefly describe the error/omission at the bottom of the page. 02/2008 Lot # 032698M Please write a BRIEF description of the error/omission (3pts): . DO.6mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.6mg MFR: AR Scientific Karen Douglas. NY 14789 Rx Colcyrs 0. 2007 Prescriber Signature X___Karen Refill: 5 Douglas___ MDD: Colcrys 0. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: Lisa Murphy DOB: 05/21/67 Address: 1478 Grider Street Date: 02/19/07 Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Karen Douglas. NY 14260 Phone: 716-555-5555 Rx# 068975 Lisa Murphy 1478 Grider Street Buffalo. prescription label. Only one error/omission per exercise. DO 190 E Robinson Road Lancaster. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial # P145893T Drug Dispensed: Exp. NY 14789 Take 1 tablet by mouth once daily February 19.94. (Assume DEA#’s and License#’s are correct).

Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. Prescription: Mark Lee.5 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #0147RE12 Drug Dispensed: Exp. MD Shirely Lee. (Assume DEA#’s and License#’s are correct). and product it was filled with. NY 14260 Phone: 716-555-5555 Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville. RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road. Suite #568 Amherst. #8. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. 2011 Inhale 1 puff by mouth every 4 hours as needed Lee______ MDD: ProAir HFA MFR: Teva Mark Lee.539. NY 14212 February 21. NY 14226 716-478-8966 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 02/28/2014 Lot # 60223589 Please write a BRIEF description of the error/omission(3pts): . prescription label. NY 14212 Rx ProAir HFA Sig: i puff q4h prn # 1 inhaler Prescriber Signature X__Mark Refill: 2 DOB: 08/28/43 Date: 01/20/10 Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville.

prescription label. NY 12365 716-333-4444 Name: Ronnie Mitrowski DOB: 03/16/56 Address: 756 Symmon Road Date: 02/13/07 Bronx. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 125898 Lic# 147845 DEA BH1414250 78 Harlem Road Bronx. NY 12370 February 13. 2007 Apply 1 patch and wear for 12 hours daily. 09/2009 Lot # 5P125K Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise.512. and product it was filled with. MD Lynn Marshall. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #K1258TU8 Drug Dispensed: Exp. MD. NY 14260 Phone: 716-555-5555 Lidoderm patch Sig: wear 1 patch for 12 hours qd # 30 Rx# 001236 Ronnie Mitrowski 756 Symmon Road Bronx. NY 12370 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Jack Hoover. Prescriber Signature X_ Refill: 6 Lynn Marshall _____ MDD: Lidoderm 5% Patch MFR: Endo Jack Hoover. Briefly describe the error/omission at the bottom of the page.

prescription label. New York. Toboggan.: 8769 sex: (circle) (male) / female weight: ___190_____ (circle) (lb). Only one error/omission per exercise. and product it was filled with. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alex Rodriguez Room:432A Additives: Tobramycin 85mg Solution: 100ml D5W Infusion Rate: 136ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Tobramycin_40mg/ml____ final bag concentration: __0. prescription label. UNIVERSITY HOSPITAL School of Pharmacy.832mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___2.13____ ml ___85_____ mg Administration Rate___136__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ Please write BRIEF description of the error/omission Dr: aToboggan. Briefly describe the error/omission at the bottom of the page.369. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. Infuse over 45 min. (Assume DEA#’s and License#’s are correct). Buffalo. 222 Cooke Hall. MD RPh: (3pts): YOU . / Kg height: ___71____ (circle) (in. MD medical record no.) / cm Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _CA Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.9____mg/dl 3/15/11 0730 Tobramycin 85mg q8h in 100ml NS. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alex Rodriguez allergies: NKA room: 432A physician: Dr Toboggan. and product it was filled with. Only one error/omission per exercise. Exercise A: You will be given a prescription. Prepare 1 dose Dr.

NY 14004 July. Prescription: Steven Johnson. NY 14004 Rx Ketoprofen 200 mg Sig: i po q 6-8 h prn # 40 DOB: 5/24/76 Date: 07/18/04 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron. # 40 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Refill 1 time Serial #74158987 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. RPA Lic # 555233 85 Greek Road Lockport.193. prescription label. MD Lic# 456922 DEA BJ5224782 Karen Swanson. MD. (Assume DEA#’s and License#’s are correct). and product it was filled with. 05/2008 Lot # 70000052 Please write a BRIEF description of the error/omission (3pts): . NY 14458 716-558-8888 Name: Kristen Paralato Address:6253 Auburn Ave Akron. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 18 2004 Take one capsule every 6 to 8 hour as needed. Maximum daily dose of 4 tablets Prescriber Signature X_Karen Refill: 1 Swanson____ MDD:4 Ketoprofen 200 mg MFR: Andrx Steven Johnson.

and product it was filled with. NY 14201 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 452 Main Street Buffalo. Only one error/omission per exercise. prescription label. December 13. Prescription: Jackson Hundson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2005 Prescriber Signature X_ Refill: 0 Jackson Hundson___ MDD: DocQLace 100 mg MFR: Qualitest Jackson Hundson MD. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1258LK12 Drug Dispensed: Exp. NY 14201 Take one tablet once daily. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Lawrence Lehsten DOB:10/08/32 Address: 7415 Eckhradt road Date:12/12/05 W Seneca. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).104. 06/2008 Lot # 1589K125 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Calan sr 180 mg Sig: i po qd # 30 Rx# 555896 Lawrence Lehsten 7415 Eckhardt road W Seneca.

2005 Prescriber Signature X_ Refill: 0 Herman Podlewski _ MDD: Ketoconazole shampoo MFR: Clay Park Labs Inc Herman Podlewski. MD 858 Delham Ave Kenmore.342. March 8. 10/2008 Lot # H2531M Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 50010 Carolyn Ruggerio 333 Candice Ct Buffalo. NY 14222 Use as directed. # 120 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L526M254 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Herman Podlewski. NY 14006 716-848-8888 Lic# 239858 DEA BP2548987 Name: Carolyn Ruggerio DOB: 02/22/65 Address: 333 Candice Ct Date: 03/08/05 Buffalo. AND OMISSIONS Exercise A: You will be given a prescription. prescription label. NY 14222 Rx Ketoconazole Cr Sig: uud # trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Only one error/omission per exercise. MD.

NY 14086 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Rosemary Kazmierski. and product it was filled with. prescription label. NY 14086 Take one tablet four times daily July 13. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. 2005 Prescriber Signature X__ Refill: 0 Rosemary Kazmierski MDD: Dicyclomine 10 mg tablets MFR: Mylan Rosemary Kazmierski. 10/2008 Lot # 1P4217 Please write a BRIEF description of the error/omission (3pts): . NP. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Adrian Kobrins DOB: 08/14/48 Address:78 Applewood Road Date:07/12/05 Angola. NP 4458 Thompson Raod Colden. # 100 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #741578M8 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct).566. NY 14260 Phone: 716-555-5555 dicyclomine 10 mg Sig: i po qid # 120 Rx# 78412 Adrian Kobrins 78 Applewood Road Angola.

2011 Julius Hibbert __ MDD: Inject 0. NY 14228 March 5. then inject 0. NY 14228 Rx vit B 12 1000mcg/ml Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. then 100mcg qod for 2 wks.1ml intramuscularly every other day for 2 weeks. then inject 0.343. Prescription: Julius Hibbert. then 200mcg q month # 10 Prescriber Signature X_ Refill: 0 Rx# 66698 Fran Grimes 197 Hartford Road Aurora. Cyanocobalamin 1000mcg/ml MFR: American Regent # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Julius Hibbert. Serial #17418H78 Refill 0 times Drug Dispensed: Exp. MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. (Assume DEA#’s and License#’s are correct). NY 12365 716-333-4444 Name: Fran Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora . NY 14260 Phone: 716-555-5555 Sig: inj im 100mcg qd for 1 wk. Only one error/omission per exercise. and product it was filled with. Briefly describe the error/omission at the bottom of the page. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD.2ml intramuscularly once a month.1ml intramuscularly once daily for 1 week. 08/2014 Lot # 1KJ235 Please write a BRIEF description of the error/omission (3pts): .

NY 14001 Rx Abstral 100 mcg DOB: 06/30/68 Date: 06/14/05 dose 30 min later if needed. and product it was filled with. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts): . prescription label. rept Rx# 10012 Gwen MacBeth 445 Wardman Ave Akron. Prescription: Mark Lee. Only one error/omission per exercise. 2005 Prescriber Signature X__Shirley Refill: 1 (one) Lee. MD Lic# 458793 DEA AL5224782 Shirely Lee. NY 14226 716-898-8888 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Name: Gwen MacBeth Address: 445 Wardman Ave Akron. Max 4/day # 30 (thirty) Sig: i sl prn breakthrough cancer pain. RPA.83. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Refill 1 Drug Dispensed: Exp. RPA__ MDD: 4 Take one tablet sublingually as needed for breakthrough cancer pain. RPA Lic # 589633 DEA BA6947782 789 Maple Road. Maximum 4 doses per day. NY 14001 June 15. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. ABSTRAL 100mcg MFR: Prostrakan # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #P322258L Shirley Lee. Repeat dose 30 minutes later if needed. Suite #568 Amherst.

Refill 3 times #1 Exp. MD 1245 Ocean Ave. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Nasonex 50mcg MFR: Schlering Plough Victoria Flemming MD. November 25. Singulair 10 mg MFR: Merck Victoria Flemming MD. prescription label. Prescription: Prescription Labels: Victoria Flemming. NY 14200 Take one tablet once daily. 2006 Instill one spray to each nostril once daily. (Assume DEA #’s and License #’s are correct). NY 11228 716-505-5050 Lic# 223658 DEA BF1111587 Name: Frank Barrett DOB: 03/15/59 Address:8888 Michigan Ave Date:11/25/06 Buffalo. NY 14200 Rx Singulair 10 mg Sig: i po qd # 30 Nasonex 50mg Sig: i spray each nostril qd #1 Health Sciences Pharmacy 222 Cooke Hall Amherst. Suite 290 Amherst. and product it was filled with.432. 2006 # 30 Refill 3 times Phone: 716-555-5555 Prescriber Signature X_Victoria Refill: 3 Flemming__ MDD: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14200 November 25. NY 14260 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #W2538Y25 Drugs Dispensed: Rx# 90016 Frank Barrett 8888 Michigan Ave Buffalo. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. 11/2008 Lot # 3P2040 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 90015 Frank Barrett 8888 Michigan Ave Buffalo.

UNIVERSITY HOSPITAL School of Pharmacy.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __50__________ IV Label: University Hospital 222 Cooke Hall Amherst. prepare 1 dose Dr. Only one error/omission per exercise. 222 Cooke Hall. Toboggan. Infuse over 15min. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Greg Adams Additives: Unasyn 3g Solution: 50ml NS Infusion Rate: 200ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B  drug additive drug name: __Unasyn 3g powder____ final bag concentration: __60mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___3000_____ mg Administration Rate___200__ ml/hr  diluent for drug reconstitution (circle) (SWFI) NS D5W other: _____ manufacturer: _____Hospira__________ lot: __G474___ exp: 12/31/15 volume used (ml): _______10_________ ___10____ ml Please write BRIEF description of the error/omission Dr: aToboggan. MD RPh: (3pts): YOU . New York. Briefly describe the error/omission at the bottom of the page. and product it was filled with. prescription label. Buffalo. / Kg height: ___5’9”____ (circle) (in. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Greg Adams allergies: Penicillin (anaphylaxis) room: 432B physician: Dr Toboggan.433.: 8769 sex: (circle) (male) / female weight: ___181_____ (circle) (lb). MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Unasyn 3g q12h in 50ml NS. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD medical record no.

NY 14055 Rx Plendil 10 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.386. NY 14055 Take one tablet once daily. May 9. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #ZU28569M Drug Dispensed: Exp. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Rhonda Haytt DOB: 03/27/49 Address:7411 Basswood Street Date:05/09/03 Alden. MD 1478 Morrison Ct Cheektowaga. Only one error/omission per exercise. Prescription: Kenneth Taung. MD. Briefly describe the error/omission at the bottom of the page. 05/2005 Lot # T26839 Please write a BRIEF description of the error/omission (3pts): . 2003 Prescriber Signature X__ Refill: 3 Kenneth Taung _ MDD: Pindolol 10 mg MFR: Ivax Kenneth Taung. (Assume DEA#’s and License#’s are correct). and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 20327 Rhonda Haytt 7411 Basswood Street Alden.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14228 Take as directed. NY 12365 716-333-4444 Lic# 125898 DEA BH1414250 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:03/05/07 Aurora . RPA 78 Harlem Road Bronx. Only one error/omission per exercise. MD Lynn Marshall. March 5. NY 14260 Phone: 716-555-5555 Chantix Continuing pak Sig: Take as directed # 1 month Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. Prescription: Jack Hoover. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . # 56 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. and product it was filled with.545. NY 14228 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. prescription label. 2007 Prescriber Signature X_ Refill: 3 Lynn Marshall __ MDD: Chantix Continuing Pak MFR: Pfizer Lynn Marshall. RPA. (Assume DEA#’s and License#’s are correct).

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. prescription label. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #14415L78 Drug Dispensed: Exp. Only one error/omission per exercise. NY 14788 April 29. NY 14788 Rx invega 6mg Sig: i po qam Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 32535 Neslson Lococo 1125 Mineral Spring Road Gatesville. MD. (Assume DEA#’s and License#’s are correct). Suite 120 Cheektawaga. 07/2008 Lot # 17485900 Please write a BRIEF description of the error/omission (3pts): .548. Briefly describe the error/omission at the bottom of the page. Prescription: John Rousseau. NY 14875 716-878-7887 Lic#784589 DEA BR4512453 Name: Neslson Lococo DOB: 03/16/48 Address:1125 Mineral Spring Rd Date:04/28/05 Gatesville. 2005 Take one tablet by mouth every morning Prescriber Signature X__John Refill: 0 Rousseau____ MDD: Invega 6 mg tablets MFR: Janssen John Rousseau. MD 789 Walden Ave.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 003985 Lic # 235893 DEA AG1254781 ML1542174 789 Maple Road.389. Suite #568 Amherst. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14228 June 1. Only one error/omission per exercise. NY 14228 Rx Adderall XR 20mg Sig: i po qam # 30 (thirty) Rx# 20328 Chingy Woo Hiang 889 Heatherwood Street E Amherst. NY 14260 Phone: 716-555-5555 Name: Chingy Woo Hiang DOB: 04/21/53 Address: 889 Heatherwood Street Date: 06/01/06 E Amherst. 2006 Take one capsule by mouth once daily in the morning Prescriber Signature X__ Refill: 2 (two) Nicolas Green __ MDD: 1 Adderall XR 20 mg MFR: Shire Nicolas Green. NY 14226 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written DAW Refill 2 times Serial #0258TF39 Drug Dispensed: Exp. Prescription: Nicolas Green. prescription label. Briefly describe the error/omission at the bottom of the page. 09/2008 Lot # 008998 Please write a BRIEF description of the error/omission(3pts): . MD Kenneth Lee.

prescription label. NY 14253 Rx PreCare Premier Sig: i po qd # 3 mos supply Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Prescription: Monica Greenfield. Only one error/omission per exercise. March 15.405. Briefly describe the error/omission at the bottom of the page. NY 14253 Take one tablet once daily. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 9 times Dispense as Written DAW Serial #MK256321 Drug Dispensed: Exp. 06/2007 Lot # P236522 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X_ Refill: 9 Monica Greenfield MDD: Precare Premier MFR: Ther-Rx Corp Monica Greenfield. (Assume DEA#’s and License#’s are correct). NY 14216 716-787-8787 Lic# 235988 DEA MG4298341 Name: Ramona Savage DOB: 07/21/79 Address:7654 Wright Road Date:03/15/06 Getzville. NP. NY 14260 Phone: 716-555-5555 Rx# 66804 Ramona Savage 7654 Wright Road Getzville. NP 290 Meyer Road Amherst.

prescription label. MD. MD 888 Transit Road Springville. 07/2008 Lot # Y25369 Please write a BRIEF description of the error/omission (3pts): . January 31. NY 14777 716-222-7777 Lic# 856985 DEA BB6553627 Name: Nick Cavalleri DOB: 06/06/75 Address:2356 Lafayette Road Date:01/28/07 Buffalo. Prescription: Melvin Barren.252. NY 14260 Phone: 716-555-5555 Rx# 633333 Nick Cavalleri 2356 Lafayette Road Buffalo. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #2358P258 Drug Dispensed: Exp. NY 14051 Take one tablet once daily. Only one error/omission per exercise. NY 14051 Rx Lamisil 250 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Prescriber Signature X__ Refill: 1 Melvin Barren _ MDD: Lamisil 250 mg MFR: Novartis Melvin Barren.

Briefly describe the error/omission at the bottom of the page. Prescription: Salvatore Bruce. NY 14225 Rx K-Phos Original Sig: dissolve ii in H20 qid # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). prescription label.253. NY 14228 716-123-1234 Lic# 663521 DEA AB5474123 Name: Colleen Bell DOB: 02/22/90 Address:2356 Knollwood Dr Date:03/07/06 Eden. 11/2009 Lot # 0333320 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. NY 14225 March 8. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 89877 Colleen Bell 2356 Knollwood Dr Eden. 2006 Dissolve two tablets in water and take four times daily Prescriber Signature X_Salvatore Refill: 0 Bruce___ MDD: K-Phos Original MFR: Beach Salvatore Bruce. MD 123 Abbott Road N. Only one error/omission per exercise. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #K2541458 Drug Dispensed: Exp. Tonawanda.

(Assume DEA#’s and License#’s are correct). NY 14228 March 5. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. MD. prescription label. Prescription: Julius Hibbert. MD weight: 40kg Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. and product it was filled with. 2011 Take two and one half teaspoonfuls by mouth every 68hours as needed Prescriber Signature X_ Refill: 0 Julius Hibbert __ MDD: Ibuprofen 100mg/5ml MFR: Perrigo Julius Hibbert. Only one error/omission per exercise. NY 12365 716-333-4444 Name: Milhouse Van Houten DOB: 1/29/2001 Address:197 Hartford Road Date:03/05/11 Aurora . NY 14260 Phone: 716-555-5555 Rx# 66698 Milhouse Van Houten 197 Hartford Road Aurora.406. NY 14228 Rx Ibuprofen susp 100/5ml Sig: 2 1/2tsp q6-8h prn # 150ml Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): .

NY 14260 Phone: 716-555-5555 Rx# 068975 Lisa Murphy 1478 Grider Street Buffalo. 02/2008 Lot # 032698M Please write a BRIEF description of the error/omission (3pts): . DO 190 E Robinson Road Lancaster. 2007 Prescriber Signature X___Karen Refill: 5 Douglas___ MDD: Colcrys 0. MD.6mg MFR: AR Scientific Douglass Karol. prescription label.6mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: Lisa Murphy DOB: 05/21/67 Address: 1478 Grider Street Date: 02/19/07 Buffalo. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial # P145893T Drug Dispensed: Exp. NY 14789 Rx Colcyrs 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.96. Prescription: Karen Douglas. Only one error/omission per exercise. NY 14789 Take 1 tablet by mouth once daily February 19. (Assume DEA#’s and License#’s are correct). and product it was filled with. Briefly describe the error/omission at the bottom of the page.

Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 1235 Millersport Road Amherst. and product it was filled with. 2007 Prescriber Signature X_Sharon Refill: 0 White____ MDD:3 Hydroxyzine 10 mg MFR: Pliva Sharon White.97. NY 14789 Take one tablet three times a daily. Prescription: Sharon White. NY 142536 716-559-9999 Lic# 234586 DEA BW 5861489 Name: Jean Meyes DOB: 11/14/31 Address: 1147 Cambridge Square Date: 02/02/07 Orchard Park. prescription label. NY 14789 Rx Atarax 10 mg Sig: i po tid #90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 23458 Jean Meyes 1147 Cambridge Square Orchard Park. MD. February 2. 06/08 Lot # 26063931A Please write a BRIEF description of the error/omission (3pts): . # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #H45186G1 Drug Dispensed: Exp. Only one error/omission per exercise.

NY 14260 Phone: 716-555-5555 Zyprexa 20 mg Sig: i po QD # 30 Rx# 77856 Dainelle Newman 112 Warner Ave N Gawanda. prescription label. MD. NY 11228 716-505-5050 Lic# 223658 DEA BF1111587 Name: Dainelle Newman DOB: 09/24/74 Address: 112 Warner Ave Date: 07/05/06 N Gawanda. Prescription: Victoria Flemming. Only one error/omission per exercise.80. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Drug Dispensed: Serial #2356KT125 Exp. MD 1245 Ocean Ave. Briefly describe the error/omission at the bottom of the page. 08/2009 Lot # C061266 Please write a BRIEF description of the error/omission (3pts): . Celexa 20 mg July 5. NY 12258 Take one tablet once daily. NY 12258 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Suite 290 Brooklyn. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. (Assume DEA#’s and License#’s are correct). 2006 # 30 Prescriber Signature X__ Refill: 0 Victoria Flemming __ MDD: MFR: Forrest Victoria Flemming.

14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Janet Smith allergies: NKA room: 2A physician: Dr Toboggan. MD RPh: (3pts): YOU . 222 Cooke Hall. MD medical record no.100. Only one error/omission per exercise.1mg Solution: 50ml D5W Infusion Rate: 106ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:2A  drug additive drug name: __Gentamicin_40mg/ml____ final bag concentration: __2. Infuse over 30 min Dr. New York. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. Toboggan. prescription label.9____mg/dl 3/15/11 0730 Gentamicin 1. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.98____ ml ___119_____ mg Administration Rate___106__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan.25mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___2. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Janet Smith Additives: Gentamicin 82.: 8769 sex: (circle) male / (female) weight: ___175_____ (circle) (lb). / Kg height: ___64____ (circle) (in.5mg/kg/dose (IBW) q8h in 50ml D5W. Buffalo. UNIVERSITY HOSPITAL School of Pharmacy.) / cm Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __50__________ IV Label: University Hospital 222 Cooke Hall Amherst. and product it was filled with.

NY 14478 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 74 Quail Hollow Lane E Amherst. and product it was filled with. prescription label. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Eugene Page DOB: 05/28/60 Address:6900 Nashua Road Date: 09/14/06 Long Island. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1458LL89 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Mark Flinchbaguh. 10/2010 Lot # A125012 Please write a BRIEF description of the error/omission (3pts): . NY 14478 October 13. 2006 Take one tablet twice daily.66. Only one error/omission per exercise. MD. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Codeine 30 mg Sig: i po bid # 90 ( ninety) Rx# 200048 Eugene Page 6900 Nashua Road Long Island. Maximum daily dose of 2 tablets. Prescriber Signature X__ Refill: 0 ( zero) Mark Flinchbaguh__ MDD: 2 Codeine Sulfate 30 mg MFR: Roxane Mark Flinchbaguh. Briefly describe the error/omission at the bottom of the page.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription.9____mg/dl 3/15/11 0730 Vancomycin 500mg q12h in 100ml NS. MD RPh: (3pts): YOU . 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. / Kg height: ___70____ (circle) (in.115. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson Additives: Vancomycin 500mg Solution: 100ml NS Infusion Rate: 100ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:21A  drug additive drug name: __Vancomycin 500mg powder final bag concentration: __5. Only one error/omission per exercise.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. Buffalo. Infuse over 60 min.0mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___500_____ mg Administration Rate___100__ ml/hr  diluent for drug reconstitution (circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____10_______ ___10____ ml Please write BRIEF description of the error/omission Dr: aToboggan. 222 Cooke Hall. Toboggan. Prepare 1 dose Dr. UNIVERSITY HOSPITAL School of Pharmacy. Briefly describe the error/omission at the bottom of the page. New York. prescription label. and product it was filled with.: 8769 sex: (circle) (male) / female weight: ___170_____ (circle) (lb). MD medical record no.

NY 14260 Phone: 716-555-5555 Rx# 555896 Lawrence Lehsten 7415 Eckhardt road W Seneca.103. MD 452 Main Street Buffalo. 2005 Prescriber Signature X__Jackson Refill: 0 Hundson__ MDD: Verapamil ER 120 mg MFR: Mylan Jackson Hundson MD. (Assume DEA#’s and License#’s are correct). Prescription: Jackson Hundson. and product it was filled with. prescription label. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Lawrence Lehsten DOB:10/08/32 Address: 7415 Eckhradt road Date:12/12/05 W Seneca. NY 14201 Take one tablet once daily. NY 14201 Rx Calan SR 120 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 06/2008 Lot # 1589K125 Please write a BRIEF description of the error/omission (3pts): . December 13. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1258LK12 Drug Dispensed: Exp. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

and product it was filled with. (Assume DEA#’s and License#’s are correct). MD Kent Zheng. Briefly describe the error/omission at the bottom of the page. RPA Lic# 565552 Lic # 858546 DEA BT2355267 772 Princeton Ave Depew. Only one error/omission per exercise. RPA Dispense as Written Prescriber Signature X________________ Refill: 0 MDD: THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW # 20 Refill 0 times Serial #2356K569 Drug Dispensed: Exp. NY 14222 Rx Prednisone 10 mg Sig: ii po bid x 5d # 20 DOB: 08/01/79 Date: 03/30/04 Rx# 223412 Becky Albrecht 89 Castlewood Place Angola. NY 14044 716-555-4444 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 14222 March 30. 2004 Take two tablets twice daily for 5 days Prednisone 10 mg MFR: Roxane Kent Zheng.318. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Name: Becky Albrecht Address: 89 Castlewood Place Angola. Prescription: Stanley Turner. 04/2006 Lot # L5500055 Please write a BRIEF description of the error/omission(3pts): .

319. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Clifford Bookbinder, DO 955 Glenwood Ave Buffalo, NY 14221 716-323-3333 Lic# 238745 DEA BB2415417 Name: Ida Cimato DOB: 03/08/52 Address:822 Rainbow Blvd Date:08/07/06 Lancaster, NY 14300 Rx Zaroxolyn 5 mg Sig: i po qd # 30
Prescriber Signature X_Clifford Refill: 6

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 10222 Ida Cimato 822 Rainbow Blvd Lancaster, NY 14300 Take one tablet once daily.

August 7, 2006

Bookbinder__
MDD:

Metolazone 5 mg MFR: Mylan Clifford Bookbinder, DO.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 6 times

Dispense as Written

Serial #L2536Z00

Drug Dispensed:

Exp. 07/2008 Lot # 1P1993 Please write a BRIEF description of the error/omission (3pts):

350. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Suzanne Brower, MD 9988 Parkside Ave Amherst, NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Gale Chamberlin DOB: 03/15/77 Address:555 Parkwood Ave Date:03/08/11 Synder, NY 14077 Rx Avelox 400mg Sig: i po tid x 7 days # 21

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder, NY 14077

March 9, 2011

Take one tablet by mouth three times daily for 7 days.
Prescriber Signature X__Suzanne Refill: 0

Brower_____
MDD:

Avelox 400mg MFR: PD-RX Suzanne Brower, MD.

#21

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #568LK236

Drug Dispensed:

Exp. 08/2014 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts):

353. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Stanley Kaiser, MD 888 Robin Raod Millersville, NY 14000 716-555-7788 Lic# 171756 DEA BK5278850 Name: Susanna Rusinski DOB: 07/25/80 Address:5123 Argonne Drive Date:03/03/06 Buffalo, NY 14220 Rx Ortho-Cyclen Sig: i po daily # 28

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 202113 Susanna Rusinski 5123 Argonne Drive Buffalo, NY 14220 Take one tablet once daily.

March 3, 2006

Prescriber Signature X__ Refill: 11

Stanley Kaiser __
MDD:

Ortho-Cept MFR: OrthoMcneil Stanley Kaiser, MD.

# 28

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 11 times

DAW
Dispense as Written

Serial #Y2587M58

Drug Dispensed:

Exp. 08/2008 Lot # G21452 Please write a BRIEF description of the error/omission (3pts):

107. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Steven Johnson, MD Lic# 456922 DEA BJ5224782 Karen Swanson, RPA Lic # 555233

85 Greek Road Lockport, NY 14458 716-558-8888

Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. Tonawanda, NY 14789 Rx Celebrex 200 mg Sig: i po qd # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789 Take one tablet once daily

February 4, 2007

Prescriber Signature X_ Refill: 2

Karen Swanson_rpa __
MDD:

Celexa 20 mg MFR: Pfizer Karen Swanson, RPA.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
Dispense as Written

Refill 2 times

Serial #12TJU568

Drug Dispensed:

Exp. 05/2011 Lot # 6ZP859 Please write a BRIEF description of the error/omission (3pts):

506. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Mark Flinchbaguh, MD 74 Quail Hollow Lane E Amherst, NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Eugene Page DOB: 05/28/60 Address:6900 Nashua Road Date: 09/14/06 Long Island, NY 14478 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Flonase Sig: i spray each nostril qd #1

Rx# 200048 Eugene Page 6900 Nashua Road Long Island, NY 14478

October 13, 2006

Instill 1 spray into each nostril daily
Prescriber Signature X_ Refill: 0

Mark Flinchbaguh _
MDD:

Flovent HFA 44mcg inhaler MFR: GSK Mark Flinchbaguh, MD.

# 10.6

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #1458LL89

Drug Dispensed:

Exp. 10/2010 Lot # L023589 Please write a BRIEF description of the error/omission (3pts):

540. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Mark Lee, MD Shirely Lee, RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road, Suite #568 Amherst, NY 14226 716-478-8966 716-478-8966

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville, NY 14212 Rx ProAir HFA Sig: i puff q4h prn # 1 inhaler
Prescriber Signature X__Mark Refill: 2

DOB: 08/28/43 Date: 02/20/11

Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville, NY 14212

February 21, 2011

Inhale 1 puff by mouth every 4 hours as needed

Lee______
MDD:

ProAir HFA MFR: Teva Mark Lee, MD.

#8.5 g

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 2 times

Dispense as Written

Drug Dispensed:

Exp. 02/28/2014 Lot # 60223589 Please write a BRIEF description of the error/omission(3pts):

564. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Steven Hung, MD 9856 Simonds Road Lockport, NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randolph Harding DOB: 08/23/57 Address:5236 Southern Blvd Date:02/26/06 Grand Island, NY 14072 Rx Zetia 10 mg Sig: i po qd # 90

Prescription Label:
Phone: 716-555-5555

Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island, NY 14072

February 26, 2006

Take one tablet by mouth once daily Zetia 10 mg tablets # 90

Prescriber Signature X_ Refill: 1

Steven Hung ___
MDD:

MFR: Merck Steven Hung, MD. Refill 1 time

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written

Serial #586JU782

Drug Dispensed:

Exp. 02/2008 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts):

509. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Paul Flicinski, MD 789 Brown Street Bronx, NY 10059 716-700-0000 Lic# 147896 DEA AF4587955 Name: Ester Osoki DOB:09/08/39 Address: 6900 Nashua Road Date: 09/23/06 Long Island, NY 17789 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Fosamax + D Sig: i po qwek #4

Rx# 696987 Ester Osoki 6900 Nashua Road Long Island, NY 17789 Take one tablet once daily.

September 23, 2006

Prescriber Signature X_ Refill: 5

Paul Flicinski __
MDD:

Fosamax 70 mg tablets MFR: Merck Paul Flicinski, MD.

#4

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

DAW
Dispense as Written

Refill 5 times

Serial #11253LP8

Drug Dispensed:

Exp. 07/2008 Lot # 065814 Please write a BRIEF description of the error/omission (3pts):

109. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Patrick Wosinki, MD 50 S Niagara Fall Blvd Lockport, NY 14003 716-666-6666 Lic# 112258 DEA AW114455 Name: Gary Leiber DOB: 10/11/49 Address:10 Keller Road Date:01/19/07 E. Amherst, NY 14789 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Uloric 40 mg Sig: i po qd # 30

Rx# 23552 Gary Leiber 10 Keller Road E. Amherst, NY 14789 Take one tablet once daily.

January 20, 2007

Prescriber Signature X_Patrick Refill: 5

Wosinski___
MDD:

Uloric 40mg MFR: Takeda Patrick Wosinki, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

Dispense as Written

Serial #125KM128

Drug Dispensed:

Exp. 07/2008 Lot # 143569A Please write a BRIEF description of the error/omission (3pts):

468. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). Prescription:
Pravin Mehta, MD 100 3rd St Niagara Falls, NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:02/28/11 Williamsville, NY 14002 Rx Lortab 5mg Sig: 1-2 po q4-6h prn pain # 120 (one hundred twenty)

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002

February 20, 2011

Take one to two tablets by mouth every four to six hours as needed for pain. Max of 8 tablets/day
Prescriber Signature X_Pravin Refill: 5 (five)

Mehta_
MDD: 8

Hydrocodone.APAP 5-500 mg MFR: Mallinckrodt Pravin Mehta, MD

# 120

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

Dispense as Written

Serial #C2538M27

Drug Dispensed:

Exp. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts):

276. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Yin Ching Tee, MD 893 Lexington Ave Getzville, NY 14209 716-234-2345 Lic# 225874 DEA BT2547896 Name: Harvey Chapman DOB: 09/07/53 Address:99 Birchwood Sq Date:12/18/05 Grand Island, NY 14412 Rx Lithobid ER 300 mg Sig: ii po bid # 120

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 2235 Harvey Chapman 99 Birchwood Square Grand Island, NY 14412 Take two tablets twice daily.

December 18, 2005

Prescriber Signature X_ Refill: 3

Yin Ching Tee _
MDD:2

Lithium Carbonate 300 mg MFR: Roxane Yin Ching Tee, MD.

#120

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 3 times

Dispense as Written

Serial #KL238745

Drug Dispensed:

Exp. 03/2007 Lot # K12458 Please write a BRIEF description of the error/omission (3pts):

(Assume DEA#’s and License#’s are correct). and product it was filled with. 08/2006 Lot # P23568 Please write a BRIEF description of the error/omission (3pts): . June 28. NY 14443 Take one tablet twice daily. prescription label. NY 14260 Phone: 716-555-5555 Rx# 23323 Jefferson Eleanor 5685 Sundown Tr Clarence. NY 14443 Rx Lopid 600 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2004 Prescriber Signature X_Frederick Refill: 11 Morris__ MDD: Gemfibrozil 600 mg MFR: Teva Frederick Morris. MD 745 Glenwood Ave Sardnia. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #Z258M568 Drug Dispensed: Exp. NY 14033 716-877-5777 Lic# 554784 DEA AM415147 Name: Jefferson Eleanor DOB: 05/24/66 Address:5685 Sundown Tr Date:06/28/04 Clarence. Prescription: Frederick Morris.277. Only one error/omission per exercise.

Prescription: Pauline Davidson. NY 12258 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Climara 0. prescription label. 2006 Prescriber Signature X___ Refill: 2 Pauline Davidson _ MDD: Estradial 0. (Assume DEA#’s and License#’s are correct). 12/2006 Lot # L189568 Please write a BRIEF description of the error/omission (3pts): .075 mg patch MFR: Mylan Dr. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise.075 mg patch Sig: apply 1 q week # 12 Rx# 01258 Vicki Liang 4788 Loving Lane Williamsville. E Amherst. NY 12258 Apply 1 patch once a week December 9. NY 14333 716-123-4567 Lic# 147891 DEA AD1122580 Name:__Vicki Liang DOB: 02/28/39 Address:_4788 Loving Lane_ Date: _12/8/06_ _Williamsville.497. and product it was filled with. MD 5529 Northtown Raod. Pauline Davidson #12 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #112KJ125 Drug Dispensed: Exp.

500. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.7 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 10 times Dispense as Written Serial #0085HJ89 Drug Dispensed: Exp. 11/2009 Lot # 18958963 Please write a BRIEF description of the error/omission (3pts): . prescription label. NY 14789 July 4. 2006 Inhale 1-2 puffs by mouth four times a day Prescriber Signature X__ Refill: 10 Kenneth Tuang ___ MDD: Combivent Inhaler MFR: Boehringer Ingelheim Dr. NY 14260 Phone: 716-555-5555 Sig: 2 puffs po QID # 1 inhaler Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore. (Assume DEA#’s and License#’s are correct). Kenneth Tuang #14. MD 1478 Morrison Ct Cheektowaga. Prescription: Kenneth Taung. NY 14789___ Rx Combivent Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Angelina Pulaski ___ DOB: 11/2/38 Address:_115 Harry Street_ Date: 07/01/06_ Kenmore. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

NY 14077 Rx Tobrex ophth soln Sig: i – ii gtts affected eye qid #5 DOB: 03/03/82 Date: 09/28/07 Rx# 114572 Madelyn Byrne 11 Richmond Ave Getzville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 06/2008 Lot # 1JK2550 Please write a BRIEF description of the error/omission(3pts): . (Assume DEA #’s and License #’s are correct).3% ophthalmic soln MFR: Falcon Howard Siemer. prescription label.469. 2007 Instill 1 to 2 drops into affected eye four times a day Prescriber Signature X__Howard Refill: 0 Siemer__ MDD: Tobramycin 0. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #00254HG9 Drug Dispensed: Exp. MD. and product it was filled with. NY 14260 Phone: 716-555-5555 Name: Madelyn Byrne Address: 11 Richmond Ave Getzville. Briefly describe the error/omission at the bottom of the page. RPA Lic # 123514 DEA ML1223560 68 Elmhurst Dr Orchard Park. NY 14077 September 28. MD Lic# 124587 DEA AS4541252 Sean Hunter. Only one error/omission per exercise. Prescription: Howard Siemer. NY14040 716-877-7777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

Prepare 1 dose Dr.9____mg/dl 3/15/11 0730 Vancomycin 500mg q12h in 100ml NS. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. and product it was filled with. Toboggan.0mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___500_____ mg Administration Rate___240__ ml/hr  diluent for drug reconstitution (circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____10_______ ___10____ ml Please write BRIEF description of the error/omission Dr: aToboggan. New York.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. prescription label. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson Additives: Vancomycin 500mg Solution: 100ml NS Infusion Rate: 240ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:21A  drug additive drug name: __Vancomycin 500mg powder final bag concentration: __5. Briefly describe the error/omission at the bottom of the page. UNIVERSITY HOSPITAL School of Pharmacy. 222 Cooke Hall. Only one error/omission per exercise.: 8769 sex: (circle) (male) / female weight: ___170_____ (circle) (lb). MD RPh: (3pts): YOU .118. Infuse at 10mg/min. MD medical record no. Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. / Kg height: ___70____ (circle) (in.

Only one error/omission per exercise. MD. Briefly describe the error/omission at the bottom of the page. NY 14003 716-666-6666 Lic# 112258 DEA AW114455 Name: Gary Leiber DOB: 10/11/49 Address:10 Keller Road Date:01/19/07 E. NY 14789 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). 07/2008 Lot # 143569A Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #125KM128 Drug Dispensed: Exp.110. NY 14789 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Uloric 40 mg Sig: i po qd # 30 Rx# 23552 Gary Leiber 10 Keller Road E. and product it was filled with. 2007 Prescriber Signature X_Patrick Refill: 5 Wosinski___ MDD: Uloric 40mg MFR: Takeda Patrick Wosinki. Prescription: Patrick Wosinki. Amherst. January 20. MD 50 S Niagara Fall Blvd Lockport. Amherst. prescription label.

NY 14260 Phone: 716-555-5555 Rx# 69696 Roxana Volker 2588 Crystal Springs Wales. NY 14111 Rx Parlodel 2. prescription label.5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Leonard Valentine. 04/2008 Lot # 1P1099 Please write a BRIEF description of the error/omission (3pts): . 2005 Prescriber Signature X_ Refill: 6 Leonard Valentine MDD:2 Bromocriptine 2. MD. Only one error/omission per exercise. MD 9999 Heather Drive Angola. and product it was filled with. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #Z852M232 Drug Dispensed: Exp. NY 14078 71-565-1111 Lic# 568957 DEA BV256963 Name: Roxana Volker DOB: 06/28/29 Address:2588 Crystal Springs Date:06/28/00 Wales. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).5 mg MFR: Mylan Leonard Valentine. NY 14111 Take one tablet twice daily. June 28.366. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alex Rodriguez allergies: NKA room: 432A physician: Dr Toboggan.9____mg/dl 3/15/11 0730 Tobramycin 85mg q8h in 100ml NS. MD RPh: (3pts): YOU . MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.13____ ml ___85_____ mg Administration Rate___136__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. 222 Cooke Hall. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alex Rodriguez Room:432A Additives: Tobramycin 85mg Solution: 100ml NS Infusion Rate: 136ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Tobramycin_40mg/ml____ final bag concentration: __0. Dr. Only one error/omission per exercise. UNIVERSITY HOSPITAL School of Pharmacy. Infuse over 45 min.832mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___2. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Toboggan.367. Buffalo.: 8769 sex: (circle) (male) / female weight: ___190_____ (circle) (lb). / Kg height: ___71____ (circle) (in. New York. MD medical record no. Briefly describe the error/omission at the bottom of the page. prescription label. Prepare 1 dose.

(Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #ZZ233256 Drug Dispensed: Exp. NY 14150 716-666-9998 Lic# 232567 DEA AH8457586 Name: Gunter Jammal DOB: 08/26/52 Address:7190 Wellington Rd Date:01/01/09 Lake View. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 05/2010 Lot # 85585 Please write a BRIEF description of the error/omission (3pts): . MD 89Valley Circle W Seneca. NY 14260 Phone: 716-555-5555 Rx# 65554 Gunter Jammal 7190 Wellington Road Lake View. NY 14271 Take one tablet once daily. and product it was filled with. Only one error/omission per exercise. prescription label. January 1. 2009 Prescriber Signature X_Gary Refill: 3 Heresy___ MDD: Verapamil ER 120mg MFR: Mylan Gary Heresy. NY 14271 Rx Vimpat 100mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Gary Heresy. MD.580.

MD 1235 Millersport Road Amherst. Only one error/omission per exercise. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 142536 716-559-9999 Lic# 234586 DEA BW 5861489 Name: Jean Meyes DOB: 11/14/31 Address: 1147 Cambridge Square Date: 02/02/07 Orchard Park. NY 14789 Take one tablet three times a daily. 2007 Jean Meyes 1147 Cambridge Square Orchard Park. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #H45186G1 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Atarax 10 mg Sig: i po tid #90 February 2. Prescriber Signature X_ Refill: Sharon White __ MDD: Hydroxyzine 10 mg MFR: Pliva Sharon White. Prescription: Sharon White. NY 14789 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. 06/08 Lot # 26063931A Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. MD. (Assume DEA#’s and License#’s are correct).99.

and product it was filled with. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/08 Address:5050 Madaline Ln Date:02/28/11 Williamsville. MD # 200 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . NY 14002 Rx Amoxicillin 250/5ml Sig: 10ml po q8h til gone # 200ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.411. prescription label. NY 14260 Phone: 716-555-5555 Take two teaspoonfuls by mouth every 8 hours until gone. Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin 250mg/5ml MFR: Sandoz Esther Tredinnick. MD Weight:14kg 2535 Porterville Road Elma. NY 14002 Feb 28. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Esther Tredinnick. (Assume DEA#’s and License#’s are correct).

Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Rosemary Kazmierski. NP 4458 Thompson Raod Colden.245. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #B2514785 Drug Dispensed: Exp. NY 14999 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2006 Prescriber Signature X_ Refill: 5 Rosemary Kazmierski _ MDD: Isosorbide MN 60 mg MFR: Ethex Rosemary Kazmierski. and product it was filled with. NY 14260 Phone: 716-555-5555 Inderal 60 mg Sig: i po bid # 60 Rx# 56896 Sarah Casey 777 Lyme Road Corning. NP. (Assume DEA#’s and License#’s are correct). May 8. NY 14999 Take one tablet twice daily. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Sarah Casey DOB: 07/25/43 Address:777 Lyme Road Date: 05/08/06 Corning. prescription label. 01/2010 Lot # 0898963 Please write a BRIEF description of the error/omission (3pts): .

May 8. and product it was filled with. NP 4458 Thompson Raod Colden. NP. 2006 Prescriber Signature X_ Refill: 5 Rosemary Kazmierski_ MDD: Inderal LA 120 mg MFR: Wyeth Rosemary Kazmierski. NY 14999 Rx Inderal LA 120mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.246. NY 14260 Phone: 716-555-5555 Rx# 56896 Sarah Casey 777 Lyme Road Corning. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. prescription label. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Sarah Casey DOB: 07/25/43 Address:777 Lyme Road Date: 05/08/06 Corning. 11/2008 Lot # W23589 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. Prescription: Rosemary Kazmierski. NY 14999 Take one capsule once daily. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #B2514785 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Andy Roberts allergies: Penicillin room: 432B physician: Dr Toboggan. UNIVERSITY HOSPITAL School of Pharmacy. MD RPh: (3pts): YOU . Toboggan.6mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/14___ volume added to bag: drug amount in bag: ___400_____ mg Administration Rate___125__ ml/hr  diluent for drug reconstitution (circle) (SWFI) NS D5W other: _____ manufacturer: ___Hospira________ lot: __555g____ exp: 12/31/15 volume used (ml): ___50_____ ___20____ ml Please write BRIEF description of the error/omission Dr: aToboggan. 222 Cooke Hall. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Cyclophosphamide 803mg Solution: 250ml D5W Infusion Rate: 125ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B  drug additive drug name:cyclophosphamide_1g powder final bag concentration: __1. prescription label. MD Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __250__________ IV Label: University Hospital 222 Cooke Hall Amherst. and product it was filled with. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. Buffalo.9____mg/dl 3/15/11 0730 medical record no.412. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. infuse over 2 hours Dr.) / cm Cyclophosphamide 400mg/m2 in 250ml D5W. / Kg height: ___72____ (circle) (in. New York.: 8769 sex: (circle) (male) / female weight: ___175_____ (circle) (lb).

prescription label. 2005 Take one tablet once daily for 5 days Prescriber Signature X__Kelly Refill: 0 Fletcher___ MDD: Clomiphene 50 mg MFR: Par Pharmaceutical Kelly Fletcher. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #11248LL4 Drug Dispensed: Exp. Prescription: Kelly Fletcher. Midwife 7458 Transit Road E Amherst. NY 14228 Rx Clomiphene 50 mg Sig: i po daily x 5d #5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14228 March18. Midwife. NY14006 716-555-8888 Lic# 118961 DEA MF1222140 Name: Michelle Janik DOB: 03/07/78 Address:148 Xavier Road Date:03/18/05 Williamsville. Briefly describe the error/omission at the bottom of the page. 07/2008 Lot # 11589389T Please write a BRIEF description of the error/omission (3pts): .112. NY 14260 Phone: 716-555-5555 Rx# 99698 Michelle Janik 148 Xavier Road Williamsville. and product it was filled with.

NY 17789 Rx Cardura 2 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. 2006 Prescriber Signature X_ Refill: 5 Paul Flicinski ___ MDD: Doxazosin 2 mg MFR: Taro Paul Flicinski. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 10059 716-700-0000 Lic# 147896 DEA AF4587955 Name: Edward Osoki DOB:09/08/49 Address: 6900 Nashua Road Date: 09/23/06 Long Island. Prescription: Paul Flicinski. Briefly describe the error/omission at the bottom of the page. September 23. MD. NY 14260 Phone: 716-555-5555 Rx# 696987 Edward Osoki 6900 Nashua Road Long Island. NY 17789 Take one tablet once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.69. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #11253LP8 Drug Dispensed: Exp. MD 789 Brown Street Bronx. 11/2008 Lot # 144867A Please write a BRIEF description of the error/omission (3pts): .

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14051 March 27. (Assume DEA #’s and License #’s are correct).426. NY 14051 Rx Hydrocortisone 1% Ung DOB: 04/30/72 Date: 03/27/06 Sig: apply to aa 3-4 x/day x 2 weeks # 30 g Rx# 90013 Lewis Connell 2525 Woodshire Street Depew. NY 14869 716-889-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Name: Lewis Connell Address: 2525 Woodshire Street Depew. MD Lisa Chant. Prescription: William Zaklikowski. Only one error/omission per exercise. 2006 Apply to affected are 3 to 4 times a day for 2 weeks Prescriber Signature X_ Refill: 2 William Zaklikowski MDD: Hydrocortisone Topical 1% Cream MFR: Fougera William Zaklikowski. 03/2007 Lot # T23688 Please write a BRIEF description of the error/omission(3pts): . RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst. prescription label. Briefly describe the error/omission at the bottom of the page. MD # 28.35 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #K2268238 Drug Dispensed: Exp.

Only one error/omission per exercise. 2007 Take one teaspoonful every 6 hours if needed for cough. (Assume DEA #’s and License #’s are correct). Briefly describe the error/omission at the bottom of the page. Maximum daily dosage of 4 teaspoonfuls Prescriber Signature X_Mark Refill: 0 (zero) Flinchbaguh___ MDD: 20 cc Promethazine w/codeine MFR: Actavis Mark Flinchbaguh. prescription label. 06/2008 Lot # K25877 Please write a BRIEF description of the error/omission (3pts): .427. MD 74 Quail Hollow Lane E Amherst. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1K2348M5 Drug Dispensed: Exp. NY 14774 Rx Phenergan w/ codeine Sig: i tsp po q6h prn cough # 150ml ( one hundred fifty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Mark Flinchbaguh. NY 14260 Phone: 716-555-5555 Rx# 90014 Beverly Feasley 7874 Bellwood Ln Clarence. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Beverly Feasley DOB: 09/14/77 Address:7874 Bellwood Ln Date:02/16/07 Clarence. NY 14774 February 16.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14228 March18. NY14006 716-555-8888 Lic# 118961 DEA MF1222140 Name: Michelle Janik DOB: 03/07/78 Address:148 Xavier Road Date:03/18/05 Williamsville.113. NY 14228 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 14260 Phone: 716-555-5555 Clomiphene 50 mg Sig: i po daily x 5d #5 Rx# 99698 Michelle Janik 148 Xavier Road Williamsville. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #11248LL4 Drug Dispensed: Exp. and product it was filled with. Briefly describe the error/omission at the bottom of the page. Midwife 7458 Transit Road E Amherst. 2005 Take one tablet once daily for 5 days Prescriber Signature X_ Refill: 0 Kelly Fletcher __ MDD: Clomipramine 50 mg MFR: Taro Kelly Fletcher. Midwife. Prescription: Kelly Fletcher. 07/2008 Lot # 143569A Please write a BRIEF description of the error/omission (3pts): .

#2.5% MFR: Allergan Emerson Brzozowski. MD. Prescription: Emerson Brzozowski. Briefly describe the error/omission at the bottom of the page.5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1245L1200 Drug Dispensed: Exp: 02/2007 Lot # 1258700 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 24200 Martin Sheen 8585 Ostrander Road Aurora. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14044 Rx Zymaxid Sig: i gtt od bid-qid x 7 days # trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14044 May 5.302. NY 14043 716-666-9999 Lic# 556896 DEA AE2685759 Name: Charlie Sheen DOB: 08/17/53 Address:8585 Ostrander Road Date:05/05/05 Aurora. MD 688 Remington Dr N Tonawanda. prescription label. 2005 Instill one drop to the right eye two to four times daily for 7 days Prescriber Signature X_Emerson Refill: 0 Brzozowski___ MDD: Zymaxid 0. and product it was filled with.

Only one error/omission per exercise. NP #10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 time Dispense as Written Serial #001UY569 Drug Dispensed: Exp. 07/2009 Lot # L0000158 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Duragesic 50 mcg patch Sig: apply 1 patch q3d # 10 ( Ten) Rx# 23456 Lily Grant 229 Young Road Buffalo. and product it was filled with. (Assume DEA#’s and License#’s are correct).502. Prescription: Monica Greenfield. NY 14216 716-787-8787 Lic# 235988 DEAMG4298341 Name:_Lily Grant __ DOB: 09/09/49 Address:_229 Young Road__ Date: 11/25/06_ _Buffalo. NY 12323__ Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. NY 12323 Apply 1 patch every 3 days November 25. prescription label. NP 290 Meyer Road Amherst. 2006 Prescriber Signature X__Monica Refill: 0 Greenfield__ MDD: Fentanyl 50 mcg patch MFR: Mylan Monica Greenfield. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

prescription label. NY 14002 Rx Lortab 5mg Sig: 2-3 q4-6h po prn pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.305. Max 8/day Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: 8 Hydrocodone. NY 14002 July 28. and product it was filled with. Prescription: Esther Tredinnick. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . MD # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 2535 Porterville Road Elma. NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. Briefly describe the error/omission at the bottom of the page. 2006 Take two to three tablets by mouth every four to six hours as needed for pain. Only one error/omission per exercise. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville.APAP 5-500 mg MFR: Mallinckrodt Esther Tredinnick.

Prescription: Thomas Grands. MD 432 Nottingham Blvd.86. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 11478 Rx Lortab 5 Sig: i po q6h # 120 ( one hundred twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 14223 716-111-1112 Lic# 543215 DEA AG4298341 Name: Jennifer Needham DOB:11/12/82 Address: 89 Cleen Ct Date: 01/14/07 Rochester. NY 14260 Phone: 716-555-5555 Rx# 12325 Jennifer Needham 89 Cleen Ct Rochester. and product it was filled with. NY 11478 February 2. 2007 Take one tablet by mouth every 6 hours Prescriber Signature X_ Refill: 5 ( five) Thomas Grands __ Cortef 5 mg MFR: pharmacia Thomas Grands. MD. Buffalo. #120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258JKI4 Drug Dispensed: Exp. 10/2010 Lot # 065182 Please write a BRIEF description of the error/omission (3pts): . prescription label.

Briefly describe the error/omission at the bottom of the page. NY 142536 716-559-9999 Lic# 234586 DEA BW 5861489 Name: Jean Meyes DOB: 11/14/31 Address: 1147 Cambridge Square Date: 02/02/07 Orchard Park. prescription label. NY 14260 Phone: 716-555-5555 Atarax 1mg Sig: i po tid #90 Rx# 23458 Jean Meyes 1147 Cambridge Square Orchard Park. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #H45186G1 Drug Dispensed: Exp. MD. 06/09 Lot # 15C1236 Please write a BRIEF description of the error/omission (3pts): . NY 14789 Take one tablet three times a daily. 2007 Prescriber Signature X_ Refill: 0 Sharon White ____ MDD: Lorazepam 2 mg MFR: Watson Sharon White. February 2. MD 1235 Millersport Road Amherst. Only one error/omission per exercise. NY 14789 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.98. Prescription: Sharon White. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct).

(Assume DEA#’s and License#’s are correct). NY 14002 Rx Norco 5/325mg Sig: 1 q4-6h po prn pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville.APAP 5-325 mg MFR: Mallinckrodt Esther Tredinnick. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescriber Signature X_Esther Refill: 2 (two) Tredinnick_ MDD: 6 Oxycodone. Only one error/omission per exercise. Prescription: Esther Tredinnick. 2006 Take one tablet by mouth every four to six hours as needed for pain.362. and product it was filled with. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . MD 2535 Porterville Road Elma. prescription label. NY 14002 July 28. NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. MD # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp.

NY 14260 Phone: 716-555-5555 Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder. MD 9988 Parkside Ave Amherst. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 08/2008 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts): .271. Prescription: Suzanne Brower.5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Gale Chamberlin DOB: 03/15/29 Address:555 Parkwood Ave Date:03/08/06 Synder. MD. Only one error/omission per exercise.5 mg MFR: Novartis Suzanne Brower. NY 14077 March 9. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #568LK236 Drug Dispensed: Exp. NY 14077 Rx Exelon 4. Prescriber Signature X__Suzanne Refill: 3 Brower_____ MDD: Exelon 4. prescription label. 2006 Take one capsule by mouth twice daily. (Assume DEA#’s and License#’s are correct).

# 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K2587L12 Drug Dispensed: Exp. NY 14000 716-555-7788 Lic# 171756 DEA BK5278850 Name: Lorraine Linsley DOB: 05/08/47 Address:5666 Manhattan Road Date:03/28/05 Aurora. NY 14031 Rx Lonox Sig: uud # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. 08/2009 Lot # L12325 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 71145 Lorraine Linsley 5666 Manhattan Road Aurora. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14031 Take as directed March 28. (Assume DEA#’s and License#’s are correct).266. Briefly describe the error/omission at the bottom of the page. 2005 Prescriber Signature X_ Refill: 0zero Stanley Kaiser __ MDD: Lanoxin 250 mcg MFR: Sandoz Stanley Kaiser. MD. and product it was filled with. MD 888 Robin Raod Millersville. Prescription: Stanley Kaiser. prescription label.

269. NY 17770 Use as directed February 14. and product it was filled with. 2005 Prescriber Signature X__ Refill: 5 Arnold Fletcher __ MDD: Lantus MFR: Sanofi-Aventis Arnold Fletcher. (Assume DEA#’s and License#’s are correct). NY 17770 Rx Lantus Sig: uud # 2 vials Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. Prescription: Arnold Fletcher. NY 14260 Phone: 716-555-5555 Rx# 568888 Ralph McGreevy 2369 Timberlane Ct Farmingdale. MD 7523 Birch Place Farmingdale. 02/2007 Lot # 15687L Please write a BRIEF description of the error/omission (3pts): . prescription label. MD. # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #36LK2587 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 17774 516-963-3333 Lic# 256387 DEA BF4587955 Name: Ralph McGreevy DOB: 06/21/33 Address:2369 Timberlane Ct Date:2/14/05 Farmingdale.

07/2008 Lot # 11589389T Please write a BRIEF description of the error/omission (3pts): .114. #5 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #11248LL4 Drug Dispensed: Exp. Midwife 7458 Transit Road E Amherst. NY 14228 March 18. Only one error/omission per exercise. prescription label. Briefly describe the error/omission at the bottom of the page. and product it was filled with. 2005 Take one tablet once daily for 5 days Prescriber Signature X_ Refill: 0 Kelly Fletcher ___ MDD: Clomiphene 50 mg MFR: Par Pharmaceutical Kelly Fletcher. (Assume DEA#’s and License#’s are correct). Prescription: Kelly Fletcher. NY 14228 Rx Clomiphene 50 mg Sig: i po daily x 5d #5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 99698 Michael Janik 148 Xavier Road Williamsville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY14006 716-555-8888 Lic# 118961 DEA MF1222140 Name: Michelle Janik DOB: 03/07/78 Address:148 Xavier Road Date:03/18/05 Williamsville. Midwife.

Only one error/omission per exercise. 2007 Prescriber Signature X__ Refill: 11 Patrick Wosinki _ MDD: Prempro 0.5mg MFR: Wyeth Patrick Wosinki. NY 14260 Phone: 716-555-5555 Rx# 66808 Nora Tetowski 303 Southwest Blvd Eden. Prescription: Patrick Wosinki. MD. Briefly describe the error/omission at the bottom of the page.417.625mg/2. and product it was filled with. # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #F2563M25 Drug Dispensed: Exp. NY 14003 716-333-3333 Lic# 112258 DEA AW1144550 Name: Nora Tetowski DOB: 05/30/48 Address:303 Southwest Blvd Date: 12/31/06 Eden. prescription label.625/5 mg Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14100 Rx Prempro 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14100 Take one tablet once daily. 08/2009 Lot # F020002 Please write a BRIEF description of the error/omission (3pts): . January 2. MD 50 S Niagara Fall Blvd Lockport. (Assume DEA#’s and License#’s are correct).

Maximum of 6 capsules/day Prescriber Signature X_Deepak Refill: 2 (two) Singh___ MDD:6 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Butalbital. 12/2008 Lot # 145974A Please write a BRIEF description of the error/omission (3pts): . Serial #R2358962 Refill 2 times Drug Dispensed: Exp. NY 14000 September 21. Briefly describe the error/omission at the bottom of the page. Caffeine Codeine 50/325/40/30 # 20 MFR: Watson Dispense as Written Deepak Singh. MD. Prescription: Buffalo General Hospital 100 High Street Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 716-555-5689 Name: Clifford Hennessy DOB: 08/16/70 Address: 699 Lovering Road Date: 09/21/06 Aurora. Only one error/omission per exercise. and product it was filled with. prescription label.418. NY 14000 Rx Fioricet + codeine Sig: i-ii po q4h prn # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2006 Take one to two capsules by mouth every four hours as needed. APAP. NY 14260 Phone: 716-555-5555 Rx# 66809 Clifford Hennessy 699 Lovering Road Aurora. (Assume DEA#’s and License#’s are correct).

prescription label. Only one error/omission per exercise. Prescription: William Zaklikowski. Amherst. NY 14260 Phone: 716-555-5555 Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo. MD. MD 896 Tonawanda Cheek Road E. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #12548T23 Exp. NY 14896 716-898-0009 Lic# 148569 DEA BZ1448566 Name: Crawford Robinson DOB: 05/06/70 Address:876 Vermont Street Date:12/12/05 Buffalo. 02/2009 Lot # 148265S Please write a BRIEF description of the error/omission (3pts): . NY 11446 Use as directed Clonidine 0.1 mg December 12. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 11446 Rx Catapres tts 1 Sig: uud #4 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.117. 2005 #4 Prescriber Signature X_ Refill: 0 William Zaklikowski MDD: MFR: Actavis William Zaklikowski.

(Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z235M587 Drug Dispensed: Exp. NY 14133 Rx Ditropan XL 10 mg Sig: i po qd # 30 Prescriber Signature X_Arnold Refill: 5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 7523 Birch Place Farmingdale. and product it was filled with. 07/2008 Lot # 1P2344 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. 2005 Fletcher____ MDD: Oxybutynin ER 10 mg MFR: Mylan Arnold Fletcher.355. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Arnold Fletcher. NY 14260 Phone: 716-555-5555 Rx# 102332 Pamela Rusford 858 Waltercrest Tr W Seneca. Briefly describe the error/omission at the bottom of the page. NY 17774 516-963-3333 Lic# 256387 DEA BF4587955 Name: Pamela Rushford DOB: 04/14/37 Address: 858 Waltercrest Tr Date:06/14/05 W Seneca. NY 14123 Take one tablet once daily. MD. June 14.

June 14. and product it was filled with. Prescription: Arnold Fletcher. (Assume DEA#’s and License#’s are correct). 2005 Prescriber Signature X__ Refill: 0 Arnold Fletcher_ MDD:1 OxyContin 10 mg MFR: Apothecon Arnold Fletcher. MD. MD 7523 Birch Place Farmingdale. NY 17774 516-963-3333 Lic# 256387 DEA BF4587955 Name: Pamela Rushford DOB: 04/14/37 Address: 858 Waltercrest Tr Date:06/14/05 W Seneca.356. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #Z235M587 Drug Dispensed: Exp. Only one error/omission per exercise. 10/2008 Lot # P124522 Please write a BRIEF description of the error/omission (3pts): . NY 14133 Rx Oxybutynin ER 10 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 102332 Pamela Rusford 858 Waltercrest Tr W Seneca. prescription label. NY 14123 Take one tablet once daily. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct).25 mg MFR: PAR Nicole Bissonette. MD.25 mg Sig: i po bid # 90 (ninety) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 Take one tablet by mouth twice daily. MD 7895 West 4th Street New York. NY 10003 716-565-5555 Lic# 785963 DEA MB1477757 Name: Rebecca Hudson DOB: 08/07/35 Address:295 Ridge Park Ave Date:01/17/07 New York. Prescription: Nicole Bissonette. Only one error/omission per exercise. NY 11236 January 18. NY 14260 Phone: 716-555-5555 Rx#454156 Rebecca Hudson 295 Ridge Park Ave New York. 02/2010 Lot # 023583 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. prescription label. Briefly describe the error/omission at the bottom of the page. NY 11236 Rx Clozazepam ODT 0. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #125893A5 Drug Dispensed: Exp.89. Prescriber Signature X__Nicole Refill: 0 (zero) Bissonette___ MDD:2 Clonazepam ODT 0.

2006 Give one teaspoonful every 8 hours x 10 days Prescriber Signature X_John Refill: 0 Rousseau____ MDD: Cefaclor 125mg/5ml MFR: Ranbaxy John Rousseau. prescription label. Only one error/omission per exercise. NY 11477 October 10. and product it was filled with.76. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 11477 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14875 716-222-2220 Lic# 258963 DEA BR4512453 Name: Marvin Nespal DOB: 04/15/00 Address: 78 Regent Street Date: 10/10/06 Buffalo. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #000KM120 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Cefaclor 125 mg/5 ml Sig: i tsp po q8h x 10 days # QS Rx# 556566 Marvin Nespal 78 Regent Street Buffalo. 02/2009 Lot # 158996 Please write a BRIEF description of the error/omission (3pts): . MD. MD 789 Walden Ave. Prescription: John Rousseau. Briefly describe the error/omission at the bottom of the page. Suite 120 Cheektowaga. (Assume DEA#’s and License#’s are correct).

105. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14201 Rx Verapamil ER 120 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Briefly describe the error/omission at the bottom of the page. Refill 0 times Dispense as Written Serial #1258LK12 Drug Dispensed: Exp. NY 14201 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). December 13. Only one error/omission per exercise. MD 452 Main Street Buffalo. NY 14260 Phone: 716-555-5555 Rx# 555896 Lawrence Lehsten 7415 Eckhardt road W Seneca. 06/2008 Lot # 1589K125 Please write a BRIEF description of the error/omission (3pts): . NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Lawrence Lehsten DOB:10/08/32 Address: 7415 Eckhradt road Date:12/12/05 W Seneca. 2005 Prescriber Signature X__ Refill: 0 Jackson Hundson _ MDD: Verapamil ER 120 mg # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Jackson Hundson MD. Prescription: Jackson Hundson. and product it was filled with.

NY 14080 Rx Triphasil Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 114573 Dean Schmidt 5414 Capital Height Gowanda. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14080 Take one tablet once daily. NP 4458 Thompson Raod Colden. # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #P2258H52 Drug Dispensed: Exp. January 3.474. Only one error/omission per exercise. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Deanna Schmidt DOB: 01/02/78 Address:5414 Capital Height Date:01/03/07 Gowanda. NP. (Assume DEA #’s and License #’s are correct). 2007 Prescriber Signature X Refill: 11 Rosemary Kazmierski MDD: Trivora MFR: Watson Rosemary Kazmierski. 09/2008 Lot # H52268 Please write a BRIEF description of the error/omission (3pts): . prescription label. Prescription: Rosemary Kazmierski.

Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Taneja Crafton DOB: 05/23/74 Address:4564 Norfolk Ave Date:06/25/06 Lancaster. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #1K56L523 Drug Dispensed: Exp. Prescription: Elaine Knell. June 25. Only one error/omission per exercise. 2006 Prescriber Signature X___Elaine Refill: 3 Knell__ MDD: Hydroxyzine Pamoate 50 mg MFR: Sandoz Elaine Knell. NY 14120 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. NY 14120 Take one capsule at bedtime. prescription label. MD 2536 Rosewood Ave Lancaster. NY 14260 Phone: 716-555-5555 Vistaril 50 mg Sig: i po hs # 30 Rx# 114574 Taneja Crafton 4564 Norfolk Ave Lancaster. 03/2008 Lot # P252230 Please write a BRIEF description of the error/omission (3pts): .475.

Only one error/omission per exercise. MD RPh: (3pts): YOU . Infuse over 15 min. and product it was filled with.120. 222 Cooke Hall. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan. Briefly describe the error/omission at the bottom of the page. / Kg height: ___70____ (circle) (in.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst.0mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___1000_____ mg Administration Rate___400__ ml/hr  diluent for drug reconstitution (circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____20_______ ___20____ ml Please write BRIEF description of the error/omission Dr: aToboggan. Toboggan.9____mg/dl 3/15/11 0730 Vancomycin 1000mg q12h in 100ml NS. MD medical record no. UNIVERSITY HOSPITAL School of Pharmacy. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label.: 8769 sex: (circle) (male) / female weight: ___170_____ (circle) (lb). Buffalo. Prepare 1 dose Dr. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson Additives: Vancomycin 1000mg Solution: 100ml NS Infusion Rate: 400ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:21A  drug additive drug name: _Vancomycin 1000mg powder final bag concentration: __10. New York.

NY 14002 Rx Lortab 5mg Sig: 1 q4-6h po prn pain # 120 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . MD # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. NY 14002 July 28. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: 6 Hydrocodone. Briefly describe the error/omission at the bottom of the page. 2006 Take one tablet by mouth every four to six hours as needed for pain. Prescription: Esther Tredinnick. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville. prescription label. (Assume DEA#’s and License#’s are correct). MD 2535 Porterville Road Elma.APAP 5-500 mg MFR: Mallinckrodt Esther Tredinnick. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville.363.

5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.364. prescription label. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #Z852M232 Drug Dispensed: Exp. NY 14078 71-565-1111 Lic# 568957 DEA BV256963 Name: Roxana Volker DOB: 06/28/29 Address:2588 Crystal Springs Date:06/28/06 Wales. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 69696 Roxana Volker 2588 Crystal Springs Wales. NY 14111 Take one tablet twice daily. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. June 29. MD 9999 Heather Drive Angola. and product it was filled with. 2006 Prescriber Signature X__Leonard Refill: 6 Valentine___ MDD: Bromocriptine 2. Prescription: Leonard Valentine. 04/2008 Lot # 1P1099 Please write a BRIEF description of the error/omission (3pts): . NY 14111 Rx Parlodel 2.5 mg MFR: Mylan Leonard Valentine. Only one error/omission per exercise.

Prescription: Jack Hoover.447. RPA. prescription label. (Assume DEA #’s and License #’s are correct). NY 14228 Rx Metformin 850mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . MD Lynn Marshall. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. 2005 Take one tablet by mouth three times daily Prescriber Signature X_ Refill: 0 Lynn Marshall __ MDD: Metformin 850mg MFR: Aurobindo Lynn Marshall. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. Only one error/omission per exercise. RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx. NY 14228 May 5.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14078 September 23. Briefly describe the error/omission at the bottom of the page. prescription label. 02/2010 Lot # 136669 Please write a BRIEF description of the error/omission (3pts): .448. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #L25K2365 Drug Dispensed: Exp. MD 6985 Sheridan Drive Buffalo. (Assume DEA #’s and License #’s are correct). 2006 Take one tablet by mouth once daily Prescriber Signature X_Samuel Refill: 1 Fisher__ MDD: Intuniv 2 mg MFR: Shire US Inc Samuel Fisher. and product it was filled with. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Rosie Lockwood DOB: 01/19/87 Address: 3535 Herkimer Ave Date: 09/23/06 Colden. Only one error/omission per exercise. MD. Prescription: Samuel Fisher. NY 14078 Rx Intuniv 2 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 90021 Rosie Lockwood 3535 Herkimer Ave Colden.

NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Pauline Gizzo DOB: 03/14/21 Address:4808 E Utica Ave Date:02/09/07 New York. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 11250 Rx Ditropan XL 5 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DO. Briefly describe the error/omission at the bottom of the page. and product it was filled with. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 78789 Pauline Gizzo 4808 E Utica Ave New York. (Assume DEA#’s and License#’s are correct). DO 7877 Easton Ave New York. prescription label. February 9. 02/2010 Lot # H789898 Please write a BRIEF description of the error/omission (3pts): . NY 11250 Take one capsule once daily. 2007 Prescriber Signature X_ Refill: 11 Terrance Fransco___ MDD: Detrol LA 4 mg MFR: Pfizer Terrance Fransco. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times DAW Dispense as Written Serial #178238W7 Drug Dispensed: Exp.170. Prescription: Terrance Fransco.

June 25. and product it was filled with. prescription label. MD 2536 Rosewood Ave Lancaster. 03/2008 Lot # P252230 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. Prescription: Elaine Knell. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #1K56L523 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X__ Refill: 3 Elaine Knell _ MDD: Hydralazine HCl 50 mg MFR: Par Elaine Knell. MD. NY 14260 Phone: 716-555-5555 Vistaril 50 mg Sig: i po hs # 30 Rx# 114574 Taneja Crafton 4564 Norfolk Ave Lancaster. NY 14120 Take one tablet at bedtime.477. NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Taneja Crafton DOB: 05/23/74 Address:4564 Norfolk Ave Date:06/25/06 Lancaster. (Assume DEA #’s and License #’s are correct). NY 14120 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

MD. NY 14260 Phone: 716-555-5555 Prilosec OTC 20 mg Sig: i po daily # 30 Rx# 66800 Vanessa Jaworski 8412 Wellingwood Drive Smallsville. (Assume DEA#’s and License#’s are correct).393. NY 14525 Take one capsule once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14525 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 12233 716-557-7777 Lic# 511125 DEA# BM1258917 Name: Vanessa Jaworski DOB: 03/13/59 Address:8412 Wellingwood Drive Date:08/09/06 Smallsville. August 9. and product it was filled with. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #2593LK85 Drug Dispensed: Exp. 01/2008 Lot # 1P3860 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. 2006 Prescriber Signature X__ Refill: 5 Helen Miller __ MDD: Omeprazole 20 mg MFR: Mylan Helen Miller. Briefly describe the error/omission at the bottom of the page. MD 1001 N Ford Road Hamburg. Prescription: Helen Miller.

Prescription: Harold Kozlowsky. NY 14260 Phone: 716-555-5555 Name: Cameron Matz Address: 5255 Eaglecrest Street Alden. 2006 Prescriber Signature X_Harold Refill: 5 Kozlowsky___ MDD: Lisinopril 10 mg MFR: Mylan Harold Kozlowsky. 01/2008 Lot # 1N4117 Please write a BRIEF description of the error/omission(3pts): . prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Kathryn Langenfeld . NY 14222 Take one tablet once daily August 26. NY 14222 Rx Prinivil 10 mg Sig: i po daily # 30 DOB: 07/15/46 Date: 08/25/06 Rx# 66801 Cameron Matz 5255 Eaglecrest Street Alden. Only one error/omission per exercise. and product it was filled with. (Assume DEA#’s and License#’s are correct).394. NY 14520 716-852-8525 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #05LT2387 Drug Dispensed: Exp. RPA Lic# 256336 Lic # 556963 DEA AK5858937 DEA ML2256368 5263 Monterey Creek Greensville. Briefly describe the error/omission at the bottom of the page.

MD Cynthia MaCare. RPA. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Benjamin Stockwell. (Assume DEA #’s and License #’s are correct). and product it was filled with. 11/2006 Lot # 235K2555 Please write a BRIEF description of the error/omission(3pts): . NY 14010 Take one tablet once daily November 25.478. NY 14010 Rx DOB: 04/28/69 Date: 11/25/05 Zyrtec 10 mg Sig: i po qd # 30 Rx# 114575 Ivory Clapp 2332 Minnesota Ave Buffalo. RPA Lic# 474851 Lic # 325896 DEA AS222589 DEA MM2587458 822 Paramount Ave Williamsville. #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times DAW Dispense as Written Serial #0235JK87 Drug Dispensed: Exp. 2005 Prescriber Signature X_Cynthia Refill: 3 MaCare__ MDD: Zyrtec 10 mg MFR: Pfizer Cynthia MaCare. NY 14004 716-111-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Name: Ivory Clapp Address: 2332 Minnesota Ave Buffalo. prescription label. Briefly describe the error/omission at the bottom of the page.

Prescription: Mark Flinchbaguh. NY 14260 Phone: 716-555-5555 Jimmy Clark 606 Oakwood Drive N Evans. 02/2006 Lot # 1LK71102 Please write a BRIEF description of the error/omission (3pts): . NY 14070 Take one tablet at bedtime Desipramine 100 mg May 7. MD. Only one error/omission per exercise. Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #1875JK12 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14070 Rx Desipramine 100 mg Sig: i po hs # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 74 Quail Hollow Lane E Amherst. and product it was filled with. Briefly describe the error/omission at the bottom of the page. prescription label. (Assume DEA#’s and License#’s are correct). 2004 # 30 Prescriber Signature X__ Refill: 3 Mark Flinchbaguh __ MDD: MFR: Sandoz Mark Flinchbaguh.165. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Jimmy Clark DOB: 12/11/66 Address: 606 Oakwood Drive Date: 05/07/04 N Evans.

NY 14044 Rx Zymaxid Sig: i gtt od bid-qid x 7 days # trade size Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14043 716-666-9999 Lic# 556896 DEA AE2685759 Name: Alemondo Clarey DOB: 08/17/53 Address:8585 Ostrander Road Date:05/05/05 Aurora. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. #10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1245L1200 Drug Dispensed: Exp: 02/2007 Lot # 1258700 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 14044 May 5.303. MD. NY 14260 Phone: 716-555-5555 Rx# 24200 Alemondo Clarey 8585 Ostrander Road Aurora. and product it was filled with. MD 688 Remington Dr N Tonawanda. Prescription: Emerson Brzozowski. Briefly describe the error/omission at the bottom of the page.5% MFR: Apotex Emerson Brzozowski. prescription label. 2005 Instill one drop to the right eye two to four times daily for 7 days Prescriber Signature X_Emerson Refill: 0 Brzozowski___ MDD: Dorzolamide/Timolol 2/0.

2006 Take one to two tablets by mouth every four to six hours as needed for pain. MD # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/40 Address:5050 Madaline Ln Date:07/28/06 Williamsville. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14002 July 28. Max 12/day Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: 12 Hydrocodone. MD 2535 Porterville Road Elma. Prescription: Esther Tredinnick. NY 14260 Phone: 716-555-5555 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. prescription label. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . NY 14002 Rx Lortab 5mg Sig: 1-2 q4-6h po prn pain # 20 (twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.APAP 5-500 mg MFR: Mallinckrodt Esther Tredinnick.304. and product it was filled with.

prescription label. NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randolph Harding DOB: 08/23/57 Address:5236 Southern Blvd Date:02/26/06 Grand Island. NY 14072 Take one tablet four times daily. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #586JU782 Drug Dispensed: Exp. MD. NY 14260 Phone: 716-555-5555 Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island. and product it was filled with. February 26. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). MD 9856 Simonds Road Lockport. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14072 Rx Cytotec 200 mcg Sig: i po qid # 120 Prescription Label: 222 Cooke Hall Amherst. Prescription: Steven Hung. 2006 Prescriber Signature X_ Refill: 1 Steven Hung ___ MDD: Misoprostol 200 mcg MFR: Greenstone Steven Hung. Only one error/omission per exercise. 02/2008 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts): .156.

NY 14260 Phone: 716-555-5555 Rx# 30333 Courtney Iannone 22 Greenmeadow Dr Getzville. MD 125 Beverly Drive Buffalo. NY 14077 Take one tablet twice daily. MD. (Assume DEA#’s and License#’s are correct). NY 14077 Rx Micro-K 10 mEq Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 03/2008 Lot # L96869 Please write a BRIEF description of the error/omission (3pts): . Prescription: Gilbert Hunter. Only one error/omission per exercise. and product it was filled with. August 17. 2005 Prescriber Signature X_ Refill: 6 Gilbert Hunter __ MDD: Klor-Con M10 MFR: Upsher Smith Gilbert Hunter. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #K258L563 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. prescription label. NY 14200 716-866-6666 Lic# 526385 DEA BH256387 Name: Courtney Iannone DOB: 08/27/38 Address: 22 Greenmeadow Dr Date:06/17/05 Getzville.333.

RPA Lic # 555233 85 Greek Road Lockport. MD Lic# 456922 DEA BJ5224782 Karen Swanson. 06/2009 Lot # 16X1258 Please write a BRIEF description of the error/omission (3pts): . 2007 Instill 2 sprays into each nostril daily Prescriber Signature X__Karen Refill: 2 Swanson_rpa__ MDD: Nasacort AQ nasal spray MFR: Sanofi-aventis Karen Swanson. Prescription: Steven Johnson. NY 14458 716-558-8888 Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. Only one error/omission per exercise.5 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #12TJU568 Drug Dispensed: Exp. prescription label.517. Tonawanda. NY 14789 February 4. (Assume DEA#’s and License#’s are correct). RPA. NY 14789 Rx Nasacort aq nasal spray Sig: ii sprays into each nostril qd #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda. Briefly describe the error/omission at the bottom of the page. # 16. and product it was filled with.

NY 14260 Phone: 716-555-5555 Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Take one and a half teaspoonfuls by mouth twice daily for 10 days Amoxicillin/clavulanic acid 600mg-42. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Serial #C2538M27 Refill 0 times Drug Dispensed: Exp. prescription label.522. NY 14002 Feb 28. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/06 Address:5050 Madaline Ln Date:02/28/11 Williamsville. NY 14002 Rx Augmentin ES 600mg-42. Only one error/omission per exercise. MD Weight:20kg 2535 Porterville Road Elma. 11/2007 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). Prescription: Esther Tredinnick. and product it was filled with. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.9mg/5ml # 150 MFR: Sandoz THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Esther Tredinnick.9mg/5ml Sig: 90mg/kg/day amoxicillin DIV BID x 10 days # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. Briefly describe the error/omission at the bottom of the page.

2006 Take one capsule by mouth once daily. prescription label. MD 232 Homecrest Road Clearance. Prescriber Signature X__Philips Refill: NR (no refills) Kern___ MDD:1 Vyvanse 50mg MFR: Shire Philips Kern. MD. NY 14260 Phone: 716-555-5555 Rx# 32333 Susan Matecki 2366 Lakefront Blvd Tonawanda. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K2358523 Drug Dispensed: Exp: 05/2008 Lot # F06048 Please write a BRIEF description of the error/omission (3pts): . NY 14111 Rx Vyvanse 50 mg Sig: i po daily # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.334. Only one error/omission per exercise. Prescription: Philips Kern. NY 14111 March 25. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14066 716-939-3333 Lic# 232351 DEA BK2358972 Name: Susan Matecki DOB: 08/13/56 Address:2366 Lakefront Blvd Date:03/25/06 Tonawanda. and product it was filled with. Briefly describe the error/omission at the bottom of the page.

prescription label. and product it was filled with. Prescriber Signature X__Philips Refill: NR (no refills) Kern___ MDD:1 Amphetamin/Dextroamphetamine salts 20mg # 30 MFR: Global Philips Kern. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #K2358523 Drug Dispensed: Exp: 05/2008 Lot # F06048 Please write a BRIEF description of the error/omission (3pts): . Prescription: Philips Kern. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 14111 March 25. 2006 Take one capsule by mouth once daily. (Assume DEA#’s and License#’s are correct). NY 14111 Rx Vyvanse 20 mg Sig: i po daily # 30 (thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. MD 232 Homecrest Road Clearance.335. NY 14260 Phone: 716-555-5555 Rx# 32333 Susan Matecki 2366 Lakefront Blvd Tonawanda. NY 14066 716-939-3333 Lic# 232351 DEA BK2358972 Name: Susan Matecki DOB: 08/13/56 Address:2366 Lakefront Blvd Date:03/25/06 Tonawanda. Briefly describe the error/omission at the bottom of the page.

Only one error/omission per exercise. and product it was filled with. Briefly describe the error/omission at the bottom of the page. MD Lynn Marshall. RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx. prescription label. NY 14228 Rx Vicodin ES 7. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. Max of 5 tabs/day Prescriber Signature X_ Refill: 0 (zero) Lynn Marshall __ MDD:5 Hydrocodone/APAP 7. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription.5 Sig: i-ii po q4-6h prn # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14228 May 5. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . (Assume DEA#’s and License#’s are correct). 2005 Take one to two tablets by mouth every four to six hours as needed. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp.180. RPA.5/750 MFR: Sun Lynn Marshall. Prescription: Jack Hoover.

and product it was filled with. Prescription: Shirley Cunnigham 7845 Grand Street Williamsville. NY 14217 Rx Flexeril 5 mg Sig: i po tid prn # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #T12589M1 Drug Dispensed: Exp. MD. NY 14260 Phone: 716-555-5555 Rx# 11245 Frank Mumham 5668 Highland Street Kenmore. NY 14217 February 14. 2007 Take one tablet three times a day as needed. Maximum daily dose of 3 tablets.121. 05/2008 Lot # 70289Z Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. prescription label. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14222 716-339-4589 Lic# 121548 DEA BC 1256381 Name: Frank Mumham DOB: 07/13/54 Address:5668 Highland Street Date:02/14/07 Kenmore. Prescriber Signature X__Shirley Refill: 1 Cunnigham__ MDD:3 Cyclobenzaprine 5 mg MFR: Mylan Shirley Cunnigham. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

(Assume DEA#’s and License#’s are correct). and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 89589 Fanny Goodman 7415 Albert Drive Cheektowaga.124. MD Lic# 125896 DEA AL5121584 Kevin William. Prescription: Stephan Leid . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14444 Take one tablet once daily July 29. RPA. Briefly describe the error/omission at the bottom of the page. prescription label. 02/2008 Lot # A12589L Please write a BRIEF description of the error/omission (3pts): . # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #8985YI123 Drug Dispensed: Exp. 2006 Prescriber Signature X__Kevin Refill: 5 William___ MDD: Simvastatin 20 mg MFR: Teva Kevin William. RPA Lic # 889851 232 Hampton Road Buffalo. NY 14214 716-565-8896 Name: Fanny Goodman DOB: 05/28/69 Address: 7415 Albert Drive Date: 06/2906 Cheektowaga. Only one error/omission per exercise. NY 14444 Rx Zocor 20 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

MD. Briefly describe the error/omission at the bottom of the page. NY 14550 Rx Paxil CR 25 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 14122 716-233-7777 Lic# 155227 DEA AG8577489 Name: Emma Cuccia DOB: 08/05/47 Address: 8333 Woodstock Rd Date:11/28/06 Glenwood. Only one error/omission per exercise.370. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #D582T845 Drug Dispensed: Exp. November 28. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 20322 Emma Cuccia 8333 Woodstock Road Glenwood. MD 6911 Bloomingdale Road S Wale. NY 14550 Take one tablet once daily. 03/2009 Lot # T528988 Please write a BRIEF description of the error/omission (3pts): . 2006 Prescriber Signature X_Josh Refill: 5 Gembala___ MDD: Paxil CR 25 mg MFR: GlaxoSmithKline Josh Gembala. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Prescription: Josh Gembala.

NY 14550 Take one tablet once daily. Briefly describe the error/omission at the bottom of the page. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 6911 Bloomingdale Road S Wale. 06/2009 Lot # T268963 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14122 716-233-7777 Lic# 155227 DEA AG8577489 Name: Emma Cuccia DOB: 08/05/47 Address: 8333 Woodstock Rd Date:11/28/06 Glenwood. Prescription: Josh Gembala. NY 14550 Rx Plavix 75 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 20322 Emma Cuccia 8333 Woodstock Road Glenwood. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #D582T845 Drug Dispensed: Exp. MD. prescription label.371. 2006 Prescriber Signature X__ Refill: 5 Josh Gembala _ MDD: Paxil 20 mg MFR: GlaxoSmithKline Josh Gembala. November 28.

2005 Take one tablet twice daily if needed. NY 14141 February 13. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #128PR124 Drug Dispensed: Exp. Prescriber Signature X__Stephen Refill: 5 Sigel_____ MDD: Alavert D-12 MFR: Wyeth Stephen Sigel. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. 02/2009 Lot # 12458L6 Please write a BRIEF description of the error/omission (3pts): .127. MD 789 Ward Street Lancaster. Prescription: Stephen Sigel. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Shirley Grace DOB: 04/15/75 Address:148 Stuart Street Date:02/13/05 Orchard Park. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NY 14141 Rx Claritin –D Sig: i po bid prn # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park. prescription label. MD.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct).556. Prescription: Esther Tredinnick. NY 14260 Phone: 716-555-5555 Take one and a half teaspoonfuls by mouth twice daily for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin/clavulanic acid 600mg-42. Only one error/omission per exercise.9mg/5ml Sig: 1.9mg/5ml # 150 MFR: Sandoz Esther Tredinnick. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. and product it was filled with. prescription label. NY 14002 Feb 28. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/06 Address:5050 Madaline Ln Date:02/28/11 Williamsville.5tsp po BID x 10d # 150ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. MD Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #C2538M27 Drug Dispensed: Exp. NY 14002 Rx Augmentin ES 600mg-42. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . MD Weight:20kg 2535 Porterville Road Elma.

Prescription: Jackson Hundson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 10/2007 Lot #1N3304 Please write a BRIEF description of the error/omission(3pts): . RPA. NY 14242 716-789-7897 Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville. NY 14145 October 10. MD Joseph Koch. RPA Lic# 478958 Lic # 587745 DEA AH5224782 8856 E. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #012KLI78 Drug Dispensed: Exp. prescription label. NY 14260 Phone: 716-555-5555 Rx# 12458 Carol Hoffman 235 Million Street Williamsville. NY 14145 Rx Skelaxin 800 Sig: i po t id-qid # 60 Prescriber Signature X_ Joseph Koch Refill: 5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct).569. 2004 Take one tablet by mouth 3 times daily __ MDD: Skelaxin 800 mg tablets MFR: King Joseph Koch. Broadway Buffalo. and product it was filled with.

Infuse at 10mg/min. Only one error/omission per exercise. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan. Prepare 1 dose Dr. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson Additives: Vancomycin 1250mg Solution: 100ml NS Infusion Rate: 48ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:21A  drug additive drug name: _Vancomycin 1000mg powder final bag concentration: __12. 222 Cooke Hall. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.: 8769 sex: (circle) (male) / female weight: ___62. MD medical record no. Briefly describe the error/omission at the bottom of the page.5mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___1250_____ mg Administration Rate___48__ ml/hr  diluent for drug reconstitution (circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____25_______ ___25____ ml Please write BRIEF description of the error/omission Dr: aToboggan. / (Kg) height: ___66____ (circle) (in. MD RPh: (3pts): YOU . Toboggan.9____mg/dl 3/15/11 0730 Vancomycin 20mg/kg/dose q12h in 100ml NS. and product it was filled with. New York.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Buffalo.130. prescription label. UNIVERSITY HOSPITAL School of Pharmacy.5___ (circle) lb.

(Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.133. 2006 Take one capsule by mouth once daily. NY 14225 Rx CartiaXT 300 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Prescription: Thomas Criag. NY 14260 Phone: 716-555-5555 Rx# 78589 Harry Hugh 5089 Niagara Blvd Buffalo. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #18978TG8 Drug Dispensed: Exp. NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: Harry Hugh DOB: 04/05/65 Address:5089 Niagara Blvd Date:01/05/06 Buffalo. MD 1208 Alberta Drive Rochester. 05/2008 Lot # 600G08S1A Please write a BRIEF description of the error/omission (3pts): . Prescriber Signature X__Thomas Refill: Criag___ MDD: Cartia XT 300 mg MFR: Andrx Thomas Criag MD. prescription label. NY 14225 January 5.

Only one error/omission per exercise. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Jay Skruski DOB: 04/22/78 Address:41 Ford Street Date:01/01/07 Buffalo. MD. (Assume DEA#’s and License#’s are correct). Prescription: Peterson Mineo. Briefly describe the error/omission at the bottom of the page. prescription label. 2007 Take one tablet twice daily as needed Prescriber Signature X_Peterson Refill: 0 Mineo___ MDD: Etodolac 400 mg MFR: Apotex Peterson Mineo. NY 14152 Rx Lodine 400 mg Sig: i po bid prn # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. MD 6485 Colvin Ave Deprew. NY 14260 Phone: 716-555-5555 Rx# 124785 Jay Skruski 41 Ford Street Buffalo. 07/2009 Lot # A014589 Please write a BRIEF description of the error/omission (3pts): . NY 14152 February 12. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K0001257 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.136.

441. Only one error/omission per exercise. NY 14799 August 25. NY 12365 716-333-4444 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Morphine Sulfate Conc 20 mg/ml MFR: Mallinckrodt Jack Hoover. 2006 Take 1 ml by mouth every 4 hours as needed. RPA Lic# 147845 DEA MM2535625 78 Harlem Road Bronx. MD Lic# 125898 DEA BH1414250 Lynn Marshall. MD Refill 0 times # 30ml MDD: 6 ml Prescriber Signature X__ Refill: 0 ( zero) Jack Hoover ___ THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #F2536K22 Drug Dispensed: Exp. and product it was filled with. Prescription: Jack Hoover. Briefly describe the error/omission at the bottom of the page. 08/2007 Lot # H20036 Please write a BRIEF description of the error/omission(3pts): . prescription label. Maximum daily dose of 6 ml. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Name: Otto Hoyer Address: 8555 Arlington Ave Perrysburg. NY 14799 Rx DOB: 07/29/59 Date: 07/25/06 Roxanol conc sol Sig: 1 ml po q4h prn # 30 ml ( thirty) Rx# 90018 Otto Hoyer 8555 Arlington Ave Perrysburg.

RPA Lic# 458793 Lic # 589633 DEA AL5224782 789 Maple Road. Prescription: Mark Lee. #9 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #00TJI258 Drug Dispensed: Exp. NY 12339 Rx DOB: 12/16/88 Date: 06/01/06 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.06/08 Lot # 060359W Please write a BRIEF description of the error/omission (3pts): . and product it was filled with.8 mg SC QD # 3 pens Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda. prescription label. NY 14226 716-898-8888 Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda. MD Shirely Lee. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.8mg subcutaneously once daily June 2. Suite #568 Amherst. 2006 Prescriber Signature X__Shirley Refill: 2 Lee RPA_ MDD: Victoza 18mg/3ml pen MFR: Novo Nordisk Shirely Lee.481. RPA. (Assume DEA#’s and License#’s are correct). NY 12339 Inject 1. NY 14260 Phone: 716-555-5555 Vicktosa Sig: 1. Briefly describe the error/omission at the bottom of the page.

Toboggan. Only one error/omission per exercise. UNIVERSITY HOSPITAL School of Pharmacy.: 8769 sex: (circle) (male) / female weight: ___181_____ (circle) (lb). MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Nafcillin 1000mg q6h in 50ml D5W. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Greg Adams allergies: Penicillin (anaphylaxis) room: 432B physician: Dr Toboggan. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Greg Adams Additives: Nafcillin 1000mg Solution: 50ml D5W Infusion Rate: 100ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B  drug additive drug name: __Nafcillin 1g powder____ final bag concentration: __20mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___1000_____ mg Administration Rate___100__ ml/hr  diluent for drug reconstitution (circle) (SWFI) NS D5W other: _____ manufacturer: _____Hospira__________ lot: __G474___ exp: 12/31/15 volume used (ml): _______10_________ ___10____ ml Please write BRIEF description of the error/omission Dr: aToboggan. Buffalo. New York. and product it was filled with.) / cm Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __50__________ IV Label: University Hospital 222 Cooke Hall Amherst. / Kg height: ___5’9”____ (circle) (in.442. prepare 1 dose Dr. MD medical record no. Briefly describe the error/omission at the bottom of the page. Infuse over 30min. prescription label. 222 Cooke Hall. MD RPh: (3pts): YOU . ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. 2005 Take one tablet by mouth every four to six hours as needed.178.5-750 Sig: i po q4-6h prn # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . Max of 6 tabs/day Prescriber Signature X_ Refill: 0 (zero) Lynn Marshall __ MDD:6 Hydrocodone/APAP 7. MD Lynn Marshall. RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx. Prescription: Jack Hoover. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14228 Rx Hydrocodone/APAP 7. prescription label. NY 14228 May 5. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise.5/750 MFR: Sun Lynn Marshall. RPA.

MD # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #M74589359 Drug Dispensed: Exp. MD Diane Montgomery. prescription label. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. Prescription: Richard Kinsely. NY14207 Rx Nadolol 40 mg Sig: i po daily # 30 DOB: 04/17/32 Date: 04/07/04 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2004 Prescriber Signature X__Richard Refill: 2 Kinsely____ MDD: Nadolol 40 mg MFR: Mylan Richard Kinsely.139. NY 14111 716-577-4777 Name: Anthony Olson Address: 214 Miami Road Hamburg. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA MM4958746 124 Scamridge Street Buffalo. NY 14260 Phone: 716-555-5555 Rx# 045786 Anthony Olson 214 Miami Road Hamburg. 03/2006 Lot # T89093 Please write a BRIEF description of the error/omission(3pts): . NY 14207 Take one tablet once daily April 7. and product it was filled with. Only one error/omission per exercise.

05/2008 Lot # P236933 Please write a BRIEF description of the error/omission (3pts): . MD. NY 14223 Take one tablet at bedtime February 26. MD 222 Main Street.402. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Suite 111. NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name: Sylvia Rappold DOB: 01/08/56 Address: 3355 Pinewood Dr Date: 02/26/07 Great View. Briefly describe the error/omission at the bottom of the page. Buffalo. 2007 Prescriber Signature X_ Refill: 5 Andrew McDonald _ MDD: Pravachol 40 mg MFR: Bristol Myers Squibb co Andrew McDonald. NY 14260 Phone: 716-555-5555 Pravachol 40 mg Sig: i po hs # 30 Rx# 66803 Sylvia Rappold 3355 Pinewood Dr Great View. NY 14223 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial # 896Z5682 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Andrew McDonald.

NY 14120 Take one table once daily. NY 14070 716-666-4555 Lic# 123363 DEA BM1252573 Name: Melvin Platko DOB: 07/25/70 Address:3322 Trentwood Tr Date:09/28/06 Buffalo. (Assume DEA#’s and License#’s are correct). prescription label. 11/2009 Lot # T008986 Please write a BRIEF description of the error/omission (3pts): .339. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. Prescription: Cassandra Moninski. NY 14120 Rx Norvasc 10 mg Sig: i po daily # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #M2539P60 Drug Dispensed: Exp. and product it was filled with. MD. MD 900 Apollo Drive Cheektowaga. NY 14260 Phone: 716-555-5555 Rx# 85522 Melvin Platko 3322 Trentwood Tr Buffalo. 2006 Prescriber Signature X_ Refill: 5 Cassandra Moninski _ MDD: Norvasc 10 mg MFR: Pfizer Cassandra Moninski. September 28.

Only one error/omission per exercise. January 7. NY 14200 Rx Lioresal 20 mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label.291. NY 14200 Take one tablet three times daily. (Assume DEA#’s and License#’s are correct). 01/2007 Lot # J200012 Please write a BRIEF description of the error/omission (3pts): . Prescription: Ryan Gibson. NY 14204 716-565-6565 Lic# 784574 DEA AG4512756 Name: Lannie Greene DOB: 01/07/26 Address:2233 Woodland Ct Date:01/02/04 Genesee. Briefly describe the error/omission at the bottom of the page. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #LL12541256 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 233000 Lannie Greene 2233 Woodland Ct Genesee. and product it was filled with. MD. MD 7877 Hedgewood Drive Naussa. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2004 Prescriber Signature X_ Refill: 5 Ryan Gibson __ MDD:3 Baclofen 20 mg MFR: Qualitest Ryan Gibbs.

Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14043 Rx Lotensin 20 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 08/2009 Lot # K235236 Please write a BRIEF description of the error/omission (3pts): . # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times daw Dispense as Written Serial #K8788800 Drug Dispensed: Exp. NY 14043 Take one tablet once daily. June 22. Prescription: Elissa Hoffmaster. NP 52 Riverdale Drive Orchard Park. NY 14080 716-998-8889 Lic# 963636 DEA MH235214 Name: Jacqueline Kerr DOB: 09/14/37 Address:6665 Sterling Road Date:06/22/06 Springville. prescription label.292. 2006 Prescriber Signature X__Elissa Refill: 6 Hoffmaster___ MDD: Lotensin 20 mg MFR: Novartis Elissa Hoffmaster. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 33344 Jacqueline Kerr 6665 Sterling Road Springville. and product it was filled with. NP.

NP. June 22. NY 14043 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times DAW Dispense as Written Serial #K8788800 Drug Dispensed: Exp. 08/2009 Lot # K235236 Please write a BRIEF description of the error/omission (3pts): . NY 14080 716-998-8889 Lic# 963636 DEA MH235214 Name: Jacqueline Kerr DOB: 09/14/37 Address:6665 Sterling Road Date:06/22/06 Springville. Prescription: Elissa Hoffmaster. NY 14260 Phone: 716-555-5555 Rx# 33344 Jacqueline Kerr 6665 Sterling Road Springville. and product it was filled with. Only one error/omission per exercise. NY 14043 Rx Lioresal 20 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X_ Refill: 6 Elissa Hoffmaster __ MDD: Lotensin 20 mg MFR: Novartis Elissa Hoffmaster.293. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. NP 52 Riverdale Drive Orchard Park.

MD. NY 14260 Phone: 716-555-5555 Rx# 50010 Carolyn Ruggerio 333 Candice Ct Buffalo. Only one error/omission per exercise. # 14 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L526M254 Drug Dispensed: Exp.340. 11/2007 Lot # P235896 Please write a BRIEF description of the error/omission (3pts): . NY 14222 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). NY 14222 Rx Nizoral 200 mg Sig: i po daily # 14 Prescriber Signature X_Herman Refill: 0 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Herman Podlewski. NY 14006 716-848-8888 Lic# 239858 DEA BP2548987 Name: Carolyn Ruggerio DOB: 02/22/65 Address: 333 Candice Ct Date: 03/08/05 Buffalo. and product it was filled with. March 8. Briefly describe the error/omission at the bottom of the page. MD 858 Delham Ave Kenmore. prescription label. 2005 Podlewski__ MDD: Ketoconazole 200 mg MFR: Mutual Herman Podlewski.

NY 14224 Take one tablet every 8 hours June 25. 05/2008 Lot # P526L23 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14552 716-444-3787 Lic#858695 DEA AD1257484 Name: Louanne Fayett DOB: 02/66/88 Address:2334 Homer Lane Date:06/25/06 Williamsville. DDS 633 Hillcrest Height Dr Clarence. (Assume DEA#’s and License#’s are correct). and product it was filled with. prescription label.378. 2006 Prescriber Signature X__ Refill: 0 Joseph Delucci __ MDD: Penicillin VK 250 mg MFR: Sandoz Joseph Delucci. NY 14225 Rx Pen VK 250 mg Sig: I po q 6 h # 40 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. Prescription: Joseph Delucci. NY 14260 Phone: 716-555-5555 Rx# 20324 Louanne Fayett 2334 Homer Lane Williamsville. DDS #40 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #GF258768 Drug Dispensed: Exp. Only one error/omission per exercise.

379. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.

UNIVERSITY HOSPITAL
School of Pharmacy, 222 Cooke Hall, Buffalo, New York, 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Jason Smith allergies: NKA room: 32A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Tobramycin 9mg/kg/day DIV q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___161_____ (circle) (lb). / Kg height: ___70____ (circle) (in.) / cm

Dispensed:  bag fluid
(circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________

IV Label:
University Hospital 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Pharmacy Sterile Product Service IV Label Patient Name: Jason Smith Additives: Tobramycin 219mg Solution: 100ml NS Infusion Rate: 141ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:32A

 drug additive
drug name: __Tobramycin_40mg/ml____ final bag concentration: __2.08mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
volume added to bag: drug amount in bag:

___5.48____ ml

___219_____ mg Administration Rate___141__ ml/hr  diluent for drug reconstitution
(circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________

Please write BRIEF description of the error/omission Dr: aToboggan, MD RPh: (3pts): YOU

403. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Monica Greenfield, NP 290 Meyer Road Amherst, NY 14216 716-787-8787 Lic# 235988 DEA MG4298341 Name: Ramona Savage DOB: 07/21/79 Address:7654 Wright Road Date:03/15/06 Getzville, NY 14253 Rx PreCare Premier Sig: i po qd # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 66804 Ramona Savage 7654 Wright Road Getzville, NY 14253 Take one tablet once daily.

March 15, 2006

Prescriber Signature X__Monica Refill: 9

Greenfield___
MDD:

Precare Premier MFR: Ther-Rx Corp Monica Greenfield, NP.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 9 times

DAW
Dispense as Written

Serial #MK256321

Drug Dispensed:

Exp. 06/2007 Lot # P236522 Please write a BRIEF description of the error/omission (3pts):

142. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Mark Lee, MD Shirely Lee, RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road, Suite #568 Amherst, NY 14226 716-478-8966

Name: Dorothy Love Address: 741 Union Square Amherst, NY 14216 Rx Clonazepam 0.5 mg Sig: i po bid prn # 60 ( sixty)

DOB: 06/17/77 Date: 05/10/03

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 78477 Dorothy Love 741 Union Square Amherst, NY 14216

May 10, 2003

Prescriber Signature X__Mark Refill: 0 ( zero)

Lee____
MDD:2

Take one tablet twice daily as needed. Maximum daily dose of 2 tablets. Clonazepam 0.5 mg MFR: Teva Mark Lee, MD. Refill 0 times # 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written

Serial #089BF784

Drug Dispensed:

Exp. 11/08 Lot # 146796A Please write a BRIEF description of the error/omission(3pts):

177. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Elaine Knell, MD 2536 Rosewood Ave Lancaster, NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Margaret Louis DOB: 05/19/51 Address: 7417 Ashland Ave Date: 06/11/06 Kenmore, NY 14043 Rx Diazepam 5 mg Sig: i po tid # 90 ( ninety)

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 74741 Margaret Louis 7417 Ashland Ave Kenmore, NY 14043

June 11, 2006

Prescriber Signature X_ Refill: 1 ( one)

Elaine Knell ___
MDD:3

Take one tablet three times a day. Maximum daily dose of 3 tablets. Diazepam 5 mg MFR: Ivax Elaine Knell, MD. Refill 1 time # 90

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Dispense as Written

Serial #1748G15H

Drug Dispensed:

Exp. 08/2008 Lot # K859856 Please write a BRIEF description of the error/omission (3pts):

309. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Gordon Laffler, MD 6888 Loving Ave Grand Island, NY 14052 716-888-1111 Lic# 235214 DEA AL5255446 Name: Molly Martins DOB: 06/15/39 Address:33 Perrysburg Ave Date:03/07/06 West Falls, NY 14100 Rx Durezol 0.05% Sig: i gtt OS qid X 2 weeks, then i gtt OS bid X 1 wk # 1 trade size

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 90001 Molly Martins 33 Perrysburg Ave West Falls, NY 14100

March 7, 2006

Instill 1 drop into the left eye 4 times daily for 2 weeks, then instill 1 drop to the left eye twice daily for 1 week
Prescriber Signature X_Gordon Refill: 0

Laffler___
MDD:

Azelastine 0.05% MFR: Alcon Gordon Laffler, MD.

#6

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #P1220302

Drug Dispensed:

Exp. 08/2008 Lot # 1P3314 Please write a BRIEF description of the error/omission (3pts):

237. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Curt Roche, MD 6588 Sheridan Drive Williamsville, NY 14001 716-555-9998 Lic# 784774 DEA BR6568969 Name: Louis Sarcone DOB: 01/19/53 Address:2356 Delaware Ave Date:04/15/06 Amherst, NY 14227 Rx Humulin R Sig: UUD # 2 vials

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 32323 Louis Sarcone 2356 Delaware Ave Amherst, NY 14227 Use as directed.

April 15, 2006

Prescriber Signature X_ Refill: 11

Curt Roche __
MDD:

Humulin R MFR: Lilly Curt Roche, MD.

# 20

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 11 times

Dispense as Written

Serial #587LK569

Drug Dispensed:

Exp. 01/2007 Lot # P12433 Please write a BRIEF description of the error/omission (3pts):

238. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Samuel Fishman, MD 6985 Sheridan Drive Buffalo, NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca, NY17895 Rx Lantus Solostar Sig: inj 30U sc qhs # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca, NY 17895

February 3, 2007

Inject 30 units subcutaneously once daily at bedtime.
Prescriber Signature X_Samuel Refill: 3

Fishman__
MDD:

Lantus 100U/ml MFR: Sanofi

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Aventis
Refill 3 times

Samuel Fishman, MD.
Dispense as Written

Serial #KM1258T0

Drug Dispensed:

Exp. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts):

310. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Julius Hibbert, MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Frank Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx Naproxen 500mg Sig: 1 ½ po tid prn # 120

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 66698 Frank Grimes 197 Hartford Road Aurora, NY 14228

March 5, 2011

Take 1 ½ tablets by mouth three times daily as needed
Prescriber Signature X_ Refill: 1

Julius Hibbert __
MDD:

Naproxen 500mg MFR: Mylan Julius Hibbert, MD.

# 120

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 1 times

Dispense as Written

Serial #17418H78

Drug Dispensed:

Exp. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts):

144. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Mark Lee, MD Shirely Lee, RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road, Suite #568 Amherst, NY 14226 716-478-8966

Name: Dorothy Love Address: 741 Union Square Amherst, NY 14216 Rx Clonazepam 0.5 mg Sig: i po bid prn # 60 ( sixty)

DOB: 06/17/77 Date: 05/10/03

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 78477 Dorothy Love 741 Union Square Amherst, NY 14216

May 10, 2003

Take one tablet twice daily as needed. Maximum daily dose of 2 tablets.
Prescriber Signature X__ Refill: 0 ( zero)

Mark Lee ______
MDD:2

Clonazepam ODT 0.5 mg MFR: Par Pharmaceutical Inc Mark Lee, MD.

# 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #089BF784

Drug Dispensed:

Exp. 02/2005 Lot # 278965 Please write a BRIEF description of the error/omission(3pts):

514. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Evan Fitzaptrick, DO 7458 Nostrand Ave Brooklyn, NY 11235 716-222-3333 Lic# 123323 DEA BF122258 Name: Josepine Lehman DOB: 04/26/21 Address:147 Harring Street Date: 06/09/04 Brooklyn, NY 12142 Rx miacalcin nasal spray Sig: 1spray qd- alternating nostrils # 1 bottle

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 76698 Josepine Lehman 147 Harring Street Brookly, NY 12142

June 9, 2004

Instill 1 spray in one nostril daily- alternate nostrils
Prescriber Signature X__Evan Refill: 4

Fitzpatrick___
MDD:

Miacalcin Nasal Spray MFR: Novartis Evan Fitzaptrick, MD.

# 3.7 ml

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 4 times

DAW
Dispense as Written

Serial # M1258TU8

Drug Dispensed:

Exp. 02/2011 Lot # 6HP006E Please write a BRIEF description of the error/omission (3pts):

129. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Stephen Sigel, MD 789 Ward Street Lancaster, NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Shirley Grace DOB: 04/15/75 Address:148 Stuart Street Date:02/13/05 Orchard Park, NY 14141 Rx Claritin –D12 Sig: i po bid # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park, NY 14141

February 13, 2005

Take one tablet twice daily as needed.
Prescriber Signature X_ Refill: 5

Stephen Sigel __
MDD:

Claritin D-12 MFR: Schering-Plough Health Stephen Sigel, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

DAW
Dispense as Written

Serial #128PR124

Drug Dispensed:

Exp. 02/2009 Lot # 12458KL Please write a BRIEF description of the error/omission (3pts):

06/2008 Lot # 1JK2550 Please write a BRIEF description of the error/omission(3pts): .471. NY 14077 Use as directed September 28. NY 14077 Rx Tobradex ophth ung Sig: uud # trade size DOB: 03/03/82 Date: 09/28/07 Rx# 114572 Madelyn Byrne 11 Richmond Ave Getzville. prescription label. # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #00254HG9 Drug Dispensed: Exp. Only one error/omission per exercise. MD Lic# 124587 DEA AS4541252 Sean Hunter. Briefly describe the error/omission at the bottom of the page. RPA Lic # 123514 DEA ML1223560 68 Elmhurst Dr Orchard Park. Prescription: Howard Siemer. NY 14260 Phone: 716-555-5555 Name: Madelyn Byrne Address: 11 Richmond Ave Getzville. MD. NY14040 716-877-7777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. 2007 Prescriber Signature X__ Refill: 0 Howard Siemer _ MDD: TobraDex ophthalmic suspension MFR: Alcon Howard Siemer. (Assume DEA #’s and License #’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 08/2009 Lot # 0922258 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 89982 Anita Szyklinski 5258 Woodcreek Ln Eggertsville. MD. and product it was filled with. Only one error/omission per exercise. Prescription: Terrance Fransco.243. NY 14787 Rx Imdur 30 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14787 Take one tablet once daily. February 11. prescription label. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #L8521478 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. MD 7877 Easton Ave New York. NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Anita Szyklinski DOB: 08/25/49 Address:5258 Woodcreek Ln Date:02/11/07 Eggertsville. 2007 Prescriber Signature X_ Refill: 6 Terrance Fransco __ MDD: Isosorbide DN 30 mg MFR: Par Terrance Fransco.

07/2009 Lot # A014589 Please write a BRIEF description of the error/omission (3pts): . MD 6485 Colvin Ave Deprew. 2007 Prescriber Signature X_Peterson Refill: 0 Mineo___ MDD: Spiriva HandiHaler MFR: Pfizer Peterson Mineo. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). MD. and product it was filled with. NY 14152 Inhale 1 puff by mouth daily February 12. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise.532. NY 14152 Rx Spiriva Sig: i puff qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Jay Skruski DOB: 04/22/48 Address:41 Ford Street Date:01/01/07 Buffalo. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K0001257 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 124785 Jay Skruski 41 Ford Street Buffalo. Prescription: Peterson Mineo.

MD medical record no. prescription label.5____ ml ___823_____ mg Administration Rate___364__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb). Only one error/omission per exercise. 222 Cooke Hall. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD RPh: (3pts): YOU .9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat.23mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/14___ volume added to bag: drug amount in bag: ___16. Buffalo. and product it was filled with.244. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alexandra Rodriguez Room:432B Additives: Phenytoin 823mg Solution: 100ml NS Infusion Rate: 364ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Phenytoin_50mg/ml______ final bag concentration: __8. UNIVERSITY HOSPITAL School of Pharmacy. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan. Infuse at 50mg/min Dr. Briefly describe the error/omission at the bottom of the page. / Kg height: ___5’3”____ (circle) (in.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2011_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. New York. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0. Toboggan.

NP 4458 Thompson Raod Colden. Prescription: Rosemary Kazmierski.472. (Assume DEA #’s and License #’s are correct). NY 14080 Rx Triphasil 28 Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NP. January 3. # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #P2258H52 Drug Dispensed: Exp. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Prescriber Signature X_Rosemary Refill: 11 Kazmierski_ MDD: Trivora MFR: Watson Rosemary Kazmierski. NY 14260 Phone: 716-555-5555 Rx# 114573 Deanna Schmidt 5414 Capital Height Gowanda. Briefly describe the error/omission at the bottom of the page. NY 14080 Take one tablet once daily. 09/2008 Lot # H52268 Please write a BRIEF description of the error/omission (3pts): . NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Deanna Schmidt DOB: 01/02/78 Address:5414 Capital Height Date:01/03/07 Gowanda. Only one error/omission per exercise. and product it was filled with.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. MD Lic# 124587 DEA AS4541252 Sean Hunter. NY14040 716-877-7777 Name: Garris Garvey DOB: 08/24/45 Address: 3569 Grand Island Blvd Date: 02/02/07 Hamburg. and product it was filled with. RPA Lic # 123514 DEA ML1223560 68 Elmhurst Dr Orchard Park.145. prescription label. 02/2009 Lot # K21452 Please write a BRIEF description of the error/omission(3pts): . NY 14001 February 02. (Assume DEA#’s and License#’s are correct). 2007 Take 3 capsules twice daily as directed Prescriber Signature X__Sean Refill: 2 Hunter rpa____ MDD: Cyclosporine 25 mg MFR: Apotex Sean Hunter. RPA. # 180 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #123HJ74L Drug Dispensed: Exp. Prescription: Howard Siemer. NY 14260 Phone: 716-555-5555 Rx# 12001 Garris Garvey 3569 Grands Island Blvd Hamburg. Briefly describe the error/omission at the bottom of the page. NY 14001 Rx Cyclosporine 25 mg Sig: iii po bid ud # 180 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

MD. MD 1001 Elmwood Ave Aurora. Prescription: George Spencer. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258U233 Drug Dispensed: Exp. and product it was filled with.148. 02/2004 Lot # J7841235 Please write a BRIEF description of the error/omission (3pts): . December 12. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14222 Take two tablets once daily. prescription label. NY 14260 Phone: 716-555-5555 Rx# 200012 Lorenzo Weber 144 Lake Shore Road Buffalo. NY 14120 716-999-8888 Lic#141423 DEA BS2314259 Name: Lorenzo Weber DOB: 12/14/60 Address:144 Lake Shore Road Date:12/12/02 Buffalo. Briefly describe the error/omission at the bottom of the page. 2002 Prescriber Signature X_George Refill: 5 Spencer___ MDD: Adcirca 20mg MFR: United Therapeutics George Spencer. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14222 Rx Adcirca 20 mg Sig: ii po qd # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

Prescription: Jack Hoover. (Assume DEA#’s and License#’s are correct). MD __ MDD: MFR: Pfizer Jack Hoover. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:03/05/07 Aurora . 2007 # 30 Prescriber Signature X_ Refill: 0 Jack Hoover. prescription label. MD Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #17418H78 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Nicolas Lockard 197 Hartford Road Aurora. Briefly describe the error/omission at the bottom of the page. NY 14228 Rx Chantix starter pak Sig: Take as directed # 53 tablets Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lynn Marshall. and product it was filled with. Only one error/omission per exercise. NY 14228 Take as directed Chantix Starter Pak RX #: 66687 March 6.546. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): .

Suite 120 Cheektawaga.547. Only one error/omission per exercise. prescription label. NY 14260 Phone: 716-555-5555 Rx# 32535 Neslson Lococo 1125 Mineral Spring Road Gatesville. DVM 789 Walden Ave. and product it was filled with. NY 14788 Rx invega 6mg Sig: i po qam # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. NY 14875 716-878-7887 Lic#784589 DEA BR4512453 Name: Neslson Lococo DOB: 03/16/48 Address:1125 Mineral Spring Rd Date:04/28/05 Gatesville. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #14415L78 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). 2005 Take one tablet by mouth every morning Prescriber Signature X__John Refill: 0 Rousseau____ MDD: Invega 6 mg tablets MFR: Janssen John Rousseau. 07/2008 Lot # 17485900 Please write a BRIEF description of the error/omission (3pts): . DVM. NY 14788 April 29. Prescription: John Rousseau.

MD 5255 Cobblestone Dr Clarence. Prescription: Mike Lou. 2006 #4 Prescriber Signature X___Mike Refill: 6 Lou________ MDD: MFR: Procter and Gamble . (Assume DEA#’s and License#’s are correct). NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Fanny Pruchinewiz DOB: 04/01/59 Address: 1147 North Forest Rd Date: 03/11/06 Buffalo. and product it was filled with. prescription label. 09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts): . MD Dispense as Written Drug Dispensed: Serial #125TDEF2 Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 11896 Rx Actonel 35 mg Sig: i po q week #4 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.484. NY 14260 Phone: 716-555-5555 Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo. NY 11896 Take 1 tablet by mouth daily Actonel 35 mg March 12. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. Refill 6 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Mike Lou.

(Assume DEA#’s and License#’s are correct). 02/2004 Lot # J7841235 Please write a BRIEF description of the error/omission (3pts): . NY 14222 Take one tablet twice daily. prescription label.149. MD. Prescription: George Spencer. Only one error/omission per exercise. MD 1001 Elmwood Ave Aurora. NY 14120 716-999-8888 Lic#141423 DEA BS2314259 Name: Lorenzo Weber DOB: 12/14/60 Address:144 Lake Shore Road Date:12/12/02 Buffalo. December 12. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258U233 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 14222 Rx Adcirca 20 mg Sig: ii po qd # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 200012 Lorenzo Weber 144 Lake Shore Road Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2002 Prescriber Signature X_George Refill: 5 Spencer___ MDD: Adcirca 20mg MFR: United Therapeutics George Spencer. and product it was filled with.

(Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14152 February 12. 07/2009 Lot # A014589 Please write a BRIEF description of the error/omission (3pts): . prescription label. MD 6485 Colvin Ave Deprew. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K0001257 Drug Dispensed: Exp. Only one error/omission per exercise. Prescription: Peterson Mineo.138. MD. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Jay Skruski DOB: 04/22/78 Address:41 Ford Street Date:01/01/07 Buffalo. 2007 Take one tablet twice daily as needed Prescriber Signature X_ Refill: 0 Peterson Mineo __ MDD: Etodolac 400 mg MFR: Apotex Peterson Mineo. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 124785 Jay Skruski 41 Ford Street Buffalo. NY 14152 Rx Lodine 400 mg Sig: i po bid prn Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page.

(Assume DEA#’s and License#’s are correct). NY 14141 Rx tramadol 50 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Edwin Pizarro. MD 474 Woodcreast Dr Amherst. and product it was filled with. NY 14141 Take one tablet twice a day October 19. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.561. NY 14260 Phone: 716-555-5555 Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X___ Refill: 5 Edwin Pizarro __ MDD: Tramadol 50 mg tablets MFR: Mylan Edwin Pizarro. Only one error/omission per exercise. NY 14414 716-555-1111 Lic# 748514 DEA AP9542588 Name: Andrew Reichert DOB: 12/17/33 Address: 5556 Cottonwood Dr Date: 10/19/06 Lancaster. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z4158P85 Drug Dispensed: Exp. 11/2009 Lot # U147854 Please write a BRIEF description of the error/omission (3pts): . MD.

384. NY 14223 Rx Percocet 7.5 Sig: i po q 6 h prn # 120 ( one hundred twenty) Prescriber Signature X___ Refill: 0 (zer0) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.5/325 mg MDD:4 Pauline Davidson _ # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Mallinckrodt Pauline Davidson. 2006 Take one tablet every 6 hours as needed . prescription label. 05/2008 Lot # 45L2586 Please write a BRIEF description of the error/omission (3pts): . NY 14333 716-123-4567 Lic# 147891 DEA AD1122580 Name: Isolina Haller DOB: 03/19/53 Address: 400 Cleveland Dr Date: 12/25/06 Amherst. Prescription: Pauline Davidson. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). E Amherst. Refill 0 times Dispense as Written Serial #LK859967 Drug Dispensed: Exp. Only one error/omission per exercise. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 20326 Isolina Haller 400 Cleveland Dr Amherst. MD 5529 Northtown Raod. Maximum daily dose of 4 tablets Oxycodone/APAP 7. NY 14223 December 25. Briefly describe the error/omission at the bottom of the page. MD.

183. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. NY 14228 Take one capsule once daily. Prescription: Jack Hoover. and product it was filled with. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora . Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #17418H78 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. NY 14228 Rx Doxepin 100 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lynn Marshall. RPA. Doxepin 100 mg May 5. 2005 # 30 Prescriber Signature X_ Refill: 3 Lynn Marshall __ MDD: MFR: Par Lynn Marshall.

Briefly describe the error/omission at the bottom of the page. 07/2008 Lot # 17485900 Please write a BRIEF description of the error/omission (3pts): .184. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Only one error/omission per exercise. and product it was filled with. NY 14788 Rx Androgel Sig: apply 10g QD # 2 pumps (two) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 789 Walden Ave. Prescription: John Rousseau. Suite 120 Cheektowaga. 2005 Prescriber Signature X__John Refill:1 (one) Rousseau____ MDD:10 Androgel 1% MFR: Abbott John Rousseau. NY 14260 Phone: 716-555-5555 Rx# 32535 Sly Stallone 1125 Mineral Spring Road Gatesville. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #14415L78 Drug Dispensed: Exp. NY 14788 Apply 10 grams once daily April 29. NY 14875 716-878-7887 Lic#784589 DEA BR4512453 Name: Sly Stallone DOB: 03/16/48 Address:1125 Mineral Spring Rd Date:04/28/05 Gatesville. (Assume DEA#’s and License#’s are correct).

prescription label. MD 1478 Morrison Ct Cheektowaga.385. 2003 Prescriber Signature X_Kenneth Refill: 3 Taung_____ MDD: Felodipine ER 10 mg MFR: Mutual Pharmaceutical Co Kenneth Taung. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #ZU28569M Drug Dispensed: Exp. and product it was filled with. MD. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Rhonda Haytt DOB: 03/27/49 Address:7411 Basswood Street Date:05/09/03 Alden. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14055 Take one tablet once daily. Prescription: Kenneth Taung. 11/2005 Lot # T23589 Please write a BRIEF description of the error/omission (3pts): . NY 14055 Rx Plendil 10 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 20327 Rhonda Haytt 7411 Basswood Street Alden. Briefly describe the error/omission at the bottom of the page. May 9. (Assume DEA#’s and License#’s are correct).

Briefly describe the error/omission at the bottom of the page. NY 14896 716-898-0009 Lic# 148569 DEA BZ1448566 Name: Crawford Robinson DOB: 05/06/70 Address:876 Vermont Street Date:12/12/05 Buffalo.1 mg MFR: Mylan William Zaklikowski MD. 02/2009 Lot # 148265S Please write a BRIEF description of the error/omission (3pts): .1 mg patch Sig: apply qd as directed # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo. (Assume DEA#’s and License#’s are correct). # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #12548T23 Drug Dispensed: Exp. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Amherst. MD 896 Tonawanda Cheek Road E.523. NY 11446 Rx NTG 0. Prescription: William Zaklikowski. NY 11446 Apply patch daily as directed December 12. prescription label. Only one error/omission per exercise. 2005 Prescriber Signature X__William Refill: 5 Zaklikowski_ MDD: Nitroglycerin transdermal patch 0.

NY 17895 February 3. prescription label. 2007 Take one capsule by mouth twice daily Prescriber Signature X_Samuel Refill: 5 Fishman__ MDD: Pradaxa 150mg capsules # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: Boehringer Ingelheim Pharmaceuticals Inc Samantha Fisher. MD. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca. Briefly describe the error/omission at the bottom of the page.528. (Assume DEA#’s and License#’s are correct). Refill 5 times Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. NY17895 Rx Pradaxa 150mg Sig: 1 cap po BID # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 6985 Sheridan Drive Buffalo. Only one error/omission per exercise. Prescription: Samuel Fishman. and product it was filled with. 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

prescription label. 02/2008 Lot # A12589L Please write a BRIEF description of the error/omission(3pts): . NY 14214 716-565-8896 Name: Fanny Goodman DOB: 05/28/69 Address: 7415 Albert Drive Date: 06/2906 Cheektowaga. NY 14444 Take one tablet once daily July 29. 2006 prescriber Signature X_ Refill: 5 Kevin William__ MDD: Cozaar 25 mg MFR: Teva Kevin William. Prescription: Stephan Leid . Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). RPA. NY 14260 Phone: 716-555-5555 Zocor 5 mg Sig: i po qd # 30 Rx# 89589 Fanny Goodman 7415 Albert Drive Cheektowaga. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times DAW Dispense as Written Serial #8985YI123 Drug Dispensed: Exp.MD Lic# 125896 DEA AL5121584 Kevin William. RPA Lic # 889851 232 Hampton Road Buffalo. Only one error/omission per exercise. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14444 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.125.

Quinidine gluconate ER 324 mg July 19.435. MD 7845 Sheepshead Bay Buffalo. Prescription: Shirley Cummings. NY 14228 716-233-3333 Lic# 123123 DEA BC2255897 Name: Cirillo Roth DOB: 06/26/35 Address:8005 Monroe Ave Date: 07/19/06 Amherst. NY 14720 Take one tablet every 8 hours. NY 14260 Phone: 716-555-5555 Quinidine gluconate ER 324 mg Sig: i po q8h # 90 Shirley Cummings _ MDD: Rx# 90016 Cirillo Roth 8005 Monroe Ave Amherst. (Assume DEA #’s and License #’s are correct). Briefly describe the error/omission at the bottom of the page. NY 14720 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. prescription label. MD. 09/2008 Lot # J238009 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. Refill 1 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Drug Dispensed: Serial #G2584K23 Exp. 2006 # 90 Prescriber Signature X Refill: 1 MFR: Mutual Pharmaceutical Co Shirley Cummings.

NY 14007 Rx Risperdal 1 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 90017 Jacob Frost 2333 Harmony Ave Gowanda. Prescription: Nicole Bissonette. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 14007 Take one tablet twice daily March 24. 05/2007 Lot # T2003639 Please write a BRIEF description of the error/omission (3pts): .436. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 3 times Serial #9K25Z237 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X_Nicole Refill: 3 Bissonette__ MDD: Risperdal 1 mg MFR: Janssen Nicole Bissonette. NP 7895 West 4th Street New York. (Assume DEA #’s and License #’s are correct). NY 10003 716-565-5555 Lic# 785963 DEA MB1477757 Name: Jacob Frost DOB: 07/19/51 Address:2333 Harmony Ave Date: 03/24/06 Gowanda. and product it was filled with. NP.

(Assume DEA#’s and License#’s are correct). MD. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #1258U233 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 200012 Lorenzo Weber 144 Lake Shore Road Buffalo. Prescription: George Spencer. Only one error/omission per exercise. MD 1001 Elmwood Ave Aurora. NY 14222 Rx Adcirca 20 mg Sig: ii po qd # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. December 12.150. 2002 Prescriber Signature X_George Refill: 5 Spencer___ MDD: Cialis 20mg MFR: Eli Lilly George Spencer. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14120 716-999-8888 Lic#141423 DEA BS2314259 Name: Lorenzo Weber DOB: 12/14/60 Address:144 Lake Shore Road Date:12/12/02 Buffalo. and product it was filled with. NY 14222 Take two tablets once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 02/2004 Lot # J7841235 Please write a BRIEF description of the error/omission (3pts): .

2011 Take one and one half teaspoonfuls by mouth every 68hours as needed Prescriber Signature X_ Refill: 0 Julius Hibbert __ MDD: Ibuprofen 50mg/1. NY 12365 716-333-4444 Name: Milhouse Van Houten DOB: 1/29/2010 Address:197 Hartford Road Date:03/05/11 Aurora . Prescription: Julius Hibbert. 08/2014 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): .25ml Sig: 1. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD.5tsp q6-8h prn # 60ml Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Rx# 66698 Milhouse Van Houten 197 Hartford Road Aurora.25ml MFR: American Fare Julius Hibbert. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. and product it was filled with. Briefly describe the error/omission at the bottom of the page.408. prescription label. NY 14228 March 5. MD weight: 10kg Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. NY 14228 Rx Ibuprofen 50mg/1.

prescription label. and product it was filled with. NY 14700 716-888-2228 Lic# 525511 DEA MT5778951 Name: Carmen Ussery DOB: 12/05/08 Address:5050 Madaline Ln Date:02/28/11 Williamsville.409. NY 14002 Rx Amoxicillin 250/5ml Sig: 10ml po q12h x10days # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville. (Assume DEA#’s and License#’s are correct). 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Take two teaspoonfuls by mouth every 12 hours for 10 days Prescriber Signature X_Esther Refill: 0 (zero) Tredinnick_ MDD: Amoxicillin 250mg/5ml MFR: Sandoz Esther Tredinnick. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD Weight:14kg 2535 Porterville Road Elma. NY 14002 Feb 28. Only one error/omission per exercise. Prescription: Esther Tredinnick. 2011 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD # 200 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #C2538M27 Drug Dispensed: Exp.

NY 14875 716-565-5555 Lic# 258963 DEA BR4512453 Name: Yasminda Kim DOB:01/17/99 Address:101 Waterview Road Date: 12/12/06 Hamburg. and product it was filled with. Only one error/omission per exercise. NY 11487 Rx Advair 250/50 Sig: 1 puff BID # 1 inhaler Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. MD 789 Walden Ave. NY 11487 Inhale 1 puff by mouth twice daily December 12.487. 2006 Prescriber Signature X__John Refill: 2 Rousseau____ MDD: Advair 250/50 MFR: GSK # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW John Rousseau. prescription label. NY 14260 Phone: 716-555-5555 Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg. Prescription: John Rousseau. (Assume DEA#’s and License#’s are correct). MD. Dispense as Written Refill 2 times Serial #12258OP8 Drug Dispensed: Exp. Suite 120 Cheektowaga. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 12/2010 Lot # L123969N Please write a BRIEF description of the error/omission (3pts): .

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Inject 20 units subcutaneously 2-4 times daily before meals. MD 6985 Sheridan Drive Buffalo. Only one error/omission per exercise. NY 17895 February 3. NY 14260 Phone: 716-555-5555 Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca. Dispense as Written Serial #KM1258T0 Drug Dispensed: Exp. Prescription: Samuel Fishman. Briefly describe the error/omission at the bottom of the page. and product it was filled with. (Assume DEA#’s and License#’s are correct). 04/2008 Lot # 11523159M Please write a BRIEF description of the error/omission (3pts): . NY 14218 716-363-8888 Lic# 125893 DEA BF1247419 Name: Joel Penny DOB: 11/14/76 Address:5678 Clarence Lane Date:02/03/07 East Seneca.231. NY17895 Rx Lantus 100U/ml Sig: inj 20U sc bid-qid ac # 20 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. prescription label. Prescriber Signature X_Samuel Refill: 3 Fishman__ MDD: Lantus 100U/ml MFR: Sanofi # 20 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Aventis Refill 3 times Samuel Fishman.

Only one error/omission per exercise. NY 14222 Take one tablet at bedtime daily June 27. NY 14211 716-343-3333 Lic# 855689 DEA BP6357897 Name: Minnie Radish DOB: 03/03/79 Address:700 Castlebrooke Ln Date:06/27/03 Angola. and product it was filled with. 2003 Prescriber Signature X_Vincent Refill: 0 Patterson___ MDD: Guanfacine 2 mg MFR: Mylan Vincent Patterson. 08/2005 Lot # F12452 Please write a BRIEF description of the error/omission (3pts): . prescription label. MD. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #L1458K879 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page.232. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14222 Rx Guanfacine 2 mg Sig: i po qhs # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Vincent Patterson. NY 14260 Phone: 716-555-5555 Rx# 415885 Minnie Radish 700 Castlebrooke Ln Angola. (Assume DEA#’s and License#’s are correct). MD 898 Blossom Ln Cheektowaga.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Mitchell Gellman DOB: 3/18/31 Address:9000 Four Winds Way Date:02/08/06 E Amherst. NY 14008 February 8.5% Sig: i gtt ou daily # 10 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14008 Rx Levobunolol 0.285.5% MFR: Falcon Jonathan Mallozzi. (Assume DEA#’s and License#’s are correct). MD # 10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #T7874899 Drug Dispensed: Exp. Prescription: Jonathan Mallozzi 99 Brookside Ave S Wale. prescription label. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 665566 Mitchell Gellman 9000 Four Winds Way E Amherst. 2006 Instill one drop to both eyes once daily Prescriber Signature X__ Refill: 6 Jonathan Mallozzi _ MDD: Levobunolol 0. 02/2008 Lot # P1000011 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise.

NY 14000 716-111-8888 Lic# 101523 DEA AK2365890 Name: Cathy Lombardo DOB: 06/15/77 Address:8500 Castle Hill Ave Date:04/01/06 Amherst. NY 14000 Take one capsule three times daily. April 1. and product it was filled with. prescription label. 04/2008 Lot #U125482 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #P12588965 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). MD 89 Gate Circle Buffalo. MD. Prescription: Paulette Kohler. NY 14260 Phone: 716-555-5555 Rx# 55000 Cathy Lombardo 8500 Castle Hill Ave Amherst. 2006 Prescriber Signature X_Paulette Refill: 0 ( zero) Kohler__ MDD: Chlordiazepoxide 10 mg MFR: Par Paulette Kohler.286. NY 14000 Rx Librium 10 mg Sig: i po tid #90 ( ninety) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page.

151. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2315KU78 Drug Dispensed: Exp. MD. NY 14034 Take one tablet every 12 hours February 8. Prescription: Mike Lou. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/03 Lackawanna. NY 14034 Rx Depakote 500 mg Sig: i po q12h # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. prescription label. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna. 2003 Prescriber Signature X_Mike Refill: 0 Lou___ MDD: Depakote 500 mg MFR: Apothecon Mike Lou. 11/2009 Lot # 1587P145 Please write a BRIEF description of the error/omission (3pts): . MD 5255 Cobblestone Dr Clarence. Only one error/omission per exercise.

and product it was filled with. NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randolph Harding DOB: 08/23/57 Address:5236 Southern Blvd Date:02/26/06 Grand Island. 2006 Prescriber Signature X___Steven Refill: 1 Hung_____ MDD: Misoprostol 200 mcg MFR: Greenstone Steven Hung. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 02/2008 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts): . prescription label. Briefly describe the error/omission at the bottom of the page. MD 9856 Simonds Road Lockport. NY 14072 Take one tablet four times daily. NY 14260 Phone: 716-555-5555 Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #586JU782 Drug Dispensed: Exp.154. Prescription: Steven Hung. NY 14072 Rx Cytotec 200 mcg Sig: i po qid # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. February 26.

prescription label. Prescription: Karen Douglas. DO 190 E Robinson Road Lancaster. (Assume DEA#’s and License#’s are correct). 10/2005 Lot # L1024158 Please write a BRIEF description of the error/omission (3pts): .189. NY 14260 Phone: 716-555-5555 Rx# 32541 David McPhea 747 Athens Blvd Arkron. 2003 Prescriber Signature X__ Refill: 0 Karen Douglas _ MDD:1 DynaCirc CR 5 mg MFR: Reliant Karen Douglas. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #17854KH7 Drug Dispensed: Exp. NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: David McPhea DOB: 10/01/38 Address:747 Athens Blvd Date: 12/27/03 Arkron. NY 14001 Take one capsule once daily December 27. and product it was filled with. DO. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. NY 14001 Rx DynaCirc 5 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

and product it was filled with. # 60g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7482L748 Drug Dispensed: Exp. 2007 Prescriber Signature X__Jackson Refill: 1 Hundson___ MDD: Eurax Cream MFR: Bristol MyersSquibb Jackson Hundson. MD. Briefly describe the error/omission at the bottom of the page. NY 14042 Rx Eurax Cr. (Assume DEA#’s and License#’s are correct). Prescription: Jackson Hundson. Only one error/omission per exercise. 02/2010 Lot # T101257 Please write a BRIEF description of the error/omission (3pts): . Sig: A UD # 60 g Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. January 14. MD 452 Main Street Buffalo. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Jeremy Paneinto DOB: 07/04/77 Address:805 Mapleview Road Date:01/14/07 Buffalo. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.190. NY 14260 Phone: 716-555-5555 Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo. NY 14042 Apply as directed.

(Assume DEA#’s and License#’s are correct). and product it was filled with. NY 14042 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. January 14. Sig: A UD # trade size Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Jeremy Paneinto DOB: 07/04/77 Address:805 Mapleview Road Date:01/14/07 Buffalo. prescription label. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. Prescription: Jackson Hundson.10/2010 Lot # G145879 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Eurax Cr.191. MD 452 Main Street Buffalo. 2007 Prescriber Signature X__ Refill: 1 Jackson Hundson _ MDD: Efudex Cream MFR: Valeant Pharmaceuticals Jackson Hundson. NY 14042 Apply as directed. Only one error/omission per exercise. # 40 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7482L748 Drug Dispensed: Exp.

then inject 0. Cyanocobalamin 1000mcg/ml # 10 Julius Hibbert __ MDD: THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW MFR: American Regent Julius Hibbert. 08/2014 Lot # 1KJ235 Please write a BRIEF description of the error/omission (3pts): . MD.1ml intramuscularly twice daily for 2 weeks. NY 14228 Rx Vit B 12 1000mcg/ml Sig: inj im 100mcg qd for 1 wk. then 100mcg biw for 2 wks.2ml intramuscularly once a month. then 200mcg q month # 10 Prescriber Signature X_ Refill: 0 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx. Prescription: Julius Hibbert. prescription label. Refill 1 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. then inject 0. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct).345. NY 14228 March 5.1ml intramuscularly once daily for 1 week. NY 12365 716-333-4444 Name: Franny Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora . NY 14260 Phone: 716-555-5555 Rx# 66698 Franny Grimes 197 Hartford Road Aurora. 2011 Inject 0.

Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Rhonda Alderman DOB: 06/09/40 Address:180 Flickinger Ct Date:06/26/05 Alden. July 27. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #P21352147 Drug Dispensed: Exp. Prescription: Elaine Knell. NY 14075 Take one tablet twice daily. MD 2536 Rosewood Ave Lancaster.249. 2005 Prescriber Signature X__Elaine Refill: 6 (six) Knell__ MDD:2 Vimpat 100mg MFR: UCB Inc Elaine Knell. NY 14260 Phone: 716-555-5555 Rx# 66566 Rhonda Alderman 180 Flickinger Ct Alden. prescription label. 06/2007 Lot # 778585 Please write a BRIEF description of the error/omission (3pts): . NY 14075 Rx Vimpat 100mg Sig: i po bid # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. Only one error/omission per exercise.

2007 Prescriber Signature X__Melvin Refill: 1 Barren__ MDD: Lamisil 250 mg MFR: Novartis Melvin Barren. 07/2009 Lot # Y25369 Please write a BRIEF description of the error/omission (3pts): . prescription label. Prescription: Melvin Barren.250. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 1 time Serial #2358P258 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. January 31. NY 14260 Phone: 716-555-5555 Rx# 633333 Nick Cavalleri 2356 Lafayette Road Buffalo. and product it was filled with. MD. NY 14051 Take one tablet once daily. MD 888 Transit Road Springville. NY 14777 716-222-7777 Lic# 856985 DEA BB6553627 Name: Nick Cavalleri DOB: 06/06/75 Address:2356 Lafayette Road Date:01/28/07 Buffalo. NY 14051 Rx Lamisil 250 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct).

and product it was filled with. October 14. NY 14280 Take one tablet once daily. NY 14280 Rx Nifedical XL 30 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14200 716-666-7500 Lic# 363636 DEA MG5568970 Name: Herbert Rayford DOB: 12/08/63 Address:8080 Beaumont Drive Date: 10/14/06 Hamburg. prescription label. 11/2009 Lot # 332685 Please write a BRIEF description of the error/omission (3pts): . # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 6 times Serial #H22563M6 Drug Dispensed: Exp. 2006 Prescriber Signature X__Alfredo Refill: 6 Gallagher___ MDD: Nifedical XL 30 mg MFR: Teva Alfredo Gallagher.346. NY 14260 Phone: 716-555-5555 Rx# 234512 Herbert Rayford 8080 Beaumont Drive Hamburg. NP. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NP 878 Sweet Home Road Lancaster. Briefly describe the error/omission at the bottom of the page. Prescription: Alfredo Gallagher.

Prescription: Charlotte Thompson.5 mg MFR: Barr Charlotte Thompson. Briefly describe the error/omission at the bottom of the page.5 mg Sig: 4 tabs qw # 16 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 16 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #U1258L25 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 3999 Natalie Weller 606 Edgewater Dr Gowanda. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 01/2006 Lot #K1254100 Please write a BRIEF description of the error/omission (3pts): . February 3. NY 14404 716-777-9999 Lic# 362132 DEA BT2259984 Name: Natalie Weller DOB: 12/02/48 Address:606 Edgewater Dr Date:02/03/06 Gowanda. and product it was filled with. MD 808 Mulberry Road E Amherst. prescription label.315. NY 14510 Take four tablets once weekly. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). MD. NY 14510 Rx Methotrexate 2. 2006 Prescriber Signature X__ Refill: 3 Charlotte Thompson _ MDD: Methotrexate 2.

2004 Take two tablets once daily for 5 days Prednisone 10 mg # 10 Prescriber Signature X_Kent Refill: 0 Zheng_____ MDD: MFR: Roxane Kent Zheng. NY 14044 716-555-4444 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #2356K569 Drug Dispensed: Exp. NY 14222 March 30. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Name: Becky Albrecht Address: 89 Castlewood Place Angola. 04/2006 Lot # L5500055 Please write a BRIEF description of the error/omission(3pts): . MD Kent Zheng. prescription label. RPA Lic# 565552 Lic # 858546 DEA BT2355267 772 Princeton Ave Depew. Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14222 Rx Prednisone 10 mg Sig: ii po daily x 5d # 10 DOB: 08/01/79 Date: 03/30/04 Rx# 223412 Becky Albrecht 89 Castlewood Place Angola.316. Only one error/omission per exercise. Prescription: Stanley Turner.

NY 14889 716-363-6666 Lic# 114889 DEA AD2356233 Name: David McPhea DOB: 10/01/38 Address:747 Athens Blvd Date: 12/27/03 Arkron. Prescription: Karen Douglas. # 30 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17854KH7 Drug Dispensed: Exp. Only one error/omission per exercise. 2003 Prescriber Signature X__Karen Refill: 0 Douglas___ MDD: Nystatin/Triamcinolone Cream MFR: fougera Karen Douglas. DO 190 E Robinson Road Lancaster. NY 14260 Phone: 716-555-5555 Rx# 32541 David McPhea 747 Athens Blvd Arkron. NY 14001 Rx Mycolog II cream Sig: apply as directed # 30 g Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.541. 10/2005 Lot # L1024158 Please write a BRIEF description of the error/omission (3pts): . DO. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. prescription label. NY 14001 Apply as directed December 27. (Assume DEA#’s and License#’s are correct). and product it was filled with.

03/2009 Lot # L12488H Please write a BRIEF description of the error/omission (3pts): . Prescription: Brain Baksh. prescription label. NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Jeanette Calzone DOB: 07/07/57 Address:101 Connecticut Ave Date:01/01/07 W Seneca. NY 14260 Phone: 716-555-5555 Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. January 1. NY 14125 Rx Dantrium 50 mg Sig: i po qid # 100 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). and product it was filled with. # 100 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7841CX39 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Seneca. NY 14215 Take one capsule four times a day.157. MD 2455 Wehrle Dr Amherst. Only one error/omission per exercise. 2007 Prescriber Signature X_Brian Refill: 1 Baksh________ MDD: Dantrolene 50 mg MFR: Amide Brain Baksh. Briefly describe the error/omission at the bottom of the page. MD.

Only one error/omission per exercise. 03/2009 Lot # K1245M Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. NY 14215 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time DAW Dispense as Written Serial #7841CX39 Drug Dispensed: Exp. MD 2455 Wehrle Dr Amherst. and product it was filled with. January 1. 2007 Prescriber Signature X_ Refill: 1 Brian Baksh __ MDD: Danazol 200 mg MFR: Barr Brain Baksh MD. Seneca. NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Jeanette Calzone DOB: 07/07/57 Address:101 Connecticut Ave Date:01/01/07 W Seneca. NY 14260 Phone: 716-555-5555 Dantrium 200 mg Sig: i po tid # 90 Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Brain Baksh. NY 14215 Take one capsule three times a day.158.

NY 11489 February 1.490. prescription label. MD Lisa Chant. and product it was filled with. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. 2006 Inhale 2 puffs by mouth 3-4 times a day Prescriber Signature X__William Refill: 2 Zaklikowski_ MDD: Azmacort MFR: Abbott William Zaklikowski. Prescription: William Zaklikowski. 06/2008 Lot # 26060403A Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Azmacort inhaler Sig: 2 sprays 3-4 times a day # 1 inhaler Rx# 223326 Donald Parker 1133 Pershing Ave Kenmore. RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst. MD. #20g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #K1242156 Drug Dispensed: Exp. NY 11489 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14869 716-889-9999 Name: Donald Parker DOB:03/22/21 Address: 1133 Pershing Ave Date: 02/01/06 Kenmore.

Prescriber Signature X__ Refill: 0 Mark Lee______ MDD:2 Clonazepam 0. (Assume DEA#’s and License#’s are correct). Prescription: Mark Lee.5 mg MFR: Teva Mark Lee. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. 11/08 Lot # 146796A Please write a BRIEF description of the error/omission(3pts): . Maximum daily dose of 2 tablets. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #089BF784 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.143. NY 14216 May 10. and product it was filled with. prescription label. Suite #568 Amherst. NY 14226 716-478-8966 Name: Dorothy Love Address: 741 Union Square Amherst. NY 14260 Phone: 716-555-5555 Rx# 78477 Dorothy Love 741 Union Square Amherst.5 mg Sig: i po bid prn # 60 DOB: 06/17/77 Date: 05/10/03 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2003 Take one tablet twice daily as needed. RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road. MD Shirely Lee. MD. NY 14216 Rx Clorazepate 7.

NY 14034 February 8. Only one error/omission per exercise. and product it was filled with.31 mg Sig: i vial q6h # 1 box Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.31 mg Nebulizer Solution MFR: Sepracor Mike Lou. Briefly describe the error/omission at the bottom of the page. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/03 Lackawanna. NY 14034 Rx Xopenex Solution 0l. # 72ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #2315KU78 Drug Dispensed: Exp. Prescription: Mike Lou. MD 5255 Cobblestone Dr Clarence. 2003 Inhale one vial via nebulizer every 6 hours Prescriber Signature X_Mike Refill: 0 Lou___ MDD: Xopenex 0. prescription label.535. 11/2009 Lot # 1587P145 Please write a BRIEF description of the error/omission (3pts): .

Briefly describe the error/omission at the bottom of the page. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Eric Johnson.15mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___2. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. UNIVERSITY HOSPITAL School of Pharmacy.25____ ml ___113_____ mg Administration Rate__52___ ml/hr  diluent for drug reconstitution (circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____10_______ Please write BRIEF description of the error/omission Dr: aToboggan.) / Kg height: ___22____ (circle) (in. 222 Cooke Hall. and product it was filled with. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson .5___ (circle) (lb.0____mg/dl 3/15/11 0730 Vancomycin 15mg/kg/dose q8h in 50ml NS. Jr Room:221A Additives: Vancomycin 113mg Solution: 50ml NS Infusion Rate: 52ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: _Vancomycin 500mg powder final bag concentration: __2. Infuse over 1 hour. Toboggan. Prepare 1 dose Dr. MD date of birth: __03_/_12__/_11__ serum creatinine: ___1.160. New York. Only one error/omission per exercise. prescription label. MD RPh: (3pts): YOU .: 8769 sex: (circle) (male) / female weight: ___7. Jr allergies: NKA room: 221A physician: Dr Toboggan. MD medical record no. Buffalo.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __50__________ IV Label: University Hospital 222 Cooke Hall Amherst.

DDS 789 Ward Street Lancaster. Briefly describe the error/omission at the bottom of the page. DDS. NY 14260 Phone: 716-555-5555 Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). February 13. NY 14141 Inhale 1 puff by mouth twice a day. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Stephen Sigel. prescription label. 2005 Prescriber Signature X__Stephen Refill: 5 Sigel_____ MDD: Serevent diskus MFR: GSK Stephen Sigel. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #128PR124 Drug Dispensed: Exp. NY 14141 Rx Serevent diskus Sig: i puff BID #1 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.529. and product it was filled with. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Shirley Grace DOB: 04/15/75 Address:148 Stuart Street Date:02/13/05 Orchard Park. 02/2009 Lot # 12458L6 Please write a BRIEF description of the error/omission (3pts): .

MD. prescription label. NY 12365 716-333-4444 Name: Ronnie Mitrowski DOB: 03/16/56 Address: 756 Symmon Road Date: 02/13/07 Bronx. Prescription: Jack Hoover. and product it was filled with. February 13.513. NY 14260 Phone: 716-555-5555 Lidoderm Patches Sig: apply 1 patch qd # 30 Rx# 001236 Ronnie Mitrowski 756 Symmon Road Bronx. RPA Lic# 125898 Lic# 147845 DEA BH1414250 78 Harlem Road Bronx. MD Lynn Marshall. MD ___ MDD: Lidoderm 5% patch MFR: Endo Jack Hoover. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #K1258TU8 Drug Dispensed: Exp. 09/2010 Lot # 506015 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. NY 12370 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 12370 Take one tablet once daily. Only one error/omission per exercise. 2007 Prescriber Signature X Refill: 6 Jack Hoover.

Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Drug Dispensed: Exp. NY 14031 Rx Flomax 0. Briefly describe the error/omission at the bottom of the page. 2007 Prescriber Signature X__Charles Refill: 5 Goslinski____ MDD: Tamsulosin 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.4 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14211 716-555-1112 Lic# 632235 DEA BG4587450 Name: Gosh Engel DOB: 09/07/55 Address:25 Fieldstone Dr Date: 02/08/07 W. NY 14260 Phone: 716-555-5555 Rx# 125888 Gosh Engel 25 Fieldstone Dr W. prescription label. NY 14031 Take one capsule once daily.4 mg MFG: Actavis Charles Goslinski. Seneca. (Assume DEA#’s and License#’s are correct). DO. Seneca. 11/2009 Lot # J125468 Please write a BRIEF description of the error/omission (3pts): . Prescription: Charles Goslinski. and product it was filled with. DO 2255 Cherrywood Ave Buffalo. February 8.225.

Only one error/omission per exercise. NY 14433 Rx Mirapex 0. NY 14260 Phone: 716-555-5555 Rx# 55474 Norma Hess 999 Somerville Ave Eden. Prescription: Dean Potter. 08/2012 Lot # Y41578 Please write a BRIEF description of the error/omission (3pts): . NY 14444 716-444-5555 Lic# 112214 DEA AP6878954 Name: Norma Hess DOB: 09/09/77 Address:999 Somerville Ave Date:01/14/06 Eden. Prescriber Signature X__Dean Refill: 0 Potter___ MDD:2 Mirapex 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.25 mg Sig: i po TID #7 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. (Assume DEA#’s and License#’s are correct).25 mg MFR: Boehringer Dean Potter. MD 456 Ashland Ave Buffalo. 2006 Take one tablet by mouth three times daily.226. #7 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #1221E125 Drug Dispensed: Exp. Maximum daily dose of 2 tablets. Briefly describe the error/omission at the bottom of the page. prescription label. NY 14433 January 14. MD.

Briefly describe the error/omission at the bottom of the page. NY 14444 Rx Zocor 20 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14444 Take one tablet once daily February 28. RPA.126. 2007 Prescriber Signature X__ Refill: 5 Kevin William __ MDD: Simvastatin 20 mg MFR: Teva Kevin William. RPA Lic # 889851 232 Hampton Road Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 02/2007 Lot # A12589L Please write a BRIEF description of the error/omission(3pts): . Only one error/omission per exercise. and product it was filled with. NY 14214 716-565-8896 Name: Fanny Goodman DOB: 05/28/69 Address: 7415 Albert Drive Date: 02/28/07 Cheektowaga. Prescription: Stephan Leid. prescription label. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #8985YI123 Drug Dispensed: Exp. MD Lic# 125896 DEA AL5121584 Kevin William. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 89589 Fanny Goodman 7415 Albert Drive Cheektowaga.

Infuse at 10mg/min. UNIVERSITY HOSPITAL School of Pharmacy.9____mg/dl 3/15/11 0730 Vancomycin 10mg/kg/dose q12h in 100ml NS. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. MD medical record no. MD RPh: (3pts): YOU . 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson Additives: Vancomycin 1250mg Solution: 100ml NS Infusion Rate: 48ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:21A  drug additive drug name: _Vancomycin 1000mg powder final bag concentration: __12.5mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___1250_____ mg Administration Rate___48__ ml/hr  diluent for drug reconstitution (circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____25_______ ___25____ ml Please write BRIEF description of the error/omission Dr: aToboggan.132.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. Prepare 1 dose Dr.: 8769 sex: (circle) (male) / female weight: ___125___ (circle) (lb. and product it was filled with.) / Kg height: ___66____ (circle) (in. New York. 222 Cooke Hall. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. Toboggan. prescription label. Buffalo.

Prescription: Peterson Mineo. NY 14152 Rx Lodine 30 mg Sig: i po bid prn # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2007 Take one tablet twice daily as needed Prescriber Signature X_ Refill: 0 Peterson Mineo ___ MDD: Codeine 30 mg MFR: Roxane Peterson Mineo. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Jay Skruski DOB: 04/22/78 Address:41 Ford Street Date:01/01/07 Buffalo. 02/2011 Lot # F08989 Please write a BRIEF description of the error/omission (3pts): .137. and product it was filled with. NY 14152 January 2. Only one error/omission per exercise. MD. MD 6485 Colvin Ave Deprew. NY 14260 Phone: 716-555-5555 Rx# 124785 Jay Skruski 41 Ford Street Buffalo. prescription label. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #K0001257 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct).

19 2006 Prescriber Signature X___ Refill: 5 Edwin Pizarro __ MDD: Amitriptyline 10 mg MFR: Qualitest Edwin Pizarro. prescription label. October. (Assume DEA#’s and License#’s are correct). NY 14414 716-555-1111 Lic# 748514 DEA AP9542588 Name: Andrew Reichert DOB: 12/17/33 Address: 5556 Cottonwood Dr Date: 10/19/06 Lancaster. MD 474 Woodcreast Dr Amherst. #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z4158P85 Drug Dispensed: Exp. 11/2009 Lot # U147854 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. Only one error/omission per exercise. Prescription: Edwin Pizarro. NY 14260 Phone: 716-555-5555 Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster. NY 14141 Take one tablet once daily. NY 14141 Rx Elavil 10 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. MD.198.

# 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 8 times Dispense as Written Serial #1748EE74 Drug Dispensed: Exp. and product it was filled with. NP 3457 Bear Ridge Road Buffalo. Prescription: Colleen Battagelia. NP. NY 14260 Phone: 716-555-5555 Rx# 22568 Addie Bibbs 856 Circle Lane N. Tonawanda. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. 2006 Prescriber Signature X__Colleen Refill: 8 Battagelia___ MDD: Enalapril 10 mg MFR: Teva Colleen Battagelia.199. May 8. Tonawanda. NY 14477 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). NY 14477 Rx Enalapril 10 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. NY 14200 716-444-3333 Lic# 123689 DEA MP522248 Name: Addie Bibbs DOB: 02/29/48 Address: 856 Circle Lane Date:05/08/06 N. 11/2008 Lot # 26357 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page.

Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island. NY 14072 Rx Zetia 10 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 9856 Simonds Road Lockport. NY 14072 Take one tablet by mouth daily February 26. prescription label. 02/2008 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X___Steven Refill: 1 Hung_____ MDD: Zetia 10 mg tablets MFR: Merck Steven Hung. NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randolph Harding DOB: 08/23/57 Address:5236 Southern Blvd Date:02/26/06 Grand Island. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #586JU782 Drug Dispensed: Exp. MD. Briefly describe the error/omission at the bottom of the page. Prescription: Steven Hung. (Assume DEA#’s and License#’s are correct).562.

MD. NY 14000 Take one tablet at bedtime. MD 5899 Sweet Home Road E Amherst. NY 14000 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times DAW Dispense as Written Serial #1257UY74 Drug Dispensed: Exp. Only one error/omission per exercise. 2005 Prescriber Signature X__ Refill: 0 Richard Zakrajesk _ MDD: Tenormin 50 mg MFR: AstraZeneca Richard Zakrajesk. Prescription: Richard Zakrajesek. 02/2007 Lot # L088858 Please write a BRIEF description of the error/omission (3pts): .161. prescription label. (Assume DEA#’s and License#’s are correct). and product it was filled with. Briefly describe the error/omission at the bottom of the page. April 15. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Lucile Camelleri DOB: 05/18/74 Address: 678 Lafayette Ave Date: 04/17/05 Depew. NY 14260 Phone: 716-555-5555 Imuran 50 mg Sig: i po hs # 30 Rx# 147857 Lucile Camelleri 678 Lafayette Ave Depew.

and product it was filled with. Prescription: Mark Flinchbaguh. MD. prescription label. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. MD 74 Quail Hollow Lane E Amherst. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #1875JK12 Drug Dispensed: Exp. NY 14070 Rx Desipramine 100 mg Sig: i po hs # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 20303 Jimmy Clark 606 Oakwood Drive N Evans. Only one error/omission per exercise.163. 2004 Prescriber Signature X_Mark Refill: 3 Flinchbaguh___ MDD: Desipramine 100 mg MFR: Sandoz Mark Flinchbaguh. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Jimmy Clark DOB: 12/11/66 Address: 606 Oakwood Drive Date: 05/07/04 N Evans. 02/2006 Lot # 1LK71102 Please write a BRIEF description of the error/omission (3pts): . NY 14070 Take one tablet at bedtime May 7.

NY 14070 Rx Desipramine 25 mg Sig: i po hs # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Mark Flinchbaguh.164. and product it was filled with. 02/2006 Lot # 1L25896 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. MD. Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Drug Dispensed: Dispense as Written Serial #1875JK12 Exp. NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Jimmy Clark DOB: 12/11/66 Address: 606 Oakwood Drive Date: 05/07/04 N Evans. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 74 Quail Hollow Lane E Amherst. 2004 # 30 Prescriber Signature X__ Refill: 3 Mark Flinchbaguh _ MDD: MFR: Amide Mark Flinchbaguh. NY 14260 Phone: 716-555-5555 Rx# 20303 Jimmy Clark 606 Oakwood Drive N Evans. (Assume DEA#’s and License#’s are correct). NY 14070 Take one tablet at bedtime Imipramine 25 mg May 7. Briefly describe the error/omission at the bottom of the page.

MD. NY 17895 716-666-6669 Lic# 174895 Name: Beverly Feasley Address:7874 Bellwood Ln Clarence. NY 14774 February 16. 2007 Take one teaspoonful every 6 hours as needed for cough. prescription label. MD 74 Quail Hollow Lane E Amherst. # 150 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1K2348M5 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 90014 Beverly Feasley 7874 Bellwood Ln Clarence. and product it was filled with. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 06/2008 Lot # K25877 Please write a BRIEF description of the error/omission (3pts): . Maximum daily dose of 4 teaspoonfuls. Prescription: Mark Flinchbaguh. Prescriber Signature X Refill: 0 zero Mark Flinchbaguh_ MDD: 20 cc Promethazine w/codeine MFR: Actavis Mark Flinchbaguh.429. NY 14774 Rx Phenergan w/ codeine Sig: i tsp po q6h prn cough # 150 ( one hundred fifty) DOB: 09/14/77 Date:02/16/07 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise.

MD. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. Prescription: Tommy Reed. MD 85 Grand Street Lockport. prescription label. NY 14260 Phone: 716-555-5555 Rx# 66807 Maria Sunstrum 4555 Eggert Road Lockport.414. NY 14589 Take one tablet once daily. May 31. NY 14589 Rx Premarin 0. NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Maria Sunstrum DOB: 12/26/52 Address:4555 Eggert Road Date:05/31/05 Lockport. 2005 Prescriber Signature X___ Refill: 5 Tommy Reed ___ MDD: Premarin 0. and product it was filled with.45 mg MFR: Wyeth Pharmaceuticals Tommy Reed. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #M25693K45 Drug Dispensed: Exp. 04/2005 Lot # W2003 Please write a BRIEF description of the error/omission (3pts): .45 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page.

Briefly describe the error/omission at the bottom of the page. NY 14225 March 8. and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14228 716-123-1234 Lic# 663521 DEA AB5474123 Name: Colleen Bell DOB: 02/22/90 Address:2356 Knollwood Dr Date:03/07/06 Eden. Prescription: Salvatore Bruce. 11/2009 Lot # 0333320 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 # 120 Salvatore Bruce __ MDD: MFR: Beach Salvatore Bruce. MD 123 Abbott Road N.255. K-Phos Original Prescriber Signature X__ Refill: 0 Prescription Label: 222 Cooke Hall Amherst. NY 14225 Rx K-Phos Original Sig: dissolve 2 tabs in h20 and take qid # 120 Dissolve 2 tablets in water and take four times daily. NY 14260 Phone: 716-555-5555 Rx# 89877 Colleen Bell 2356 Knollwood Dr Eden. Only one error/omission per exercise. MD. Refill 0 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Serial #K2541458 Drug Dispensed: Exp. prescription label. Tonawanda.

NY 14217 Take one tablet once daily June 23. RPA Lic# 445114 Lic # 636563 DEA AL5224782 333 Moore Ave Colins. Prescription: Herbert Dombrowski. prescription label. 2003 Prescriber Signature X_Herbert Refill: 0 Dombrowski_ MDD: Lamictal 200 mg MFR: GlaxoSmithKline Herbert Dombrowski.256. MD Mary Esposito. 01/2006 Lot # P212333 Please write a BRIEF description of the error/omission(3pts): . (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. and product it was filled with. MD. NY 14260 Phone: 716-555-5555 Name: Angelina Ferris Address: 5000 Sunrise Blvd Akron. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #D125T235 Drug Dispensed: Exp. NY 14217 Rx Lamictal 200 mg Sig: i po daily # 30 DOB: 08/22/71 Date: 06/23/03 Rx# 9999 Angelina Ferris 5000 Sunrise Blvd Akron. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14057 716-555-9999 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

: 8769 sex: (circle) (male) / female weight: ___175_____ (circle) (lb). MD Dispensed:  bag fluid (circle) NS (D5W) other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __250__________ IV Label: University Hospital 222 Cooke Hall Amherst.415. / Kg height: ___72____ (circle) (in. prescription label. UNIVERSITY HOSPITAL School of Pharmacy.9____mg/dl 3/15/11 0730 medical record no. and product it was filled with.02mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/14___ volume added to bag: drug amount in bag: ___25. MD RPh: (3pts): YOU . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. New York. MD date of birth: __04_/_30__/_79__ serum creatinine: ___0. 222 Cooke Hall.) / cm Cyclophosphamide 400mg/m2 in 250ml D5W.2____ ml ___504_____ mg Administration Rate___125__ ml/hr  diluent for drug reconstitution (circle) (SWFI) NS D5W other: _____ manufacturer: ___Hospira________ lot: __555g____ exp: 12/31/15 volume used (ml): ___50_____ Please write BRIEF description of the error/omission Dr: aToboggan. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Andy Roberts allergies: Penicillin room: 432B physician: Dr Toboggan. Toboggan. infuse over 2 hours Dr. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Cyclophosphamide 504mg Solution: 250ml D5W Infusion Rate: 125ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B  drug additive drug name:cyclophosphamide_1g powder final bag concentration: __2. Buffalo. Only one error/omission per exercise.

MD 745 Glenwood Ave Sardnia. NY 14260 Phone: 716-555-5555 Rx# 23323 Jefferson Eleanor 5685 Sundown Tr Clarence. NY 14443 Take one tablet twice daily.279. (Assume DEA#’s and License#’s are correct). NY 14443 Rx Lopid 600 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. prescription label. 2004 Prescriber Signature X_ Refill: 11 Frederick Morris _ MDD: Gemfibrozil 600 mg MFR: Teva Frederick Morris. and product it was filled with. June 28. 08/2006 Lot # P23568 Please write a BRIEF description of the error/omission (3pts): . # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #Z258M568 Drug Dispensed: Exp. Only one error/omission per exercise. NY 14033 716-877-5777 DEA AM415147 Name: Jefferson Eleanor DOB: 05/24/66 Address:5685 Sundown Tr Date:06/28/04 Clarence. Prescription: Frederick Morris. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD.

12/2010 Lot # R124587 Please write a BRIEF description of the error/omission (3pts): . 2007 Take one capsule by mouth twice a day. NY 14260 Phone: 716-555-5555 Rx# 336633 Doris Eldridge 7700 Columbus Pkwy Hamburg.375 mg MFR: Ethex Floyd Olszak. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #P2358743 Drug Dispensed: Exp.280. NY 14222 Rx Levbid 0. Briefly describe the error/omission at the bottom of the page. Prescription: Floyd Olszak. MD. NY 14222 March 12. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14028 716-757-5555 Lic# 722358 DEA AO1147746 Name: Doris Eldridge DOB: 03/09/65 Address: 7700 Columbus Pkwy Date:03/11/07 Hamburg.375 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescriber Signature X_Floyd Refill: 2 Olszak____ MDD: Hyoscyamine ER 0. prescription label. and product it was filled with. MD 2225 Blossom Lane Depew.

MD 2225 Blossom Lane Depew. Prescription: Floyd Olszak. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times DAW Dispense as Written Serial #P2358743 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Lorabid Sig: i po tid # 30 Rx# 336633 Doris Eldridge 7700 Columbus Pkwy Hamburg. NY 14222 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14028 716-757-5555 Lic# 722358 DEA AO1147746 Name: Doris Eldridge DOB: 03/09/65 Address: 7700 Columbus Pkwy Date:03/11/07 Hamburg. MD. prescription label. March 12. NY 14222 Take one capsule three times a day. and product it was filled with.281. 12/2008 Lot # T002223 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2007 Prescriber Signature X_ Refill: 2 Floyd Olszak ___ MDD: Hyoscamine ER 0.375 mg MFR: Ethex Floyd Olszak.

Atenolol 100 mg MFR: Sandoz Victoria Flemming MD. prescription label. Only one error/omission per exercise. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 90015 Frank Barrett 8888 Michigan Ave Buffalo. NY 14200 Rx Lisinopril 10 mg Sig: i po qd # 30 Atenolol 50mg Sig: i po qd #30 Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #W2538Y25 Drugs Dispensed: Rx# 90016 Frank Barrett 8888 Michigan Ave Buffalo. 11/2008 Lot # 3P2040 Please write a BRIEF description of the error/omission (3pts): . MD 1245 Ocean Ave. Lisinopril 10 mg MFR: Mylan Victoria Flemming MD. November 25. November 25. NY 14200 Take one tablet once daily. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.430. Briefly describe the error/omission at the bottom of the page. NY 11228 716-505-5050 Lic# 223658 DEA BF1111587 Name: Frank Barrett DOB: 03/15/59 Address:8888 Michigan Ave Date:11/25/06 Buffalo. (Assume DEA #’s and License #’s are correct). NY 14200 Take one tablet once daily. 2006 # 30 Refill 3 times Phone: 716-555-5555 Prescriber Signature X_Victoria Refill: 3 Flemming__ MDD: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Prescription Labels: Victoria Flemming. 2006 # 30 Refill 3 times Exp. Suite 290 Amherst.

and product it was filled with. MD 74 Quail Hollow Lane E Amherst. NY 14260 Phone: 716-555-5555 Flonase Sig: 2 spray each nostril qd #1 Rx# 200048 Eugene Page 6900 Nashua Road Long Island. Briefly describe the error/omission at the bottom of the page. NY 14478 October 13.505. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Instill 2 sprays into each nostril daily Prescriber Signature X_Mark Refill: 0 Flinchbaguh____ MDD: Fluticasone nasal spray MFR: Roxane Mark Flinchbaguh. Only one error/omission per exercise. NY 14478 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). 10/2010 Lot # A125012 Please write a BRIEF description of the error/omission (3pts): . NY 17895 716-666-6669 Lic# 174895 DEA AF458795 Name: Eugene Page DOB: 05/28/60 Address:6900 Nashua Road Date: 09/14/06 Long Island. # 16 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #1458LL89 Drug Dispensed: Exp. Prescription: Mark Flinchbaguh. MD.

11/2008 Lot # 144867A Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 696987 Edward Osoki 6900 Nashua Road Long Island. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 17789 Rx Fosamax 70 mg Sig: i poqweek # 1 month Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Paul Flicinski. NY 10059 716-700-0000 Lic# 147896 DEA AF4587955 Name: Ester Osoki DOB:09/08/39 Address: 6900 Nashua Road Date: 09/23/06 Long Island. (Assume DEA#’s and License#’s are correct). MD. prescription label. Briefly describe the error/omission at the bottom of the page. #4 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW DAW Dispense as Written Refill 5 times Serial #11253LP8 Drug Dispensed: Exp. 2006 Prescriber Signature X_ Refill: 5 Paul Flicinski ___ MDD: Fosamax 70 mg MFR: Merck Paul Flicinski.510. MD 789 Brown Street Bronx. and product it was filled with. NY 17789 Take one tablet once weekly September 23.

NY 14260 Phone: 716-555-5555 Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville. (Assume DEA#’s and License#’s are correct). NY 14212 Rx Nortriptyline 25 mg Sig: i po hs # 30 DOB: 08/28/43 Date: 08/01/06 Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville. NY 14212 Take one capsule at bedtime Nortriptyline 25 mg August 1. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 #30 Prescriber Signature X__Mark Refill: 2 Lee______ MDD:1 MFR: Teva Mark Lee. Briefly describe the error/omission at the bottom of the page. 02/2008 Lot # 60223589 Please write a BRIEF description of the error/omission(3pts): . MD Shirely Lee.166. Suite #568 Amherst. Refill 2 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #0147RE12 Drug Dispensed: Exp. NY 14226 716-478-8966 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. prescription label. Prescription: Mark Lee. and product it was filled with. RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road.

Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Cyclobenzaprine 5 mg Sig: i po tid prn # 90 Rx# 11245 Frank Mumham 5668 Highland Street Kenmore. Prescription: Shirely Cunnigham 7845 Grand Street Williamsville. NY 14217 February 14. 05/2009 Lot # 7A12589 Please write a BRIEF description of the error/omission (3pts): . and product it was filled with. (Assume DEA#’s and License#’s are correct). NY 14222 716-339-4589 Lic# 121548 DEA BC 1256381 Name: Frank Mumham DOB: 07/13/54 Address:5668 Highland Street Date:02/14/07 Kenmore.122. NY 14217 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. prescription label. MD. 2007 Take one tablet three times a day if needed Prescriber Signature X_ Refill: 1 Shirley Cunnigham _ MDD: Cyproheptadine 4 mg MFR: Mylan Shirely Cunnighma. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #T12589M1 Drug Dispensed: Exp.

and product it was filled with. NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Jason Panko DOB: 04/28/48 Address:225 Sweetheaven Ct Date:08/08/06 Buffalo. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #78452K89 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.219. DO. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. DO 99 Brookside Ave S Wale. Only one error/omission per exercise. NY 14207 Rx Ampyra 10 mg ER Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 14260 Phone: 716-555-5555 Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo. Prescription: Jonathan Mallozzi. NY 14207 August 8. 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts): . 2006 Take one tablet by mouth twice daily. Prescriber Signature X_Jonathan Refill: 0 Mallozzi____ MDD: Ampyra 10 mg MFR: Global Jonathan Mallozzi.

Only one error/omission per exercise. MD 2366 Autumnview Road Clarence. (Assume DEA#’s and License#’s are correct).220. NY 14000 Rx Prograf 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. April 5. NY 14000 Take one capsule twice daily. MD. Prescription: Joyce Campanella. NY 14260 Phone: 716-555-5555 Rx# 141578 Dolores Ennis 789 Kinsey Ave Tonawanda. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #1145J569 Drug Dispensed: Exp. 10/2008 Lot # L478572 Please write a BRIEF description of the error/omission (3pts): .5 mg MFR: Asteilas Joyce Campanella. and product it was filled with. prescription label. 2005 Prescriber Signature X_Joyce Refill: 5 Campenella____ MDD: Prograf 0. Briefly describe the error/omission at the bottom of the page.5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14002 716-363-3636 Lic# 787782 DEA AC 8857851 Name: Dolores Ennis DOB: 06/18/56 Address:789 Kinsey Ave Date: 04/05/05 Tonawanda.

prescription label. 2006 Apply to affected area three times daily Thomas Grands___ MDD: Mupirocin 2% Ointment MFR: Teva Dr. (Assume DEA#’s and License#’s are correct). NY 14223 716-444-4444 Lic# 543211 DEA AG4298341 Name: Jean Horton DOB: 11/06/65 Address: 500 Main Street Date: 05/22/06 Bflo.ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 02/2009 Lot # 123456 Please write a BRIEF description of the error/omission (3pts): .493. Only one error/omission per exercise. NY 14235 May 22. Thomas Grands #22 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #125L65K6 Drug Dispensed: Exp. and product it was filled with.. MD 432 Nottingham Blvd. Briefly describe the error/omission at the bottom of the page. Buffalo. NY 14235 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14260 Phone: 716-555-5555 Bactroban 2% ointment Sig: AAA TID #30 g Prescriber Signature X Refill: 1 Rx# 23456 Jean Horton 500 Main Street. Prescription: Thomas Grands. Buffalo.

NY 14212 Take one tablet at bedtime Desipramine 100 mg August 1. NY 14260 Phone: 716-555-5555 Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville. Prescription: Mark Lee. RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road. MD. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. Refill 2 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #0147RE12 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. prescription label. NY 14226 716-478-8966 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. MD Shirely Lee. 02/2008 Lot # 7158489 Please write a BRIEF description of the error/omission(3pts): . 2006 #30 Prescriber Signature X__ Refill: 2 Mark Lee _____ MDD: MFR: Sandoz Mark Lee.167. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Suite #568 Amherst. NY 14212 Rx Nortriptyline 10 mg Sig: i po hs # 30 DOB: 08/28/43 Date: 08/01/06 Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville.

02/2010 Lot # T101257 Please write a BRIEF description of the error/omission (3pts): . NY 14042 Rx januvia 100 mg Sig: 1 po qd #30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. 2007 Prescriber Signature X__Jackson Refill: 1 Hundson___ MDD: Januvia 100 mg MFR: Merck and CO Jackson Hundson. Briefly describe the error/omission at the bottom of the page.550. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #7482L748 Drug Dispensed: Exp. Prescription: Jackson Hundson. MD 452 Main Street Buffalo. NY 14260 Phone: 716-555-5555 Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo. prescription label. NY 14042 Take 1 tablet by mouth daily January 14. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14532 716-444-6666 Lic# 485627 DEA BH4712584 Name: Jeremy Paneinto DOB: 07/04/77 Address:805 Mapleview Road Date:01/14/07 Buffalo. MD. (Assume DEA#’s and License#’s are correct). and product it was filled with.

NY 14458 716-558-8888 Name: Kristen Paralato Address:6253 Auburn Ave Akron. NY 14004 Rx Levemir Sig: inject as directed # 2 vials DOB: 5/24/76 Date: 02/18/07 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron.555. 2007 Prescriber Signature X__ Refill: 1 Steven Johnson__ MDD:4 Levemir MFR: Novo nordisk Steven Johnson. # 10 ml THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #74158987 Drug Dispensed: Exp. Only one error/omission per exercise. RPA Lic # 555233 85 Greek Road Lockport. NY 14004 Inject as directed February 18. prescription label. MD. (Assume DEA#’s and License#’s are correct). MD Lic# 456922 DEA BJ5224782 Karen Swanson. 05/2008 Lot # 70000052 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. Prescription: Steven Johnson.

NY 14260 Phone: 716-555-5555 Ultram 50 mg Sig: i po bid # 60 Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster.560. prescription label. October 19. (Assume DEA#’s and License#’s are correct). Prescription: Edwin Pizarro. NY 14414 716-555-1111 Lic# 748514 DEA AP9542588 Name: Andrew Reichert DOB: 12/17/33 Address: 5556 Cottonwood Dr Date: 10/19/06 Lancaster. 2006 Prescriber Signature X_ Refill: 5 Edwin Pizarro ___ MDD: Tramadol 50 mg tablets MFR: Mylan Edwin Pizarro. MD 474 Woodcreast Dr Amherst. MD. NY 14141 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. and product it was filled with. 11/2010 Lot # Y741589 Please write a BRIEF description of the error/omission (3pts): . #60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z4158P85 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. NY 14141 Take one capsule twice daily.

RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA MM4958746 124 Scamridge Street Buffalo. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY14207 Rx DOB: 04/17/32 Date: 04/07/04 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 01/2007 Lot # 305344 Please write a BRIEF description of the error/omission(3pts): . MD # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #M74589359 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. NY 14207 Take one tablet once daily April 7. MD Diane Montgomery.140. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. NY 14260 Phone: 716-555-5555 Cognex 40 mg Sig: i po daily # 30 Rx# 045786 Anthony Olson 214 Miami Road Hamburg. Prescription: Richard Kinsely. NY 14111 716-577-4777 Name: Anthony Olson Address: 214 Miami Road Hamburg. 2004 Prescriber Signature X__ Refill: 2 Richard Kinsely _ MDD: Nadolol 40 mg MFR: Mylan Richard Kinsely. and product it was filled with.

321. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Clifford Bookbinder. (Assume DEA#’s and License#’s are correct). prescription label. NY 14300 Rx Metolazone 5 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DO. NY 14260 Phone: 716-555-5555 Rx# 10222 Ida Cimato 822 Rainbow Blvd Lancaster. NY 14300 Take one tablet once daily. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #L2536Z00 Drug Dispensed: Exp. July 8. DO 955 Glenwood Ave Buffalo. and product it was filled with. 2006 Prescriber Signature X__ Refill: 6 Clifford Bookbinder_ MDD: Metolazone 5 mg MFR: Mylan Clifford Bookbinder. NY 14221 716-323-3333 Lic# 238745 DEA BB2415417 Name: Ida Cimato DOB: 03/08/52 Address:822 Rainbow Blvd Date:08/07/06 Lancaster. 07/2008 Lot # 1P1993 Please write a BRIEF description of the error/omission (3pts): .

NY 14209 February 8.322. and product it was filled with. 03/2008 Lot # 235800 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14209 Rx Amturnide 300/10/25 Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2006 Take one tablet by mouth once daily Prescriber Signature X__Chester Refill: 5 Cross____ MDD: Amturnide 300mg/10mg/25mg MFR: Novartis Chester Cross. prescription label. Prescription: Chester Cross. (Assume DEA#’s and License#’s are correct). NY 14220 716-858-8889 Lic# 235211 DEAAC5278951 Name: Shawn Dimeo DOB: 06/21/34 Address:700 Embassy Sq Date: 02/08/06 Depew. NY 14260 Phone: 716-555-5555 Rx# 23533 Shawn Dimeo 700 Embassy Sq Depew. MD 9229 Peckham Road Buffalo. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z2578456 Drug Dispensed: Exp. Only one error/omission per exercise.

Suite #568 Amherst. Briefly describe the error/omission at the bottom of the page. prescription label. RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road. 2006 #30 Prescriber Signature X__ Refill: 2 Mark Lee ______ MDD: MFR: Teva Mark Lein. NY 14260 Phone: 716-555-5555 Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville. 02/2008 Lot # 60223589 Please write a BRIEF description of the error/omission(3pts): . NY 14212 Rx Nortriptyline 25 mg Sig: i po hs # 30 DOB: 08/28/43 Date: 08/01/06 Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville. NY 14226 716-478-8966 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. NY 14212 Take one capsule at bedtime Nortriptyline 25 mg August 1. Refill 2 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #0147RE12 Drug Dispensed: Exp. and product it was filled with. Prescription: Mark Lee.168. MD. MD Shirely Lee.

Only one error/omission per exercise. 2007 Prescriber Signature X___Terrance Refill: 11 Fransco___ MDD: Detrol 1 mg MFR: Pfizer Terrance Fransco. DO. and product it was filled with.169. prescription label. DO 7877 Easton Ave New York. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 11250 Take one tablet once daily. (Assume DEA#’s and License#’s are correct). February 9. NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Pauline Gizzo DOB: 03/14/21 Address:4808 E Utica Ave Date:02/09/07 New York. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #178238W7 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 78789 Pauline Gizzo 4808 E Utica Ave New York. NY 11250 Rx Detrol 1 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 02/2010 Lot # H784856 Please write a BRIEF description of the error/omission (3pts): . Prescription: Terrance Fransco.

Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. and product it was filled with. Prescription: Thomas Criag. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW DAW Dispense as Written Refill 0 times Serial #18978TG8 Drug Dispensed: Exp. DVM 1208 Alberta Drive Rochester. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14225 Rx CartiaXT 300 mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14225 January 5. 05/2008 Lot # 600G08S1A Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 78589 Harry Hugh 5089 Niagara Blvd Buffalo. 2006 Take one capsule by mouth once daily. prescription label. NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: Harry Hugh DOB: 04/05/65 Address:5089 Niagara Blvd Date:01/05/06 Buffalo. (Assume DEA#’s and License#’s are correct). Prescriber Signature X_ Refill: 0 Thomas Criag __ MDD: Cartia XT 300 mg MFR: Andrx Thomas Criag DVM.135.

July. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 556999 Courtney Betts 400 Goodyears Road W. NY 14086 716-666-6666 Lic# 741789 DEA MP252364 Name: Courtney Betts DOB: 07/15/41 Address:400 Goodyears Road Date:03/14/05 W. NY 14150 Take one tablet once daily. NY 14150 Rx Estratest Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW DAW Dispense as Written Refill 6 times Serial #ZZ147852 Drug Dispensed: Exp. 12/2006 Lot # H178547 Please write a BRIEF description of the error/omission (3pts): . 15 2005 Prescriber Signature X___ Refill: 6 Claudia Fong __ MDD: Estratest MFR: Solvay Pharmacetuicals Claudia Fong. NP 8116 Warren Ave Buffalo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Seneca. MD. prescription label. Seneca.204. Prescription: Claudia Fong. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise.

MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14401 August 10. NY 14260 Phone: 716-555-5555 Rx# 656898 Alfred Consantino 222 Gatewood Ave Hamburg. Briefly describe the error/omission at the bottom of the page. NY 14401 Rx Fiorinal Sig: i – ii po q 4 h prn # 120 ( one hundred twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. Prescription: Patrick Wosinki. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z98556874 Drug Dispensed: Exp. maximum daily dose of 6. (Assume DEA#’s and License#’s are correct). Prescriber Signature X_Patrick Refill: 5 ( five) Wosinki_____ MDD: 6 Buta/ASA/Caffeine 50/325/40 mg MFR: Lannett Patrick Wosinki. MD 50 S Niagara Fall Blvd Lockport. 2004 Take one to two capsules every 4 hours as needed.205. prescription label. 10/2006 Lot # 2006356563 Please write a BRIEF description of the error/omission (3pts): . NY 14003 716-666-6666 Lic# 112258 DEA AW114455 Name: Alfred Consantino DOB: 09/20/66 Address: 222 Gatewood Ave Date: 08/04/04 Hamburg. and product it was filled with.

prescription label. Buta/APAP/Caffeine 50/325/40 mg MFR: Qualitest Patrick Wosinki. NY 14003 716-666-6666 Lic# 112258 DEA AW114455 Name: Alfred Consantino DOB: 09/20/66 Address: 222 Gatewood Ave Date: 08/04/04 Hamburg. and product it was filled with. NY 14401 August 10. (Assume DEA#’s and License#’s are correct). Prescription: Patrick Wosinki.206. Only one error/omission per exercise. maximum daily dose of 6. NY 14260 Phone: 716-555-5555 Rx# 656898 Alfred Consantino 222 Gatewood Ave Hamburg. NY 14401 Rx Fiorinal Sig: i – ii po q 4 h prn # 120 ( one hundred twenty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Refill 5 times # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #Z98556874 Drug Dispensed: Exp. 01/2007 Lot # C0070906A Please write a BRIEF description of the error/omission (3pts): . MD. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2004 Prescriber Signature X_ Refill: 5 ( five) Patrick Wosinki __ MDD: 6 Take one to two capsules every 4 hours as needed. MD 50 S Niagara Fall Blvd Lockport. Briefly describe the error/omission at the bottom of the page.

Prescription: Terrance Fransco. 2007 Prescriber Signature X_ Refill: 11 Terrance Fransco __ MDD: Detrol 2 mg MFR: Pfizer Terrance Fransco. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14260 Phone: 716-555-5555 Rx# 78789 Pauline Gizzo 4808 E Utica Ave New York. and product it was filled with. 02/2010 Lot # H789900 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Pauline Gizzo DOB: 03/14/21 Address:4808 E Utica Ave Date:02/09/07 New York. NY 11250 Rx Detrol la 2 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page.171. DO 7877 Easton Ave New York. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #178238W7 Drug Dispensed: Exp. NY 11250 Take one tablet once daily. DO. February 9.

and product it was filled with. Prescriber Signature X__Suzanne Refill: 0 Brower_____ MDD: Ciprofloxacin 500mg MFR: Aurobindo Suzanne Brower. Prescription: Suzanne Brower. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2011 Take two tablets by mouth three times daily for 7 days. NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Gale Chamberlin DOB: 03/15/77 Address:555 Parkwood Ave Date:03/08/11 Synder. MD. NY 14077 Rx Cipro 500mg Sig: ii po tid x 7 days # 42 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. MD 9988 Parkside Ave Amherst. (Assume DEA#’s and License#’s are correct). #42 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #568LK236 Drug Dispensed: Exp. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder. NY 14077 March 9. Briefly describe the error/omission at the bottom of the page.351. 08/2014 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts): .

NY 14086 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. NP. and product it was filled with. NY 14086 Take one tablet four times daily July 13. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NP 4458 Thompson Raod Colden. 2005 Prescriber Signature X Refill: 11 Rosemary Kazmierski __ MDD: Dicylcomine 20 mg tablets MFR: Mylan Rosemary Kazmierski. # 120 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill times Dispense as Written Serial #741578M8 Drug Dispensed: Exp. prescription label. (Assume DEA#’s and License#’s are correct). 12/2008 Lot # 1LKO125 Please write a BRIEF description of the error/omission (3pts): .567. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Adrian Kobrins DOB: 08/14/48 Address:78 Applewood Road Date:07/12/05 Angola. Prescription: Rosemary Kazmierski. NY 14260 Phone: 716-555-5555 dicyclomine 20 mg Sig: 1 qid # 120 Rx# 78412 Adrian Kobrins 78 Applewood Road Angola.

Only one error/omission per exercise. Prescription: Stanley Kaiser. NY 14220 Rx Ortho-Cept Sig: i po daily # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. MD. Briefly describe the error/omission at the bottom of the page. NY 14000 716-555-7788 Lic# 171756 DEA BK5278850 Name: Susanna Rusinski DOB: 07/25/80 Address:5123 Argonne Drive Date:03/03/06 Buffalo.352. 05/2009 Lot # TT2325 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA#’s and License#’s are correct). MD 888 Robin Raod Millersville. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14220 Take one tablet once daily. March 3. # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times Dispense as Written Serial #Y2587M58 Drug Dispensed: Exp. prescription label. 2006 Prescriber Signature X_Stanley Refill: 11 Kaiser____ MDD: Solia MFR: Prasco Stanley Kaiser. NY 14260 Phone: 716-555-5555 Rx# 202113 Susanna Rusinski 5123 Argonne Drive Buffalo.

NY 14778 Take one tablet once daily March 25. MD 789 Ward Street Lancaster. Prescription: Stephen Sigel. prescription label.453. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #230L25M6 Drug Dispensed: Exp. and product it was filled with. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Tabatha Sanford DOB: 11/11/46 Address:7787 Brown Hill Rd Date:03/25/05 Springville. (Assume DEA #’s and License #’s are correct). 11/2008 Lot #F7526 Please write a BRIEF description of the error/omission (3pts): . Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Rx# 114566 Tabatha Sanford 7787 Brown Hill Road Springville. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2005 Prescriber Signature X__ Refill: 5 Stephen Sigel __ MDD: Singulair 10 mg MFR: Merck and Co Inc Stephen Sigel MD. NY 14778 Rx Singulair 10 mg Sig: i po daily Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

RPA. 2006 #9 Prescriber Signature X__Kevin Refill: 3 William__ MDD: MFR: GlaxoSmithKline Kevin William. Prescription: Stephan Leid . RPA Lic # 889851 DEA MW2568965 232 Hampton Road Buffalo. NY 14260 Phone: 716-555-5555 Name: Carolina Belanger Address: 6677 Stony Point Rd W. NY 14214 716-565-8896 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14222 Rx Imitrex 50 mg Sig: uud #9 DOB: 12/28/49 Date: 09/17/06 Rx# 114567 Carolina Belanger 6677 Stony Point Rd W. 09/2008 Lot # L25631K Please write a BRIEF description of the error/omission(3pts): . Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #25P352H5 Drug Dispensed: Exp. MD Lic# 125896 DEA AL5121584 Kevin William. NY 14222 Use as directed Imitrex 50 mg September 17. and product it was filled with. Briefly describe the error/omission at the bottom of the page. prescription label. Seneca. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. (Assume DEA #’s and License #’s are correct). Seneca.454.

Only one error/omission per exercise. and product it was filled with. 2005 Take one tablet by mouth once daily Prescriber Signature X_Rosemary Refill: 2 Kazmierski__ MDD: Paroxetine 10mg MFR: Aurobindo Rosemary Kazmierski. 12/2008 Lot # 1LKO125 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). prescription label. Prescription: Rosemary Kazmierski.172. DPM # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #741578M8 Drug Dispensed: Exp. NY 14086 Rx Paxil 10mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. DPM 4458 Thompson Raod Colden. Briefly describe the error/omission at the bottom of the page. NY 14086 July 13. NY 14260 Phone: 716-555-5555 Rx# 78412 Adrian Kobrins 78 Applewood Road Angola. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Adrian Kobrins DOB: 08/14/48 Address:78 Applewood Road Date:07/12/05 Angola.

Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label. Prescription: Alfredo Gallagher. NY 14127 Take one tablet once daily. NY 14200 716-666-7500 Lic# 363636 DEA MG5568970 Name: Carmine Fernandez DOB: 03/10/36 Address: 9000 Applewood Road Date:09/15/06 Lackawanna. September 16. NP. NY 14260 Phone: 716-555-5555 Rx# 23000 Carmine Fernandez 9000 Applewood Road Lackawanna. NY 14127 Rx Lanoxin 250 mcg Sig: i po daily # 30 Prescriber Signature X_ Refill: 6 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 2006 Alfredo Gallagher MDD: Lanoxin 250 mg MFR: GlaxoSmithKline Alfredo Gallagher. and product it was filled with.261. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times DAW Dispense as Written Serial #P2315248 Drug Dispensed: Exp. NP 878 Sweet Home Road Lancaster. Briefly describe the error/omission at the bottom of the page. 08/2009 Lot # L12325 Please write a BRIEF description of the error/omission (3pts): .

5 g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #0147RE12 Drug Dispensed: Exp. Suite #568 Amherst. NY 14212 Rx ProAir HFA Sig: i puff q4h prn # 1 inhaler Prescriber Signature X__Mark Refill: 2 DOB: 08/28/43 Date: 02/20/11 Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville. 02/28/2011 Lot # 60223589 Please write a BRIEF description of the error/omission(3pts): . MD. (Assume DEA#’s and License#’s are correct). #8. prescription label. NY 14212 February 21. MD Shirely Lee. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2011 Inhale 1 puff by mouth every 4 hours as needed Lee______ MDD: ProAir HFA MFR: Teva Mark Lee. and product it was filled with.538. NY 14226 716-478-8966 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. RPA Lic# 458793 Lic # 58963 DEA AL5224782 789 Maple Road. Prescription: Mark Lee. Only one error/omission per exercise.

222 Cooke Hall. Buffalo. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alexander Rodrigo Room:431B Additives: Phenytoin 823mg Solution: 100ml NS Infusion Rate: 364ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Phenytoin_50mg/ml______ final bag concentration: __8. MD RPh: (3pts): YOU .9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat.262. Only one error/omission per exercise. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0. UNIVERSITY HOSPITAL School of Pharmacy. Infuse at 50mg/min Dr. Toboggan. New York.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. / Kg height: ___5’3”____ (circle) (in. Briefly describe the error/omission at the bottom of the page.23mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/14___ volume added to bag: drug amount in bag: ___16. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan. MD medical record no.5____ ml ___823_____ mg Administration Rate___364__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan. prescription label.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb).

Briefly describe the error/omission at the bottom of the page. 2006 Prescriber Signature X_ Refill: 1 Richard Zakrajesek MDD: Probenecid 500 mg MFR: Watson Richard Zakrajesek. Prescription: Richard Zakrajesek. MD 5899 Sweet Home Road E Amherst. NY 14260 Phone: 716-555-5555 Rx# 90012 Amy Centino 239 Battle Ave Buffalo.423. MD. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 time Dispense as Written Serial #3636K258 Drug Dispensed: Exp. NY 14334 Take one tablet twice daily. NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Amy Celestino DOB: 02/29/59 Address:2390 Baxter Ave Date:07/09/06 Buffalo. NY 14334 Rx Probenecid 500 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 05/2008 Lot # 1256J23 Please write a BRIEF description of the error/omission (3pts): . July 9. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. and product it was filled with. prescription label. (Assume DEA #’s and License #’s are correct).

MD medical record no. 222 Cooke Hall.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __50__________ IV Label: University Hospital 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.424.375g powder____ final bag concentration: __67. Buffalo. Toboggan.375g Solution: 50ml NS Infusion Rate: 100ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900 Room:432B  drug additive drug name: __Zosyn 3.9____mg/dl 3/15/11 0730 Zosyn 3. New York. MD RPh: (3pts): YOU .375g q6h in 50ml NS.5mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___3375_____ mg Administration Rate___100__ ml/hr  diluent for drug reconstitution (circle) (SWFI) NS D5W other: _____ manufacturer: _____Hospira__________ lot: __G474___ exp: 12/31/15 volume used (ml): _______10_________ ___10____ ml Please write BRIEF description of the error/omission Dr: aToboggan. UNIVERSITY HOSPITAL School of Pharmacy. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Greg Adams allergies: Penicillin (anaphylaxis) room: 432B physician: Dr Toboggan. and product it was filled with. prescription label. Infuse over 30min. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Greg Adams Additives: Zosyn 3. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0. Briefly describe the error/omission at the bottom of the page. prepare 1 dose Dr. Only one error/omission per exercise. / Kg height: ___5’9”____ (circle) (in.: 8769 sex: (circle) (male) / female weight: ___181_____ (circle) (lb).

February 8.579. and product it was filled with. 02/2010 Lot # K21452 Please write a BRIEF description of the error/omission (3pts): . MD. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #2315KU78 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Prescription: Mike Lou. MD 5255 Cobblestone Dr Clarence. Only one error/omission per exercise. NY 14260 Phone: 716-555-5555 Toviaz 8mg Sig: 1 po qd # 30 Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna. 2009 Prescriber Signature X_ Refill: 3 Mike Lou ____ MDD: Toviaz 8mg MFR: Pfizer Mike Lou. NY 14034 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14034 Take one tablet once daily. NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/09 Lackawanna.

387. NY 14260 Phone: 716-555-5555 Rx# 20327 Rhonda Haytt 7411 Basswood Street Alden. (Assume DEA#’s and License#’s are correct). Prescription: Kenneth Taung. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD 1478 Morrison Ct Cheektowaga. and product it was filled with. 11/2005 Lot # T23589 Please write a BRIEF description of the error/omission (3pts): . Briefly describe the error/omission at the bottom of the page. # 30 Refill 3 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #ZU28569M Drug Dispensed: Exp. Only one error/omission per exercise. May 9. 2003 Prescriber Signature X__ Refill: 3 Kenneth Taung __ MDD: Felodipine ER 10 mg Kenneth Taung. MD. NY 14055 Rx Plendil 10 mg Sig: i po daily # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. NY 14055 Take one tablet once daily. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Rhonda Haytt DOB: 03/27/49 Address:7411 Basswood Street Date:05/09/03 Alden.

NY 14228 June 1. and product it was filled with. MD # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written DAW Refill 0 times Serial #0258TF39 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise.388. RPA Lic# 003985 Lic # 235893 DEA AG1254781 ML1542174 789 Maple Road. 09/2008 Lot # 008998 Please write a BRIEF description of the error/omission(3pts): . (Assume DEA#’s and License#’s are correct). NY 14226 716-478-8966 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Suite #568 Amherst. prescription label. 2006 Take one capsule by mouth once daily in the morning Prescriber Signature X__ Refill: 0 (zero) Nicolas Green __ MDD: 1 Adderall XR 20 mg MFR: Shire Nicolas Green. NY 14228 Rx Adderall XR 20mg Sig: i po qam # 90 (ninety) CODE A Rx# 20328 Chingy Woo Hiang 889 Heatherwood Street E Amherst. MD Kenneth Lee. NY 14260 Phone: 716-555-5555 Name: Chingy Woo Hiang DOB: 04/21/53 Address: 889 Heatherwood Street Date: 06/01/06 E Amherst. Prescription: Nicolas Green.

prescription label. NY 14260 Phone: 716-555-5555 Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park. and product it was filled with. 02/2009 Lot # 12458L6 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. NY 12486 716-878-7878 Lic# 785489 DEA AS1412561 Name: Shirley Grace DOB: 04/15/75 Address:148 Stuart Street Date:02/13/05 Orchard Park.128. Prescriber Signature X_ Refill: 5 Stephen Sigel ___ MDD: Claritin D 24 MFR: Schering-Plough Health Stephen Sigel. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 5 times Serial #128PR124 Drug Dispensed: Exp. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. 2005 Take one tablet twice daily if needed. Prescription: Stephen Sigel. NY 14141 Rx Claritin –D12 Sig: i po bid # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). MD 789 Ward Street Lancaster. NY 14141 February 13.

MD Lic# 124587 DEA AS4541252 Sean Hunter. 02/2008 Lot # M124LK Please write a BRIEF description of the error/omission(3pts): . Only one error/omission per exercise. 2007 Take 3 capsules twice daily as directed Cyclophosphamide 25 mg # 180 Prescriber Signature X_ Refill: 2 Sean Hunter rpa __ MDD: MFR: Apotex Sean Hunter. NY 14001 February 02. NY 14001 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Howard Siemer. NY 14260 Phone: 716-555-5555 Cyclosporine 25 mg Sig: iii po bid ud # 180 Rx# 12001 Garris Garvey 3569 Grands Island Blvd Hamburg. Briefly describe the error/omission at the bottom of the page. prescription label. (Assume DEA#’s and License#’s are correct). RPA Lic # 123514 DEA ML1223560 68 Elmhurst Dr Orchard Park. Refill 2 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Drug Dispensed: Serial #123HJ74L Exp. and product it was filled with. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY14040 716-877-7777 Name: Garris Garvey DOB: 08/24/45 Address: 3569 Grand Island Blvd Date: 02/02/07 Hamburg.146. RPA.

12/2008 Lot # 1LKO125 Please write a BRIEF description of the error/omission (3pts): .250/0. Only one error/omission per exercise. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Adrian Kobrins DOB: 08/14/88 Address:78 Applewood Road Date:07/12/05 Angola. DPM 4458 Thompson Raod Colden. NY 14086 July 13. prescription label. NY 14086 Rx Sprintec-28 Sig: i po qd # 28 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. NY 14260 Phone: 716-555-5555 Rx# 78412 Adrian Kobrins 78 Applewood Road Angola. DPM # 28 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 10 times Dispense as Written Serial #741578M8 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct).173. Prescription: Rosemary Kazmierski. Briefly describe the error/omission at the bottom of the page. 2005 Take one tablet by mouth once daily Prescriber Signature X_Rosemary Refill: 10 Kazmierski__ MDD: Sprintec 0. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.035 MFR: Barr Rosemary Kazmierski.

RPA. and product it was filled with. RPA Lic # 123514 DEA ML1223560 68 Elmhurst Dr Orchard Park. NY14040 716-877-7777 Name: Garris Garvey DOB: 08/24/45 Address: 3569 Grand Island Blvd Date: 02/02/07 Hamburg. NY 14001 Rx Cyclosporine 25 mg Sig: iii po bid ud # 180 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD Lic# 124587 DEA AS4541252 Sean Hunter. prescription label.147. # 180 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #123HJ74L Drug Dispensed: Exp. Prescription: Howard Siemer. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). NY 14260 Phone: 716-555-5555 Rx# 12001 Garris Garvey 3569 Grands Island Blvd Hamburg. 02/2009 Lot # K21452 Please write a BRIEF description of the error/omission(3pts): . Only one error/omission per exercise. NY 14001 February 02. 2007 Take 3 capsules twice daily as directed Prescriber Signature X_ Refill: 5 Sean Hunter rpa __ MDD: Cyclosporine 25 mg MFR: Apotex Sean Hunter.

Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X_Jonathan Refill: 5 Mallozzi____ MDD: Advair 250/50 MFR: Glaxosmithkline Jonathan Mallozzi. DDS 99 Brookside Ave S Wale. Briefly describe the error/omission at the bottom of the page. DDS # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #78452K89 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts): . NY 14139 716-700-7888 Lic# 541786 DEA AM7847859 Name: Jason Panko DOB: 04/28/48 Address:225 Sweetheaven Ct Date:08/08/06 Buffalo. NY 14260 Phone: 716-555-5555 Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo. prescription label. Prescription: Jonathan Mallozzi. NY 14207 Rx Advair 250/50 Sig: i pff bid # 1 diskus Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with.213. NY 14207 Inhale 1 puff by mouth twice daily August 8.

MD. Prescription: Floyd Olszak. and product it was filled with. 08/2009 Lot # U78421 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Rx# 12489 Kimberly Oliver 254 Sandrock Road Angola. November 28. 2006 Prescriber Signature X_Floyd Refill: 0 ( zero) Olszak_____ MDD: Temazepam 30 mg MFR: Mylan Floyd Olszak. prescription label. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). NY 14023 Take one capsule at bedtime. NY 14028 716-757-5555 Lic# 722358 DEA AO1147746 Name: Kimberly Oliver DOB: 03/30/49 Address: 254 Sandrock Road Date:11/28/06 Angola. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #8569KL78 Drug Dispensed: Exp. Briefly describe the error/omission at the bottom of the page.214. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14023 Rx Temazepam 30 mg Sig: i po hs # 30 ( thirty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 2225 Blossom Lane Depew.

Prescription: Pauline Davidson. NY 14333 716-123-4567 Lic# 147891 DEA AD1122580 Name:__Vicki Liang DOB: 02/28/39 Address:_4788 Loving Lane_ Date: _12/8/06_ _Williamsville. and product it was filled with. NY 12258 December 9. NY 14260 Phone: 716-555-5555 Climara 0. NY 12258 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD 5529 Northtown Raod. Briefly describe the error/omission at the bottom of the page.025 mg patch Sig: apply 1 q week #4 Rx# 01258 Vicki Liang 4788 Loving Lane Williamsville. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Pauline Davidson Refill 3 times #4 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Serial #112KJ125 Drug Dispensed: Exp. Only one error/omission per exercise.2006 Prescriber Signature X___Pauline Refill: 3 Davidson___ MDD: Apply one patch once a week Climara 0. (Assume DEA#’s and License#’s are correct). E Amherst. 02/2008 Lot # 8956986 Please write a BRIEF description of the error/omission (3pts): .025 mg patch MFR: Berlex Dr.496.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore. 10/2008 Lot # L147896P Please write a BRIEF description of the error/omission (3pts): . MD 1478 Morrison Ct Cheektowaga. and product it was filled with. NY 14789 Inhale 2 puffs by mouth four times daily July 4. 2006 Kenneth Taung _____ MDD: Combivent Inhaler MFR: Boehringer Ingelheim Dr.6g THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 10 times Dispense as Written Serial #0085HJ89 Drug Dispensed: Exp. Only one error/omission per exercise.501. Prescription: Kenneth Taung. (Assume DEA#’s and License#’s are correct). Kenneth Tang #14. NY 11444 716-222-222 Lic# 258963 DEA BT2325480 Name: Angelina Pulaski ___ DOB: 11/2/38 Address:_115 Harry Street_ Date: 07/01/06_ Kenmore. prescription label. NY 14789___ Rx Combivent Sig: 2 puffs po QID # 1 inhaler Prescriber Signature X_ Refill: 10 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.

12/2008 Lot # 1LKO125 Please write a BRIEF description of the error/omission (3pts): . DPM # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #741578M8 Drug Dispensed: Exp. 2005 Take one tablet by mouth once daily at bedtime Prescriber Signature X_Rosemary Refill: 2 Kazmierski__ MDD: Atripla 600/200/300 MFR: Bristol Myers Squibb Rosemary Kazmierski. Briefly describe the error/omission at the bottom of the page. prescription label. (Assume DEA#’s and License#’s are correct). and product it was filled with. Only one error/omission per exercise. NY 14086 Rx Atripla Sig: i po qhs # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.174. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. DPM 4458 Thompson Raod Colden. NY 14260 Phone: 716-555-5555 Rx# 78412 Adrian Kobrins 78 Applewood Road Angola. NY 14086 July 13. NY 14033 716-333-3333 Lic#785982 DEA MK4121478 Name: Adrian Kobrins DOB: 08/14/48 Address:78 Applewood Road Date:07/12/05 Angola. Prescription: Rosemary Kazmierski.

175. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Elaine Knell, MD 2536 Rosewood Ave Lancaster, NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Margaret Louis DOB: 05/19/51 Address: 7417 Ashland Ave Date: 06/11/06 Kenmore, NY 14043 Rx Diazepam 5 mg Sig: i po tid # 90 ( ninety)

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 74741 Margaret Louis 7417 Ashland Ave Kenmore, NY 14043

June 11, 2006

Take one tablet three times a day. Maximum daily dose of 3 tablets.
Prescriber Signature X_Elaine Refill: 0 ( zero)

Knell___
MDD:3

Diazepam 5 mg MFR: Ivax Elaine Knell, MD.

# 90

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #1748G15H

Drug Dispensed:

Exp. 08/2008 Lot # K859856 Please write a BRIEF description of the error/omission (3pts):

578. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Brain Baksh, MD 2455 Wehrle Dr Amherst, NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Jeanette Calzone DOB: 07/07/47 Address:101 Connecticut Ave Date:01/01/07 W Seneca, NY 14125 Rx Thalomid 50mg Sig: i po qd # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. Seneca, NY 14125 Take one capsule once daily.

January 10, 2007

Prescriber Signature X__ Refill:

Brian Baksh __
MDD:

Thalomid 50mg Manu: Celgene Brain Baksh, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #7841CX39

Drug Dispensed:

Exp. 03/2009 Lot # L12488H Please write a BRIEF description of the error/omission (3pts):

273. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Suzanne Brower, MD 9988 Parkside Ave Amherst, NY 14222 716-987-9876 Lic# 255897 DEA MB2536893 Name: Gale Chamberlin DOB: 03/15/29 Address:555 Parkwood Ave Date:03/08/06 Synder, NY 14077 Rx Exelon 4.5 mg Sig: i po bid # 60

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder, NY 14077

March 9, 2006

Take one capsule by mouth twice daily.
Prescriber Signature X__Suzanne Refill: 3

Brower_____
MDD:

Exelon 4.5 mg MFR: Novartis Suzette Brown, NP.

#60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 3 times

Dispense as Written

Serial #568LK236

Drug Dispensed:

Exp. 08/2008 Lot # 1258789 Please write a BRIEF description of the error/omission (3pts):

274. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Yin Ching Tee, MD 893 Lexington Ave Getzville, NY 14209 716-234-2345 Lic# 225874 DEA BT2547896 Name: Harvey Chapman DOB: 09/07/53 Address:99 Birchwood Sq Date:12/18/05 Grand Island, NY 14412 Rx Lithobid ER 300 mg Sig: i po bid # 60

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 2235 Harvey Chapman 99 Birchwood Square Grand Island, NY 14412 Take one tablet twice daily.

December 18, 2005

Prescriber Signature X__Yin Refill: 3

Ching Tee__
MDD:2

Lithium Carbonate ER 300 mg MFR: Roxane Yin Ching Tee, MD.

#60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 3 times

Dispense as Written

Serial #KL238745

Drug Dispensed:

Exp. 03/2007 Lot # K12458 Please write a BRIEF description of the error/omission (3pts):

155. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Steven Hung, MD 9856 Simonds Road Lockport, NY 14856 716-522-2222 Lic# 152963 DEA AH1158965 Name: Randolph Harding DOB: 08/23/57 Address:5236 Southern Blvd Date:02/26/06 Grand Island, NY 14072 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Cytoxan 25 mg
Sig: i po bid # 60

Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island, NY 14072 Take one tablet twice daily.

February 26, 2006

Prescriber Signature X__ Refill: 1

Steven Hung _
MDD:

Misoprostol 200 mg MFR: Greenstone Steven Hung, MD.

# 60

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 1 time

Dispense as Written

Serial #586JU782

Drug Dispensed:

Exp. 02/2008 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts):

141. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Richard Kinsely, MD Diane Montgomery, RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA MM4958746 124 Scamridge Street Buffalo, NY 14111 716-577-4777

Name: Anthony Olson Address: 214 Miami Road Hamburg, NY14207 Rx Nadolol 40 mg Sig: i po daily # 30

DOB: 04/17/32 Date: 04/07/04

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 045786 Anthony Olson 214 Miami Road Hamburg, NY 14207 Take one tablet once daily

April 7, 2004

Prescriber Signature X_Diane Refill: 2

Montgomery _
MDD:

Nadolol 40 mg MFR: Mylan Richard Kinsely, MD

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 2 times

Dispense as Written

Serial #M74589359

Drug Dispensed:

Exp. 03/2006 Lot # T89093 Please write a BRIEF description of the error/omission(3pts):

176. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Elaine Knell, MD 2536 Rosewood Ave Lancaster, NY 14150 716-111-7777 Lic# 784178 DEA AK7415892 Name: Margaret Louis DOB: 05/19/51 Address: 7417 Ashland Ave Date: 5/1/06 Kenmore, NY 14043 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Diazepam 5 mg Sig: i po qd # 30 ( thirty)

Rx# 74741 Margaret Louis 7417 Ashland Ave Kenmore, NY 14043 Take one tablet once daily

June 11, 2006

Prescriber Signature X_ Refill: 0 zero

Elaine Knell ____
MDD:1

Diazepam 5 mg MFR: Ivax Elaine Knell, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #1748G15H

Drug Dispensed:

Exp. 02/2008 Lot # D741896 Please write a BRIEF description of the error/omission (3pts):

152. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Mike Lou, MD 5255 Cobblestone Dr Clarence, NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/03 Lackawanna, NY 14034 Rx

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Depakote 125 Sig: 1 po q12h # 28

Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna, NY 14034 Take one tablet every 12 hours

February 8, 2003

Prescriber Signature X_ Refill: 0

Mike Lou ____
MDD:

Senokot MFR: Purdue Mike Lou, MD.

# 28

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 0 times

Dispense as Written

Serial #2315KU78

Drug Dispensed:

Exp. 02/2009 Lot # K21452 Please write a BRIEF description of the error/omission (3pts):

267. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Stanley Kaiser, MD 888 Robin Raod Millersville, NY 14000 716-555-7788 Lic# 171756 DEA BK5278850 Name: Lorraine Linsley DOB: 05/08/47 Address:5666 Manhattan Road Date:03/28/05 Aurora, NY 14031 Rx Lonox Sig: i-ii po 3-4 / day prn # 30 (thirty)

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 71145 Lorraine Linsley 5666 Manhattan Road Aurora, NY 14031

March 28, 2005

Take one to two tablets 3 to 4 times a day as needed, maximum daily dose of 8 tablets.
Prescriber Signature X__ Refill: 0 zero

Stanley Kaiser _
MDD: 6

Lonox MFR: Sandoz Stanley Kaiser, MD

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

daw
Dispense as Written

Refill 0 times

Serial #K2587L12

Drug Dispensed:

Exp. 06/2008 Lot # W23235 Please write a BRIEF description of the error/omission (3pts):

576. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA #’s and License #’s are correct). Prescription:
Peterson Mineo, MD 6485 Colvin Ave Deprew, NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Shawnee Kessler DOB: 03/06/32 Address:8222 Crosswinds Ct Date: 05/23/08 Lockport, NY 14799 Rx Rasagiline 1mg Sig: i po daily # 30

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 114568 Shawnee Kessler 8222 Crosswinds Ct Lockport, NY 14799 Take one tablet once daily.

May 23, 2008

Prescriber Signature X__ Refill: 3

Peterson Mineo __
MDD:

Azilect 1mg MFR: Teva Peterson Mineo, MD.

# 30

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 3 times

Dispense as Written

Serial #985HG253

Drug Dispensed:

Exp. 11/2009 Lot # U56935 Please write a BRIEF description of the error/omission (3pts):

268.. ERRORS AND OMISSIONS Exercise A: You will be given a prescription, prescription label, and product it was filled with. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). Prescription:
Arnold Fletcher, MD 7523 Birch Place Farmingdale, NY 17774 516-963-3333 Lic# 256387 DEA BF4587955 Name: Ralph McGreevy DOB: 06/21/33 Address:2369 Timberlane Ct Date:2/14/05 Farmingdale, NY 17770 Rx Lantus Sig: uud # 1 vial

Prescription Label:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555

Rx# 568888 Ralph McGreevy 2369 Timberlane Ct Farmingdale, NY 17770 Use as directed

February 14, 2005

Prescriber Signature X_Arnold Refill: 5

Fletcher _
MDD:

Lantus MFR: Sanofi-Aventis Arnold Fletcher, MD.

# 10

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW

Refill 5 times

Dispense as Written

Serial #36LK2587

Drug Dispensed:

Exp. 02/2007 Lot # 15687L Please write a BRIEF description of the error/omission (3pts):

# 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #Z235M587 Drug Dispensed: Exp. NY 14133 Rx Oxybutynin 5 mg Sig: i po bid # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Arnold Fletcher. NY 14123 Take one tablet twice daily. Briefly describe the error/omission at the bottom of the page. NY 17774 516-963-3333 Lic# 256387 DEA BF4587955 Name: Pamela Rushford DOB: 04/14/37 Address: 858 Waltercrest Tr Date:06/14/05 W Seneca. and product it was filled with.357. 09/2007 Lot # 1N3111 Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Only one error/omission per exercise. prescription label. MD 7523 Birch Place Farmingdale. (Assume DEA#’s and License#’s are correct). June 14. MD. 2005 Prescriber Signature X___ Refill: 5 Arnold Fletcher __ MDD: Oxybutynin ER 5 mg MFR: Mylan Arnold Fletcher. NY 14260 Phone: 716-555-5555 Rx# 102332 Pamela Rusford 858 Waltercrest Tr W Seneca.

358. Infuse at 50mg/min Dr. NY 14260 Phone: 716-555-5555 Pharmacy Sterile Product Service IV Label Patient Name: Alexandra Rodriguez Room:432B Additives: Phenytoin 823mg Solution: 100ml NS Infusion Rate: 364ml/hour Preparation Date: Expiration Date: 03/15/11 03/16/11 Time: 0900 Time:0900  drug additive drug name: __Phenytoin_50mg/ml______ final bag concentration: __8. MD date of birth: __04_/_30__/_69__ serum creatinine: ___0. 222 Cooke Hall. Briefly describe the error/omission at the bottom of the page. New York.5____ ml ___823_____ mg Administration Rate___364__ ml/hr  diluent for drug reconstitution (circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________ Please write BRIEF description of the error/omission Dr: aToboggan.23mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___ volume added to bag: drug amount in bag: ___16.) / cm Dispensed:  bag fluid (circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________ IV Label: University Hospital 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD medical record no. MD RPh: (3pts): YOU . Toboggan. 14260 PHARMACY STERILE PRODUCT SERVICE IV ORDER Hospital policy requires a maximum 24 hour expiration date on compounded IV admixtures patient: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan. UNIVERSITY HOSPITAL School of Pharmacy.9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus. Only one error/omission per exercise.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb). / Kg height: ___5’3”____ (circle) (in. Buffalo. and product it was filled with. prescription label.

(Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.503. 07/2009 Lot # L0000158 Please write a BRIEF description of the error/omission (3pts): . NY 14216 716-787-8787 Lic# 235988 DEA MG4298341 Name:_Lily Grant __ DOB: 09/09/49 Address:_229 Young Road__ Date: 11/25/06_ _Buffalo. NP Refill 0 time #10 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #001UY569 Drug Dispensed: Exp. 2006 Prescriber Signature X__ Refill: 0 ( zero) Monica Greenfield ___ MDD: 1 q 3d Take one tablet every 72 hours. Briefly describe the error/omission at the bottom of the page. NY 12323__ Rx Fentanyl 25 mcg patch Sig: apply 1 patch q 72 h # 10 ( Ten) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Maximum of 1 every 3 days. NY 12323 December 24. and product it was filled with. Fentanyl 25 mcg patch MFR: Mylan Monica Greenfield. NY 14260 Phone: 716-555-5555 Rx# 23456 Lily Grant 229 Young Road Buffalo. NP 290 Meyer Road Amherst. prescription label. Prescription: Monica Greenfield.

03/2009 Lot # L12488H Please write a BRIEF description of the error/omission (3pts): .159. (Assume DEA#’s and License#’s are correct). Only one error/omission per exercise. MD 2455 Wehrle Dr Amherst. January 1. NY 14215 Take one tablet four times a day. NY 14305 716-111-2222 Lic# 147852 DEA AB1235894 Name: Jeanette Calzone DOB: 07/07/57 Address:101 Connecticut Ave Date:01/01/07 W Seneca. NY 14125 Rx Dantrium 50 mg Sig: i po qid # 120 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. and product it was filled with. 2007 Prescriber Signature X__ Refill: 1 Brian Baksh __ MDD:4 Dantrolene 50 mg Brain Baksh. Prescription: Brain Baksh. prescription label. NY 14260 Phone: 716-555-5555 Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. MD. # 100 Refill 1 time THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #7841CX39 Drug Dispensed: Exp. Seneca.

prescription label. Prescription: Mark Lee. June 2. NY 14226 716-898-8888 Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda.06/10 Lot # 060359W Please write a BRIEF description of the error/omission (3pts): . MD Shirely Lee. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.577. MD. Suite #568 Amherst. NY 12339 Take 1 tablet three times daily. NY 14260 Phone: 716-555-5555 Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda. Only one error/omission per exercise. NY 12339 Rx Concerta 54mg Sig: i tid # 90 (ninety) Prescriber Signature X___ Refill: DOB: 12/16/88 Date: 06/01/06 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Briefly describe the error/omission at the bottom of the page. (Assume DEA#’s and License#’s are correct). #90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW DAW Dispense as Written Refill 0 times Serial #00TJI258 Drug Dispensed: Exp. 2006 Mark Lee __ MDD: Concerta 54mg MFR: Janssen Mark Lee. RPA Lic# 458793 Lic # 589633 DEA AL5224782 789 Maple Road. and product it was filled with.

(Assume DEA#’s and License#’s are correct). 05/2008 Lot # 70289Z Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Cyclobenzaprine 5 mg Sig: i po tid prn # 90 Rx# 11245 Frank Mumham 5668 Highland Street Kenmore.123. MD 7845 Grand Street Williamsville. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 1 times Dispense as Written Serial #T12589M1 Drug Dispensed: Exp. and product it was filled with. Only one error/omission per exercise. prescription label. Prescription: Shirely Cunnigham. NY 14222 716-339-4589 Lic# 121548 DEA BC 1256381 Name: Frank Mumham DOB: 07/13/54 Address:5668 Highland Street Date:02/14/07 Kenmore. NY 14217 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. Briefly describe the error/omission at the bottom of the page. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14217 Take one tablet three times a day February 14. 2007 Prescriber Signature X__ Refill: 1 Shirley Cunnigham _ MDD: Cyclobenzaprine 5 mg MFR: Mylan Shirely Cunnigham.

ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14145 Rx skelaxin 800mg Sig: i po 3-4 x daily # 60 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.568. NY 14260 Phone: 716-555-5555 Rx# 12458 Carol Hoffman 235 Million Street Williamsville. MD Joseph Koch. prescription label. NY 14242 716-789-7897 Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville. NY 14145 October 10. 08/2008 Lot # L12589 Please write a BRIEF description of the error/omission(3pts): . RPA Lic# 478958 Lic # 587745 DEA AH5224782 8856 E. # 60 DAW Dispense as Written Refill 5 times Serial #012KLI78 Drug Dispensed: Exp. (Assume DEA#’s and License#’s are correct). Broadway Buffalo. 2004 Take one tablet by mouth 3-4 times daily Prescriber Signature X___Joseph Koch____ Refill: 5 MDD: THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Skelaxin 800 mg tablets MFR: King Joseph Koch. Briefly describe the error/omission at the bottom of the page. and product it was filled with. Prescription: Jackson Hundson. RPA. Only one error/omission per exercise.

2005 Prescriber Signature X__ Refill: 11 Peterson Mineo __ MDD: Synthroid 200 mg MFR: Abott Peterson Mineo. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. May 23. 11/2007 Lot # U56935 Please write a BRIEF description of the error/omission (3pts): . (Assume DEA #’s and License #’s are correct). MD 6485 Colvin Ave Deprew. Only one error/omission per exercise. prescription label. NY 14799 Rx Synthroid 200 mcg Sig: i po daily # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. Prescription: Peterson Mineo. MD. NY 14260 Phone: 716-555-5555 Rx# 114568 Shawnee Kessler 8222 Crosswinds Ct Lockport. NY 14788 716-555-8888 Lic# 457859 DEA BM1417890 Name: Shawnee Kessler DOB: 03/06/32 Address:8222 Crosswinds Ct Date: 05/23/05 Lockport. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 11 times DAW Dispense as Written Serial #985HG253 Drug Dispensed: Exp. and product it was filled with. Briefly describe the error/omission at the bottom of the page.459. NY 14799 Take one tablet once daily.

prescription label. NY 14669 Rx Tenormin 100 mg Sig: i po qd # 30 Rx# 114569 Clyde Nielsen 4578 Elmview Place Cheektowaga. NY 14260 Phone: 716-555-5555 Name: Clyde Nielsen DOB: 08/26/56 Address: 4578 Elmview Place Date: 03/17/06 Cheektowaga. 12/2007 Lot # Y253255 Please write a BRIEF description of the error/omission(3pts): . MD Diane Montgomery. NY 14669 Take one tablet once daily March 17. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2006 Prescriber Signature X__Richard Refill: 6 Kinsely__ MDD: Atenolol 100 mg MFR: Sandoz Richard Kinsely. NY 14111 716-577-4777 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. and product it was filled with. RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA AM4958746 124 Scamridge Street Buffalo.460. MD. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. # 30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 6 times Dispense as Written Serial #058HG256 Drug Dispensed: Exp. Prescription: Richard Kinsely.

and product it was filled with. Prescription: Jackson Hundson. NY 14260 Phone: 716-555-5555 Rx# 12458 Carol Hoffman 235 Million Street Williamsville. NY 14145 Rx Clinoril 200 mg Sig: i po bid prn # 60 Prescriber Signature X_ Joseph Koch Refill: 5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. 10/2007 Lot #1N3304 Please write a BRIEF description of the error/omission(3pts): .131. NY 14242 716-789-7897 Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville. MD Joseph Koch. RPA. NY 14145 October 10. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA#’s and License#’s are correct). # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #012KLI78 Drug Dispensed: Exp. Only one error/omission per exercise. Briefly describe the error/omission at the bottom of the page. Broadway Buffalo. RPA Lic# 478958 Lic # 587745 DEA AH5224782 8856 E. prescription label. 2004 Take one tablet twice daily as needed __ MDD: Ketoprofen ER 200 mg MFR: Mylan Joseph Koch.

NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: Harry Hugh DOB: 04/05/65 Address:5089 Niagara Blvd Date:01/05/06 Buffalo. NY 14260 Phone: 716-555-5555 Rx# 78589 Harry Hugh 5089 Niagara Blvd Buffalo. 02/2011 Lot # 67P0Z0A Please write a BRIEF description of the error/omission (3pts): .134. Prescription: Thomas Criag. 2006 Prescriber Signature X__ Refill: 0 Thomas Criag __ MDD: Procardia XL 90 mg MFR: Pfizer Thomas Criag MD. NY 14225 Rx CartiaXT 90mg Sig: i po qd # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. January 5. NY 14225 Take one tablet once daily. and product it was filled with. (Assume DEA#’s and License#’s are correct). prescription label. MD 1208 Alberta Drive Rochester. Briefly describe the error/omission at the bottom of the page. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #18978TG8 Drug Dispensed: Exp. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription.

MD. Prescription: Richard Zakrajesek. NY 14000 June 16. 02/2007 Lot # L088858 Please write a BRIEF description of the error/omission (3pts): . #30 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written DAW Serial #1257UY74 Drug Dispensed: Exp. and product it was filled with. NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Lucile Camalleri DOB: 05/18/74 Address: 678 Lafayette Ave Date: 05/17/00 Depew. (Assume DEA#’s and License#’s are correct). MD 5899 Sweet Home Road E Amherst. prescription label. NY 14260 Phone: 716-555-5555 Rx# 147857 Lucile Camalleri 678 Lafayette Ave Depew. Briefly describe the error/omission at the bottom of the page. Only one error/omission per exercise. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescriber Signature X_ Refill: 0 Richard Zakrajesk __ MDD: Imuran 50 mg MFR: Prometheus Richard Zakrajesk. NY 14000 Rx Imuran 50 mg Sig: i po hs prn # 30 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.162. 2005 Take one tablet at bedtime if needed.

# 60 DAW DAW Dispense as Written Refill 0 times Serial #2315KU78 Drug Dispensed: Exp.153. and product it was filled with. 12/2009 Lot # 1587P145 Please write a BRIEF description of the error/omission (3pts): . NY 10003 716-999-9998 Lic# 142563 DEA AL122580 Name: Mary Foreman DOB: 05/14/33 Address:789 Parkwood Ave Date:02/08/03 Lackawanna. prescription label. 2003 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Depakote 500 mg MFR: Apothecon Mike Lou. Only one error/omission per exercise. MD. NY 14260 Phone: 716-555-5555 Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna. Prescription: Mike Lou. MD 5255 Cobblestone Dr Clarence. NY 14034 Take one tablet every 12 hours MDD: February 8. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 14034 Rx Depakote 500 mg Sig: i po q12h # 60 Prescriber Signature X_____________ Refill: 0 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page.

Prescription: Thomas Criag. NY 14225 January 5. MD 1208 Alberta Drive Rochester. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 2 times Dispense as Written Serial #18978TG8 Drug Dispensed: Exp. Maximum daily dose of 3 tablets. prescription label. 2008 Take one tablet three times daily as needed. 02/2011 Lot # 67P0Z0A Please write a BRIEF description of the error/omission (3pts): .5mg Sig: i po TID prn # 90 Rx# 78589 Harry Hugh 5089 Niagara Blvd Buffalo.5mg MFR: Greenstone Thomas Criag MD. (Assume DEA#’s and License#’s are correct). Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14225 Rx Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: Harry Hugh DOB: 04/05/65 Address:5089 Niagara Blvd Date:01/05/08 Buffalo. Prescriber Signature X__ Refill: 2 Thomas Criag __ MDD:3 Alprazolam 0. NY 14260 Phone: 716-555-5555 xanax 0.575. Only one error/omission per exercise.

2006 Prescriber Signature X__ Refill: 5 George Spencer __ MDD: Gabitril 4 mg MFR: Cephalon George Spencer. prescription label. # 90 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #J2512K23 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 114570 Jenny Gilmore 8112 Magnolia Street S Wales. NY 14133 Take one tablet three times a day July 22.465. Briefly describe the error/omission at the bottom of the page. NY 14120 716-999-8888 Lic#141423 DEA BS2314259 Name: Jayne Gilmore DOB: 09/30/87 Address:8112 Magnolia Street Date:07/22/06 S Wales. MD. and product it was filled with. MD 1001 Elmwood Ave Aurora. (Assume DEA #’s and License #’s are correct). Only one error/omission per exercise. NY 14133 Rx Tiagabine 4 mg Sig: i po tid # 90 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 12/2007 Lot # K258745 Please write a BRIEF description of the error/omission (3pts): . Prescription: George Spencer.

DO. Refill 0 times #1 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #852H56N8 Drug Dispensed: Exp. Only one error/omission per exercise. NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Sophia Little DOB: 09/05/76 Address:2002 Fairfield Ave Date:01/31/11 Amherst. NY 14260 Phone: 716-555-5555 Rx# 114571 Sophia Little 2002 Fairfield Ave Amherst. Ovidrel 250mcg/0. Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14001 Rx Ovidrel 250 mcg Sig: Inj SC UD # 1 (one) Prescriber Signature X__Terrance Refill: 0(zero) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst.5ml MFR: Serono Terrance Fransco. 05/2012 Lot # G5856K Please write a BRIEF description of the error/omission (3pts): . prescription label. Prescription: Terrance Fransco.466. (Assume DEA #’s and License #’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. 2011 Fransco__ MDD:1 Inject subcutaneously as directed. NY 14001 March 8. DO 7877 Easton Ave New York.

Briefly describe the error/omission at the bottom of the page. and product it was filled with. NY 14228 May 5. prescription label. # 60 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 0 times Dispense as Written Serial #17418H78 Drug Dispensed: Exp. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. RPA.5-750 Sig: i po q4-6h prn # 60 (sixty) Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora .5/750 MFR: Sun Lynn Marshall. NY 14228 Rx Hydrocodone/APAP 7. MD Lynn Marshall. Only one error/omission per exercise.179. RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx. NY 14260 Phone: 716-555-5555 Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora. (Assume DEA#’s and License#’s are correct). Prescription: Jack Hoover. 2005 Take one tablet by mouth every four to six hours as needed. Max of 5 tabs/day Prescriber Signature X_ Refill: 0 (zero) Lynn Marshall __ MDD:5 Hydrocodone/APAP 7. 08/2008 Lot # 1KJ2358 Please write a BRIEF description of the error/omission (3pts): .

Glyburide 5mg May 31. 07/2008 Lot # 11589389T Please write a BRIEF description of the error/omission (3pts): . ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Prescription: Tommy Reed. Briefly describe the error/omission at the bottom of the page. NY 14260 Phone: 716-555-5555 Rx# 66807 Maria Sunstrum 4555 Eggert Road Lockport. prescription label. NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Maria Sunstrum DOB: 12/26/52 Address:4555 Eggert Road Date:05/31/05 Lockport. MD 85 Grand Street Lockport. and product it was filled with. 2005 # 180 Prescriber Signature X__Tommy Refill: 5 Reed__ MDD: MFR: TEVA Tommy Reed. Only one error/omission per exercise. (Assume DEA#’s and License#’s are correct). Refill 5 times THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #M25693K45 Drug Dispensed: Exp. NY 14589 Rx Micronase 5mg Sig: iii po BID # 180 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14589 Take three tablets twice daily.572. MD.

and product it was filled with. Refill 1 time THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Dispense as Written Serial #3636K258 Drug Dispensed: Exp. Only one error/omission per exercise. may repeat after 2 hours. 07/2008 Lot # LK74589 Please write a BRIEF description of the error/omission (3pts): . NY 14260 Phone: 716-555-5555 Sig: 1 po at onset of migraine. (Assume DEA#’s and License#’s are correct). #9 Rx# 90012 Amy Celestino 2390 Baxter Ave Buffalo. NY 14256 716-444-5554 Lic# 125487 DEA BZ4557154 Name: Amy Celestino DOB: 02/29/59 Address:2390 Baxter Ave Date:07/09/06 Buffalo. MD 5899 Sweet Home Road E Amherst. NY 14334 July 9. Imitrex 100mg #9 Prescriber Signature X_Richard Refill: 1 Zakrajesek_ MDD: MFR: GSK Richard Zakrajesek. Prescription: Richard Zakrajesek. 2006 Take 1 tablet at onset of migraine. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. prescription label.571. may repeat dose once after 2 hours. NY 14334 Rx Imitrex 100mg dose once Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. MD. Briefly describe the error/omission at the bottom of the page.

#4 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 3 times Dispense as Written Serial #00125L02 Drug Dispensed: Exp. August 6. NY 14260 Phone: 716-555-5555 Rx# 71474 Beatrice Massa 888 Princeton Road Colins. NY 14788 716-585-5858 Lic# 874526 DEA AM5223653 Name: Beatrice Massa DOB: 03/18/87 Address:888 Princeton Road Date:08/06/06 Colins. NY 14034 Rx Actonel 35mg Sig: i po qwk #4 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. prescription label. (Assume DEA#’s and License#’s are correct). ERRORS AND OMISSIONS Exercise A: You will be given a prescription. Briefly describe the error/omission at the bottom of the page. NY 14034 Take one tablet once every week. 2006 Prescriber Signature X_ Refill: 3 Aaron Miller ___ MDD: Actonel 35 mg MFR: P&G Aaron Miller.573. and product it was filled with. Only one error/omission per exercise. MD. Prescription: Aaron Miller. MD 7845 Winchester Ave W Seneca. 07/2008 Lot # LK74589 Please write a BRIEF description of the error/omission (3pts): .

Only one error/omission per exercise. and product it was filled with. May repeat dose once after two hours. Briefly describe the error/omission at the bottom of the page. #9 Prescriber Signature X__Terrance Refill: 5 Prescription Label: Health Sciences Pharmacy 222 Cooke Hall Amherst. NY 14001 Rx Treximet Sig: 1 at onset of migraine. 05/2010 Lot # G5856K Please write a BRIEF description of the error/omission (3pts): . DO 7877 Easton Ave New York. NY 10003 718-777-9999 Lic# 785745 DEA BF1425796 Name: Sophia Little DOB: 09/05/56 Address:2002 Fairfield Ave Date:01/31/09 Amherst. #9 THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES “daw” IN THE BOX BELOW Refill 5 times Dispense as Written Serial #852H56N8 Drug Dispensed: Exp. NY 14260 Phone: 716-555-5555 Rx# 114571 Sophia Little 2002 Fairfield Ave Amherst. Prescription: Terrance Fransco. Fransco__ MDD: Treximet 85/500mg MFR: GSK Terrance Fransco. DO. prescription label. ERRORS AND OMISSIONS Exercise A: You will be given a prescription. (Assume DEA #’s and License #’s are correct).574. 2009 Take one tablet at onset of migraine. May repeat dose once after 2 hours. NY 14001 January 31.