E&O Practice Prescriptions Spring 2011

Errors and Omissions Practice problems :
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 prescribers 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:
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
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):
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:
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
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):
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:
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
Drug Dispensed:
Dispense as Written
Serial #125L1258
Exp: 05/2010 Lot # 05896583 Please write a BRIEF description of the error/omission (3pts):
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:
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
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):
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:
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
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):
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:
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
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):
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:
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
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):
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:
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
Elaine Knell __
MDD:
Vistaril 50 mg MFR: Pifzer Elaine Knell, MD.
# 30
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):
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:
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
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):
Tommy Reed, MD 85 Grand Street Lockport, 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, NY 11223 Rx Avandia 2 mg Sig: i po BID # 60
Prescription Label:
Rx# 122122 Chi Wai Lam 8990 Coley Street Williamsville, NY 11223 Take one tablet twice daily.
September 8, 2006
Tommy Reed ____

MDD:
Coumadin 2 mg MFR: Bristol-Myers Squibb
# 60
Tommy Reed, MD.

Dispense as Written
Refill 11 times
Serial #565D52H9
Drug Dispensed:
Exp. 03/2009 Lot # L12589 Please write a BRIEF description of the error/omission (3pts):
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
Prescription Label:
Procanbid 500 mg Sig: i po bid # 60
Rx# 90012 Amy Celestino 2390 Baxter Ave Buffalo, NY 14334 Take one tablet twice daily.
July 9, 2006
Richard Zakrajesek __
MDD:
# 60
Refill 1 time
DAW
Dispense as Written
Serial #3636K258
Drug Dispensed:
William Zaklikowski, MD Lisa Chant, RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst, NY 14869 716-889-9999
Prescription Label:
Name: Lewis Connell Address: 2525 Woodshire Street Depew, 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, NY 14051
March 27, 2006
Apply 3 to 4 times a day for 2 weeks
William Zaklikowski
MDD:
Proctocort 1% Cr MFR: Salix William Zaklikowski, MD
# 28.35
Refill 2 times
Dispense as Written
DAW
Serial #K2268238
Drug Dispensed:
Exp. 08/2010 Lot # T2M2352 Please write a BRIEF description of the error/omission(3pts):
Kenneth Taung, MD 1478 Morrison Ct Cheektowaga, 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, NY 14789___ Rx Viibryd 40mg Sig: i po qd # 30
Prescription Label:
Rx# 85697 James Polanski 15 Hare Street Kenmore, NY 14789 Take one tablet by mouth once daily.
July 4, 2006
Taung_____
MDD:
#30
Refill 5 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
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: i po qid prn # 120
Prescription Label:
Rx# 66698 Frank Grimes 197 Hartford Road Aurora, NY 14228
March 5, 2011
Take 1 tablet by mouth four times daily as needed

Julius Hibbert __
MDD:
Ibuprofen 800mg MFR: Amneal Julius Hibbert, MD.
# 120
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):
416 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: Nora Tetowski DOB: 05/30/48 Address:303 Southwest Blvd Date: 12/31/06 Eden, NY 14100 Rx Premphase Sig: i po daily # 28
Prescription Label:
Rx# 66808 Nora Tetowski 303 Southwest Blvd Eden, NY 14100 Take one tablet once daily.
January 2, 2007
Patrick Wosinki __
MDD:
Prempro 0.625 mg/5 mg MFR: Wyeth Patrick Wosinki, MD.
#28
Refill 5 times
Dispense as Written
daw
Serial #F2563M25
Drug Dispensed:
Exp. 08/2009 Lot # F020002 Please write a BRIEF description of the error/omission (3pts):
Chester Cross, 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, NY 14209 Rx Amturnide 300/5/25 Sig: i po qd # 30
Prescription Label:
Rx# 23533 Shawn Dimeo 700 Embassy Sq Depew, NY 14209
February 8, 2006
Take one tablet by mouth once daily

Prescriber Signature X__Chester Refill: 5
Cross____
MDD:
Amturnide 300mg/5/25mg MFR: Novartis Chester Cross, MD.
# 30
Refill 5 times
Dispense as Written
Serial #Z2578456
Drug Dispensed:
Adam Erving, MD 616 Hartford Ave Buffalo, 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, NY 14150 Rx
Prescription Label:
Metadate CD 20 mg Sig: i po am # 30 ( thirty)
Rx# 29009 Niema Fiorello 36 Tacoma Ave W Amherst, NY 14150 Take one capsule every morning
March 8, 2007
Prescriber Signature X__Adam Refill: 0
Erving______
MDD: 1
Metadate CD 20 mg MFR: UCB Pharma Inc Adam Erving, MD.
# 30
Refill 0 times
Dispense as Written
Serial #B2148Z00
Drug Dispensed:
Buffalo General Hospital 100 High Street Deepak Singh, MD Buffalo, 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 Rx Fioricet + codeine Sig: i-ii po q4h prn # 120
Prescription Label:
Rx# 66809 Clifford Hennessy 699 Lovering Road Aurora, NY 14000
September 21, 2006
Prescriber Signature X_Deepak Refill: 2 (two)
Singh___
MDD:6
Take one to two capsules by mouth every four hours as needed. Maximum of 6 capsules/day Butalbital, APAP, Caffeine Codeine 50/325/40/30 # 120 MFR: Watson
Dispense as Written
Serial #R2358962
Deepak Singh, MD.
Refill 2 times
Drug Dispensed:
Exp. 12/2008 Lot # 145974A Please write a BRIEF description of the error/omission (3pts):
Thomas Criag, MD 1208 Alberta Drive Rochester, NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: _Beanette Bush DOB:06/18/30_ Address4545 Delancey Lane Date: 01/21/07_ _Williamsville, NY 12589___ Rx Aldara 5 % Sig: UUD # 12
Prescription Label:
Rx# 123256 Beanette Bush 4545 Delancey Lane Williamsville, NY 12589 Use as directed.
January 21, 2007
Prescriber Signature X___ Refill: 3
Thomas Criag __
MDD:
Alora 0.05mg/24hr patch MFR: Waston Thomas Criag, MD
#12
Refill 3 times
Dispense as Written
Serial #00012KL8
Drug Dispensed:
Exp. 11/2009 Lot # B00156 Please write a BRIEF description of the error/omission (3pts):
Mike Lou, MD 5255 Cobblestone Dr Clarence, 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 11896 Rx Ambien 10 mg Sig: i po hs # 30 ( thirty)
Prescription Label:
Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo, NY 11896 Take one tablet at bedtime
March 12, 2006
Prescriber Signature X___Mike Refill: 5
Lou________
MDD:
Ambien 10 mg MFR: Sanoli Aventis .
# 30
Mike Lou, MD
Dispense as Written
Refill 5 times
Serial #125TDEF2
Drug Dispensed:
Exp. 09/2009 Lot # XL12H Please write a BRIEF description of the error/omission (3pts):
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:
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
Gilbert Hunter __
MDD:
Potassium Cl 10mEq MFR: Ethex Gilbert Hunter, MD.
# 60
Refill 6 times
Dispense as Written
Serial #K258L563
Drug Dispensed:
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:
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
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):
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:
Sig: inj im 100mcg qd for 1 wk, then 100mcg qod for 2 wks, then 200mcg q month # 10
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
Dispense as Written
Julius Hibbert, MD.

Serial #17418H78
Refill 0 times
Drug Dispensed:
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:
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
Steven Hung ____

MDD:
Avandia 2 mg MFR: Glaxo Smith Kline Steven Hung, MD.
# 90
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:
March 5, 2011
Take two tablets by mouth three times daily as needed.

Julius Hibbert __
MDD:
Ibuprofen 800mg MFR: Amneal Julius Hibbert, MD.
# 120
Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
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:
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
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):
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:
Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789 Use as directed
February 4, 2007
Karen Swanson_rpa _
MDD:
Azmacort inhaler MFR:Abbott Karen Swanson, RPA.
# 20g
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):
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:
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
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Exp. 11/2014 Lot # 1YU2333 Please write a BRIEF description of the error/omission (3pts):
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:
Accolate 20 mg Sig: i po daily #30
Rx# 23456 Jean Horton 500 Main Street, Buffalo., NY 14235
May 22, 2006
Thomas Grands ___

MDD:
Take one capsule once daily. Accutane 20 mg MFR: Roche #30
DAW
Dr. Thomas Grands
Dispense as Written
Refill 5 times
Serial #125L65K6
Drug Dispensed:
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:
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
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
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:
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
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):
Alfredo Gallagher, NP 878 Sweet Home Road Lancaster, 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 14127 Rx
Prescription Label:
Lasix 20mg Sig: i po qd # 30
Rx# 23000 Carmine Fernandez 9000 Applewood Road Lackawanna, NY 14127 Take one tablet once daily.
September 16, 2006
Alfredo Gallagher _
MDD:
Lanoxin 250 mcg MFR: GlaxoSmithKline Alfredo Gallagher, NP.
# 30
Refill 6 times
DAW
Dispense as Written
Serial #P2315248
Drug Dispensed:
Gary Heresy, MD 89Valley Circle W Seneca, 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 Rx
Prescription Label:
Lanoxin 250 mcg Sig: i po daily # 30
Rx# 65554 Gunter Jammal 7190 Wellington Road Lake View, NY 14271 Take one tablet once daily.
January 1, 2006
Gary Heresy __
MDD:1
Levoxyl 25 mcg MFR: Jones Pharma Gary Heresy, MD.
# 30
Refill 3 times
Dispense as Written
Serial #ZZ233256
Drug Dispensed:
Arron Fletcher, DVM 7523 Birch Place Farmingdale, 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, NY 17770 Rx Lantus Sig: uud # 1 vial
Prescription Label:
Rx# 568888 Ralph McGreevy 2369 Timberlane Ct Farmingdale, NY 17770 Use as directed
February 14, 2005
Arron Fletcher _
MDD:
Lantus MFR: Sanofi-Aventis Arron Fletcher, DVM
# 10
Refill 5 times
Dispense as Written
Serial #36LK2577
Drug Dispensed:
Exp. 02/2010 Lot # 15687L Please write a BRIEF description of the error/omission (3pts):
Thomas Criag, MD 1208 Alberta Drive Rochester, NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: _Beanette Bush DOB:06/18/30_ Address4545 Delancey Lane Date: 01/21/07_ _Williamsville, NY 12589___ Rx
Prescription Label:
Aldara 5 % Sig: UUD # 12
January 21, 2007
Prescriber Signature X___Thomas Refill: 3
Criag____
MDD:
Aldara 5% Cream MFR: Graceway Pharmaceuticals Thomas Criag, MD times
#12
Refill 3
DAW
Dispense as Written
Serial #00012KL8
Drug Dispensed:
Andrew McDonald, MD 222 Main street, Suite 111. Buffalo, NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name:_Katie Swonski __ DOB: 09/25/55 Address:_568 Main street, 3/FL Date: 01/27/07_ Buffalo, NY 14233 Rx Xanax 0.5 mg Sig: i po hs # 30 (thirty)
Prescription Label:
Rx# 23456 Katie Swonski 568 Main Street, 3/FL Buffalo, NY 14233 Take one tablet at bedtime.
January 30, 2007
Prescriber Signature X__ Refill: 0 zero
Andrew McDonald___
MDD: 1
Lorazepam 0.5 mg MFR: Waston Andrew McDonald MD.
#30
Refill 0 times
Dispense as Written
Serial #K1258LP1
Drug Dispensed:
Thomas Criag, MD 1208 Alberta Drive Rochester, NY 15236 716-454-4545 Lic# 223692 DEA BC1255896 Name: _Beanette Bush DOB:06/18/30_ Address4545 Delancey Lane Date: 01/21/08_ _Williamsville, NY 12589___ Rx
Prescription Label:
Aldara 5 % Sig: UUD # 12
January 21, 2008
Thomas Criag ____

MDD:
Aldara 5% Cream MFR: Graceway Pharmaceuticals Thomas Criag, MD
#12
DAW
Dispense as Written
Refill 3 times
Serial #00012KL8
Drug Dispensed:
Gary Busey, DVM 1001 N Ford Road Hamburg, 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, NY 12236_ Rx
Prescription Label:
Viagra 50 mg Sig: i po daily prn # 120
Rx# 236989 Gary Busey 236 Knowlton Street Hamburg, NY 12236
May 10, 2006
Take one tablet once daily as needed

Prescriber Signature X___Helen Refill: 5
Miller______
MDD:
Viagra 50 mg MFR: Pfizer Gary Busey, DVM
#120
Refill 5 times
Dispense as Written
Serial #012HJI123
Drug Dispensed:
Exp. 06/2009 Lot # BH025896 Please write a BRIEF description of the error/omission (3pts):
Mark Lee, MD Shirely Lee, RPA Lic# 458793 Lic # 589633 DEA AL5224782 789 Maple Road, Suite #568 Amherst, NY 14226 716-898-8888
Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda, NY 12339 Rx
DOB: 12/16/88 Date: 06/01/06
Prescription Label:
Victoza Sig: once daily as directed #9
June 2, 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, MD.
#9
Refill 1 times
Dispense as Written
Serial #00TJI258
Drug Dispensed:
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 Pradaxa 150mg Sig: ii cap po BID # 120
Prescription Label:
February 3, 2007
Take two capsules by mouth twice daily

Prescriber Signature X_Samuel Refill: 5
Fishman__
MDD:
Pradaxa 150mg capsules
# 120
MFR: Boehringer Ingelheim Pharmaceuticals Inc Samuel Fishman, MD. Refill 5 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Suzanne Brower, MD 9988 Parkside Ave Amherst, 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 14077 Rx Anucort HC 25mg Sig: i bid # 28
Prescription Label:
Rx# 66358 Wilt Chamberlin 555 Parkwood Ave Synder, NY 14077 Take one by mouth twice daily.
March 9, 2011
Prescriber Signature X__Suzanne Refill: 0
Brower_____
MDD:
Anucort HC 25mg MFR: G & W Labs Suzanne Brower, MD.
#28
Refill 0 times
DAW
Dispense as Written
Serial #568LK236
Drug Dispensed:
Prescription Label:
Name: Jason May Address:144 Lake Shore Road Buffalo, 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, NY 14222
December 12, 2002
Inhale two puffs by mouth four times daily.

May CNM___
MDD:
Combivent MFR: Boehringer Ingelheim Mary May, CNM.
# 14.7
Refill 8 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Andrew McDonald, MD 222 Main street, Suite 111. Buffalo, NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name:_Katie Swonski __ DOB: 09/25/55 Address:_568 Main street, 3/FL Date: 01/27/07_ Buffalo, NY 14233 Rx Xanax 0.5 mg Sig: i po hs # 30 ( thirty)
Prescription Label:
Rx# 23456 Katie Swonski 568 Main Street, 3/FL Buffalo, NY 14233 Take one tablet at bedtime.
January 30, 2007
Prescriber Signature X__Andrew Refill: 0 ( zero)
McDonald__
MDD: 1
Alprazolam 0.5 mg MFR: Greenstone Andrew McDonald MD.
#30
Refill 0 times
Dispense as Written
Serial #K1258LP1
Drug Dispensed:
Pauline Davidson, MD 5529 Northtown Raod. E Amherst, 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, NY 14223 Rx
Prescription Label:
Percodan 4.5/325 Sig: i po q 6 h prn # 120 (one hundred twenty)
Rx# 20326 Isolina Haller 400 Cleveland Dr Amherst, NY 14223
December 25, 2006
Take one tablet every 6 hours if needed

Prescriber Signature X__ Refill: 0 (zero)
Pauline Davidson __
MDD:4
Oxycodone/APAP 7.5/325 mg MFR: Mallinckrodt Pauline Davidson, MD.
# 120
Refill 0 times
Dispense as Written
Serial #LK859967
Drug Dispensed:
Exp. 05/2008 Lot # 45L2586 Please write a BRIEF description of the error/omission (3pts):
Nicolas Green, MD Kenneth Lee, RPA Lic# 003985 Lic # 235893 DEA AG1254781 ML1542174 789 Maple Road, Suite #568 Amherst, NY 14226 716-478-8966
Prescription Label:
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, NY 14228
June 1, 2006
Take one capsule by mouth once daily in the morning

Nicolas Green __
MDD: 1
Adderall XR 20 mg MFR: Shire Nicolas Green, MD
# 120
DAW
Dispense as Written
DAW
Refill 0 times
Serial #0258TF39
Drug Dispensed:
Exp. 09/2008 Lot # 008998 Please write a BRIEF description of the error/omission(3pts):
Jonathan Mallozzi, DPM 99 Brookside Ave S Wale, 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 14207 Rx Percocet 5/325 mg Sig: i po q6h prn foot pain # 20 (twenty)
Prescription Label:
Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo, NY 14207
August 8, 2006
Take one tablet by mouth every six hours as needed for foot pain..
Prescriber Signature X_Jonathan Refill: 0 (zero)
Mallozzi____
MDD:4
Oxycodone/APAP 5/325 mg MFR: Mallinckrodt Jonathan Mallozzi, DPM
# 20
Refill 0 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Exp. 08/2009 Lot # 1P3172 Please write a BRIEF description of the error/omission (3pts):
Jonathan Mallozzi, DO 99 Brookside Ave S Wale, 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 14207 Rx Ampyra 10 mg ER Sig: i po BID # 60
Prescription Label:
August 8, 2006
Take one tablet by mouth twice daily.

Prescriber Signature X_Jonathan Refill: 6
Mallozzi____
MDD:
Ampyra 10mg ER tab MFR: Acorda Therapeutics Jonathan Mallozzi, DO.
# 60
Refill 6 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Jonathan Mallozzi, DO 99 Brookside Ave S Wale, 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 14207 Rx Ampyra 10mg ER Sig: take i po bid # 60
Prescription Label:
Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo, NY 14207 Take one tablet once daily.
August 8, 2006
Mallozzi____
MDD:
Ampyra 10 mg MFR: Acorda Therapeutics Jonathan Mallozzi, DO.
# 60
Refill 6 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Prescription Label:
Accolate 20 mg Sig: i po bid # 60
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 Girard
#60
DAW
Dispense as Written
Refill 5 times
Serial #125L65K6
Drug Dispensed:
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 600mg Sig: ii po qid prn # 120
Prescription Label:
March 5, 2011
Take 2 tablets by mouth four times daily as needed

Julius Hibbert __
MDD:3
Ibuprofen 600mg MFR: Ascend Julius Hibbert, MD.
# 120
Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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, NY 14080 Rx TriNorinyl Sig: i po daily # 28
Prescription Label:
Rx# 114573 Deanna Schmidt 5414 Capital Height Gowanda, NY 14080 Take one tablet once daily.
January 3, 2007
Rosemary Kazmierski
MDD:
Trivora MFR: Watson Rosemary Kazmierski, NP.
# 28
Refill 11 times
Dispense as Written
Serial #P2258H52
Drug Dispensed:
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:
Rx# 66358 Gale Chamberlin 555 Parkwood Ave Synder, NY 14077
March 9, 2006
Take one capsule by mouth twice daily.

Brower_____
MDD:
Exelon 4.5 mg MFR: Novartis Suzanne Brower, MD.
#60
Refill 3 times
Dispense as Written
Serial #568LK236
Drug Dispensed:
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
Prescription Label:
Levbid 0.375 mg Sig: i po bid # 60
Rx# 2235 Harvey Chapman 99 Birchwood Square Grand Island, NY 14412 Take one tablet twice daily.
December 18, 2005
Yin Ching Tee __

MDD:2
Lithium Carbonate ER 300 mg MFR: Roxane Yin Ching Tee, MD.
#60
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):
Frederick Morris, MD 745 Glenwood Ave Sardnia, 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 14443 Rx
Prescription Label:
Levbid 0.375 mg Sig: i po bid # 60 Frederick Morris _

MDD:
Rx# 23323 Jefferson Eleanor 5685 Sundown Tr Clarence, NY 14443 Take one tablet twice daily. Gemfibrozil 600 mg MFR: Teva Frederick Morris, MD.
June 28, 2007
# 60
Refill 11 times
Dispense as Written
Serial #Z258M568
Drug Dispensed:
Exp. 05/2009 Lot # P23568 Please write a BRIEF description of the error/omission (3pts):
Jonathan Mallozzi, DO 99 Brookside Ave S Wale, 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 Rx
Prescription Label:
Levocabastine 0.05% 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

Jonathan Mallozzi_
MDD:
Levobunolol 0.5% MFR: Falcon Jonathan Mallozzi, DO.
# 10 ml
Refill 6 times
Dispense as Written
Serial #T7874899
Drug Dispensed:
William Zaklikowski, MD 896 Tonawanda Cheek Road E. Amherst, 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, NY 11446 Rx Minitran 0.4 mg patch Sig: apply qd # 30
Prescription Label:
Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo, NY 11446 Apply one patch daily Minitran 0.2 mg patch
December 12, 2005
# 30
William Zaklikowski
MDD:
MFR: graceway William Zaklikowski, MD. Refill 0 times
daw
Dispense as Written
Drug Dispensed:
Serial #12548T23
Exp. 02/2009 Lot # 148265S Please write a BRIEF description of the error/omission (3pts):
Samuel Fisher, 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 Patanol eye drops Sig: 1 gtt ou BID # trade size
Prescription Label:
February 3, 2007
Take one capsule by mouth twice daily

Fisher__
MDD:
# 60
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Prescription Label:
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, NY 14010 Chew one tablet once daily
November 25, 2005
Cynthia MaCare _
MDD:
#30
DAW
Dispense as Written
Refill 3 times
Serial #0235JK87
Drug Dispensed:
Exp. 11/2006 Lot # 235K2555 Please write a BRIEF description of the error/omission(3pts):
Stanley Turner, MD Kent Zheng, RPA Lic# 565552 Lic # 858546 DEA BT2355267 772 Princeton Ave Depew, NY 14044 716-555-4444
Prescription Label:
Name: Becky Albrecht Address: 89 Castlewood Place Angola, 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, NY 14222 Take as directed
March 30, 2004
Kent Zheng __
MDD:
Prednisone 5 mg MFR: Roxane Kent Zheng, RPA
# 21
Refill 0 times
Dispense as Written
Serial #2356K569
Drug Dispensed:
Exp. 05/2006 Lot # L5500111 Please write a BRIEF description of the error/omission(3pts):
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 Metolazone 5 mg Sig: i po daily # 30
Prescription Label:
Rx# 10222 Ida Cimato 822 Rainbow Blvd Lancaster, NY 14300 Take one tablet once daily.
August 7, 2006
Clifford Bookbinder __
MDD:
Metoclopramide 5 mg MFR: Pliva Clifford Bookbinder, DO.
# 30
Refill 6 times
Dispense as Written
Serial #L2536Z00
Drug Dispensed:
Prescription Label:
February 8, 2006

Cross____
MDD:
Amturnide 300mg/10mg/25mg MFR: Novartis Chester Cross, MD.
# 30
Refill 1 times
Dispense as Written
Serial #Z2578456
Drug Dispensed:
Andrew McDonald, MD 222 Main street, Suite 111. Buffalo, NY 14233 716-888-8888 Lic# 543214 DEA AM1155832 Name:_Katie Swonski __ DOB: 09/25/55 Address:_568 Main street, 3/FL Date: 01/27/07_ Buffalo, NY 14233 Rx Xanax 0.5 mg Sig: i po hs # 30 ( thirty)
Prescription Label:
Rx# 23456 Katie Swonski 568 Main Street, 3/FL Buffalo, NY 14233 Take one tablet at bedtime
February 28, 2007
Andrew McDonald___
MDD:1
Alprazolam 0.5 mg MFR: Greenstone Andrew McDonald MD.
#30
Refill 0 times
Dispense as Written
Serial #K1258LP1
Drug Dispensed:
Mark Flinchbaguh, MD 74 Quail Hollow Lane E Amherst, 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 Rx Phenergan Sig: i tsp po q6h prn cough # 150
Prescription Label:
Rx# 90014 Beverly Feasley 7874 Bellwood Ln Clarence, NY 14774
February 16, 2007
Take one teaspoonful every 6 hours as needed for cough

Mark Flinchbaguh
MDD: 20 cc
Promethazine w/codeine MFR: Actavis Mark Flinchbaguh, MD.
# 150
Refill 0 times
Dispense as Written
Serial #1K2348M5
Drug Dispensed:
Evan Fitzaptrick, DO 7458 Nostrand Ave Brooklyn, 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, NY 12142 Rx Miacalcin nasal spray Sig: i spray one nostril daily- alternate nostrils #1
Prescription Label:
Rx# 76698 Josepine Lehman 147 Harring Street Brookly, NY 12142
June 9, 2004
Instill 1 spray into each nostril daily- alternating nostrils

Evan Fitzpatrick __
MDD:
Miacalcin nasal spray MFR:Novartis Evan Fitzaptrick, DO.
# 3.7 ml
Refill 4 times
Dispense as Written
DAW
Serial # M1258TU8
Drug Dispensed:
Exp. 02/2011 Lot # 6HP006E Please write a BRIEF description of the error/omission (3pts):
431. 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: Prescription Labels: Victoria Flemming, MD
1245 Ocean Ave, Suite 290 Amherst, 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 Metformin 500 mg Sig: i po bid # 60 Byetta 10mcg Sig: inj 10mcg SC bid ud #1 pen
Rx# 90015 Frank Barrett 8888 Michigan Ave Buffalo, NY 14200
November 25, 2006
Take one tablet by mouth twice daily. Metformin 500 mg MFR: Sandoz Victoria Flemming MD. Refill 3 times
Phone: 716-555-5555
# 60
Prescriber Signature X_Victoria Refill: 3
Flemming__
MDD:
Health Sciences Pharmacy 222 Cooke Hall Amherst, NY 14260
Dispense as Written
Serial #W2538Y25
Drugs Dispensed:
November 25, 2006
Inject 10mcg subcutaneously twice daily as directed Byetta 10 mcg MFR: Lilly Victoria Flemming MD. Refill 3 times #1
Shirley Cummings, MD 7845 Sheepshead Bay Buffalo, 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 Rx
Prescription Label:
Quinine 300 mg Sig: i po q8h # 90
Rx# 90016 Cirillo Roth 8005 Monroe Ave Amherst, NY 14720 Take one tablet every 8 hours.
July 19, 2006
Shirley Cummings_
MDD:
Quinidine gluconate 324 mg MFR: Mutual Pharmaceutical Co Shirley Cummings, MD.
# 90
Refill 1 times
DAW
Dispense as Written
Serial #G2584K23
Drug Dispensed:
Tommy Reed, MD 85 Grand Street Lockport, NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Maria Sunstrum DOB: 12/26/52 Address:4555 Eggert Road Date:05/31/05 Lockport, NY 14589 Rx Provera 2.5 mg Sig: i po daily # 30
Prescription Label:
Rx# 66807 Maria Sunstrum 4555 Eggert Road Lockport, NY 14589 Take one tablet once daily.
May 31, 2005
Tommy Reed _
MDD:
Premarin 0.45 mg MFR: Wyeth Pharmaceuticals Tommy Reed, MD.
# 30
Refill 5 times
Dispense as Written
Serial #M25693K45
Drug Dispensed:
Exp. 11/2007 Lot # W2003 Please write a BRIEF description of the error/omission (3pts):
Benjamin Stockwell, MD Cynthia MaCare, RPA Lic# 474851 Lic # 325896 DEA AS222589 822 Paramount Ave Williamsville, NY 14004 716-111-9999
Prescription Label:
Name: Kosda Johnson Address: 235 Union Road Angola, NY, 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, NY 10228
July 13, 2006
Take one tablet three times a day before meals Azathioprine 50 mg # 90
Cynthia MaCare ___

MDD:
MFR: Roxanne Cynthia MaCare, RPA. Refill 5 times
Dispense as Written
Drug Dispensed:
Serial #ZM741589
Prescription Label:
Health Sciences Pharmacy Rx# 01215 Kosda Johnson 235 Union Road Angola, NY 10228 Phone: 716-555-5555
DOB: 11/08/39 Date: 06/12/06
Elmiron Sig: i po tid ac
June 13, 2006
Take one capsule three times a day before meals
# 90
Elmiron
# 90
Cynthia McCare __
MDD:
MFR: Ivax Cynthia MaCare, RPA. Refill 5 times
Dispense as Written
Serial #ZM741589
Drug Dispensed:
Exp. 07/2009 Lot # T415896 Please write a BRIEF description of the error/omission(3pts):
Buffalo General Hospital 100 High Street Deepak Singh, MD Buffalo, 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 Rx Fioricet + codeine Sig: i-ii po q4h prn # 20 (twenty)
Prescription Label:
September 21, 2006
Singh___
MDD:
Take one to two capsules by mouth every four hours as needed. Butalbital, APAP, Caffeine Codeine 50/325/40/30 # 20 MFR: Watson
Dispense as Written
Serial #R2358962
Deepak Singh, MD.
Refill 2 times
Drug Dispensed:
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 Pradaxa 150mg Sig: i cap po 4x/day # 120
Prescription Label:
February 3, 2007
Take one capsule by mouth four times daily

Fishman__
MDD:
# 120
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Joyce Campanella, MD 2366 Autumnview Road Clarence, 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 Rx Prograf 0.5 mg Sig: i po bid # 60
Prescription Label:
Rx# 141578 Dolores Ennis 789 Kinsey Ave Tonawanda, NY 14000 Take one capsule twice daily.
April 5, 2005
Prescriber Signature X__Joyce Refill: 5
Campenella_
MDD:
Gengraf 25 mg MFR: Abbott Joyce Campanella, MD.
# 60
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):
Monica Greenfield, DVM 290 Meyer Road Amherst, 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, NY 12323__ Rx Duragesic 75 mcg Sig: apply 2 patches q72 h # 20 ( twenty)
Prescription Label:
Rx# 23456 Lily Grant 229 Young Road Buffalo, NY 12323 Apply 2 patches every 72 hours
November 25, 2006
Monica Greenfield __
MDD: 2q72 h
Duragesic 75 mcg patch MFR: Janssen Monica Greenfield, DVM
#20
Refill 0 time
DAW
Dispense as Written
Serial #001UY569
Drug Dispensed:
Charles Goslinski, DO 2255 Cherrywood Ave Buffalo, 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. Seneca, NY 14031 Rx Flomax 0.4 mg Sig: i po daily # 30
Prescription Label:
Rx# 125888 Gosh Engel 25 Fieldstone Dr W. Seneca, NY 14031 Take one capsule once daily.
February 8, 2007
Prescriber Signature X__Charles Refill: 5
Goslinski____
MDD:
Tamsulosin 0.4 mg MFR: Charles Goslinski, DO.
# 30
Refill 5 times
Dispense as Written
Serial #M1245789
Drug Dispensed:
Mike Lou, MD 5255 Cobblestone Dr Clarence, 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 11896 Rx Actonel 35 mg Sig: i po q week # 12
Prescription Label:
Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo, NY 11896
March 12, 2006
Take one tablet by mouth once a week

Mike Lou _____

MDD:
Actonel 35 mg MFR: Procter and Gamble .
#12
Mike Lou, MD
Dispense as Written
Refill 4 times
Serial #125TDEF2
Drug Dispensed:
Dean Potter, MD 456 Ashland Ave Buffalo, 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, NY 14433 Rx Mirapex 1mg Sig: 1po tid # 90
Prescription Label:
Rx# 55474 Norma Hess 999 Somerville Ave Eden, NY 14433
January 14, 2006
Take 1 tablet by mouth three times a day

Dean Potter __
MDD:2
Mirapex 1mg MFR: Kremers Urban Dean Potter, MD.
# 90
Refill 0 times
Dispense as Written
Serial #1221E125
Drug Dispensed:
Suzanne Brower, MD 9988 Parkside Ave Amherst, 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 14077 Rx Anucort HC 25mg Sig: i pr bid # 28
Prescription Label:
Rx# 66358 Wilt Chamberlin 555 Parkwood Ave Synder, NY 14077
March 9, 2011
Insert 1 suppository rectally twice daily.

Brower_____
MDD:
Anucort HC 25mg MFR: G & W Labs Suzanne Brower, MD.
#28
Refill 0 times
DAW
Dispense as Written
Serial #568LK236
Drug Dispensed:
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 Pradaxa 150mg Sig: ii cap po tid # 180
Prescription Label:
February 3, 2007
Take two capsules by mouth three times daily

Fishman__
MDD:
# 180
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic# 147845 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Ronnie Mitrowski DOB: 03/16/56 Address: 756 Symmon Road Date: 02/13/07 Bronx, NY 12370 Rx
Prescription Label:
Lidoderm patch Sig: apply 1 qd for 12 h # 30
Rx# 001236 Ronnie Mitrowski 756 Symmon Road Bronx, NY 12370
February 13, 2007
Prescriber Signature X_Jack Refill: 6
Hoover________
MDD:1
Apply 1 patch every day and wear for 12 hours daily. Lidoderm Patch MFR: Endo Jack Hoover, MD. Refill 6 times # 30
Dispense as Written
Serial #K1258TU8
Drug Dispensed:
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: 300mg im biw ud # 3 (3 vials)
Prescription Label:
February 3, 2007
Inject 1.5ml intramuscularly twice a week as directed

Fishman__
MDD:1 dose
# 30
Refill 0 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Jackson Hundson, MD 452 Main 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, NY 11446 Rx Altace 5 mg Sig: i po QD # 30
Prescription Label:
Rx# 606062 Crawford Reukauf 876 Vermont Street Buffalo, NY 11446 Take one tablet once daily.
October 11, 2006
Prescriber Signature X__Jackson Refill: 5
Hundson____
MDD:
Altace 5 mg MFR: Monarch Pharm Jackson Hundson, MD.
#30
Refill 5 times
Dispense as Written
Drug Dispensed:
Serial #125ULK01
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: 03/01/11_ Kenmore, NY 14789___ Rx Viibryd 40mg Sig: i po qd # 30
Prescription Label:
Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore, NY 14789 Take one tablet by mouth once daily.
March 4, 2011
Taung_____
MDD:
#30
Refill 5 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Sharon White, MD 425 Millersport Road. 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, NY 11447_ Rx Accupril 20 mg Sig: i po QD # 30
Prescription Label:
Rx# 23456 Joel Yang 4577 Kensington Road Kenmore, NY 11447 Take one tablet once daily.
December 2, 2006
Sharon White ______

MDD:
Quinapril 20 mg MFR: Greenstone Dr. Sharon White
#30
Refill 3 times
Dispense as Written
Serial #125L1258
Drug Dispensed:
Jackson Hundson, MD 452 Main 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, NY 11446 Rx Altace 5 mg Sig: i po QD
Prescription Label:
October 11, 2006
Jackson Hundson __
MDD:
Altace 5 mg MFR: Monarch Pharm Jackson Hundson, MD.
#30
DAW
Dispense as Written
Refill 5 times
Serial #125ULK01
Drug Dispensed:
376. 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: Andy Roberts allergies: Penicillin room: 432B physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 medical record no.: 8769 sex: (circle) (male) / female weight: ___175_____ (circle) (lb). / Kg height: ___72____ (circle) (in.) / cm
Cyclophosphamide 400mg/m2 in 250ml D5W. infuse over 2 hours
Dr. Toboggan, 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, 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: __3.21mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/14___
volume added to bag: drug amount in bag:
___40.2____ 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, MD RPh: (3pts): YOU
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

(circle) (NS) D5W other:__________ manufacturer: _US Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________
IV Label:
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: __6.57mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___16.4____ ml

(circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____ volume used (ml): ________________
Pauline Davidson, MD 5529 Northtown Raod. E Amherst, 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, NY 14223 Rx Percocet 7.5/325 Sig: i po q 6 h prn # 120 ( one hundred twenty)
Prescriber Signature X_Pauline Refill: 0 (zero)
Prescription Label:
December 25, 2006
Take one tablet every 6 hours as needed. Maximum daily dose of 4 tablets.
MDD:4
Davidson____
Oxycodone/APAP 7.5/325 mg MFR: Mallinckrodt Pauline Davidson, MD.
# 120
Refill 0 times
Dispense as Written
Serial #LK859967
Drug Dispensed:
Sharon White, MD 1235 Millersport Road Amherst, 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:
Rx# 665866 Joel Rettig 444 Clarence Center East Seneca, NY 17895 Take one tablet once daily.
May 4, 2006
Sharon White ____

MDD:
Altace 5 mg MFR: Monarch Pharmaceuticals Inc Sharon White, MD.
#30
DAW
Dispense as Written
Refill 5 times
Serial #0148KJG2
Drug Dispensed:
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:05/05/05 Aurora , NY 14228 Rx Doxepin 100 mg Sig: i po daily # 30
Prescription Label:
Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora, NY 14228 Take one capsule once daily.
May 5, 2005
Prescriber Signature X_Lynn Refill: 3
Marshall____
MDD:
Doxepin 100 mg MFR: Par Lynn Marshall, RPA.
# 30
Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
John Rousseau, MD 789 Walden Ave, Suite 120 Cheektowaga, 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, NY 14788 Rx Fortesta pump Sig: apply 2g (4 pumps) to inner thighs qam # 1 (one)
Prescription Label:
Rx# 32535 Sly Stallone 1125 Mineral Spring Road Gatesville, NY 14788
April 29, 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
Dispense as Written
Serial #14415L78
John Rousseau, MD.
Refill 5 times
Drug Dispensed:
Exp. 07/2008 Lot # 17485900
Karen Douglas, DO 190 E Robinson Road Lancaster, 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 Rx DynaCirc CR 5 mg Sig: i po qd # 30
Prescription Label:
Rx# 32541 David McPhea 747 Athens Blvd Arkron, NY 14001
December 27, 2003

Prescriber Signature X__Karen Refill: 0
Douglas___
MDD:
DynaCirc CR 5 mg MFR: Reliant Karen Douglas, DO.
# 30
Refill 0 times
DAW
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Sharon White, MD 1235 Millersport Road Amherst, 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 Trihexyphenidyl 5 mg Sig: i po qd # 30
Prescription Label:
May 4, 2006
Prescriber Signature X____________________ Refill: 5 MDD:

Trihexyphenidyl 5 mg MFR: Watson Sharon White, MD.
#30
Refill 5 times
Dispense as Written
Serial #0148KJG2
Drug Dispensed:
Exp. 02/2008 Lot # L6B0232 Please write a BRIEF description of the error/omission (3pts):
Alfredo Gallagher, NP 878 Sweet Home Road Lancaster, 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 Rx Nifedipine 20 mg Sig: i po tid # 90
Prescription Label:
Rx# 234512 Herbert Rayford 8080 Beaumont Drive Hamburg, NY 14280 Take one capsule three times a day
October 14, 2006
Alfredo Gallagher_
MDD:
Nicardipine 20 mg MFR: Teva Alfredo Gallagher, NP.
# 90
Refill 6 times
Dispense as Written
Serial #H22563M6
Drug Dispensed:
Alfredo Gallagher, NP 878 Sweet Home Road Lancaster, 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 Rx Nifedical XL 30 mg Sig: i po daily # 30
Prescription Label:
222 Cooke Hall Amherst, NY 14260 Phone: 716-555-5555
Rx# 234512 Herbert Rayford 8080 Beaumont Drive Hamburg, NY 14280 Take one tablet once daily. Nifedical XL 30 mg
October 14, 2006
# 30
Alfredo Gallagher __
MDD:
MFR: Teva Alfredo Gallagher, NP. Refill 6 times
DAW Dispense as Written

Serial #H22563M6
Drug Dispensed:
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 Advair 500/50 Sig: 1 puff by mouth twice daily # 1 inhaler
Prescription Label:
Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg, NY 11487 Inhale 1 puff by mouth twice daily
December 12, 2006
John Rousseau ____

MDD:
Advair 500/50 MFR: GSK
# 60
John Rousseau, MD.

Dispense as Written
Refill 3 times
Serial #12258OP8
Drug Dispensed:
Suzanne Brower, MD 9988 Parkside Ave Amherst, NY 14222 716-987-9876 Lic# 255897 Name: Gale Chamberlin Address:555 Parkwood Ave Synder, 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:
March 9, 2011
Take one tablet by mouth two times daily for 7 days.

Brower_____
MDD:
Levaquin 500mg MFR: Pricara Suzanne Brower, MD.
#14
Refill 0 times
Dispense as Written
Serial #568LK236
Drug Dispensed:
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 Solia Sig: i po daily # 28
Prescription Label:
Rx# 202113 Susanna Rusinski 5123 Argonne Drive Buffalo, NY 14220 Take one tablet once daily.
March 3, 2006
Stanley Kaiser __
MDD:
Solia MFR: Prasco Stanley Kaiser, MD.
# 28
Refill 1 time
DAW
Dispense as Written
Serial #Y2587M58
Drug Dispensed:
Exp. 05/2009 Lot # TT2325 Please write a BRIEF description of the error/omission (3pts):
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: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan, MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat for status epilepticus. Infuse at 50mg/min Dr. Toboggan, MD medical record no.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb). / Kg height: ___53____ (circle) (in.) / cm

IV Label:
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: __18.15mg/ml___ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___36.3____ ml
___1815____ mg Administration Rate___165__ ml/hr diluent for drug reconstitution

Terrance Fransco, 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, NY 14787 Rx
Prescription Label:
Imdur 60 mg Sig: i po daily # 30
Rx# 89982 Anita Szyklinski 5258 Woodcreek Ln Eggertsville, NY 14787 Take one tablet once daily. Azathioprine 50 mg
February 11, 2007
# 30
Terrance Fransco _
MDD:
MFR: Roxane Terrance Fransco, MD. Refill 6 times
Dispense as Written Drug Dispensed:
Serial #L8521478
Exp. 01/2011 Lot # A14587 Please write a BRIEF description of the error/omission (3pts):
Elaine Knell, MD 2536 Rosewood Ave Lancaster, 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 Rx Vimpat 100mg Sig: i po bid # 60 (sixty)
Prescription Label:
Rx# 66566 Rhonda Alderman 180 Flickinger Ct Alden, NY 14075 Take one tablet twice daily.
July 27, 2005
Prescriber Signature X__Elaine Refill: 0 (zero)
Knell__
MDD:2
Vimpat 100mg MFR: UCB Inc Elaine Knell, MD.
#60
Refill 0 times
Dispense as Written
Serial #P21352147
Drug Dispensed:
Melvin Barren, 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 Lamictal 200 mg Sig: i po daily # 30
Prescription Label:
Rx# 633333 Nick Cavalleri 2356 Lafayette Road Buffalo, NY 14051 Take one tablet once daily.
January 31, 2007
Melvin Barren __
MDD:
Lamisil 250 mg MFR: Novartis Melvin Barren, MD.
# 30
Refill 1 time
Dispense as Written
Serial #2358P258
Drug Dispensed:
Exp. 07/2009 Lot # Y25369 Please write a BRIEF description of the error/omission (3pts):
Emerson Brzozowski, MD 688 Remington Dr N Tonawanda, 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, NY 14044 Rx Zymaxid Sig: i gtt od bid-qid x 7 days # trade size
Prescription Label:
Rx# 24200 Alemondo Clarey 8585 Ostrander Road Aurora, NY 14044
May 5, 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, MD.
#2.5
Refill 0 times
Dispense as Written
Serial #1245L1200
Drug Dispensed:
Charlotte Thompson, MD 808 Mulberry Road E Amherst, 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, NY 14510 Rx Methotrexate 2.5 mg Sig: 4 tabs qw # 16
Prescription Label:
Rx# 3999 Natalie Weller 606 Edgewater Dr Gowanda, NY 14510 Take four tablets once weekly.
February 3, 2006
Charlotte Thompson _
MDD:
Metolazone 2.5 mg MFR: Mylan Charlotte Thompson, MD.
# 16
Refill 3 times
Dispense as Written
Serial #U1258L25
Drug Dispensed:
Exp. 08/2008 Lot #1P2868 Please write a BRIEF description of the error/omission (3pts):
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:
Flonase Sig: 2 sprays 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

Mark Flinchbaguh__
MDD:
Fluticasone Nasal Spray MFR: Roxane Mark Flinchbaguh, MD.
# 16
Refill 0 times
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Jackson Hundson, 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, NY 14042 Rx
Prescription Label:
Januvia 100 mg Sig: 1 po qd # 30
Rx# 77777 Janet Pinto 85 Maple Trail Buffalo, NY 14042 Take 1 tablet by mouth daily
January 14, 2007
Jackson Hundson __
MDD:
Januvia 100 mg tablets MFR: Merck and CO Jackson Hundson, MD.
# 30
Refill 1 time
Dispense as Written
Serial #7482L748
Drug Dispensed:
Name: Kristen Paralato Address:6253 Auburn Ave Akron, NY 14004 Rx Levemir insulin Sig: inject as directed daily # 10 ml
DOB: 5/24/76 Date: 02/18/07
Prescription Label:
Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron, NY 14004 Inject as directed once daily
February 18, 2007
Prescriber Signature X_Karen Refill: 1
Swanson____
MDD:
Levemir Insulin MFR: Novo Nordisk Steven Johnson, MD.
# 10 ml
Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
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 Fosamax 70 mg Sig: i poq week # 12
Prescription Label:
Rx# 696987 Ester Osoki 6900 Nashua Road Long Island, NY 17789 Take one tablet once weekly
September 25, 2006
Prescriber Signature X_Paul Refill: 4
Flicinski____
MDD:
Fosamax 70mg tablets MFR: Merck Paul Flicinski, MD.
# 12
DAW
Dispense as Written
Refill 4 times
Serial #11253LP8
Drug Dispensed:
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 Serevent diskus Sig: i puff bid #1
Prescription Label:
Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park, NY 14141 Inhale 1 puff by mouth twice daily
February 13, 2005
Stephen Sigel __
MDD:
Serevent diskus MFR: GSK Stephen Sigel, MD.
# 60
Refill 5 times
Dispense as Written
Serial #128PR124
Drug Dispensed:
Exp. 02/2005 Lot # 12458KL Please write a BRIEF description of the error/omission (3pts):
Millard Fillmore Suburban Hospital
789 Maple Road, Amherst, NY 14226 716-898-8888
Prescription Label:
DOB: 12/16/88 Date: 06/01/06
Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda, NY 12339 Rx Percocet 7.5/325
Sig: 1 po q6h prn knee pain # 60 (sixty)

Prescriber Signature X__Bill Refill: 0 (zero)
June 2, 2006
Clinton, MD_
MDD: 4
Take 1tablet by mouth every six hours as needed for knee pain Oxycodone/Apap 7.5/325 MFR: Mallinckrodt # 60
Dispense as Written
Bill Clinton, MD.

Serial #00TJI258
Refill 0 times
Drug Dispensed:
Andrew McDonald, MD 222 Main Street, Suite 111. Buffalo, 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, NY 14223 Rx
Prescription Label:
Prinivil 20 mg Sig: i po hs # 30
Rx# 66803 Sylvia Rappold 3355 Pinewood Dr Great View, NY 14223 Take one tablet at bedtime Pravastatin 20 mg
February 26, 2007
# 30
Andrew McDonald _
MDD:
MFR: Teva Andrew McDonald, MD. Refill 5 times
Dispense as Written
Drug Dispensed:
Serial # 896Z5682
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 PreCose 50 mg Sig: i po qd # 30
Prescription Label:
Rx# 66804 Ramona Savage 7654 Wright Road Getzville, NY 14253 Take one tablet once daily.
March 15, 2006
Monica Greenfield _
MDD:
Precare Premier MFR: Ther-Rx Corp Monica Greenfield, NP.
# 30
Refill 9 times
Dispense as Written
DAW
Serial #MK256321
Drug Dispensed:
Julius Hibbert, MD weight: 12kg Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Milhouse Van Houten DOB: 1/29/2009 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx Ibuprofen susp 100/5ml Sig: 3 tsp q6-8h prn # 180ml
Prescription Label:
Rx# 66698 Milhouse Van Houten 197 Hartford Road Aurora, NY 14228
March 5, 2011
Take three teaspoonfuls by mouth every 6-8hours as needed

Julius Hibbert __
MDD:
Ibuprofen 100mg/5ml MFR: Perrigo Julius Hibbert, MD.
# 180
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Esther Tredinnick, 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, NY 14002 Rx Amoxicillin 250/5ml Sig: 10ml po q12h x10days # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take two teaspoonfuls by mouth every 12 hours for 10 days

Tredinnick_
MDD:
Amoxicillin 250mg/5ml MFR: Sandoz Esther Tredinnick, MD
# 100
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
William Zaklikowski, MD Lisa Chant, RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst, NY 14869 716-889-9999 Name: Donald Parker DOB:03/22/21 Address: 1133 Pershing Ave Date: 02/01/06 Kenmore, NY 11489 Rx
Prescription Label:
Azmacort Sig: 1 puff QID #1
Rx# 223326 Donna Parker 1133 Pershing Ave Kenmore, NY 11489
February 1, 2006
Inhale 1 puff by mouth four times a day
William Zaklikowski _
MDD:
Azmacort MFR: Abbott William Zaklikowski, MD.
# 20 g
Refill 0 times
Dispense as Written
Serial #K1242156
Drug Dispensed:
Prescription Label:
Bactroban 2% cream Sig: UAD # 30 gram tube
Rx# 23456 Jean Horton 500 Main Street, Buffalo, NY 14235
May 22, 2006
Thomas Grands _
MDD:
Apply as directed Bactroban 2 %Cream MFR: GSK #30g
Dispense as Written
DAW
Dr. Timothy Grands

Serial #125L65K6
Refill 5 times
Drug Dispensed:
Mike Lou, MD 5255 Cobblestone Dr Clarence, 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 11896 Rx Ambien 10 mg Sig: i po hs # 30 ( thirty)
Prescription Label:
March 12, 2006
Take one tablet at bedtime. Maximum daily dose of 1 tablet.

Prescriber Signature X__ Refill: 6 ( six)
Mike Lou _____

MDD: 1
Ambien 10 mg MFR:Sanofi-Aventis Mike Lou, MD .
#30
DAW
Dispense as Written
Refill 6 times
Serial #125TDEF2
Drug Dispensed:
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: Janet Smith allergies: NKA room: 2A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Gentamicin 1.5mg/kg/dose (IBW) q8h in 50ml D5W. Infuse over 30 min Dr. Toboggan, MD medical record no.: 8769 sex: (circle) male / (female) weight: ___125_____ (circle) (lb). / Kg height: ___64____ (circle) (in.) / cm

IV Label:
Pharmacy Sterile Product Service IV Label Patient Name: Janet Smith Additives: Gentamicin 82.1mg 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: __1.58mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___2.05____ ml
___82.1_____ mg Administration Rate___104__ ml/hr diluent for drug reconstitution

Henry Sweeney, MD 8769 Transit Road E Amherst, 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, NY 11148 Rx
Prescription Label:
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, then take 1 tablet by mouth once daily. Effient 10mg MFR: Lilly Henry Sweeney, MD. Refill 3 times # 35
Dispense as Written
Serial #012VN258
Drug Dispensed:
Tommy Reed, MD 85 Grand Street Lockport, 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, NY 11223 Rx
Prescription Label:
Avandia 4 mg Sig: i po QD # 30
Rx# 122122 Chi Wai Lam 8990 Coley Street Williamsville, NY 11223 Take one tablet once daily.
September 8, 2006
Tommy Reed ___

MDD:
Avandia 2 mg MFR: Beecham Div
# 30
Tommy Reed, M.
Dispense as Written
Refill 11 times
Serial #565D52H9
Drug Dispensed:
Exp. 01/2011 Lot # L2258C Please write a BRIEF description of the error/omission (3pts):
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: Janet Smith allergies: NKA room: 2A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Gentamicin 10mg/kg/dose (IBW) q8h in 100ml D5W. Infuse over 30 min. Prep 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) male / (female) weight: ___125_____ (circle) (lb). / Kg height: ___64____ (circle) (in.) / cm

IV Label:
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
___13.7____ ml

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 Levalbuterol 0.63 mg solution Sig: i vial via nebulizer q8h prn # 2 boxes
Prescription Label:
Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna, NY 14034
February 8, 2003
Inhale 1 vial via nebulizer every 8 hours if needed.

Prescriber Signature X_Mike Refill: 0
Lou____________
MDD:
Xopenex 0.63 mg inhalation solution MFR: Sepracor Mike Lou, MD.
# 72 ml
Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
George Spencer, MD 1001 Elmwood Ave Aurora, 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, NY 14133 Rx Zanaflex 4 mg Sig: i po tid # 90
Prescription Label:
Rx# 114570 Jayne Gilmore 8112 Magnolia Street S Wales, NY 14133 Take one tablet three times a day
July 22, 2006
Prescriber Signature X__George Refill: 5
Spencer__
MDD:
Tizanidine 4 mg MFR: Dr Reddys Laboratories, Inc George Spencer, MD.
# 90
Refill 5 times
Dispense as Written
Serial #J2512K23
Drug Dispensed:
Howard Siemer, MD Lic# 124587 DEA AS4541252 Sean Hunter, RPA Lic # 123514 DEA ML1223560
68 Elmhurst Dr Orchard Park, NY14040 716-877-7777
Prescription Label:
Name: Madelyn Byrne Address: 11 Richmond Ave Getzville, 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, NY 14077
September 28, 2007
Instill 1 to 2 drops into affected eye four times a day
Howard Siemer_
MDD:
TobraDex ophthalmic suspension MFR: Alcon Howard Siemer, MD.
#5
Refill 0 times
Dispense as Written
DAW
Serial #00254HG9
Drug Dispensed:
Exp. 06/2008 Lot # 1JK2550 Please write a BRIEF description of the error/omission(3pts):
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, NY 14000 Rx Librium 10 mg Sig: i po tid #90 (nintely)
Prescription Label:
Rx# 55000 Cathy Lombardo 8500 Castle Hill Ave Amherst, NY 14000 Take one capsule three times daily.
April 1, 2006
Prescriber Signature X_ Refill: 0 ( zero)
Paulette Kohler _
MDD:
Chlordiazepoxide 10 mg MFR: Par Paulette Kohler, MD.
# 90
Refill 0 times
DAW
Dispense as Written
Serial #P12588965
Drug Dispensed:
Exp. 04/2008 Lot #L1257853 Please write a BRIEF description of the error/omission (3pts):
Ryan Gibson, MD 7877 Hedgewood Drive Naussa, 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 14200 Rx
Prescription Label:
Lioresal 10 mg Sig: i po bid # 60
Rx# 233000 Lannie Greene 2233 Woodland Ct Genesee, NY 14200 Take one tablet twice daily Minoxidil 10 mg MFR: Mutual Pharmaceutical Co
January 7, 2004
# 60
Ryan Gibson __
MDD:2
Ryan Gibson, MD.
Refill 5 times
Drug Dispensed:
Dispense as Written
Serial #LL12541256
Dean Potter, MD 456 Ashland Ave Buffalo, 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, NY 14433 Rx Mirapex 0.25 mg Sig: i tid # 90
Prescription Label:
Rx# 55474 Norman Hess 999 Somerville Ave Eden, NY 14433 Take one tablet three times a day
January 14, 2006
Dean Potter _
MDD:
Mirapex 0.25mg MFR: Boehringer Dean Potter, MD.
# 90
DAW
Dispense as Written
Refill 0 times
Serial #1221E125
Drug Dispensed:
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 Humalog Sig: UUD # 1 vial
Prescription Label:
Rx# 32323 Louis Sarcone 2356 Delaware Ave Amherst, NY 14227 Use as directed.
April 15, 2006
Curt Roche __
MDD:
Humulin R MFR: Lilly Curt Roche, MD.
# 10
Refill 11 times
Dispense as Written
Serial #587LK569
Drug Dispensed:
Prescription Label:
Eurax Cream
Sig: A AD # 60 g
Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo, NY 14042 Apply as directed.
January 14, 2007
Jackson Hundson __
MDD:
Eurax cream MFR: Bristol MyersSquibb Jackson Hundson, MD.
#54
Refill 1 time
Dispense as Written
Serial #7482L748
Drug Dispensed:
Name: Kristen Paralato Address:6253 Auburn Ave Akron, 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:
Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron, NY 14004
July 18, 2004
Take one tablet every 6 to 8 hour as needed

Steven Johnson _
MDD:
Amitriptyline 50 mg MFR: Qualitest Steven Johnson, MD.
# 40
Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
DOB: 5/24/76 Date: 07/18/04
Prescription Label:
July, 18 2004
Take one capsule every 6 to 8 hour as needed

Steven Johnson__
MDD:
Ketoprofen 200 mg MFR: Teva Steven Johnson, MD.
# 40
Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
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 100mg/ml Sig: inj 10U sc qhs # 10
Prescription Label:
February 3, 2007
Inject 1ml subcutaneously once daily at bedtime.

Fishman__
MDD:
Lantus 100U/ml MFR: Sanofi
# 10
Aventis
Refill 3 times
Samuel Fishman, MD.

Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Jonathan Mallozzi, MD 99 Brookside Ave S Wale, 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, NY 14001 Rx Abstral fentanyl sublingual tablets200 mcg Sig: i sl q4-6h prn pain # 30 (thirty)
Prescription Label:
Rx# 10012 Gwen MacBeth 445 Wardman Ave Akron, NY 14001
June 15, 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
Dispense as Written
Jonathan Mallozzi, MD.

Serial #P322258L
Refill 0x
Drug Dispensed:
Exp. 08/2007 Lot # R002235 Please write a BRIEF description of the error/omission (3pts):
Pitt Paolucci, MD Lic# 458789 DEA BP2554120 Carl Rizek, RPA Lic # 365269 145 Amsterdam Ave Hamburg, NY 14200 716-888-2222
Prescription Label:
Name: Anna Schmitz DOB: 02/10/81 Address: 5898 Teahouse Street Date: 07/04/06 Bowmansville, NY 14102 Rx Lotrimin 1% Cr Sig: Apply affected area bid # trade size
Rx# 898111 Anna Schmitz 5898 Teahouse Street Bowmansville, NY 14102 Apply to affected area twice daily
July 4, 2006
Pitt Paolucci __
MDD:
Betamethasone/ Clotrimazole Cr MFR: Fougera Pitt Paolucci, MD.
#45
Refill 2 times
Dispense as Written
Serial #Z12B1245
Drug Dispensed:
Prescription Label:
Name: Anna Schmitz DOB: 02/10/81 Address: 5898 Teahouse Street Date: 07/04/06 Bowmansville, NY 14102 Rx Clotrimazole Cr 1% Sig: AAA bid # 30 g
July 4, 2006
Pitt Paolucci __
MDD:
Clotrimazole Cr 1% MFR: Taro Pitt Paolucci, MD.
# 30
Refill 2 times
Dispense as Written
Serial #Z12B1245
Drug Dispensed:
Nicole Bissonette, NP 7895 West 4th Street New York, 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, NY 14007 Rx
Prescription Label:
Risperdal 1mg Sig: i po bid # 60
Rx# 90017 Jacob Frost 2333 Harmony Ave Gowanda, NY 14007 Take one tablet twice daily
March 24, 2006
Nicole Bissonette __
MDD:
Reserpine 0.1 mg MFR: Eon Nicole Bissonette, NP.
# 60
Refill 3 times
Dispense as Written
Serial #9K25Z237
Drug Dispensed:
Exp. 09/2007 Lot # E200358 Please write a BRIEF description of the error/omission (3pts):
Jack Hoover, MD Lic# 125898 DEA BH1414250 Lynn Marshall, RPA Lic# 147845 DEA MM2535625 78 Harlem Road Bronx, NY 12365 716-333-4444
Prescription Label:
Name: Otto Hoyer Address: 8555 Arlington Ave Perrysburg, 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, NY 14799
July 29, 2006
Take 1 ml by mouth every 4 hours as needed. Maximum daily dose of 6ml. Roxanol solution MFR: Roxane Jack Hoover, MD Refill 0 times # 120ml
Prescriber Signature X_ Refill: 0 zero
Jack Hoover ____

MDD: 6 ml
DAW
Dispense as Written
Serial #F2536K22
Drug Dispensed:
Exp. 08/2007 Lot # H20036 Please write a BRIEF description of the error/omission(3pts):
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:
Accupril 20 mg Sig: i po QD # 30 Sharon White____

MDD:
Rx# 23456 Jolie Yang 4577 Kensington Road Kenmore, NY 11447 Take one tablet once daily.
December 2, 2006
Aciphex 20 mg MFR: Eisai Dr. Sharon White
#30
Refill 3 times
Dispense as Written
Serial #125L1258
Drug Dispensed:
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
Prescription Label:
Azithromycin 250 mg Sig: UUD #6
Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg, NY 11487 Take as directed. Erythromycin 250 mg
December 12, 2006
#6
John Rousseau __
MDD:
MFR:
Abbott Refill 0 times
John Rousseau, MD.
Dispense as Written
Drug Dispensed:
Serial #12258OP8
Exp. 12/2008 Lot # 028M123 Please write a BRIEF description of the error/omission (3pts):
Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda, NY 12339 Rx Percocet 7.5/325 Sig: 1 po q4h prn pain
DOB: 12/16/88 Date: 06/01/06
Prescription Label:
June 2, 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 7.5/325 MFR: Mallinckrodt # 240
Dispense as Written
Shirely Lee, RPA.

Serial #00TJI258
Refill 0 times
Drug Dispensed:
Prescription Label:
Name: Jack May Address:144 Lake Shore Road Buffalo, 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, NY 14222
December 12, 2002
Take one tablet by mouth three times daily.

May CNM___
MDD:
Requip 1mg MFR: Heritage Mary May, CNM.
# 90
Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Pauline Davidson, MD 5529 Northtown Raod. E Amherst, 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:
Estradiol 0.075 patch Sig: apply 1 patch weekly #4
Rx# 01258 Vicki Liang 4788 Loving Lane Williamsville, NY 12258 Apply one patch daily.
December 19, 2006
Prescriber Signature X_ Refill:
Pauline Davidson __
MDD:
Estradiol 0.075 patch MFR: Mylan Dr. Pauline Davidson
#4
Refill 0 times
Serial #112KJ125
Drug Dispensed:
Kenneth Taung, MD 1478 Morrison Ct Cheektowaga, 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, NY 14789___ Rx Combivent Sig: 2 puff po qid # 1 inhaler
Prescription Label:
Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore, NY 14789 Inhale 2 puffs by mouth four times daily
July 4, 2006
Taung_____
MDD:
Combivent Inhaler MFR: Boehringer Ingelheim Dr. Kenneth Taung
#14.7 g
Refill 10 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Sharon White, MD 1235 Millersport Road Amherst, 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:
May 4, 2006
Prescriber Signature X__Sharon Refill: 5
White______
MDD:
Trihexyphenidyl 5 mg MFR: Watson Sharon White, MD.
#30
Refill 5 times
Dispense as Written
Serial #0148KJG2
Drug Dispensed:
Exp. 02/2008 Lot # L6B0232 Please write a BRIEF description of the error/omission (3pts):
Salvatore Bruce, MD 123 Abbott Road N. Tonawanda, 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, NY 14225 Rx Neutra Phos-K Sig: uud # 120
Prescription Label:
Rx# 89877 Colleen Bell 2356 Knollwood Dr Eden, NY 14225 Take as directed
March 8, 2006
Salvatore Bruce _
MDD:
K-Phos Original Mfg: Beach Salvatore Bruce, MD.
# 120
Refill 0 times
Dispense as Written
Serial #K2541458
Drug Dispensed:
Herbert Dombrowski, MD Mary Esposito, RPA Lic# 445114 Lic # 636563 DEA AL5224782 333 Moore Ave Colins, NY 14057 716-555-9999
Prescription Label:
Name: Angelina Ferris Address: 5000 Sunrise Blvd Akron, 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, NY 14217 Take one tablet once daily
June 23, 2003
Herbert Dombrowski _
MDD:
Lomotil MFR: Pharmacia Herbert Dombrowski, MD.
# 30
Refill 0 times
DAW
Dispense as Written
Serial #D125T235
Drug Dispensed:
Exp. 01/2006 Lot # P212333 Please write a BRIEF description of the error/omission(3pts):
Prescription Label:
Name: Angelina Ferris Address: 5000 Sunrise Blvd Akron, NY 14217 Rx Lamictal 200 mg Sig: i po qd # 30
DOB: 08/22/71 Date: 06/23/03
June 23, 2003
Herbert Dombrowski _
MDD:
Lamictal 200 mg MFR: GlaxoSmithKline Herbert Dombrowski, MD.
# 30
Refill 0 times
Dispense as Written
Serial #D125T235
Drug Dispensed:
Alfredo Gallagher, NP 878 Sweet Home Road Lancaster, 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 14127 Rx Lanoxin 250 mcg Sig: i po qd # 30
Prescriber Signature X__Alfredo Refill: 6
Prescription Label:
September 16, 2006
Gallagher___
MDD:
Lanoxin 250 mcg MFR: GlaxoSmithKline Alfredo Gallagher, NP.
# 30
Refill 6 times
DAW
Dispense as Written
Serial #P2315248
Drug Dispensed:
Edwin Pizarro, MD 474 Woodcreast Dr Amherst, 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:
Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster, NY 14141 Take one tablet once daily.
October, 19 2006
Prescriber Signature X__Edwin Refill: 5
Pizarro_____
MDD:
Amitriptyline 10 mg MFR: Qualitest Edwin Pizarro, MD.
#30
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):
Claudia Fong, NP 8116 Warren Ave Buffalo, 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. Seneca, NY 14150 Rx Estratest Sig: i po daily # 30
Prescription Label:
Rx# 556999 Courtney Betts 400 Goodyears Road W. Seneca, NY 14150 Take one tablet once daily.
July 15, 2005
Prescriber Signature X__Claudia Refill: 6
Fong____
MDD:
Estratest MFR: Solvay Pharmacetuicals Claudia Fong, NP.
# 30
DAW
Dispense as Written
Refill 6 times
Serial #ZZ147852
Drug Dispensed:
Claudia Fong, NP 8116 Warren Ave Buffalo, 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. Seneca, NY 14150 Rx Estratest hs Sig: i po daily # 30
Prescription Label:
July15, 2005
Claudia Fong _____

MDD:
Estratest MFR: Solvay Pharmacetuicals Claudia Fong, NP.
# 30
Refill 6 times
DAW
Dispense as Written
Serial #ZZ147852
Drug Dispensed:
Esther Tredinnick, MD 2535 Porterville Road Elma, 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, NY 14002 Rx Lortab 5mg Sig: 1-2 q4-6h po prn pain # 20 (twenty)
Prescription Label:
Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002
July 28, 2006
Take one to two tablets by mouth every four to six hours as needed for pain. Max 10/day
Tredinnick_
MDD: 10
Hydrocodone.APAP 5-500 mg MFR: Mallinckrodt Esther Tredinnick, MD
# 20
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
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 Sig: i gtt OS qid X 2 weeks, then i gtt OS bid X 1 wk # 1 trade size
Prescription Label:
Rx# 90001 Molly Martins 33 Perrysburg Ave West Falls, NY 14100
March 7, 2006
Instill 1 drop into each eye 4 times daily for 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, MD.
#5
Refill 0 times
Dispense as Written
Serial #P1220302
Drug Dispensed:
Prescription Label:
February 3, 2006
Prescriber Signature X__Charlotte Refill: 3
Thompson__
MDD:
Methotrexate 2.5 mg MFR: Barr Charlotte Thompson, MD.
# 16
Refill 3 times
Dispense as Written
Serial #U1258L25
Drug Dispensed:
Exp. 05/2009 Lot #K1254100 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Rx# 125889 Randell Przpiora 789 Maple Road Amherst, NY 1178 Take one tablet before meals
May 25, 2006
Prescriber Signature X__Steven Refill: 5
Hung____
MDD:
Prandin 2 mg MFR:Novo Nordisk Steven Hung, MD.
# 90
Refill 5 times
Dispense as Written
Serial #1258LLT8
Drug Dispensed:
Exp. 06/2008 Lot # 00PCJ1236 Please write a BRIEF description of the error/omission (3pts):
Jackson Hundson, MD 452 Main 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, NY 11446 Rx Altace 2 mg Sig: i po QD # 30
Prescription Label:
October 11, 2006
Jackson Hundson __
MDD:
Amaryl 2 mg MFR: Aventis Jackson Hundson, MD.
#30
Refill 5 times
DAW
Dispense as Written
Serial #125ULK01
Drug Dispensed:
Prescription Label:
Rx# 125889 Randell Przpiora 789 Maple Road Amherst, NY 1178 Take one tablet with meals
May 25, 2006
Steven Hung ___

MDD:
Prandin 2 mg MFR:Novo Nordisk Steven Hung, MD.
# 90
Refill 5 times
Dispense as Written
Serial #1258LLT8
Drug Dispensed:
Exp. 06/2008 Lot # 00PCJ1236 Please write a BRIEF description of the error/omission (3pts):
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 Sotalol AF 80 mg Sig: i po bid # 60
Prescription Label:
October 10, 2006
Patrick Wosinski __
MDD:
Sotalol 80 mg MFR: Apotex Patrick Wosinki, MD.
# 60
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):
Brian Baksh, MD 2455 Wehrle Dr Amherst, 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, NY 11447 Rx
Prescription Label:
Betoptic S 0.25 % Sig: i gtt ou bid # 15
Rx# 565689 Leslie Peehler 3458 Harbor Lane Lake View, NY 11447
October 19, 2006
Instill 1 drop into both eyes twice daily.

Prescriber Signature X__Brian Refill: 11
Baksh____
MDD:
Betoptic S 0.25% MFR: Alcon Brian Baksh, MD.
# 15
Refill 11 times
Dispense as Written
Serial #1215YR58
Drug Dispensed:
Exp. 10/2012 Lot # LCM12589 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Betoptic 0.5 % Sig: i gtt ou bid # 10
October 19, 2006
Brian Baksh ____

MDD:
Instill 1 drop into both eyes twice daily. Levobunolol Hydrochloride 0.5% Opth Solution MFR: Alcon # 10
DAW
Dispense as Written
Brian Baksh, MD.

Serial #1215YR58
Refill 11 times
Drug Dispensed:
Exp. 08/2010 Lot # LC100009 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Betoptic S Sig: i gtt ou bid #5
October 19, 2006
Instill 1 drop into both eyes twice daily.

Brian Baksh ____

MDD:
Betaxolol 0.5% MFR: Alcon Brian Baksh, MD.
#5
Refill 11 times
Dispense as Written
Serial #1215YR58
Drug Dispensed:
Henry Sweeney, MD 8769 Transit Road E Amherst, 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, NY 11148 Rx
Prescription Label:
Effient 10 Sig: i po qd # 30
April 9, 2006
Take one tablet by mouth once daily as needed.
Sweeney______
MDD:
Effient 10mg MFR: Lilly Henry Sweeney, MD.
# 30
Refill 3 times
Dispense as Written
Serial #012VN258
Drug Dispensed:
Helen Miller, MD 1001 N Ford Road Hamburg, 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, NY 14525 Rx
Prescription Label:
Prilosec 20 mg Sig: i po daily # 30
Rx# 66800 Vanessa Jaworski 8412 Wellingwood Drive Smallsville, NY 14525 Take one capsule once daily.
August 9, 2006
Prescriber Signature X__Helen Refill: 5
Miller_____
MDD:
Omeprazole 20 mg MFR: Mylan Helen Miller, MD.
# 30
Refill 5 times
Dispense as Written
Serial #2593LK85
Drug Dispensed:
Harold Kozlowsky, MD Kathryn Langenfeld , RPA Lic# 256336 Lic # 556963 DEA AK5858937 DEA ML2256368 5263 Monterey Creek Greensville, NY 14520 716-852-8525
Prescription Label:
Name: Cameron Matz Address: 5255 Eaglecrest Street Alden, 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, NY 14222 Take one tablet once daily Lisinopril 10 mg
August 26, 2006
# 30
Harold Kozlowsky_
MDD:
MFR: Mylan Harold Kozlowsky, MD. Refill 5 times
Dispense as Written
Drug Dispensed:
Exp. 01/2008 Lot # 1N4117 Please write a BRIEF description of the error/omission(3pts):
UNIVERSITY HOSPITAL

IV Label:
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: __8.23mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___16.5____ ml

UNIVERSITY HOSPITAL
Doxorubicin 20mg/m2 . Prefilled syringe, administer IV push over 5 min.
Dr. Toboggan, MD

(circle) NS D5W other:__________ manufacturer: _ __________ lot: ________ exp: _____________
IV Label:
Pharmacy Sterile Product Service IV Label Patient Name: Andy Roberts Additives: Doxorubicin 39.8mg Solution: 19.9ml 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___
___19.9____ ml

(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 .
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 200mg/ml Sig: 250mg im biw ud # 10 (1 vial)
Prescription Label:
February 3, 2007
Inject 1.5ml intramuscularly twice a week as directed

Fishman__
MDD:1 dose
# 10
Refill 0 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Karen Douglas, DO 190 E Robinson Road Lancaster, 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:
Sarafem 10 mg Sig: i po qd # 28
Paula Howells 2233 Dunlop Ave Williamsville, NY 14227 Take one capsule once daily.
January 13, 2007
Prescriber Signature X____ Refill: 5
Karen Douglas
MDD:
Sarafem 10 mg MFR: Warner Chilcott Karen Douglas, DO
# 28
Refill 5 times
Dispense as Written
DAW
Serial #U258K236
Drug Dispensed:
Exp. 11/2009 Lot # N20036 Please write a BRIEF description of the error/omission (3pts):
Samuel Fisher, 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 14078 Rx Intuniv 2 mg Sig: i po qd # 30
Prescription Label:
Rx# 90021 Rosie Lockwood 3535 Herkimer Ave Colden, NY 14078
September 23, 3006

Fisher__
MDD:
Intuniv 2 mg MFR: Shire US Inc Samuel Fisher, MD.
# 30
Refill 0 times
Dispense as Written
Serial #L25K2365
Drug Dispensed:
Mike Lou, MD 5255 Cobblestone Dr Clarence, 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 11896 Rx AmbienCR 10 mg Sig: i po hs # 30 ( thirty)
Prescription Label:
Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo, NY 11896 Take one tablet at bedtime
March 12, 2006
Prescriber Signature X__ Refill: 5 ( five)
Mike Lou ____

MDD:
Ambien10 mg MFR: Greenstone .
#30
DAW
Dispense as Written
Mike Lou, MD
Refill 5 times
Serial #125TDEF2
Drug Dispensed:
Henry Sweeney, MD Kathryn Langenfeld , RPA Lic# 256336 Lic # 556963 DEA AK5858937 DEA ML2256368 5263 Monterey Creek Greensville, NY 14520 716-852-8525
Name: Gregory Hunt Address: 2285 Eggert Road Kenmore, NY 11148 Rx
DOB: 06/29/46 Date: 04/09/06
Prescription Label:
Effient 10 Sig: i po qd # 30
April 9, 2006
Take one tablet by mouth once daily.
Sweeney______
MDD:
Effient 10mg MFR: Lilly Kathyrn Langfeld, RPA.
# 30
Refill 3 times
Dispense as Written
Serial #012VN258
Drug Dispensed:
Stephen Sigel, MD 789 Ward Street Lancaster, 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, NY 14778 Rx Singulair 10 mg Sig: i po daily # 30
Prescriber Signature X_Stephen Refill: 5
Prescription Label:
Rx# 114566 Tabatha Sanford 7787 Brown Hill Road Springville, NY 14778 Take one tablet once daily
March 25, 2005
Sigel___
MDD:
Singulair 10 mg MFR: Merck and Co Inc Stephen Sigel MD.
# 30
Refill 5 times
Dispense as Written
Serial #230L25M6
Drug Dispensed:
Exp. 11/2008 Lot #F7526 Please write a BRIEF description of the error/omission (3pts):
Stephan Leid , MD Lic# 125896 DEA AL5121584 Kevin William, RPA Lic # 889851 DEA MW2568965 232 Hampton Road Buffalo, NY 14214 716-565-8896
Prescription Label:
Name: Carolina Belanger Address: 6677 Stony Point Rd W. Seneca, 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. Seneca, NY 14222 Take as directed
September 17, 2006
Imitrex Nasal Spray (20 mg/actuation)

#1
Kevin William __
MDD:
MFR: GlaxoSmithKline Kevin William, RPA. Refill 3 times
DAW
Dispense as Written
Serial #25P352H5
Drug Dispensed:
Exp. 06/2008 Lot # P2356J Please write a BRIEF description of the error/omission(3pts):
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: 05/23/05 Lockport, NY 14799 Rx Synthroid 200 mcg Sig: i po daily # 90
Prescription Label:
Rx# 114568 Shawnee Kessler 8222 Crosswinds Ct Lockport, NY 14799 Take one tablet once daily.
May 23, 2005
Prescriber Signature X__Peterson Refill: 11
Mineo___
MDD:
Synthroid 200 mcg MFR: Abott Peterson Mineo, MD.
# 90
Refill 11 times
DAW
Dispense as Written
Serial #985HG253
Drug Dispensed:
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: Andy Roberts allergies: Penicillin room: 432B physician: James Peterson, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 medical record no.: 8769 sex: (circle) (male) / female weight: ___185_____ (circle) (lb). / Kg height: ___57____ (circle) (in.) / cm
James Peterson, MD

IV Label:
bag volume (ml): ____________
drug additive
___19.9____ ml

Please write BRIEF description of the error/omission (3pts): YOU Dr: aJameson Patterson, MD RPh:
Prescription Label:
July 28, 2006
Take one to two tablets by mouth every four to six hours as needed for pain.
Tredinnick_
MDD: 8
# 20
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Leonard Valentine, MD 9999 Heather Drive Angola, 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, NY 14111 Rx
Prescription Label:
Parlodel 2.5 mg Sig: i po bid # 60
Rx# 69696 Roxana Volker 2588 Crystal Springs Wales, NY 14111 Take one tablet twice daily. Bromocriptine 2.5 mg
June 29, 2006
#60
Leonard Valentine _
MDD:
MFR: Mylan Leonard Valentine, MD. Refill 6 times
DAW Drug Dispensed:

Dispense as Written
Serial #Z852M232
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: Alex Rodriguez allergies: NKA room: 432A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Tobramycin 500mg q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___120_____ (circle) (lb). / Kg height: ___63____ (circle) (in.) / cm

IV Label:
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___

___12.5___ ml
Geraldine Aldinger, 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, NY 14669 Rx
Prescription Label:
Pediapred
Sig: i tsp po bid # 100
Rx# 20323 Katrina Cavalli 871 Madison Square Cheektowaga, NY 14669 Give one teaspoonful twice daily
June 22, 2004
Geraldine Aldinger __
MDD:
Pediazole Suspension MFR: Abbott Geraldine Aldinger, MD.
# 100
Refill 0 times
Dispense as Written
Serial #185PH258
Drug Dispensed:
Exp. 07/2006 Lot # 1582K56 Please write a BRIEF description of the error/omission (3pts):
Geraldine Aldinger, 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, NY 14669 Rx Pediapred 5mg/5ml Sig: i tsp po bid # 100
Prescription Label:
June 22, 2004
Geraldine Aldinger _
MDD:
Pediapred Soln (5mg/5ml) MFR: UCB Pharma Inc Geraldine Aldinger, MD.
# 100
Refill 0 times
Dispense as Written
Serial #185PH258
Drug Dispensed:
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 Sotalol 80 mg Sig: i po bid # 60
Prescription Label:
October 10, 2006
Patrick Wosinski __
MDD:
Sotalol 80 mg MFR: Teva Patrick Woshi, MD.
# 60
Refill 6 times
Dispense as Written
Serial #1258TJU1
Drug Dispensed:
Exp. 10/2012 Lot # LCM12589 Please write a BRIEF description of the error/omission (3pts):
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 10U sc tid-qid ac # 15
Prescription Label:
February 3, 2007
Inject 10 units subcutaneously 3-4 times daily before meals.

Fishman__
MDD:
Lantus Solostar 100U/ml MFR: Sanofi
# 15
Aventis
Refill 3 times
Samuel Fishman, MD.

Dispense as Written
Serial #KM1258T0
Drug Dispensed:
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 Levemir Flexpen Sig: inj 10U sc bid w/ food # 15
Prescription Label:
February 3, 2007
Inject 10 units subcutaneously twice daily with food

Fishman__
MDD:
Levemir Flexpen 100U/ml MFR: Novo
# 15
Nordisk
Refill 3 times
Samuel Fishman, MD.

Dispense as Written
Serial #KM1258T0
Drug Dispensed:
233. 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:
Vincent Patterson, 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, NY 14222 Rx Guaifenesin 200 mg Sig: i po q12h # 30
Prescription Label:
Rx# 415885 Minnie Radish 700 Castlebrooke Ln Angola, NY 14222 Take one tablet every 12 hours.
June 27, 2003
Vincent Patterson __
MDD:
Guanfacine 2 mg MFR: Mylan Vincent Patterson, MD.
# 30
Refill 0 times
Dispense as Written
Serial #L1458K879
Drug Dispensed:
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora , NY 14228 Rx Metformin 1000mg Sig: i po QID # 120
Prescription Label:
Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora, NY 14228
May 5, 2005
Take one tablet by mouth four times daily

Lynn Marshall __
MDD:
Metformin 1000mg MFR: Aurobindo Lynn Marshall, RPA.
# 120
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Prescription Label:
September 23, 2006

Fisher__
MDD:
Guanfacine 2 mg MFR: Watson Samuel Fisher, MD.
# 30
Refill 1 times
Dispense as Written
Serial #L25K2365
Drug Dispensed:
Evan Fitzaptrick, DO 7458 Nostrand Ave Brooklyn, 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, NY 12142 Rx Wellbutrin 300 mg Sig: i po qd # 30
Prescription Label:
Rx# 76698 Joseph Lehman 147 Harring Street Brookly, NY 12142 Take one tablet once daily
June 9, 2004
Evan Fitzpatrick __
MDD:
Wellbutrin XL 300 mg MFR: GlaxoSmithKline Evan Fitzaptrick, DO.
# 30
DAW
Dispense as Written
Refill 4 times
Serial # M1258TU8
Drug Dispensed:
Jonathan Mallozzi, MD 99 Brookside Ave S Wale, 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, NY 14001 Rx Abstral 100 mcg Sig: i sl q4-6h prn pain # 30 (thirty)
Prescription Label:
Rx# 10012 Ben Affleck 123 Fake St Buffalo, NY 14001
May 15, 2005
Take one tablet sublingually every 4-6 hours as needed for pain. Maximum daily dose is 4/day.
Mallozzi__
MDD: 4
ABSTRAL 100mcg MFR: Prostrakan Jonathan Mallozzi, MD.
# 30
Refill 0
Dispense as Written
Serial #P322258L
Drug Dispensed:
Prescription Label:
Name: Anna Schmitz DOB: 02/10/81 Address: 5898 Teahouse Street Date: 07/04/06 Bowmansville, NY 14102 Rx Lotrimin 1% cr Sig: Apply AA bid # 30 g
July 4, 2006
Prescriber Signature X_Pitt Refill: 2
Paolucci____
MDD:
Clotrimazole Cr 1% MFR: Taro Pitt Paolucci, MD.
# 30 g
Refill 2 times
Dispense as Written
Serial #Z12B1245
Drug Dispensed:
Richard Zakrajesek, MD 5899 Sweet Home Road E Amherst, 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, NY 11148 Rx
Prescription Label:
Diltiazem 30 mg Sig: i po tid #90
Rx# 048968 Albert Paganello 889 Hubbell Ct Lancaster, NY 11148 Take one tablet three times a day
February 2, 2011
Zakrajesek___
MDD:
Diltiazem 30 mg MFR: Teva Richard Zakrajesek, MD.
# 90
Refill 8 times
Dispense as Written
Serial #145TO236
Drug Dispensed:
Exp. 03/2014 Lot # D01035 Please write a BRIEF description of the error/omission (3pts):
Karen Douglas, DO 190 E Robinson Road Lancaster, 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 0.6mg Sig: i po qd # 30
Prescription Label:
Rx# 068975 Lisa Murphy 1478 Grider Street Buffalo, NY 14789 Take 1 tablet by mouth once daily
February 19, 2007
Prescriber Signature X___Karen Refill: 5
Douglas___
MDD:
Colchicine 0.6mg MFR: Vision Pharma Karen Douglas, DO.
# 30
DAW
Dispense as Written
Refill 5 times
Serial # P145893T
Drug Dispensed:
Prescription Label:
Codeine 30 mg Sig: i po bid # 60( sixty)
October 13, 2006
Prescriber Signature X_Mark Refill: 0(zero)
Flinchbaguh____
Take one tablet twice daily. Maximum daily dose of 2 tablets. Codeine Sulfate 30 mg MFR: Roxane Mark Flinchbaguh, MD. Refill 0 times # 60
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Evan Fitzaptrick, DO 7458 Nostrand Ave Brooklyn, 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, NY 12142 Rx
Prescription Label:
Bsuproprion 150mg Sig: i po bid # 60
Rx# 76698 Joseph Lehman 147 Harring Street Brookly, NY 12142 Take one tablet twice daily
June 9, 2004
Evan Fitzpatrick__
MDD:
Buspirone 15 mg MFR: Watson Evan Fitzaptrick, DO.
# 60
Refill 4 times
Dispense as Written
Serial # M1258TU8
Drug Dispensed:
Karen Douglas, DO 190 E Robinson Road Lancaster, 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:
Sarafem 20 mg Sig: i po qd # 28
Rx# 90019 Paula Howells 2233 Dunlop Ave Williamsville, NY 14227 Take one tablet once daily.
January 13, 2007
Karen Douglas
MDD:
Serophene 50 mg MFR: Serono Karen Douglas, DO
# 28
Refill 5 times

Serial #U258K236
Drug Dispensed:
Exp. 12/2009 Lot # M258006 Please write a BRIEF description of the error/omission (3pts):
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora , NY 14228 Rx Metformin 1000mg Sig: ii po bid # 120
Prescription Label:
May 5, 2005
Take two tablets by mouth twice daily

Lynn Marshall __
MDD:
# 120
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Prescription Label:
Plendil 20 mg Sig: i po daily # 30
August 9, 2006
Helen Miller __
MDD:
Prilosec 20 mg MFR: Mylan Helen Miller, MD.
# 30
Refill 5 times

Serial #2593LK85
Drug Dispensed:
Exp. 05/2008 Lot # L1256MK Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Name: Cameron Matz Address: 5255 Eaglecrest Street Alden, 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, NY 14222 Take one tablet once daily Pletal 100 mg
August 26, 2006
# 30
Harold Kozlowsky _
MDD:
MFR: Otsuka America Pharmaceutical, Inc Harold Kozlowsky, MD. Refill 5 times
DAW
Dispense as Written
Drug Dispensed:
Serial #05LT2387
Paul Flicinski, MD 789 Brown Street Bronx, 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, NY 17789 Rx Cardura 2 mg Sig: i po qd # 30
Prescription Label:
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.
# 30
Refill 5 times
Dispense as Written
Serial #11253LP8
Drug Dispensed:
George Spencer, MD 1001 Elmwood Ave Aurora, 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, NY 14133 Rx Tiagabine 4 mg Sig: i po tid # 90
Prescription Label:
Rx# 114570 Jayne Gilmore 8112 Magnolia Street S Wales, NY 14133 Take one tablet three times a day
July 22, 2006
George Spencer__
MDD:
Tizanidine 4 mg MFR: Dr Reddys Laboratories, Inc George Spencer, MD.
# 90
Refill 5 times
Dispense as Written
Serial #J2512K23
Drug Dispensed:
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:07/28/06 Williamsville, NY 14002 Rx Lortab 5mg Sig: 1-2 po q4-6h prn pain # 240 (two hundred forty)
Prescription Label:
July 28, 2006
Take one to two tablets by mouth every four to six hours as needed for pain. Maximum 8 tabs/day
Prescriber Signature X_______________ Refill: 5 (five) MDD: 8
Hydrocodone.APAP 5-500 mg MFR: Mallinckrodt Pravin Mehta, MD
# 240
Refill 5 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
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:
Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789 Take one capsule once daily
February 4, 2007
Swanson_rpa__
MDD:
Celebrex 200 mg MFR: Pfizer Karen Swanson, RPA.
# 30
Refill 2 times
Dispense as Written
Serial #12TJU568
Drug Dispensed:
Kelly Fletcher, FNP 7523 Birch Place Farmingdale, NY 17899 716-999-0000 Lic# 118964 DEA MF1222140 Name: Charolette ODannell DOB: 08/23/77 Address: 111 Fruitwood Terr Date: 09/26/06 Williamsville, NY 11209 Rx Cefzil 500 mg Sig: i po bid x 10 d # 20
Prescription Label:
Rx# 77890 Charolette ODannell 111 Fruitwood Terr Williamsville, NY 11209
September 26, 2006
Take one tablet twice daily for 10 days

Prescriber Signature X__Kelly Refill: 0
Fletcher____
MDD:
Cefprozil 500 mg MFR: Teva Kelly Fletcher, FNP.
# 20
Refill 0 times
Dispense as Written
Serial #125893P7
Drug Dispensed:
William Zaklikowski, MD 896 Tonawanda Cheek Road E. Amherst, 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, NY 11446 Rx Clonidine 0. 1 mg Sig: i po bid # 60
Prescription Label:
Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo, NY 11446 Take one tablet twice daily
December 12, 2005
MDD:
Clonazepam 1 mg MFR: Teva William Zaklikowski, MD.
# 60
Refill 0 times
Dispense as Written
Serial #12548T23
Drug Dispensed:
Elaine Knell, MD 2536 Rosewood Ave Lancaster, 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 Rx Vimpat 50mg Sig: i po bid # 60 (sizty)
Prescription Label:
July 27, 2005
Prescriber Signature X__Elaine Refill: 0 (zero)
Knell__
MDD:2
hydroxyzine 50mg MFR: Watson Elaine Knell, MD.
#60
Refill 0 times
Dispense as Written
Serial #P21352147
Drug Dispensed:
Prescription Label:
April 7, 2005
Joyce Campenella _
MDD:
Prograf 0.5 mg MFR: Asteilas Joyce Campanella, MD.
#60
Refill 5 times
Dispense as Written
Serial #1145J569
Drug Dispensed:
Prescription Label:
February 8, 2007
Goslinski____
MDD:
Flomax 0.4 mg MFR: Boehringer Ingelheim Charles Goslinski, DO.
# 30
Refill 5 times
Dispense as Written
Serial #M1245789
Drug Dispensed:
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:
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
_______
MDD:
Uloric 40mg MFR: Takeda Patrick Wosinki, MD.
# 30
Refill 5 times
Dispense as Written
Serial #125KM128
Drug Dispensed:
Peterson Mineo, MD 6485 Colvin Ave Deprew, 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, NY 14152 Rx Spiriva Sig: i puff qd #1
Prescription Label:
Rx# 124785 Jay Skruski 41 Ford Street Buffalo, NY 14152 Inhale 1 puff by mouth once daily
January 2, 2007
Peterson Mineo ___

MDD:
Spiriva Handihaler MFR: Pfizer Peter Mineo, MD.
# 30
Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Philips Kern, MD 232 Homecrest Road Clearance, 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, NY 14111 Rx Vyvanse 50 mg Sig: i cap po daily # 30 (thirty)
Prescription Label:
Rx# 32333 Susan Matecki 2366 Lakefront Blvd Tonawanda, NY 14111
March 25, 2006

Prescriber Signature X__Philips Refill: NR (no refills)
Kern___
MDD:1
Vyvanse 50mg MFR: Shire Philips Kern, MD.
# 30
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):
DOB: 12/16/88 Date: 06/01/06
Prescription Label:
Victoza Sig: 1.8 mg QD # 9 ml
Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda, NY 12339 Inhale 1.8mg by mouth once daily
June 2, 2006
Prescriber Signature X__Shirley Refill: 2
Lee RPA_
MDD:
Victoza 18mg/3ml pen MFR: Novo Nordisk Shirely Lee, RPA.
# 9ml
Refill 2 times
Dispense as Written
Serial #00TJI258
Drug Dispensed:
Kelly Fletcher, FNP 7523 Birch Place Farmingdale, NY 17899 716-999-0000 Lic# 118964 DEA MF1222140 Name: Charolette ODannell DOB: 08/23/99 Address: 111 Fruitwood Terr Date: 09/26/06 Williamsville, NY 11209 Rx Cefprozil 250/5 Sig: 250 mg po bid x 10d # QS
Prescription Label:
September 26, 2006

Kelly Fletcher ___

MDD:
Cefprozil 250 mg MFR: Teva Kelly Fletcher, FNP.
# 20
Refill 0 times
Dispense as Written
Serial #125893P7
Drug Dispensed:
Evan Fitzpatrick, DDS 7458 Nostrand Ave Brooklyn, NY 11235 716-888-0000 Lic# 123332 DEA AF1222582 Name: Amy OConner DOB: 06/18/98 Address:90 Wayside Road Date: 11/11/06 Brooklyn, NY 11235 Rx Cipro 500 mg Sig: i po bid x 10d # 20
Prescription Label:
Rx# 444888 Amy OConner 90 Wayside Road Brooklyn, NY 11235
November 11, 2006
Take one tablet twice a daily for 10 days

Prescriber Signature X_Evan Refill: 0
Fitzpatrick______
MDD:
Ciprofloxacin 500 mg MFR: Dr. Reddys Laboratories, Inc Evan Fitzpatrick, DDS.
# 20
Refill 0 times
Dispense as Written
Serial # 1235JK55
Drug Dispensed:
John Rousseau, MD 789 Walden Ave, Suite 120 Cheektowaga, 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, NY 11477 Rx
Prescription Label:
Cefaclor 125 mg/5 ml Sig: i tsp po q8h x10 days # QS
Rx# 556566 Marvin Nespal 78 Regent Street Buffalo, NY 11477
October 10, 2006
Give one teaspoonful every 8 hours x 10 days Cephalexin 125mg/5ml # 150
John Rousseau ___

MDD:
MFR: Ranbaxy John Rousseau, MD. Refill 0 times
Dispense as Written
Drug Dispensed:
Serial #000KM120
Samuel Fisher, 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 Hyzaar 100 mg Sig: i po hs # 30
Prescription Label:
Rx# 22235 Joel Penny 5678 Clarence Lane E Seneca, NY 17895 Take one tablet at bedtime
February 3, 2007
Samuel Fisher __
MDD:1
Cozaar 100 mg MFR: Merck and Co Inc Samuel Fisher, MD.
# 30
Refill 5 times
DAW
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Joseph Delucci, DDS 633 Hillcrest Height Dr Clarence, 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 Rx Penicillamine 250 mg Sig: i po qid # 40
Prescription Label:
Rx# 20324 Louanne Fayett 2334 Homer Lane Williamsville, NY 14225 Take one tablet four times a day
June 25, 2006
Joseph Delucci ____

MDD:
Penicillin VK 250 mg MFR: Sandoz Joseph Delucci, DDS
#40
Refill 0 times
Dispense as Written
Serial #GF258768
Drug Dispensed:
Exp. 05/2008 Lot # P526L23 Please write a BRIEF description of the error/omission (3pts):
Vincent Patterson, 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, NY 14222 Rx Guanfacine 2 mg Sig: i po qHS # 30
Prescription Label:
Rx# 415885 Minnie Radish 700 Castlebrooke Ln Angola, NY 14222 Take one tablet by mouth daily
June 27, 2003
Vincent Patterson _
MDD:
# 30
Refill 0 times
Dispense as Written
Serial #L1458K879
Drug Dispensed:
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: Alexandra Rodriguez allergies: NKA room: 432B physician: Dr Toboggan, MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Phenytoin 15mg/kg in 100ml NS x 1 dose stat. Infuse at 50mg/min Dr. Toboggan, MD medical record no.: 8769 sex: (circle) male / (female) weight: ___121_____ (circle) (lb). / Kg height: ___53____ (circle) (in.) / cm

IV Label:
___16.5____ ml

William Zaklikowski, MD 896 Tonawanda Cheek Road E. Amherst, 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, NY 11446 Rx nitroquick 0.4 mg SL Sig: 1 tab SL q5m prn chest pain, up to 3 doses # 25
Prescription Label:
Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo, NY 11446
December 12, 2005
Let one tablet dissolve under the tongue as needed for chest pain. Can repeat up every 5 min up to 3 doses
MDD:
Nitroglycerin 0.4 SL tablets MFR: Teva William Zaklikowski, MD.
# 25
Refill 0 times
Dispense as Written
Serial #12548T23
Drug Dispensed:
Karen Douglas, DO 190 E Robinson Road Lancaster, 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 Rx
Prescription Label:
Mycolog II cream Sig: Apply as directed # 30
Rx# 32541 David McPhea 747 Athens Blvd Arkron, NY 14001 Apply as directed
December 27, 2003
Karen Douglas __
MDD:
Nystatin Cream MFR: Taro Karen Douglas, DO
# 30g
Refill 0times
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Esther Tredinnick, MD Weight:15kg 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, NY 14002 Rx Augmentin ES 600mg-42.9mg/5ml Sig: 1.5tsp po BID x 10d # 150ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Tredinnick_
MDD:
Dispense as Written
Serial #C2538M27
Drug Dispensed:
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 Pradaxa 75mg Sig: 1 po BID # 60
Prescription Label:
February 3, 2007
Take one tablet by mouth twice daily

Fishman__
MDD:
Pramipexole 0.75 mg tabs MFR: Torrent Pharmaceuticals Samuel Fishman, MD.
# 60
Refill 5 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
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: Lily 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: ___120_____ (circle) (lb). / Kg height: ___62____ (circle) (in.) / cm

IV Label:
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
___5.48____ ml

Prescription Label:
Cefaclor 125 mg/5 ml Sig: i tsp po q8h x 10 days # QS
October 10, 2006
Give one teaspoonful every 8 hours x 10 days

John Rousseau___
MDD:
Cefaclor 125mg/5ml MFR: Ranbaxy John Rousseau, MD.
# 150
Refill 0 times
Dispense as Written
Serial #000KM120
Drug Dispensed:
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 Micro-K 10 Sig: i po bid # 60
Prescription Label:
Rx# 30333 Courtney Iannone 22 Greenmeadow Dr Getzville, NY 14077 Take one capsule twice daily.
August 17, 2005
Prescriber Signature X__Gilbert Refill: 6
Hunter___
MDD:
Potassium Chloride 10 mEq MFR: Ethex Gilbert Hunter, MD.
# 60
Refill 6 times
Dispense as Written
Serial #K258L563
Drug Dispensed:
Victoria Flemming, MD 1245 Ocean Ave, Suite 290 Brooklyn, 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, NY 12258 Rx Zyprexa 20 mg Sig: i po QD # 30
Prescription Label:
Rx# 77856 Dainelle Newman 112 Warner Ave N Gawanda, NY 12258 Take one tablet once daily.
July 5, 2006
Prescriber Signature X__Victoria Refill: 0
Flemming___
MDD:
Zyprexa 20 mg MFR: Lily Victoria Flemming, MD.
# 30
Refill 0 times
Dispense as Written
Serial #2356KT125
Drug Dispensed:
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, NY 14000 Rx Librium 10 mg Sig: i po tid #90 n( ninety)
Prescription Label:
April 1, 2006
Prescriber Signature X__ Refill: 5 ( five)
Paulette Kohler _
MDD:3
Chlordiazepoxide 10 mg MFR: Par Pharmaceuticals Paulette Kohler, MD.
# 90
Refill 5 times
Dispense as Written
Serial #P12588965
Drug Dispensed:
Exp. 04/2008 Lot #U125482 Please write a BRIEF description of the error/omission (3pts):
Ryan Gibson, MD 7877 Hedgewood Drive Naussa, 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 14200 Rx Lioresal 20 mg Sig: i po tid # 90
Prescription Label:
Rx# 233000 Lannie Greene 2233 Woodland Ct Genesee, NY 14200 Take one tablet three times daily.
January 7, 2004
Prescriber Signature X__Ryan Refill: 5
Gibson_____
MDD:
Baclofen 20 mg MFR: Qualitest Ryan Gibson, MD.
# 90
Refill 5 times
Dispense as Written
Serial #LL12541256
Drug Dispensed:
Adam Erving, MD 616 Hartford Ave Buffalo, 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, NY 14150 Rx
Prescription Label:
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, 2007
Adam Erving __
MDD:
Methylphenidate ER 10 mg MFR: Mallinckrodt Adam Erving, MD.
# 30
Refill 0 times
Dispense as Written
Serial #B2148Z00
Drug Dispensed:
Elizabeth Ganter, MD 911 Paradise Road Williamsville, 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 14220 Rx Metoprolol 50 mg Sig: i po bid # 60
Prescription Label:
Rx# 25555 Juliet Hall 255 Cottage Road Orchard Park, NY 14220 Take one tablet twice daily.
January 9, 2007
Prescriber Signature X_Elizabeth Refill: 11
Ganter___
MDD:
Metoprolol Tartrate 50 mg MFR: Mylan Elizabeth Ganter, MD.
# 60
Refill 11 times
Dispense as Written
Serial #LP238547
Drug Dispensed:
Elizabeth Ganter, MD 911 Paradise Road Williamsville, 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 14220 Rx Metoprolol 100 mg Sig: i po bid # 60
Prescription Label:
Rx# 25555 Juliet Hall 255 Cottage Road Orchard Park, NY 14220 Take one tablet twice daily.
January 9, 2007
Elizabeth Ganter _
MDD:
Misoprostol 200 mg MFR: Greenstone Elizabeth Ganter, MD.
# 60
Refill 11 times
Dispense as Written
Serial #LP238547
Drug Dispensed:
Exp. 11/2008 Lot #H52568 Please write a BRIEF description of the error/omission (3pts):
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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 Rx bentyl 20 mg Sig: i po qid # 120
Prescription Label:
Rx# 78412 Adrian Kobrins 78 Applewood Road Angola, NY 14086 Take one tablet four times a day
July 13, 2005
Prescriber Signature X_Rosemary Refill: 11
Kazmierski__
MDD:
Dicyclomine 20 mg tablets MFR: Mylan Rosemary Kazmierski, NP.
#120
Refill 11 times
Dispense as Written
Serial #741578M8
Drug Dispensed:
Exp. 12/2008 Lot # 1LKO125 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Cardizem 30 mg Sig: i po tid #90
June 28, 2006
Richard Zakrajesek _
MDD:
Diltiazem 30 mg MFR: Teva Richard Zakrajesek, MD
# 90
Refill 8 times
DAW
Dispense as Written
Serial #145TO236
Drug Dispensed:
Victoria Flemming, MD 1245 Ocean Ave, Suite 290 Brooklyn, 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, NY 12258 Rx Zyprexa 20 mg Sig: i po QD # 30
Prescription Label:
Rx# 77856 Daniel Newman 112 Warner Ave N Gawanda, NY 12258 Take one tablet once daily.
July 5, 2006
Victoria Flemming__
MDD:
Zyprexa 20 mg MFR: Lily Victoria Flemming, MD.
# 30
Refill 0 times
Dispense as Written
Serial #2356KT125
Drug Dispensed:
Jackson Hundson, MD Joseph Koch, RPA Lic# 478958 Lic # 587745 DEA AH5224782 8856 E. Broadway Buffalo, NY 14242 716-789-7897
Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville, NY 14145 Rx Skelaxin 800 mg Sig: 1 po qid # 60
Prescription Label:
Rx# 12458 Carol Hoffman 235 Million Street Williamsville, NY 14145
October 10, 2004
Take one tablet by mouth four times a day

Prescriber Signature X_ Joseph Koch__ Refill: 5
Robaxin 750 mg
MDD:
# 60
MFR: Schwarz Joseph Koch, RPA. Refill 5 times
Dispense as Written
Serial #012KLI78
Drug Dispensed:
Terrance Fransco, 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, NY 14787 Rx Imdur 60 mg Sig: i po daily # 30
Prescription Label:
Rx# 89982 Anita Szyklinski 5258 Woodcreek Ln Eggertsville, NY 14787 Take one tablet once daily.
February 11, 2007
Prescriber Signature X__Terrance Refill: 6
Fransco__
MDD:
Isosorbide MN 60 mg MFR: Ethex Terrance Fransco, MD.
# 30
Refill 6 times
Dispense as Written
Serial #L8521478
Drug Dispensed:
Stephen Sigel, MD 789 Ward Street Lancaster, 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, NY 14778 Rx
Prescription Label:
Sinequan 10 mg Sig: i po daily # 30

Stephen Sigel __
MDD:
Rx# 114566 Tabatha Sanford 7787 Brown Hill Road Springville, NY 14778 Take one tablet once daily Singulair 10 mg
March 25, 2005
# 30
MFR: Merck and Co Inc Stephen Sigel MD. Refill 5 times
Dispense as Written
Drug Dispensed:
Serial #230L25M6
Prescription Label:
Name: Carolina Belanger Address: 6677 Stony Point Rd W. Seneca, 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. Seneca, NY 14222 Take as directed Zomig 2.5 mg
September 17, 2006
#9
Kevin William __
MDD:
Dispense as Written
Serial #25P352H5
Drug Dispensed:
Exp.06/2008 Lot # 52588D Please write a BRIEF description of the error/omission(3pts):
Kelly Fletcher, FNP 7523 Birch Place Farmingdale, NY 17899 716-999-0000 Lic# 118964 DEA MF1222140 Name: Charolette ODannell DOB: 08/23/77 Address: 111 Fruitwood Terr Date: 09/26/06 Williamsville, NY 11209 Rx Cefzil 500 mg Sig: i po bid x 10 d # 20
Prescription Label:
September 26, 2006

Kelly Fletcher ____

MDD:
Cefuroxime 500 mg MFR: Wockhardt Kelly Fletcher, FNP.
# 20
Refill 0 times
Dispense as Written
Serial #125893P7
Drug Dispensed:
Exp. 07/08 Lot # 0F10097 Please write a BRIEF description of the error/omission (3pts):
Mark Lee, MD Lic# 458793 DEA AL5224782 Shirely Lee, RPA Lic # 589633 DEA BA6947782
789 Maple Road, Suite #568 Amherst, NY 14226 716-898-8888
Prescription Label:
Name: Gwen MacBeth Address: 445 Wardman Ave Akron, NY 14001 Rx

Abstral 100 mcg
DOB: 06/30/68 Date: 06/14/05
dose 30 min later if needed. Max 4/day # 30 (thirty)
Sig: i sl prn breakthrough cancer pain. rept
June 15, 2005
Prescriber Signature X__Shirley Refill: 0 (zero)
Lee, RPA__
MDD: 4
Take one tablet sublingually as needed for breakthrough cancer pain. Repeat dose 30 minutes later if needed. Maximum 4 doses per day. ABSTRAL 100mcg MFR: Prostrakan # 30
Dispense as Written
Serial #P322258L
Shirley Lee, RPA.
Refill 0
Drug Dispensed:
Prescription Label:
Codeine 30 mg Sig: i po bid # 60 ( sixty)
Rx# 200048 Eugene Page 6900 Nashua Road Long Island, NY 14478 Take one tablet twice daily.
October 13, 2006
Mark Flinchbaguh _
MDD:2
Codeine 30 mg MFR: Myland Mark Flinchbaguh, MD.
# 60
Refill 0 times
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Prescription Label:
Doxepin 100 mg Sig: i po daily # 30
Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora, NY 14228 Take one capsule once daily.
May 5, 2005
Lynn Marshall __
MDD:
Doxepin 100 mg MFR: PAR Lynn Marshall, RPA.
# 30
Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
John Rousseau, MD 789 Walden Ave, Suite 120 Cheektowaga, 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, NY 14788 Rx Androgel Sig: apply 5g QD # 12 75g pumps (twelve) CODE F
Prescription Label:
Rx# 32535 Sly Stallone 1125 Mineral Spring Road Gatesville, NY 14788 Apply 5 grams once daily
April 29, 2005
Prescriber Signature X__John Refill:0 (zero)
Rousseau____
MDD:5
Androgel 1% MFR: Abbott John Rousseau, MD.
# 900g
Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008 Lot # 17485900
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 Sig: i gtt OS qid X 2 weeks, then i gtt OS bid X 1 wk # 1 trade size
Prescription Label:
March 7, 2006
Instill 1 drop into the left eye once daily for 2 weeks, then instill 1 drop to the left eye twice daily for 1 week
Laffler___
MDD:
Durezol 0.05% MFR: Sirion Gordon Laffler, MD.
#5
Refill 0 times
Dispense as Written
Serial #P1220302
Drug Dispensed:
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: ii po bid prn # 120
Prescription Label:
March 5, 2011
Take two tablets by mouth twice daily as needed

Julius Hibbert __
MDD:
Naproxen 500mg MFR: Mylan Julius Hibbert, MD.
# 120
Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
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 sodium 550mg Sig: i po tid # 90
Prescription Label:
March 5, 2011
Take one tablet by mouth three times daily

Julius Hibbert __
MDD:
Naproxen 550mg MFR: Teva Julius Hibbert, MD.
# 90
Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Mike Lou, MD 5255 Cobblestone Dr Clarence, 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 11896 Rx Actonel + Calcium Sig: i po q week #4
Prescription Label:
March 12, 2006
Take one tablet by mouth once a week

Mike Lou ____

MDD:
Actonel MFR: Procter and Gamble .
#4
Mike Lou, MD
Dispense as Written
Refill 5 times
Serial #125TDEF2
Drug Dispensed:
Jonathan Mallozzi, DPM 99 Brookside Ave S Wale, 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 14207 Rx Tylenol # 3 Sig: i-ii po q4h prn foot pain # 20 (twenty)
Prescription Label:
August 8, 2006
Take one to two tablets by mouth every four hours for foot pain. Maximum 12 tablets/day
Prescriber Signature X_Jonathan Refill: 1 (one)
Mallozzi____
MDD:12
Tylenol with Codeine #3 MFR: PriCara Jonathan Mallozzi, DPM
# 20
DAW
Dispense as Written
Refill 1 times
Serial #78452K89
Drug Dispensed:
Floyd Olszak, MD 2225 Blossom Lane Depew, 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 14023 Rx
Prescription Label:
Temazepam 30 mg Sig: i po hs # 30 ( thirty)
Rx# 12489 Kimberly Oliver 254 Sandrock Road Angola, NY 14023 Take one capsule at bedtime.
November 28, 2006
Floyd Olszak ____

MDD:1
Flurazepam 30 mg MFR: Mylan Floyd Olszak, MD.
# 30
Refill 0 times
Dispense as Written
Serial #8569KL78
Drug Dispensed:
Floyd Olszak, MD 2225 Blossom Lane Depew, 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 14023 Rx Temazepam 30 mg Sig: i po hs # 90 ( ninety) code F
Prescription Label:
November 28, 2006
Prescriber Signature X___ Refill: 0 (zero)
Floyd Olszak __
MDD: 1
Temazepam 30 mg MFR: Mylan Floyd Olszak, MD.
#90
Refill 0 times
Dispense as Written
Serial #8569KL78
Drug Dispensed:
Thomas Grands, MD 432 Nottingham Blvd. Buffalo, 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, NY 11478 Rx Lortab 5/500 Sig: i po q6h # 120 ( one hundred twenty)
Prescription Label:
Rx# 12325 Jennifer Needham 89 Cleen Ct Rochester, NY 11478
February 20, 2007
Take one tablet every 6 hours. 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, MD. timess
# 120
Refill 5
Dispense as Written
Serial #1258JKI4
Drug Dispensed:
Exp. 10/2008 Lot # 9236V485 Please write a BRIEF description of the error/omission (3pts):
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 prn # 30
Prescription Label:
Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789 Take one capsule once daily
February 4, 2007
Karen Swanson_rpa _
MDD:
Celebrex 200 mg MFR: Pfizer Karen Swanson, RPA.
# 30
Refill 2 times
Dispense as Written
Serial #12TJU568
Drug Dispensed:
Thomas Grands, MD 432 Nottingham Blvd. Buffalo, NY 14223 716-111-1112 Lic# 543215 Name: Jennifer Needham Address: 89 Cleen Ct Rochester, NY 11478 Rx Lortab 5/500 Sig: i po q6h # 120 ( one hundred twenty) DOB:11/12/82 Date: 02/14/07
Prescription Label:
February 14, 2007
Thomas Grands __
MDD: 4
Take one tablet every 6 hours. Maximum daily dose of 4 tablets. Hydrocodone/ APAP 5/500 mg MFR: Mallinckrodt Inc Thomas Grands, MD. Refill 5 times # 120
Dispense as Written
Serial #1258JKI4
Drug Dispensed:
Exp. 10/2008 Lot # 9236V485 Please write a BRIEF description of the error/omission (3pts):
Nicole Bissonette, MD 7895 West 4th Street New York, 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, NY 14007 Rx Risperdal 1 mg Sig: i po bid # 60
Prescription Label:
March 24, 2006
Nicole Bissonette _
MDD:
Risperdal 1 mg MFR: Janssen Nicole Bissonette, MD.
# 60
Refill 3 times
Dispense as Written
Serial #9K25Z237
Drug Dispensed:
Prescription Label:
DOB: 07/29/59 Date: 07/25/06
Roxanol conc sol

Sig: 1 ml po q4h prn # 30 ml ( thirty)
July 29, 2006
Take 1 ml by mouth every 4 hours as needed. Maximum daily dose of 6 mls.
Prescriber Signature X_Jack Refill: 0 ( zero)
Hoover____
MDD:6 ml
Morphine Sulfate Conc 20 mg/ml MFR: Mallinckrodt Jack Hoover, MD
# 30ml
Refill 0 times
Dispense as Written
Serial #F2536K22
Drug Dispensed:
Karen Douglas, DVM 190 E Robinson Road Lancaster, 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 Rx
Prescription Label:
DynaCirc CR 5 mg Sig: i po qd # 30
Rx# 32541 David McPhea 747 Athens Blvd Arkron, NY 14001
December 27, 2003
Take one capsule by mouth once daily

Karen Douglas __
MDD:
Dynacirc CR 5 mg MFR: Reliant Karen Douglas, DVM
# 30
Refill 0times
DAW
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Floyd Olszak, MD 2225 Blossom Lane Depew, 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, NY 14222 Rx Hyoscyamine SL 0.125 Sig: i SL qid ad # 120
Prescription Label:
Rx# 336633 Doris Eldridge 7700 Columbus Pkwy Hamburg, NY 14222
March 12, 2007
Dissolve one tablet under tongue four times a day as directed

Floyd Olszak _
MDD:
Hyoscyamine 0.125 mg MFR: Ethex Floyd Olszak, MD.
# 120
Refill 2 times
Dispense as Written
Serial #P2358743
Drug Dispensed:
Jonathan Mallozzi, DO 99 Brookside Ave S Wale, 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 Rx Levobunolol 0.5% Sig: i gtt ou daily # 10
Prescription Label:
February 8, 2006
Instill one drop into both eyes once daily

Mallozzi__
MDD:
Levobunolol 0.5% MFR: Falcon Jonathan Mallozzi, DO.
# 10 ml
Refill 6 times
Dispense as Written
Serial #T7874899
Drug Dispensed:
Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. Tonawanda, NY 14789 Rx Nasacort AQ Sig: iisprays qd each nostril #1
Prescription Label:
Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789
February 4, 2007
Instill 2 sprays into each nostril daily

Karen Swanson_rpa __
MDD:
Nasacort AQ nasal spray MFR: Sanofi Aventis Steven Johnson, MD.
# 16.7g
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):
Esther Tredinnick, MD Weight:32kg 2535 Porterville Road Elma, 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, NY 14002 Rx Augmentin ES 600mg-42.9mg/5ml Sig: 2 1/4 tsp po BID x 10d # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take two and one quarter teaspoonfuls by mouth twice daily for 10 days
Tredinnick_
MDD:
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Evan Fitzaptrick, DDS 7458 Nostrand Ave Brooklyn, NY 11235 716-888-0000 Lic# 123332 DEA AF1222582 Name: Amy OConner DOB: 06/18/98 Address:90 Wayside Road Date: 11/11/06 Brooklyn, NY 11235 Rx Cipro 500 mg Sig: i po bid x 10d # 20
Prescription Label:
November 11, 2006

Prescriber Signature X_ Refill: NR
Evan Fitzpatrick ___

MDD:
Cefuroxime 500 mg MFR: Mockhardt Evan Fitzaptrick, DDS.
# 20
Refill 0 times
Dispense as Written
Serial # 1235JK55
Drug Dispensed:
Exp. 07/08 Lot # 0F10097 Please write a BRIEF description of the error/omission (3pts):
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:
Ezetimibe Sig: i po qd # 90
Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island, NY 14072
February 26, 2006

Steven Hung _
MDD:
Zetia 10mg tablets MFR: Merck Steven Hung, MD.
# 90
Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
Exp. 02/2006 Lot # JK125863 Please write a BRIEF description of the error/omission (3pts):
UNIVERSITY HOSPITAL
Dr. Toboggan, MD

IV Label:
bag volume (ml): ____________
drug additive
___18.4____ ml

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
Prescription Label:
Advair 250/50 Sig: 1 puff BID # 1 inhaler
Rx# 120236 Lucy Kim 101 Waterview Road Hamburg, NY 11487 Inhale 1 puff by mouth twice daily Advair 250/50
December 12, 2006
# 60
John Rousseau __
MDD:
MFR:
GSK Refill 0 times
John Rousseau, MD.
Dispense as Written
Drug Dispensed:
Serial #12258OP8
Exp. 12/2008 Lot # 028M123 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Pravachol 80 mg Sig: i po hs # 30
Rx# 66803 Sylvia Rappold 3355 Pinewood Dr Great View, NY 14223 Take one tablet at bedtime
February 26, 2007
Prescriber Signature X__Andrew Refill: 5
McDonald__
MDD:
Pravachol 80 mg MFR: Bristol Myers Squibb co Andrew McDonald, MD.
# 30
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):
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 Serevent Sig: i puff BID # 1 diskus
Prescription Label:
Rx# 78787 Stuart Grace 148 Stuart Street Orchard Park, NY 14141 Inhale 1 puff by mouth twice a day.
February 13, 2005
Stephen Sigel ___

MDD:
Serevent Diskus MFR: GSK Stephen Sigel, MD.
# 60
Refill 5 times
Dispense as Written
Serial #128PR124
Drug Dispensed:
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 Levemir Flexpen Sig: inj 20U sc bid w/ food # 15
Prescription Label:
February 3, 2007
Inject 2 ml subcutaneously twice daily with food

Fishman__
MDD:
Levemir Flexpen 100U/ml MFR: Novo
# 15
Nordisk
Refill 3 times
Samuel Fishman, MD.

Dispense as Written
Serial #KM1258T0
Drug Dispensed:
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 qd # 30
Prescription Label:
Rx# 85522 Melvin Platko 3322 Trentwood Tr Buffalo, NY 14120
September 28, 2006
Take one table by mouth twice daily.

Cassandra Moninski _
MDD:
# 30
Refill 5 times
DAW
Dispense as Written
Drug Dispensed:
Serial #M2539P60
Edwin Pizarro, MD 474 Woodcreast Dr Amherst, 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
Prescription Label:
Elavil 5 mg Sig: i po bid # 60
Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster, NY 14141 Take one capsule twice daily.
October, 19 2006
Edwin Pizarro ___

MDD:
Selegiline 5 mg MFR: Stada Edwin Pizarro, MD.
#60
Refill 5 times
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Prescription Label:
Januvia 100 mg Sig: Take 1 po qam # 1 month
Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo, NY 14042 Take 1 tablet by mouth daily
January 14, 2007
Jackson Hundson _
MDD:
Januvia 100 mg tablets MFR: Merck and Co Jackson Hundson, MD.
# 30
Refill 1 time
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp.10/2010 Lot # G145879 Please write a BRIEF description of the error/omission (3pts):
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:
Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron, NY 14004 Inject daily as directed
February 18, 2007
Steven Johnson _
MDD:
Levemir insulin MFR: Novo Nordisk Steven Johnson, MD.
# 10ml
Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
Colleen Battagelia, NP 3457 Bear Ridge Road Buffalo, 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. Tonawanda, NY 14477 Rx Enalapril 10 mg Sig: i po daily # 30
Prescription Label:
Rx# 22568 Addie Bibbs 856 Circle Lane N. Tonawanda, NY 14477 Take one capsule once daily.
May 8, 2006
Colleen Battagelia _
MDD:
Enalapril 10 mg MFR: Teva Colleen Battagelia, NP.
# 30
Refill 8 times
Dispense as Written
Serial #1748EE74
Drug Dispensed:
Prescription Label:
Rx# 22568 Addie Bibbs 856 Circle Lane N. Tonawanda, NY 1477 Take one tablet once daily.
May 8, 2006
Colleen Battagelia _
MDD:
# 30
Refill 8 times
Dispense as Written
Serial #1748EE74
Drug Dispensed:
Herman Podlewski, MD 858 Delham Ave Kenmore, 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:
Nizoral 200
Sig: i po daily # 14
Rx# 50010 Carolyn Ruggerio 333 Candice Ct Buffalo, NY 14222 Take one capsule once daily.
March 8, 2005
Herman Podlewski _
MDD:
Neoral 25 mg MFR: Novartis Herman Podlewski, MD.
# 14
Refill 0 times
Dispense as Written
Serial #L526M254
Drug Dispensed:
Gary Heresy, MD 89Valley Circle W Seneca, 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 Rx Levoxyl125 mcg Sig: i po daily # 30
Prescription Label:
January 1, 2006
Gary Heresy _
MDD:
Levoxyl 25 mcg MFR: Jones Pharma Gary Heresy, MD.
# 30
DAW
Dispense as Written
Refill 3 times
Serial #ZZ233256
Drug Dispensed:
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 2-3 / day prn # 30 ( thirty)
Prescription Label:
Rx# 71145 Lorraine Linsley 5666 Manhattan Road Aurora, NY 14031
March 28, 2005
Take one to two tablets 2 to 3 times a day as needed, maximum daily dose of 6 tablets.
Prescriber Signature X_Stanley Refill: 0 zero
Kaiser___
MDD: 6
Lonox MFR: Sandoz Stanley Kaiser, MD.
# 30
daw
Dispense as Written
Refill 0 times
Serial #K2587L12
Drug Dispensed:
Nicole Bissonette, 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, NY 11236 Rx Clozazepam ODT 0.25 mg Sig: i po bid # 60 (sixty)
Prescription Label:
Rx#454156 Rebecca Hudson 295 Ridge Park Ave New York, NY 11236
January 18, 2007

Prescriber Signature X__Nicole Refill: 3 (three)
Bissonette___
MDD: 2
Clonazepam ODT 0.25 mg MFR: PAR Nicole Bissonette, MD.
# 60
Refill 3 times
Dispense as Written
Serial #125893A5
Drug Dispensed:
Paul Flicinski, MD 789 Brown Street Bronx, 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, NY 17789 Rx
Prescription Label:
Cardura 2 mg Sig: i po QD #30
September 23, 2006
Paul Flicinski __
MDD:
Warfarin 2 mg MFR: Taro Paul Flicinski, MD.
# 30
Refill 5 times
Dispense as Written
Serial #11253LP8
Drug Dispensed:
Josh Gembala, MD 6911 Bloomingdale Road S Wale, 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 Rx Paxil CR 25 mg Sig: i po daily # 30
Prescription Label:
Rx# 20322 Emma Cuccia 8333 Woodstock Road Glenwood, NY 14550 Take one tablet once daily.
November 28, 2006
Josh Gembala __
MDD:
Paxil CR 25 mg MFR: GlaxoSmithKline Josh Gembala, MD.
#3
DAW
Dispense as Written
Refill 5 times
Drug Dispensed:
Serial #D582T845 T
Geraldine Aldinger, 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, NY 14669 Rx Pediapred 5mg/ml Sig: i tsp po bid # 100
Prescription Label:
June 22, 2004
Prescriber Signature X_Geraldine Refill: 0
Aldinger__
MDD:
Prednisolone Sodium Phospate 5mg/5ml MFR: Morton Grove Pharmaceutical Ins Geraldine Aldinger, MD.
# 100
Refill 0 times
Dispense as Written
Serial #185PH258
Drug Dispensed:
Nicole Bissonette, 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, NY 11236 Rx Clozazepam ODT 0.25 mg Sig: i po bid # 60 (sixty)
Prescription Label:
February 25, 2007

Prescriber Signature X__Nicole Refill: 0 (zero)
Bissonette___
MDD: 2
# 60
Refill 0 times
Dispense as Written
Serial #125893A5
Drug Dispensed:
Evan Fitzaptrick, 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, NY 12142 Rx
Prescription Label:
Miacalcin spray Sig: I spray alternating nostrils daily # 3.7 ml
Rx# 76698 Joseph Lehman 147 Harring Street Brookly, NY 12142
June 9, 2004
Instill 1 spray in one nostril daily- alternate nostrils Miacalcin Nasal spray # 3.7 ml
Evan Fitzpatrick__
MDD:
MFR: Novartis Evan Fitzaptrick, DO. Refill 4 times
daw Drug Dispensed:

Dispense as Written
Serial # M1258TU8
Adam Erving, MD 616 Hartford Ave Buffalo, 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, NY 14150 Rx Metadate CD 10 mg Sig: i po am # 30 ( thirty)
Prescription Label:
Rx# 29009 Niema Fiorello 36 Tacoma Ave W Amherst, NY 14150 Take one tablet every morning
March 8, 2007
Adam Erving __
MDD:1
Methadone 10 mg MFR: Roxane Adam Erving, MD.
# 30
Refill 0 times
Dispense as Written
Serial #B2148Z00
Drug Dispensed:
Karen Douglas, DO 190 E Robinson Road Lancaster, 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 Rx Mycolog II ointment Sig: apply as directed # 30g
Prescription Label:
December 27, 2003
Karen Douglas _
MDD:
Nystatin;Triamcinolone cream MFR: Fougera Karen Douglas, DO.
# 30 g
Refill 0 times
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Elizabeth Ganter, MD 911 Paradise Road Williamsville, 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 14220 Rx Toprol XL 25 mg Sig: i po daily # 30
Prescription Label:
Rx# 25555 Juliet Hall 255 Cottage Road Orchard Park, NY 14220 Take one tablet once daily.
January 9, 2007
Prescriber Signature X____ Refill: 11
Elizabeth Ganter _
MDD:
Toprol XL 25 mg MFR: AstraZeneca Elizabeth Ganter, MD.
# 30
Refill 11 times
Dispense as Written
Serial #LP238547
Drug Dispensed:
Exp. 12/2008 Lot # 56333P Please write a BRIEF description of the error/omission (3pts):
Esther Tredinnick, MD Weight:33kg 2535 Porterville Road Elma, 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, NY 14002 Rx Biaxin 250/5ml Sig: tsp q12h x 10d # 10 DS Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take one half teaspoon by mouth every 12 hours for 10 days

Tredinnick_
MDD:
Clarithromycin 250mg/5ml MFR: Sandoz Esther Tredinnick, MD
# 50
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Evan Fitzaptrick, DDS 7458 Nostrand Ave Brooklyn, NY 11235 716-888-0000 Lic# 123332 DEA AF1222582 Name: Amy OConner DOB: 06/18/98 Address:90 Wayside Road Date: 11/11/06 Brooklyn, NY 11235 Rx Cipro 500 mg Sig: i po bid x 10d # 20
Prescription Label:
November 11, 2006

Evan Fitzpatrick ____

MDD:
Cipro 500 mg MFR: Bayer Evan Fitzaptrick, DDS.
# 20
Refill 0 times
Dispense as Written
Serial # 1235JK55
Drug Dispensed:
Exp. 04/2008 Lot # 540075J Please write a BRIEF description of the error/omission (3pts):
Esther Tredinnick, MD Weight:40kg 2535 Porterville Road Elma, 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, NY 14002 Rx Biaxin 250/5ml Sig: tsp q12h til gone # 75 Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take 3ml by mouth every 12 hours until gone

Tredinnick_
MDD:
# 75
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Prescription Label:
Cardizem 30 mg Sig: i po tid #
June 28, 2006
Richard Zakrajesek _
MDD:
Diltiazem 30 mg MFR: Teva Richard Zakrajesek, MD
# 90
Refill 8 times
Dispense as Written
Serial #145TO236
Drug Dispensed:
Prescription Label:

Abstral 100 mcg
DOB: 06/30/68 Date: 06/14/05
dose 30 min later if needed. Max 2/day
June 15, 2005
# 120 (one hundred twenty) CODE B
Take one tablet sublingually as needed for breakthrough cancer pain. Repeat dose 30 minutes later if needed. Maximum 2 doses per day.
MDD: 2
Prescriber Signature X__Mark Refill: 0 (zero)
Lee_____
ABSTRAL 100mcg MFR: Prostrakan Mark Lee, MD. Refill 0
# 120
Dispense as Written
Drug Dispensed:
Serial #P322258L
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: 05/23/05 Lockport, NY 14799 Rx
Prescription Label:
Symmetrel 100 mg Sig: i po daily # 90
May 23, 2005
Peterson Mineo _
MDD:
Synthroid 100 mcg MFR: Abbott Peterson Mineo, MD.
# 90
Refill 11 times
Dispense as Written
Serial #985HG253
Drug Dispensed:
Prescription Label:
Azmacort
Sig: 2 puffs 3-4 x daily #1
Rx# 223326 Donald Parker 1133 Pershing Ave Kenmore, NY 11489 Take 2 tablets 3-4 times a day Azmacort
February 1, 2006
# 20 g
MDD:
MFR: Abbott William Zaklikowski, MD. Refill 0 times
Dispense as Written
Serial #K1242156
Drug Dispensed:
Peterson Mineo, MD 6485 Colvin Ave Deprew, 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, NY 14152 Rx Tiotropium Inhaler Sig: i puff qd #1
Prescription Label:
Rx# 124785 Jay Skruski 41 Ford Street Buffalo, NY 14152 Inhale 1 puff by mouth daily
February 12, 2007
Peterson Mineo __
MDD:
Ipratropium Bromide Inhalation Solution MFR:DEY Peterson Mineo, MD.
# 62.5
Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Richard Kinsely, MD Diane Montgomery, RPA Lic# 485147 Lic # 784147 DEA AK1687459 DEA AM4958746 124 Scamridge Street Buffalo, NY 14111 716-577-4777
Prescription Label:
Name: Clyde Nielsen DOB: 08/26/56 Address: 4578 Elmview Place Date: 03/17/06 Cheektowaga, NY 14669 Rx
Thiamine 50 mg Sig: i po daily # 30
Rx# 114569 Clyde Nielsen 4578 Elmview Place Cheektowaga, NY 14669 Take one tablet once daily Tenormin 50 mg
March 17, 2006
# 30
Richard Kinsely __
MDD:
MFR: AstraZeneca Richard Kinsely, MD. Refill 6 times
Dispense as Written
DAW
Serial #058HG256
Drug Dispensed:
Prescription Label:
Name: Clyde Nielsen DOB: 08/26/56 Address: 4578 Elmview Place Date: 03/17/06 Cheektowaga, NY 14669 Rx
Pyridoxine 100mg Sig: i po qd # 30
Rx# 114569 Clyde Nielsen 4578 Elmview Place Cheektowaga, NY 14669 Take one tablet once daily Vitamin B-1 100 mg
March 17, 2006
# 30
Richard Kinsely
MDD:1
MFR: Rugby Richard Kinsely, MD. Refill 6 times
Dispense as Written
Serial #058HG256
Drug Dispensed:
Exp. 12/2007 Lot # 368809K Please write a BRIEF description of the error/omission(3pts):
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, NY 14043 Rx Benazapril 10 mg Sig: i po bid # 30
Prescription Label:
Rx# 33344 Jacqueling Kerr 6665 Sterling Road Springville, NY 14043 Take one tablet once daily.
June 22, 2006
Elissa Hoffmaster _
MDD:
Benazepril 10 mg MFR: Teva Elissa Hoffmaster, NP.
#30
Refill 6 times
Dispense as Written
Serial #K8788800
Drug Dispensed:
Edwin Pizarro, MD 474 Woodcreast Dr Amherst, 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 Ultram 50 mg Sig: i po BID # 60
Prescription Label:
Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster, NY 14141
October, 19 2006
Take one tablet by mouth twice a day.

Prescriber Signature X__Edwin Refill: 5
Pizarro_____
MDD:
Tramadol 50 mg tablets MFR: Mylan Edwin Pizarro, MD.
#60
Refill 5 times
daw
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Jonathan Mallozzi, MD 99 Brookside Ave S Wale, 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, NY 14001 Rx Abstral 100 mcg Sig: i sl q4-6h prn pain # 30 (thirty)
Prescription Label:
June 15, 2005
Mallozzi__
MDD: 4
Take one tablet sublingually every 4-6 hours as needed for pain. Maximum daily dose is 4/day. ABSTRAL 100mcg MFR: Prostrakan # 30
Dispense as Written
Jonathan Mallozzi, MD.

Serial #P322258L
Refill 0
Drug Dispensed:
Esther Tredinnick, MD Weight:33kg 2535 Porterville Road Elma, 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, NY 14002 Rx Biaxin 250/5ml Sig: tsp q12h x 10d # 10 DS Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take one half teaspoon by mouth every 12 hours for 10 days

Tredinnick_
MDD:
# 50
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Patrick Wosinki, MD 50 S Niagara Fall Blvd Lockport, 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, NY 14401 Rx Fiorinal Sig: i ii po q 4 h prn # 120 ( one hundred twenty)
Prescription Label:
Rx# 656898 Alfred Consantino 222 Gatewood Ave Hamburg, NY 14401
August 10, 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. Buta/ASA/Caffeine 50/325/40 mg MFR: Lannett Patrick Wosinki, MD. Refill 6 times # 120
Dispense as Written
Serial #Z98556874
Drug Dispensed:
Prescription Label:
DOB: 11/08/39 Date: 06/12/06
Elmiron Sig: i po tid ac # 90
Rx# 01215 Kosda Johnson 235 Union Road Angola, NY 10228
July 13, 2006
Take one capsule three times a day before meals Elmiron # 90
Prescriber Signature X_Cynthia Refill: 5
MaCare_____
MDD:
MFR: Ivax Cynthia MaCare, RPA. Refill 5 times
Dispense as Written
Serial #ZM741589
Drug Dispensed:
Prescription Label:
Bactroban 2% ointment Sig: AAA TID #30 gram tube
Rx# 23456 Jean Horton 500 Main Street, Buffalo., NY 14235
May 22, 2006
Thomas Grands ___

MDD:
Apply to affected area three times a day. Mupirocin 2% Ointment MFR: Teva #22 g
DAW
Dr. Thomas Grands
Dispense as Written
Refill 5 times
Serial #125L65K6
Drug Dispensed:
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
Prescription Label:
Xopenex Solution Sig: one vial via nebulizer q8h # 4 boxes

February 8, 2003
Inhale 1 vial via nebulizer every 8 hours
Mike Lou ____

MDD:
Xopenex 0.31 mg Nebulizer solution MFR: Sepracor Mike Lou, MD.
# 288ml
Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
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: 3 tsp po BID x 10d # 300ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take three teaspoonfuls by mouth twice daily for 10 days

Tredinnick_
MDD:
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Prescription Label:
February 19, 2007
Douglas___
MDD:
Colcrys 0.6mg MFR: AR Scientific Karen Douglas, DO.
# 30
DAW
Dispense as Written
Refill 5 times
Serial # P145893T
Drug Dispensed:
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:
Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville, NY 14212 Rx ProAir HFA Sig: i puff q4h prn # 1 inhaler
DOB: 08/28/43 Date: 01/20/10
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
Refill 2 times
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Exp. 02/28/2014 Lot # 60223589 Please write a BRIEF description of the error/omission(3pts):
Prescription Label:
Lidoderm patch Sig: wear 1 patch for 12 hours qd # 30
Rx# 001236 Ronnie Mitrowski 756 Symmon Road Bronx, NY 12370
February 13, 2007
Apply 1 patch and wear for 12 hours daily.
Lynn Marshall _____

MDD:
Lidoderm 5% Patch MFR: Endo Jack Hoover, MD.
# 30
Refill 6 times
Dispense as Written
Serial #K1258TU8
Drug Dispensed:
Exp. 09/2009 Lot # 5P125K Please write a BRIEF description of the error/omission (3pts):
369. 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). 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: Alex Rodriguez allergies: NKA room: 432A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Tobramycin 85mg q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___190_____ (circle) (lb). / Kg height: ___71____ (circle) (in.) / cm

(circle) NS (D5W) other:__________ manufacturer: _CA Products__________ lot: _7997____ exp: __01/30/2014_ bag volume (ml): __100__________
IV Label:
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: __0.832mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___2.13____ ml
___85_____ mg
Administration Rate___136__ ml/hr diluent for drug reconstitution

(circle) SWFI NS D5W other: _____ manufacturer: ___________________ lot: __________ exp: ____/____/____
DOB: 5/24/76 Date: 07/18/04
Prescription Label:
July, 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, MD.
# 40
Dispense as Written
Refill 1 time
Serial #74158987
Drug Dispensed:
Jackson Hundson, MD 452 Main Street Buffalo, 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 Rx
Prescription Label:
Calan sr 180 mg
Sig: i po qd # 30
Rx# 555896 Lawrence Lehsten 7415 Eckhardt road W Seneca, NY 14201 Take one tablet once daily.
December 13, 2005
Jackson Hundson___
MDD:
DocQLace 100 mg MFR: Qualitest Jackson Hundson MD.
# 30
Refill 0 times
Dispense as Written
Serial #1258LK12
Drug Dispensed:
Herman Podlewski, MD 858 Delham Ave Kenmore, 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 Ketoconazole Cr Sig: uud # trade size
Prescription Label:
Rx# 50010 Carolyn Ruggerio 333 Candice Ct Buffalo, NY 14222 Use as directed.
March 8, 2005
Herman Podlewski _
MDD:
Ketoconazole shampoo MFR: Clay Park Labs Inc Herman Podlewski, MD.
# 120 ml
Refill 0 times
Dispense as Written
Serial #L526M254
Drug Dispensed:
Exp. 10/2008 Lot # H2531M Please write a BRIEF description of the error/omission (3pts):
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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 Rx
Prescription Label:
dicyclomine 10 mg Sig: i po qid # 120
Rx# 78412 Adrian Kobrins 78 Applewood Road Angola, NY 14086 Take one tablet four times daily
July 13, 2005
Rosemary Kazmierski
MDD:
Dicyclomine 10 mg tablets MFR: Mylan Rosemary Kazmierski, NP.
# 100
Refill 0 times
Dispense as Written
Serial #741578M8
Drug Dispensed:
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:
Sig: inj im 100mcg qd for 1 wk, then 100mcg qod for 2 wks, then 200mcg q month # 10
Rx# 66698 Fran Grimes 197 Hartford Road Aurora, NY 14228
March 5, 2011
Julius Hibbert __
MDD:
Inject 0.1ml intramuscularly once daily for 1 week, then inject 0.1ml intramuscularly every other day for 2 weeks, then inject 0.2ml intramuscularly once a month. Cyanocobalamin 1000mcg/ml MFR: American Regent # 10
Dispense as Written
Julius Hibbert, MD.

Serial #17418H78
Refill 0 times
Drug Dispensed:
Prescription Label:

Abstral 100 mcg
DOB: 06/30/68 Date: 06/14/05
dose 30 min later if needed. Max 4/day # 30 (thirty)
June 15, 2005
Prescriber Signature X__Shirley Refill: 1 (one)
Lee, RPA__
MDD: 4
Take one tablet sublingually as needed for breakthrough cancer pain. Repeat dose 30 minutes later if needed. Maximum 4 doses per day. ABSTRAL 100mcg MFR: Prostrakan # 30
Dispense as Written
Serial #P322258L
Shirley Lee, RPA.
Refill 1
Drug Dispensed:
1245 Ocean Ave, Suite 290 Amherst, 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
Rx# 90015 Frank Barrett 8888 Michigan Ave Buffalo, NY 14200 Take one tablet once daily. Singulair 10 mg MFR: Merck Victoria Flemming MD.
November 25, 2006
# 30
Refill 3 times
Phone: 716-555-5555
Flemming__
MDD:
Dispense as Written
Serial #W2538Y25
Drugs Dispensed:
November 25, 2006
Instill one spray to each nostril once daily. Nasonex 50mcg MFR: Schlering Plough Victoria Flemming MD. Refill 3 times #1
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: Greg Adams allergies: Penicillin (anaphylaxis) room: 432B physician: Dr Toboggan, MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Unasyn 3g q12h in 50ml NS. Infuse over 15min. prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___181_____ (circle) (lb). / Kg height: ___59____ (circle) (in.) / cm

IV Label:
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___

(circle) (SWFI) NS D5W other: _____ manufacturer: _____Hospira__________ lot: __G474___ exp: 12/31/15 volume used (ml): _______10_________
___10____ ml
Kenneth Taung, MD 1478 Morrison Ct Cheektowaga, 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 14055 Rx Plendil 10 mg Sig: i po daily # 30
Prescription Label:
Rx# 20327 Rhonda Haytt 7411 Basswood Street Alden, NY 14055 Take one tablet once daily.
May 9, 2003
Kenneth Taung _
MDD:
Pindolol 10 mg MFR: Ivax Kenneth Taung, MD.
# 30
Refill 3 times
Dispense as Written
Serial #ZU28569M
Drug Dispensed:
Prescription Label:
Chantix Continuing pak Sig: Take as directed # 1 month
Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora, NY 14228 Take as directed.
March 5, 2007
Lynn Marshall __
MDD:
Chantix Continuing Pak MFR: Pfizer Lynn Marshall, RPA.
# 56
Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
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:04/28/05 Gatesville, NY 14788 Rx invega 6mg Sig: i po qam
Prescription Label:
April 29, 2005

Rousseau____
MDD:
Invega 6 mg tablets MFR: Janssen John Rousseau, MD.
# 30
Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008 Lot # 17485900
Prescription Label:
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 # 30 (thirty)
June 1, 2006

Prescriber Signature X__ Refill: 2 (two)
Nicolas Green __
MDD: 1
# 30
DAW
Dispense as Written
DAW
Refill 2 times
Serial #0258TF39
Drug Dispensed:
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 # 3 mos supply
Prescription Label:
March 15, 2006
Monica Greenfield
MDD:
# 30
Refill 9 times
Dispense as Written
DAW
Serial #MK256321
Drug Dispensed:
Melvin Barren, 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:
January 31, 2007
Melvin Barren _
MDD:
# 30
Refill 1 time
Dispense as Written
Serial #2358P258
Drug Dispensed:
Salvatore Bruce, MD 123 Abbott Road N. Tonawanda, 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, NY 14225 Rx K-Phos Original Sig: dissolve ii in H20 qid # 120
Prescription Label:
Rx# 89877 Colleen Bell 2356 Knollwood Dr Eden, NY 14225
March 8, 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.
# 120
DAW
Dispense as Written
Refill 0 times
Serial #K2541458
Drug Dispensed:
Julius Hibbert, MD weight: 40kg Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Milhouse Van Houten DOB: 1/29/2001 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx Ibuprofen susp 100/5ml Sig: 2 1/2tsp q6-8h prn # 150ml
Prescription Label:
March 5, 2011
Take two and one half teaspoonfuls by mouth every 68hours as needed
Julius Hibbert __
MDD:
Ibuprofen 100mg/5ml MFR: Perrigo Julius Hibbert, MD.
# 150
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Prescription Label:
February 19, 2007
Douglas___
MDD:
Colcrys 0.6mg MFR: AR Scientific Douglass Karol, MD.
# 30
DAW
Dispense as Written
Refill 5 times
Serial # P145893T
Drug Dispensed:
Sharon White, MD 1235 Millersport Road Amherst, 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 Rx Atarax 10 mg Sig: i po tid #90
Prescription Label:
Rx# 23458 Jean Meyes 1147 Cambridge Square Orchard Park, NY 14789 Take one tablet three times a daily.
February 2, 2007
Prescriber Signature X_Sharon Refill: 0
White____
MDD:3
Hydroxyzine 10 mg MFR: Pliva Sharon White, MD.
# 90
Refill 0 times
Dispense as Written
Serial #H45186G1
Drug Dispensed:
Victoria Flemming, MD 1245 Ocean Ave, Suite 290 Brooklyn, 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, NY 12258 Rx
Prescription Label:
Zyprexa 20 mg Sig: i po QD # 30
Rx# 77856 Dainelle Newman 112 Warner Ave N Gawanda, NY 12258 Take one tablet once daily. Celexa 20 mg
July 5, 2006
# 30
Victoria Flemming __
MDD:
MFR: Forrest Victoria Flemming, MD. Refill 0 times
DAW
Dispense as Written
Drug Dispensed:
Serial #2356KT125
Exp. 08/2009 Lot # C061266 Please write a BRIEF description of the error/omission (3pts):
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: Janet Smith allergies: NKA room: 2A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Gentamicin 1.5mg/kg/dose (IBW) q8h in 50ml D5W. Infuse over 30 min Dr. Toboggan, MD medical record no.: 8769 sex: (circle) male / (female) weight: ___175_____ (circle) (lb). / Kg height: ___64____ (circle) (in.) / cm

IV Label:
Pharmacy Sterile Product Service IV Label Patient Name: Janet Smith Additives: Gentamicin 82.1mg 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
___2.98____ ml

Prescription Label:
Codeine 30 mg Sig: i po bid # 90 ( ninety)
October 13, 2006
Take one tablet twice daily. Maximum daily dose of 2 tablets.

Prescriber Signature X__ Refill: 0 ( zero)
Mark Flinchbaguh__
MDD: 2
Codeine Sulfate 30 mg MFR: Roxane Mark Flinchbaguh, MD.
# 90
Refill 0 times
Dispense as Written
Serial #1458LL89
Drug Dispensed:
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: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Vancomycin 500mg q12h in 100ml NS. Infuse over 60 min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___170_____ (circle) (lb). / Kg height: ___70____ (circle) (in.) / cm

IV Label:
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: __5.0mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___

(circle) SWFI (NS) D5W other: _____ manufacturer: _Hospira______________ lot: ___222C___ exp: _12/30/15 volume used (ml): ____10_______
___10____ ml
Jackson Hundson, MD 452 Main Street Buffalo, 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 Rx Calan SR 120 mg Sig: i po qd # 30
Prescription Label:
December 13, 2005
Hundson__
MDD:
Verapamil ER 120 mg MFR: Mylan Jackson Hundson MD.
# 30
Refill 0 times
Dispense as Written
Serial #1258LK12
Drug Dispensed:
Prescription Label:
Name: Becky Albrecht Address: 89 Castlewood Place Angola, 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 14222
March 30, 2004
Take two tablets twice daily for 5 days Prednisone 10 mg MFR: Roxane Kent Zheng, RPA
Dispense as Written
Prescriber Signature X________________ Refill: 0 MDD:

# 20
Refill 0 times
Serial #2356K569
Drug Dispensed:
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:
August 7, 2006
Bookbinder__
MDD:
Metolazone 5 mg MFR: Mylan Clifford Bookbinder, DO.
# 30
Refill 6 times
Dispense as Written
Serial #L2536Z00
Drug Dispensed:
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:
March 9, 2011
Take one tablet by mouth three times daily for 7 days.

Brower_____
MDD:
Avelox 400mg MFR: PD-RX Suzanne Brower, MD.
#21
Refill 0 times
Dispense as Written
Serial #568LK236
Drug Dispensed:
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:
March 3, 2006
Stanley Kaiser __
MDD:
Ortho-Cept MFR: OrthoMcneil Stanley Kaiser, MD.
# 28
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):
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:
Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789 Take one tablet once daily
February 4, 2007
Karen Swanson_rpa __
MDD:
Celexa 20 mg MFR: Pfizer Karen Swanson, RPA.
# 30
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):
Prescription Label:
Flonase Sig: i spray each nostril qd #1
October 13, 2006
Instill 1 spray into each nostril daily

Mark Flinchbaguh _
MDD:
Flovent HFA 44mcg inhaler MFR: GSK Mark Flinchbaguh, MD.
# 10.6
Refill 0 times
Dispense as Written
Serial #1458LL89
Drug Dispensed:
Prescription Label:
DOB: 08/28/43 Date: 02/20/11
February 21, 2011
Lee______
MDD:
#8.5 g
Refill 2 times
Dispense as Written
Drug Dispensed:
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
Steven Hung ___

MDD:
MFR: Merck Steven Hung, MD. Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
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:
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
Paul Flicinski __
MDD:
Fosamax 70 mg tablets MFR: Merck Paul Flicinski, MD.
#4
DAW
Dispense as Written
Refill 5 times
Serial #11253LP8
Drug Dispensed:
Prescription Label:
January 20, 2007
Prescriber Signature X_Patrick Refill: 5
Wosinski___
MDD:
# 30
Refill 5 times
Dispense as Written
Serial #125KM128
Drug Dispensed:
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:
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
Refill 5 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
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:
Rx# 2235 Harvey Chapman 99 Birchwood Square Grand Island, NY 14412 Take two tablets twice daily.
December 18, 2005
Yin Ching Tee _

MDD:2
Lithium Carbonate 300 mg MFR: Roxane Yin Ching Tee, MD.
#120
Refill 3 times
Dispense as Written
Serial #KL238745
Drug Dispensed:
Frederick Morris, MD 745 Glenwood Ave Sardnia, 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, NY 14443 Rx Lopid 600 mg Sig: i po bid # 60
Prescription Label:
Rx# 23323 Jefferson Eleanor 5685 Sundown Tr Clarence, NY 14443 Take one tablet twice daily.
June 28, 2004
Prescriber Signature X_Frederick Refill: 11
Morris__
MDD:
Gemfibrozil 600 mg MFR: Teva Frederick Morris, MD.
# 60
Refill 11 times
Dispense as Written
Serial #Z258M568
Drug Dispensed:
Prescription Label:
Climara 0.075 mg patch Sig: apply 1 q week # 12
Rx# 01258 Vicki Liang 4788 Loving Lane Williamsville, NY 12258 Apply 1 patch once a week
December 9, 2006
Pauline Davidson _
MDD:
Estradial 0.075 mg patch MFR: Mylan Dr. Pauline Davidson
#12
Refill 2 times
Dispense as Written
Serial #112KJ125
Drug Dispensed:
Kenneth Taung, MD 1478 Morrison Ct Cheektowaga, 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, NY 14789___ Rx Combivent
Prescription Label:
Sig: 2 puffs po QID # 1 inhaler
Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore, NY 14789
July 4, 2006
Inhale 1-2 puffs by mouth four times a day

Kenneth Tuang ___

MDD:
Combivent Inhaler MFR: Boehringer Ingelheim Dr. Kenneth Tuang
#14.7 g
Refill 10 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Prescription Label:
Name: Madelyn Byrne Address: 11 Richmond Ave Getzville, 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, NY 14077
September 28, 2007
Instill 1 to 2 drops into affected eye four times a day
Prescriber Signature X__Howard Refill: 0
Siemer__
MDD:
Tobramycin 0.3% ophthalmic soln MFR: Falcon Howard Siemer, MD.
#5
Refill 0 times
Dispense as Written
Serial #00254HG9
Drug Dispensed:
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: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Vancomycin 500mg q12h in 100ml NS. Infuse at 10mg/min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___170_____ (circle) (lb). / Kg height: ___70____ (circle) (in.) / cm

IV Label:
drug additive
drug name: __Vancomycin 500mg powder final bag concentration: __5.0mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___

___10____ ml
Prescription Label:
January 20, 2007
Prescriber Signature X_Patrick Refill: 5
Wosinski___
MDD:
# 30
Refill 5 times
Dispense as Written
Serial #125KM128
Drug Dispensed:
Leonard Valentine, MD 9999 Heather Drive Angola, 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, NY 14111 Rx Parlodel 2.5 mg Sig: i po bid # 60
Prescription Label:
Rx# 69696 Roxana Volker 2588 Crystal Springs Wales, NY 14111 Take one tablet twice daily.
June 28, 2005
Leonard Valentine
MDD:2
Bromocriptine 2.5 mg MFR: Mylan Leonard Valentine, MD.
#60
Refill 6 times
Dispense as Written
Serial #Z852M232
Drug Dispensed:
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: Alex Rodriguez allergies: NKA room: 432A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Tobramycin 85mg q8h in 100ml NS. Infuse over 45 min. Prepare 1 dose. Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___190_____ (circle) (lb). / Kg height: ___71____ (circle) (in.) / cm

IV Label:
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: __0.832mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___2.13____ ml
___85_____ mg
Administration Rate___136__ ml/hr diluent for drug reconstitution

Gary Heresy, MD 89Valley Circle W Seneca, 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, NY 14271 Rx Vimpat 100mg Sig: i po daily # 30
Prescription Label:
January 1, 2009
Prescriber Signature X_Gary Refill: 3
Heresy___
MDD:
Verapamil ER 120mg MFR: Mylan Gary Heresy, MD.
# 30
Refill 3 times
Dispense as Written
Serial #ZZ233256
Drug Dispensed:
Sharon White, MD 1235 Millersport Road Amherst, 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 Rx
Prescription Label:
Atarax 10 mg Sig: i po tid #90
February 2, 2007 Jean Meyes 1147 Cambridge Square Orchard Park, NY 14789 Take one tablet three times a daily.
Prescriber Signature X_ Refill:
Sharon White __
MDD:
Hydroxyzine 10 mg MFR: Pliva Sharon White, MD.
# 90
Refill 0 times
Dispense as Written
Serial #H45186G1
Drug Dispensed:
Exp. 06/08 Lot # 26063931A
Esther Tredinnick, 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, NY 14002 Rx Amoxicillin 250/5ml Sig: 10ml po q8h til gone # 200ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take two teaspoonfuls by mouth every 8 hours until gone.

Tredinnick_
MDD:
# 200
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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, NY 14999 Rx
Prescription Label:
Inderal 60 mg Sig: i po bid # 60
Rx# 56896 Sarah Casey 777 Lyme Road Corning, NY 14999 Take one tablet twice daily.
May 8, 2006
Rosemary Kazmierski _
MDD:
Isosorbide MN 60 mg MFR: Ethex Rosemary Kazmierski, NP.
# 60
Refill 5 times
Dispense as Written
Serial #B2514785
Drug Dispensed:
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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, NY 14999 Rx Inderal LA 120mg Sig: i po qd # 30
Prescription Label:
Rx# 56896 Sarah Casey 777 Lyme Road Corning, NY 14999 Take one capsule once daily.
May 8, 2006
Rosemary Kazmierski_
MDD:
Inderal LA 120 mg MFR: Wyeth Rosemary Kazmierski, NP.
# 30
DAW
Dispense as Written
Refill 5 times
Serial #B2514785
Drug Dispensed:
UNIVERSITY HOSPITAL
Dr. Toboggan, MD

IV Label:
drug additive

___20____ ml
Kelly Fletcher, Midwife 7458 Transit Road E Amherst, NY14006 716-555-8888 Lic# 118961 DEA MF1222140 Name: Michelle Janik DOB: 03/07/78 Address:148 Xavier Road Date:03/18/05 Williamsville, NY 14228 Rx Clomiphene 50 mg Sig: i po daily x 5d #5
Prescription Label:
Rx# 99698 Michelle Janik 148 Xavier Road Williamsville, NY 14228
March18, 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, Midwife.
#5
Refill 0 times
Dispense as Written
Serial #11248LL4
Drug Dispensed:
Exp. 07/2008 Lot # 11589389T Please write a BRIEF description of the error/omission (3pts):
Paul Flicinski, MD 789 Brown Street Bronx, 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, NY 17789 Rx Cardura 2 mg Sig: i po qd # 30
Prescription Label:
September 23, 2006
Paul Flicinski ___

MDD:
Doxazosin 2 mg MFR: Taro Paul Flicinski, MD.
# 30
Refill 5 times
Dispense as Written
Serial #11253LP8
Drug Dispensed:
William Zaklikowski, MD Lisa Chant, RPA Lic# 145668 Lic# 123599 DEA BZ4557154 896 Tonawanda Cheek Road E Amherst, NY 14869 716-889-9999
Prescription Label:
Name: Lewis Connell Address: 2525 Woodshire Street Depew, 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 14051
March 27, 2006
Apply to affected are 3 to 4 times a day for 2 weeks
William Zaklikowski
MDD:
Hydrocortisone Topical 1% Cream MFR: Fougera William Zaklikowski, MD
# 28.35
Refill 2 times
Dispense as Written
Serial #K2268238
Drug Dispensed:
Mark Flinchbaguh, MD 74 Quail Hollow Lane E Amherst, 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 Rx Phenergan w/ codeine Sig: i tsp po q6h prn cough # 150ml ( one hundred fifty)
Prescription Label:
February 16, 2007
Take one teaspoonful every 6 hours if needed for cough. Maximum daily dosage of 4 teaspoonfuls
Prescriber Signature X_Mark Refill: 0 (zero)
Flinchbaguh___
MDD: 20 cc
# 150
Refill 0 times
Dispense as Written
Serial #1K2348M5
Drug Dispensed:
Kelly Fletcher, Midwife 7458 Transit Road E Amherst, NY14006 716-555-8888 Lic# 118961 DEA MF1222140 Name: Michelle Janik DOB: 03/07/78 Address:148 Xavier Road Date:03/18/05 Williamsville, NY 14228 Rx
Prescription Label:
Clomiphene 50 mg
Sig: i po daily x 5d #5
Rx# 99698 Michelle Janik 148 Xavier Road Williamsville, NY 14228
March18, 2005

Kelly Fletcher __
MDD:
Clomipramine 50 mg MFR: Taro Kelly Fletcher, Midwife.
#5
Refill 0 times
Dispense as Written
Serial #11248LL4
Drug Dispensed:
Emerson Brzozowski, MD 688 Remington Dr N Tonawanda, 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, NY 14044 Rx Zymaxid Sig: i gtt od bid-qid x 7 days # trade size
Prescription Label:
Rx# 24200 Martin Sheen 8585 Ostrander Road Aurora, NY 14044
May 5, 2005
Brzozowski___
MDD:
Zymaxid 0.5% MFR: Allergan Emerson Brzozowski, MD.
#2.5
Refill 0 times
Dispense as Written
Serial #1245L1200
Drug Dispensed:
Monica Greenfield, NP 290 Meyer Road Amherst, 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:
Duragesic 50 mcg patch Sig: apply 1 patch q3d # 10 ( Ten)
Rx# 23456 Lily Grant 229 Young Road Buffalo, NY 12323 Apply 1 patch every 3 days
November 25, 2006
Prescriber Signature X__Monica Refill: 0
Greenfield__
MDD:
Fentanyl 50 mcg patch MFR: Mylan Monica Greenfield, NP
#10
Refill 0 time
Dispense as Written
Serial #001UY569
Drug Dispensed:
Prescription Label:
July 28, 2006
Take two to three tablets by mouth every four to six hours as needed for pain. Max 8/day
Tredinnick_
MDD: 8
# 20
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Thomas Grands, MD 432 Nottingham Blvd. Buffalo, 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 11478 Rx Lortab 5 Sig: i po q6h # 120 ( one hundred twenty)
Prescription Label:
February 2, 2007
Take one tablet by mouth every 6 hours

Thomas Grands __
Cortef 5 mg MFR: pharmacia Thomas Grands, MD.
#120
Refill 5 times
Dispense as Written
Serial #1258JKI4
Drug Dispensed:
Sharon White, MD 1235 Millersport Road Amherst, 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 Rx
Prescription Label:
Atarax 1mg Sig: i po tid #90
Rx# 23458 Jean Meyes 1147 Cambridge Square Orchard Park, NY 14789 Take one tablet three times a daily.
February 2, 2007
Sharon White ____

MDD:
Lorazepam 2 mg MFR: Watson Sharon White, MD.
# 90
Refill 0 times
Dispense as Written
Serial #H45186G1
Drug Dispensed:
Exp. 06/09 Lot # 15C1236 Please write a BRIEF description of the error/omission (3pts):
Esther Tredinnick, MD 2535 Porterville Road Elma, 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, NY 14002 Rx Norco 5/325mg Sig: 1 q4-6h po prn pain # 20 (twenty)
Prescription Label:
July 28, 2006
Take one tablet by mouth every four to six hours as needed for pain.
Prescriber Signature X_Esther Refill: 2 (two)
Tredinnick_
MDD: 6
Oxycodone.APAP 5-325 mg MFR: Mallinckrodt Esther Tredinnick, MD
# 20
Refill 2 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Prescription Label:
March 9, 2006

Brower_____
MDD:
Exelon 4.5 mg MFR: Novartis Suzanne Brower, MD.
#60
Refill 3 times
Dispense as Written
Serial #568LK236
Drug Dispensed:
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: uud # 30 ( thirty)
Prescription Label:
Rx# 71145 Lorraine Linsley 5666 Manhattan Road Aurora, NY 14031 Take as directed
March 28, 2005
Prescriber Signature X_ Refill: 0zero
Stanley Kaiser __
MDD:
Lanoxin 250 mcg MFR: Sandoz Stanley Kaiser, MD.
# 30
Refill 0 times
Dispense as Written
Serial #K2587L12
Drug Dispensed:
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 # 2 vials
Prescription Label:
February 14, 2005
Arnold Fletcher __
MDD:
Lantus MFR: Sanofi-Aventis Arnold Fletcher, MD.
# 10
Refill 5 times
Dispense as Written
Serial #36LK2587
Drug Dispensed:
Kelly Fletcher, Midwife 7458 Transit Road E Amherst, NY14006 716-555-8888 Lic# 118961 DEA MF1222140 Name: Michelle Janik DOB: 03/07/78 Address:148 Xavier Road Date:03/18/05 Williamsville, NY 14228 Rx Clomiphene 50 mg Sig: i po daily x 5d #5
Prescription Label:
Rx# 99698 Michael Janik 148 Xavier Road Williamsville, NY 14228
March 18, 2005

Kelly Fletcher ___

MDD:
Clomiphene 50 mg MFR: Par Pharmaceutical Kelly Fletcher, Midwife.
#5
Refill 0 times
Dispense as Written
Serial #11248LL4
Drug Dispensed:
Patrick Wosinki, MD 50 S Niagara Fall Blvd Lockport, 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, NY 14100 Rx Prempro 0.625/5 mg Sig: i po daily # 28
Prescription Label:
Rx# 66808 Nora Tetowski 303 Southwest Blvd Eden, NY 14100 Take one tablet once daily.
January 2, 2007
Patrick Wosinki _
MDD:
Prempro 0.625mg/2.5mg MFR: Wyeth Patrick Wosinki, MD.
# 28
Refill 11 times
Dispense as Written
Serial #F2563M25
Drug Dispensed:
Buffalo General Hospital 100 High Street Buffalo, NY 14260 716-555-5689 Name: Clifford Hennessy DOB: 08/16/70 Address: 699 Lovering Road Date: 09/21/06 Aurora, NY 14000 Rx Fioricet + codeine Sig: i-ii po q4h prn # 20 (twenty)
Prescription Label:
September 21, 2006
Take one to two capsules by mouth every four hours as needed. Maximum of 6 capsules/day
Singh___
MDD:6
Butalbital, APAP, Caffeine Codeine 50/325/40/30 # 20 MFR: Watson
Dispense as Written
Deepak Singh, MD.

Serial #R2358962
Refill 2 times
Drug Dispensed:
William Zaklikowski, MD 896 Tonawanda Cheek Road E. Amherst, 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, NY 11446 Rx Catapres tts 1 Sig: uud #4
Prescription Label:
Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo, NY 11446 Use as directed Clonidine 0.1 mg
December 12, 2005
#4
William Zaklikowski
MDD:
MFR: Actavis William Zaklikowski, MD. Refill 0 times
Dispense as Written
Drug Dispensed:
Serial #12548T23
Arnold Fletcher, 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, NY 14133 Rx Ditropan XL 10 mg Sig: i po qd # 30
Prescriber Signature X_Arnold Refill: 5
Prescription Label:
Rx# 102332 Pamela Rusford 858 Waltercrest Tr W Seneca, NY 14123 Take one tablet once daily.
June 14, 2005
Fletcher____
MDD:
Oxybutynin ER 10 mg MFR: Mylan Arnold Fletcher, MD.
# 30
Refill 5 times
Dispense as Written
Serial #Z235M587
Drug Dispensed:
Arnold Fletcher, 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, NY 14133 Rx Oxybutynin ER 10 mg Sig: i po qd # 30
Prescription Label:
Rx# 102332 Pamela Rusford 858 Waltercrest Tr W Seneca, NY 14123 Take one tablet once daily.
June 14, 2005
Arnold Fletcher_
MDD:1
OxyContin 10 mg MFR: Apothecon Arnold Fletcher, MD.
# 30
Refill 0 times
Dispense as Written
Serial #Z235M587
Drug Dispensed:
Nicole Bissonette, 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, NY 11236 Rx Clozazepam ODT 0.25 mg Sig: i po bid # 90 (ninety)
Prescription Label:
January 18, 2007

Prescriber Signature X__Nicole Refill: 0 (zero)
Bissonette___
MDD:2
# 90
Refill 0 times
Dispense as Written
Serial #125893A5
Drug Dispensed:
Prescription Label:
Cefaclor 125 mg/5 ml Sig: i tsp po q8h x 10 days # QS
October 10, 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, MD.
# 150
Refill 0 times
Dispense as Written
Serial #000KM120
Drug Dispensed:
Jackson Hundson, MD 452 Main Street Buffalo, 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 Rx Verapamil ER 120 mg Sig: i po qd # 30
Prescription Label:
December 13, 2005
Jackson Hundson _
MDD:
Verapamil ER 120 mg
# 30
Jackson Hundson MD.
Refill 0 times
Dispense as Written
Serial #1258LK12
Drug Dispensed:
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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, NY 14080 Rx Triphasil Sig: i po daily # 28
Prescription Label:
Rx# 114573 Dean Schmidt 5414 Capital Height Gowanda, NY 14080 Take one tablet once daily.
January 3, 2007
Rosemary Kazmierski
MDD:
# 28
Refill 11 times
Dispense as Written
Serial #P2258H52
Drug Dispensed:
Prescription Label:
Vistaril 50 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___Elaine Refill: 3
Knell__
MDD:
Hydroxyzine Pamoate 50 mg MFR: Sandoz Elaine Knell, MD.
# 30
Refill 3 times
Dispense as Written
Serial #1K56L523
Drug Dispensed:
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: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Vancomycin 1000mg q12h in 100ml NS. Infuse over 15 min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___170_____ (circle) (lb). / Kg height: ___70____ (circle) (in.) / cm

IV Label:
drug additive
drug name: _Vancomycin 1000mg powder final bag concentration: __10.0mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___

___20____ ml
Esther Tredinnick, MD 2535 Porterville Road Elma, 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, NY 14002 Rx Lortab 5mg Sig: 1 q4-6h po prn pain # 120 (twenty)
Prescription Label:
July 28, 2006
Take one tablet by mouth every four to six hours as needed for pain.
Tredinnick_
MDD: 6
# 120
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Leonard Valentine, MD 9999 Heather Drive Angola, 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, NY 14111 Rx Parlodel 2.5 mg Sig: i po bid # 60
Prescription Label:
Rx# 69696 Roxana Volker 2588 Crystal Springs Wales, NY 14111 Take one tablet twice daily.
June 29, 2006
Prescriber Signature X__Leonard Refill: 6
Valentine___
MDD:
Bromocriptine 2.5 mg MFR: Mylan Leonard Valentine, MD.
#60
Refill 6 times
Dispense as Written
Serial #Z852M232
Drug Dispensed:
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora , NY 14228 Rx Metformin 850mg Sig: i po tid # 90
Prescription Label:
May 5, 2005
Take one tablet by mouth three times daily

Lynn Marshall __
MDD:
# 90
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Prescription Label:
September 23, 2006

Fisher__
MDD:
Intuniv 2 mg MFR: Shire US Inc Samuel Fisher, MD.
# 30
Refill 1 times
Dispense as Written
Serial #L25K2365
Drug Dispensed:
Terrance Fransco, DO 7877 Easton Ave New York, 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 Ditropan XL 5 mg Sig: i po daily # 30
Prescription Label:
Rx# 78789 Pauline Gizzo 4808 E Utica Ave New York, NY 11250 Take one capsule once daily.
February 9, 2007
Terrance Fransco___
MDD:
Detrol LA 4 mg MFR: Pfizer Terrance Fransco, DO.
# 30
Refill 11 times
DAW
Dispense as Written
Serial #178238W7
Drug Dispensed:
Prescription Label:
Vistaril 50 mg Sig: i po hs # 30
Rx# 114574 Taneja Crafton 4564 Norfolk Ave Lancaster, NY 14120 Take one tablet at bedtime.
June 25, 2006
Elaine Knell _
MDD:
Hydralazine HCl 50 mg MFR: Par Elaine Knell, MD.
# 30
Refill 3 times
Dispense as Written
Serial #1K56L523
Drug Dispensed:
Prescription Label:
Prilosec OTC 20 mg Sig: i po daily # 30
August 9, 2006
Helen Miller __
MDD:
Omeprazole 20 mg MFR: Mylan Helen Miller, MD.
# 30
Refill 5 times
Dispense as Written
Serial #2593LK85
Drug Dispensed:
Prescription Label:
Name: Cameron Matz Address: 5255 Eaglecrest Street Alden, 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, NY 14222 Take one tablet once daily
August 26, 2006
Prescriber Signature X_Harold Refill: 5
Kozlowsky___
MDD:
Lisinopril 10 mg MFR: Mylan Harold Kozlowsky, MD.
# 30
Refill 5 times
Dispense as Written
Serial #05LT2387
Drug Dispensed:
Exp. 01/2008 Lot # 1N4117 Please write a BRIEF description of the error/omission(3pts):
Prescription Label:
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_Cynthia Refill: 3
MaCare__
MDD:
#30
Refill 3 times
DAW
Dispense as Written
Serial #0235JK87
Drug Dispensed:
Exp. 11/2006 Lot # 235K2555 Please write a BRIEF description of the error/omission(3pts):
Mark Flinchbaguh, MD 74 Quail Hollow Lane E Amherst, 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 14070 Rx Desipramine 100 mg Sig: i po hs # 30
Prescription Label:
Jimmy Clark 606 Oakwood Drive N Evans, NY 14070 Take one tablet at bedtime Desipramine 100 mg
May 7, 2004
# 30
Mark Flinchbaguh __
MDD:
MFR: Sandoz Mark Flinchbaguh, MD. Refill 3 times
Dispense as Written
Serial #1875JK12
Drug Dispensed:
Exp. 02/2006 Lot # 1LK71102 Please write a BRIEF description of the error/omission (3pts):
Emerson Brzozowski, MD 688 Remington Dr N Tonawanda, 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, NY 14044 Rx Zymaxid Sig: i gtt od bid-qid x 7 days # trade size
Prescription Label:
Rx# 24200 Alemondo Clarey 8585 Ostrander Road Aurora, NY 14044
May 5, 2005
Brzozowski___
MDD:
Dorzolamide/Timolol 2/0.5% MFR: Apotex Emerson Brzozowski, MD.
#10
Refill 0 times
Dispense as Written
Serial #1245L1200
Drug Dispensed:
Prescription Label:
July 28, 2006
Take one to two tablets by mouth every four to six hours as needed for pain. Max 12/day
Tredinnick_
MDD: 12
# 20
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
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 Cytotec 200 mcg Sig: i po qid # 120
Prescription Label:
Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island, NY 14072 Take one tablet four times daily.
February 26, 2006
Steven Hung ___

MDD:
Misoprostol 200 mcg MFR: Greenstone Steven Hung, MD.
# 120
Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
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 Micro-K 10 mEq Sig: i po bid # 60
Prescription Label:
Rx# 30333 Courtney Iannone 22 Greenmeadow Dr Getzville, NY 14077 Take one tablet twice daily.
August 17, 2005
Gilbert Hunter __
MDD:
Klor-Con M10 MFR: Upsher Smith Gilbert Hunter, MD.
# 60
Refill 6 times
Dispense as Written
Serial #K258L563
Drug Dispensed:
Name: Russell Lee DOB: 04/23/64 Address: 1254 Chestnut Ridge Rd Date: 02/04/07 N. Tonawanda, NY 14789 Rx Nasacort aq nasal spray Sig: ii sprays into each nostril qd #1
Prescription Label:
Rx# 124514 Russell Lee 1254 Chestnut Ridge Rd N. Tonawanda, NY 14789
February 4, 2007

Swanson_rpa__
MDD:
Nasacort AQ nasal spray MFR: Sanofi-aventis Karen Swanson, RPA.
# 16.5 g
Refill 2 times
Dispense as Written
Serial #12TJU568
Drug Dispensed:
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: 90mg/kg/day amoxicillin DIV BID x 10 days # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Tredinnick_
MDD:
Take one and a half teaspoonfuls by mouth twice daily for 10 days Amoxicillin/clavulanic acid 600mg-42.9mg/5ml # 150 MFR: Sandoz
Dispense as Written
Esther Tredinnick, MD
Serial #C2538M27
Refill 0 times
Drug Dispensed:
Philips Kern, MD 232 Homecrest Road Clearance, 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, NY 14111 Rx Vyvanse 50 mg Sig: i po daily # 30 (thirty)
Prescription Label:
March 25, 2006
Take one capsule by mouth once daily.

Kern___
MDD:1
Vyvanse 50mg MFR: Shire Philips Kern, MD.
# 30
Refill 0 times
Dispense as Written
Serial #K2358523
Drug Dispensed:
Philips Kern, MD 232 Homecrest Road Clearance, 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, NY 14111 Rx Vyvanse 20 mg Sig: i po daily # 30 (thirty)
Prescription Label:
March 25, 2006

Kern___
MDD:1
Amphetamin/Dextroamphetamine salts 20mg # 30 MFR: Global Philips Kern, MD. Refill 0 times
Dispense as Written
Serial #K2358523
Drug Dispensed:
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora , NY 14228 Rx Vicodin ES 7.5 Sig: i-ii po q4-6h prn # 60 (sixty)
Prescription Label:
May 5, 2005
Take one to two tablets 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 7.5/750 MFR: Sun Lynn Marshall, RPA.
# 60
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Shirley Cunnigham 7845 Grand Street Williamsville, 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 Flexeril 5 mg Sig: i po tid prn # 90
Prescription Label:
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.
Cunnigham__
MDD:3
Cyclobenzaprine 5 mg MFR: Mylan Shirley Cunnigham, MD.
# 90
Refill 1 times
Dispense as Written
Serial #T12589M1
Drug Dispensed:
Exp. 05/2008 Lot # 70289Z Please write a BRIEF description of the error/omission (3pts):
Stephan Leid , MD Lic# 125896 DEA AL5121584 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, NY 14444 Rx Zocor 20 mg Sig: i po qd # 30
Prescription Label:
Rx# 89589 Fanny Goodman 7415 Albert Drive Cheektowaga, NY 14444 Take one tablet once daily
July 29, 2006
Prescriber Signature X__Kevin Refill: 5
William___
MDD:
Simvastatin 20 mg MFR: Teva Kevin William, RPA.
# 30
Refill 5 times
Dispense as Written
Serial #8985YI123
Drug Dispensed:
Exp. 02/2008 Lot # A12589L Please write a BRIEF description of the error/omission (3pts):
Josh Gembala, MD 6911 Bloomingdale Road S Wale, 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 Rx Paxil CR 25 mg Sig: i po daily # 30
Prescription Label:
November 28, 2006
Prescriber Signature X_Josh Refill: 5
Gembala___
MDD:
Paxil CR 25 mg MFR: GlaxoSmithKline Josh Gembala, MD.
# 30
Refill 5 times
Dispense as Written
Serial #D582T845
Drug Dispensed:
Josh Gembala, MD 6911 Bloomingdale Road S Wale, 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 Rx Plavix 75 mg Sig: i po daily # 30
Prescription Label:
November 28, 2006
Josh Gembala _
MDD:
Paxil 20 mg MFR: GlaxoSmithKline Josh Gembala, MD.
# 30
Refill 5 times
Dispense as Written
Serial #D582T845
Drug Dispensed:
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 D Sig: i po bid prn # 30
Prescription Label:
Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park, NY 14141
February 13, 2005
Take one tablet twice daily if needed.

Prescriber Signature X__Stephen Refill: 5
Sigel_____
MDD:
Alavert D-12 MFR: Wyeth Stephen Sigel, MD.
# 30
Refill 5 times
Dispense as Written
Serial #128PR124
Drug Dispensed:
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 # 150ml Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Tredinnick_
MDD:
Dispense as Written
Serial #C2538M27
Drug Dispensed:
Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville, NY 14145 Rx Skelaxin 800 Sig: i po t id-qid # 60
Prescriber Signature X_ Joseph Koch Refill: 5
Prescription Label:
October 10, 2004
Take one tablet by mouth 3 times daily
__
MDD:
Skelaxin 800 mg tablets MFR: King Joseph Koch, RPA.
# 60
DAW
Dispense as Written
Refill 5 times
Serial #012KLI78
Drug Dispensed:
Exp. 10/2007 Lot #1N3304 Please write a BRIEF description of the error/omission(3pts):
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: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Vancomycin 20mg/kg/dose q12h in 100ml NS. Infuse at 10mg/min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___62.5___ (circle) lb. / (Kg) height: ___66____ (circle) (in.) / cm

IV Label:
drug additive

___25____ ml
Thomas Criag, MD 1208 Alberta Drive Rochester, 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 14225 Rx CartiaXT 300 mg Sig: i po qd # 30
Prescription Label:
Rx# 78589 Harry Hugh 5089 Niagara Blvd Buffalo, NY 14225
January 5, 2006

Prescriber Signature X__Thomas Refill:
Criag___
MDD:
Cartia XT 300 mg MFR: Andrx Thomas Criag MD.
# 30
DAW
Dispense as Written
Refill 0 times
Serial #18978TG8
Drug Dispensed:
Exp. 05/2008 Lot # 600G08S1A Please write a BRIEF description of the error/omission (3pts):
Peterson Mineo, MD 6485 Colvin Ave Deprew, 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, NY 14152 Rx Lodine 400 mg Sig: i po bid prn # 60
Prescription Label:
Rx# 124785 Jay Skruski 41 Ford Street Buffalo, NY 14152
February 12, 2007
Take one tablet twice daily as needed

Prescriber Signature X_Peterson Refill: 0
Mineo___
MDD:
Etodolac 400 mg MFR: Apotex Peterson Mineo, MD.
# 60
Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Prescription Label:
DOB: 07/29/59 Date: 07/25/06
Roxanol conc sol Sig: 1 ml po q4h prn # 30 ml ( thirty)
August 25, 2006
Take 1 ml by mouth every 4 hours as needed. Maximum daily dose of 6 ml. Morphine Sulfate Conc 20 mg/ml MFR: Mallinckrodt Jack Hoover, MD Refill 0 times # 30ml
MDD: 6 ml
Jack Hoover ___
Dispense as Written
Serial #F2536K22
Drug Dispensed:
DOB: 12/16/88 Date: 06/01/06
Prescription Label:
Vicktosa Sig: 1.8 mg SC QD # 3 pens
Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda, NY 12339 Inject 1.8mg subcutaneously once daily
June 2, 2006
Lee RPA_
MDD:
Victoza 18mg/3ml pen MFR: Novo Nordisk Shirely Lee, RPA.
#9
Refill 2 times
Dispense as Written
Serial #00TJI258
Drug Dispensed:
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: Greg Adams allergies: Penicillin (anaphylaxis) room: 432B physician: Dr Toboggan, MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Nafcillin 1000mg q6h in 50ml D5W. Infuse over 30min. prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___181_____ (circle) (lb). / Kg height: ___59____ (circle) (in.) / cm

IV Label:
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___

___10____ ml
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora , NY 14228 Rx Hydrocodone/APAP 7.5-750 Sig: i po q4-6h prn # 60 (sixty)
Prescription Label:
May 5, 2005
Take one tablet by mouth every four to six hours as needed. Max of 6 tabs/day
Lynn Marshall __
MDD:6
# 60
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
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:
Rx# 045786 Anthony Olson 214 Miami Road Hamburg, NY 14207 Take one tablet once daily
April 7, 2004
Prescriber Signature X__Richard Refill: 2
Kinsely____
MDD:
Nadolol 40 mg MFR: Mylan Richard Kinsely, MD
# 30
Refill 2 times
Dispense as Written
Serial #M74589359
Drug Dispensed:
Prescription Label:
Pravachol 40 mg Sig: i po hs # 30
Rx# 66803 Sylvia Rappold 3355 Pinewood Dr Great View, NY 14223 Take one tablet at bedtime
February 26, 2007
Andrew McDonald _
MDD:
Pravachol 40 mg MFR: Bristol Myers Squibb co Andrew McDonald, MD.
# 30
Refill 5 times
Dispense as Written
Serial # 896Z5682
Drug Dispensed:
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 # 90
Prescription Label:
Rx# 85522 Melvin Platko 3322 Trentwood Tr Buffalo, NY 14120 Take one table once daily.
September 28, 2006
Cassandra Moninski _
MDD:
# 30
DAW
Dispense as Written
Refill 5 times
Serial #M2539P60
Drug Dispensed:
Ryan Gibson, MD 7877 Hedgewood Drive Naussa, 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 14200 Rx Lioresal 20 mg Sig: i po tid # 90
Prescription Label:
Rx# 233000 Lannie Greene 2233 Woodland Ct Genesee, NY 14200 Take one tablet three times daily.
January 7, 2004
Ryan Gibson __
MDD:3
Baclofen 20 mg MFR: Qualitest Ryan Gibbs, MD.
# 90
Refill 5 times
Dispense as Written
Serial #LL12541256
Drug Dispensed:
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, NY 14043 Rx Lotensin 20 mg Sig: i po daily # 30
Prescription Label:
Rx# 33344 Jacqueline Kerr 6665 Sterling Road Springville, NY 14043 Take one tablet once daily.
June 22, 2006
Prescriber Signature X__Elissa Refill: 6
Hoffmaster___
MDD:
Lotensin 20 mg MFR: Novartis Elissa Hoffmaster, NP.
# 30
Refill 6 times
daw
Dispense as Written
Serial #K8788800
Drug Dispensed:
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, NY 14043 Rx Lioresal 20 mg Sig: i po daily # 30
Prescription Label:
Rx# 33344 Jacqueline Kerr 6665 Sterling Road Springville, NY 14043 Take one tablet once daily.
June 22, 2006
Elissa Hoffmaster __
MDD:
Lotensin 20 mg MFR: Novartis Elissa Hoffmaster, NP.
# 30
Refill 6 times
DAW
Dispense as Written
Serial #K8788800
Drug Dispensed:
Herman Podlewski, MD 858 Delham Ave Kenmore, 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 Nizoral 200 mg Sig: i po daily # 14
Prescriber Signature X_Herman Refill: 0
Prescription Label:
Rx# 50010 Carolyn Ruggerio 333 Candice Ct Buffalo, NY 14222 Take one tablet once daily.
March 8, 2005
Podlewski__
MDD:
Ketoconazole 200 mg MFR: Mutual Herman Podlewski, MD.
# 14
Refill 0 times
Dispense as Written
Serial #L526M254
Drug Dispensed:
Joseph Delucci, DDS 633 Hillcrest Height Dr Clarence, 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 Rx Pen VK 250 mg Sig: I po q 6 h # 40
Prescription Label:
Rx# 20324 Louanne Fayett 2334 Homer Lane Williamsville, NY 14224 Take one tablet every 8 hours
June 25, 2006
Joseph Delucci __
MDD:
Penicillin VK 250 mg MFR: Sandoz Joseph Delucci, DDS
#40
Refill 0 times
Dispense as Written
Serial #GF258768
Drug Dispensed:
Exp. 05/2008 Lot # P526L23 Please write a BRIEF description of the error/omission (3pts):
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

IV Label:
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
___5.48____ ml

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:
March 15, 2006
Prescriber Signature X__Monica Refill: 9
Greenfield___
MDD:
# 30
Refill 9 times
DAW
Dispense as Written
Serial #MK256321
Drug Dispensed:
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:
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
Dispense as Written
Serial #089BF784
Drug Dispensed:
Exp. 11/08 Lot # 146796A Please write a BRIEF description of the error/omission(3pts):
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:
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
Dispense as Written
Serial #1748G15H
Drug Dispensed:
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:
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
Laffler___
MDD:
Azelastine 0.05% MFR: Alcon Gordon Laffler, MD.
#6
Refill 0 times
Dispense as Written
Serial #P1220302
Drug Dispensed:
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:
Rx# 32323 Louis Sarcone 2356 Delaware Ave Amherst, NY 14227 Use as directed.
April 15, 2006
Curt Roche __
MDD:
Humulin R MFR: Lilly Curt Roche, MD.
# 20
Refill 11 times
Dispense as Written
Serial #587LK569
Drug Dispensed:
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:
February 3, 2007
Inject 30 units subcutaneously once daily at bedtime.

Fishman__
MDD:
# 30
Aventis
Refill 3 times
Samuel Fishman, MD.

Dispense as Written
Serial #KM1258T0
Drug Dispensed:
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 po tid prn # 120
Prescription Label:
March 5, 2011
Take 1 tablets by mouth three times daily as needed

Julius Hibbert __
MDD:
Naproxen 500mg MFR: Mylan Julius Hibbert, MD.
# 120
Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
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:
May 10, 2003
Take one tablet twice daily as needed. Maximum daily dose of 2 tablets.
Mark Lee ______

MDD:2
Clonazepam ODT 0.5 mg MFR: Par Pharmaceutical Inc Mark Lee, MD.
# 60
Refill 0 times
Dispense as Written
Serial #089BF784
Drug Dispensed:
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:
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
Refill 4 times
DAW
Dispense as Written
Serial # M1258TU8
Drug Dispensed:
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:
February 13, 2005
Take one tablet twice daily as needed.

Stephen Sigel __
MDD:
Claritin D-12 MFR: Schering-Plough Health Stephen Sigel, MD.
# 30
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):
Prescription Label:
Name: Madelyn Byrne Address: 11 Richmond Ave Getzville, 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, NY 14077 Use as directed
September 28, 2007
Howard Siemer _
MDD:
TobraDex ophthalmic suspension MFR: Alcon Howard Siemer, MD.
# 10
DAW
Dispense as Written
Refill 0 times
Serial #00254HG9
Drug Dispensed:
Terrance Fransco, 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, NY 14787 Rx Imdur 30 mg Sig: i po daily # 30
Prescription Label:
Rx# 89982 Anita Szyklinski 5258 Woodcreek Ln Eggertsville, NY 14787 Take one tablet once daily.
February 11, 2007
Terrance Fransco __
MDD:
Isosorbide DN 30 mg MFR: Par Terrance Fransco, MD.
# 30
Refill 6 times
Dispense as Written
Serial #L8521478
Drug Dispensed:
Peterson Mineo, MD 6485 Colvin Ave Deprew, 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, NY 14152 Rx Spiriva Sig: i puff qd # 30
Prescription Label:
Rx# 124785 Jay Skruski 41 Ford Street Buffalo, NY 14152 Inhale 1 puff by mouth daily
February 12, 2007
Prescriber Signature X_Peterson Refill: 0
Mineo___
MDD:
Spiriva HandiHaler MFR: Pfizer Peterson Mineo, MD.
# 30
Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
UNIVERSITY HOSPITAL

IV Label:
___16.5____ ml

Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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, NY 14080 Rx Triphasil 28 Sig: i po daily # 28
Prescription Label:
Rx# 114573 Deanna Schmidt 5414 Capital Height Gowanda, NY 14080 Take one tablet once daily.
January 3, 2007
Kazmierski_
MDD:
# 28
Refill 11 times
Dispense as Written
Serial #P2258H52
Drug Dispensed:
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:
Rx# 12001 Garris Garvey 3569 Grands Island Blvd Hamburg, NY 14001
February 02, 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
Refill 2 times
Dispense as Written
Serial #123HJ74L
Drug Dispensed:
Exp. 02/2009 Lot # K21452 Please write a BRIEF description of the error/omission(3pts):
George Spencer, 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, NY 14222 Rx Adcirca 20 mg Sig: ii po qd # 60
Prescription Label:
Rx# 200012 Lorenzo Weber 144 Lake Shore Road Buffalo, NY 14222 Take two tablets once daily.
December 12, 2002
Prescriber Signature X_George Refill: 5
Spencer___
MDD:
Adcirca 20mg MFR: United Therapeutics George Spencer, MD.
# 60
Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Jack Hoover, MD Lynn Marshall, 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 , NY 14228 Rx Chantix starter pak Sig: Take as directed # 53 tablets
Prescription Label:
Nicolas Lockard 197 Hartford Road Aurora, NY 14228 Take as directed Chantix Starter Pak
RX #: 66687 March 6, 2007
# 30
Jack Hoover, MD __
MDD:
MFR: Pfizer Jack Hoover, MD Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
John Rousseau, DVM 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:04/28/05 Gatesville, NY 14788 Rx invega 6mg Sig: i po qam # 30
Prescription Label:
April 29, 2005

Rousseau____
MDD:
Invega 6 mg tablets MFR: Janssen John Rousseau, DVM.
# 30
Refill 0 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Exp. 07/2008 Lot # 17485900
Mike Lou, MD 5255 Cobblestone Dr Clarence, 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 11896 Rx Actonel 35 mg Sig: i po q week #4
Prescription Label:
Rx# 529696 Fanny Pruchinewiz 1147 North Forest Road Buffalo, NY 11896 Take 1 tablet by mouth daily Actonel 35 mg
March 12, 2006
#4
Prescriber Signature X___Mike Refill: 6
Lou________
MDD:
MFR:
Procter and Gamble . Refill 6 times
Mike Lou, MD
Serial #125TDEF2
Prescription Label:
Rx# 200012 Lorenzo Weber 144 Lake Shore Road Buffalo, NY 14222 Take one tablet twice daily.
December 12, 2002
Spencer___
MDD:
Adcirca 20mg MFR: United Therapeutics George Spencer, MD.
# 60
Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Peterson Mineo, MD 6485 Colvin Ave Deprew, 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, NY 14152 Rx Lodine 400 mg Sig: i po bid prn
Prescription Label:
February 12, 2007

Peterson Mineo __
MDD:
Etodolac 400 mg MFR: Apotex Peterson Mineo, MD.
# 60
Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Edwin Pizarro, MD 474 Woodcreast Dr Amherst, 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 tramadol 50 mg Sig: i po bid # 60
Prescription Label:
Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster, NY 14141 Take one tablet twice a day
October 19, 2006
Edwin Pizarro __
MDD:
#60
Refill 5 times
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Pauline Davidson, MD 5529 Northtown Raod. E Amherst, 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, 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:
December 25, 2006
Take one tablet every 6 hours as needed . Maximum daily dose of 4 tablets Oxycodone/APAP 7.5/325 mg
MDD:4
Pauline Davidson _
# 120
MFR: Mallinckrodt Pauline Davidson, MD. Refill 0 times
Dispense as Written
Serial #LK859967
Drug Dispensed:
Jack Hoover, MD Lynn Marshall, 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:05/05/05 Aurora , NY 14228 Rx Doxepin 100 mg Sig: i po daily # 30
Prescription Label:
Rx# 66698 Nicolas Lockard 197 Hartford Road Aurora, NY 14228 Take one capsule once daily. Doxepin 100 mg
May 5, 2005
# 30
Lynn Marshall __
MDD:
MFR: Par Lynn Marshall, RPA. Refill 3 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
John Rousseau, MD 789 Walden Ave, Suite 120 Cheektowaga, 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, NY 14788 Rx Androgel Sig: apply 10g QD # 2 pumps (two)
Prescription Label:
Rx# 32535 Sly Stallone 1125 Mineral Spring Road Gatesville, NY 14788 Apply 10 grams once daily
April 29, 2005
Prescriber Signature X__John Refill:1 (one)
Rousseau____
MDD:10
Androgel 1% MFR: Abbott John Rousseau, MD.
# 150
Refill 1 times
Dispense as Written
Serial #14415L78
Drug Dispensed:
Prescription Label:
May 9, 2003
Prescriber Signature X_Kenneth Refill: 3
Taung_____
MDD:
Felodipine ER 10 mg MFR: Mutual Pharmaceutical Co Kenneth Taung, MD.
# 30
Refill 3 times
Dispense as Written
Serial #ZU28569M
Drug Dispensed:
William Zaklikowski, MD 896 Tonawanda Cheek Road E. Amherst, 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, NY 11446 Rx NTG 0.1 mg patch Sig: apply qd as directed # 30
Prescription Label:
Rx# 0445686 Crawford Robinson 876 Vermont Street Buffalo, NY 11446 Apply patch daily as directed
December 12, 2005
Prescriber Signature X__William Refill: 5
Zaklikowski_
MDD:
Nitroglycerin transdermal patch 0.1 mg MFR: Mylan William Zaklikowski MD.
# 30
Refill 5 times
Dispense as Written
Serial #12548T23
Drug Dispensed:
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 Pradaxa 150mg Sig: 1 cap po BID # 60
Prescription Label:
February 3, 2007
Take one capsule by mouth twice daily

Fishman__
MDD:
# 60
MFR: Boehringer Ingelheim Pharmaceuticals Inc Samantha Fisher, MD. Refill 5 times
Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Stephan Leid ,MD Lic# 125896 DEA AL5121584 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, NY 14444 Rx
Prescription Label:
Zocor 5 mg Sig: i po qd # 30
July 29, 2006
prescriber Signature X_ Refill: 5
Kevin William__
MDD:
Cozaar 25 mg MFR: Teva Kevin William, RPA.
# 30
Refill 5 times
DAW
Dispense as Written
Serial #8985YI123
Drug Dispensed:
Exp. 02/2008 Lot # A12589L Please write a BRIEF description of the error/omission(3pts):
Shirley Cummings, MD 7845 Sheepshead Bay Buffalo, 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 Rx
Prescription Label:
Quinidine gluconate ER 324 mg Sig: i po q8h # 90 Shirley Cummings _

MDD:
Rx# 90016 Cirillo Roth 8005 Monroe Ave Amherst, NY 14720 Take one tablet every 8 hours. Quinidine gluconate ER 324 mg
July 19, 2006
# 90
MFR: Mutual Pharmaceutical Co Shirley Cummings, MD. Refill 1 times
DAW
Dispense as Written
Drug Dispensed:
Serial #G2584K23
Nicole Bissonette, NP 7895 West 4th Street New York, 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, NY 14007 Rx Risperdal 1 mg Sig: i po bid # 60
Prescription Label:
March 24, 2006
Prescriber Signature X_Nicole Refill: 3
Bissonette__
MDD:
Risperdal 1 mg MFR: Janssen Nicole Bissonette, NP.
# 60
DAW
Dispense as Written
Refill 3 times
Serial #9K25Z237
Drug Dispensed:
Prescription Label:
Rx# 200012 Lorenzo Weber 144 Lake Shore Road Buffalo, NY 14222 Take two tablets once daily.
December 12, 2002
Spencer___
MDD:
Cialis 20mg MFR: Eli Lilly George Spencer, MD.
# 60
Refill 5 times
Dispense as Written
Serial #1258U233
Drug Dispensed:
Julius Hibbert, MD weight: 10kg Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Milhouse Van Houten DOB: 1/29/2010 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx Ibuprofen 50mg/1.25ml Sig: 1.5tsp q6-8h prn # 60ml
Prescription Label:
March 5, 2011
Take one and one half teaspoonfuls by mouth every 68hours as needed
Julius Hibbert __
MDD:
Ibuprofen 50mg/1.25ml MFR: American Fare Julius Hibbert, MD.
# 60
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Esther Tredinnick, 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, NY 14002 Rx Amoxicillin 250/5ml Sig: 10ml po q12h x10days # 10 days supply Rx# 56007 Carmen Ussery 5050 Madaline Ln Williamsville, NY 14002 Feb 28, 2011
Prescription Label:
Take two teaspoonfuls by mouth every 12 hours for 10 days

Tredinnick_
MDD:
# 200
Refill 0 times
Dispense as Written
Serial #C2538M27
Drug Dispensed:
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 Advair 250/50 Sig: 1 puff BID # 1 inhaler
Prescription Label:
Rx# 120236 Yasminda Kim 101 Waterview Road Hamburg, NY 11487 Inhale 1 puff by mouth twice daily
December 12, 2006
Rousseau____
MDD:
Advair 250/50 MFR: GSK
# 60
John Rousseau, MD.

Dispense as Written
Refill 2 times
Serial #12258OP8
Drug Dispensed:
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 100U/ml Sig: inj 20U sc bid-qid ac # 20
Prescription Label:
February 3, 2007
Inject 20 units subcutaneously 2-4 times daily before meals.

Fishman__
MDD:
# 20
Aventis
Refill 3 times
Samuel Fishman, MD.

Dispense as Written
Serial #KM1258T0
Drug Dispensed:
Vincent Patterson, 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, NY 14222 Rx Guanfacine 2 mg Sig: i po qhs # 30
Prescription Label:
Rx# 415885 Minnie Radish 700 Castlebrooke Ln Angola, NY 14222 Take one tablet at bedtime daily
June 27, 2003
Prescriber Signature X_Vincent Refill: 0
Patterson___
MDD:
# 30
Refill 0 times
Dispense as Written
Serial #L1458K879
Drug Dispensed:
Jonathan Mallozzi 99 Brookside Ave S Wale, 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 Rx Levobunolol 0.5% Sig: i gtt ou daily # 10
Prescription Label:
February 8, 2006
Instill one drop to both eyes once daily

Jonathan Mallozzi _
MDD:
Levobunolol 0.5% MFR: Falcon Jonathan Mallozzi, MD
# 10
Refill 6 times
Dispense as Written
Serial #T7874899
Drug Dispensed:
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, NY 14000 Rx Librium 10 mg Sig: i po tid #90 ( ninety)
Prescription Label:
April 1, 2006
Prescriber Signature X_Paulette Refill: 0 ( zero)
Kohler__
MDD:
Chlordiazepoxide 10 mg MFR: Par Paulette Kohler, MD.
# 90
Refill 0 times
Dispense as Written
Serial #P12588965
Drug Dispensed:
Exp. 04/2008 Lot #U125482 Please write a BRIEF description of the error/omission (3pts):
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 Depakote 500 mg Sig: i po q12h # 60
Prescription Label:
Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna, NY 14034 Take one tablet every 12 hours
February 8, 2003
Lou___
MDD:
Depakote 500 mg MFR: Apothecon Mike Lou, MD.
# 60
Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
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 Cytotec 200 mcg Sig: i po qid # 120
Prescription Label:
Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island, NY 14072 Take one tablet four times daily.
February 26, 2006
Prescriber Signature X___Steven Refill: 1
Hung_____
MDD:
Misoprostol 200 mcg MFR: Greenstone Steven Hung, MD.
# 120
Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
Karen Douglas, DO 190 E Robinson Road Lancaster, 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 Rx DynaCirc 5 mg Sig: i po daily # 30
Prescription Label:
Rx# 32541 David McPhea 747 Athens Blvd Arkron, NY 14001 Take one capsule once daily
December 27, 2003
Karen Douglas _
MDD:1
DynaCirc CR 5 mg MFR: Reliant Karen Douglas, DO.
# 30
Refill 0 times
DAW
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Jackson Hundson, 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, NY 14042 Rx Eurax Cr. Sig: A UD # 60 g
Prescription Label:
January 14, 2007
Hundson___
MDD:
Eurax Cream MFR: Bristol MyersSquibb Jackson Hundson, MD.
# 60g
Refill 1 time
Dispense as Written
Serial #7482L748
Drug Dispensed:
Prescription Label:
Eurax Cr. Sig: A UD # trade size
January 14, 2007
Jackson Hundson _
MDD:
Efudex Cream MFR: Valeant Pharmaceuticals Jackson Hundson, MD.
# 40
Refill 1 time
Dispense as Written
Serial #7482L748
Drug Dispensed:
Exp.10/2010 Lot # G145879 Please write a BRIEF description of the error/omission (3pts):
Julius Hibbert, MD Lic# 125898 DEA BH1414250 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Franny Grimes DOB: 1/29/1955 Address:197 Hartford Road Date:03/05/11 Aurora , NY 14228 Rx Vit B 12 1000mcg/ml Sig: inj im 100mcg qd for 1 wk, then 100mcg biw for 2 wks, then 200mcg q month # 10
Prescription Label:
Rx# 66698 Franny Grimes 197 Hartford Road Aurora, NY 14228
March 5, 2011
Inject 0.1ml intramuscularly once daily for 1 week, then inject 0.1ml intramuscularly twice daily for 2 weeks, then inject 0.2ml intramuscularly once a month. Cyanocobalamin 1000mcg/ml # 10
Julius Hibbert __
MDD:
MFR: American Regent Julius Hibbert, MD. Refill 1 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Elaine Knell, MD 2536 Rosewood Ave Lancaster, 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 Rx Vimpat 100mg Sig: i po bid # 60 (sixty)
Prescription Label:
July 27, 2005
Prescriber Signature X__Elaine Refill: 6 (six)
Knell__
MDD:2
Vimpat 100mg MFR: UCB Inc Elaine Knell, MD.
#60
Refill 6 times
Dispense as Written
Serial #P21352147
Drug Dispensed:
Melvin Barren, 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:
January 31, 2007
Prescriber Signature X__Melvin Refill: 1
Barren__
MDD:
# 30
DAW
Dispense as Written
Refill 1 time
Serial #2358P258
Drug Dispensed:
Alfredo Gallagher, NP 878 Sweet Home Road Lancaster, 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 Rx Nifedical XL 30 mg Sig: i po daily # 30
Prescription Label:
Rx# 234512 Herbert Rayford 8080 Beaumont Drive Hamburg, NY 14280 Take one tablet once daily.
October 14, 2006
Prescriber Signature X__Alfredo Refill: 6
Gallagher___
MDD:
Nifedical XL 30 mg MFR: Teva Alfredo Gallagher, NP.
# 30
DAW
Dispense as Written
Refill 6 times
Serial #H22563M6
Drug Dispensed:
Prescription Label:
February 3, 2006
Charlotte Thompson _
MDD:
Methotrexate 2.5 mg MFR: Barr Charlotte Thompson, MD.
# 16
Refill 3 times
Dispense as Written
Serial #U1258L25
Drug Dispensed:
Exp. 01/2006 Lot #K1254100 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Name: Becky Albrecht Address: 89 Castlewood Place Angola, 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, NY 14222
March 30, 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, RPA Refill 0 times
Dispense as Written
Serial #2356K569
Drug Dispensed:
Karen Douglas, DO 190 E Robinson Road Lancaster, 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 Rx Mycolog II cream Sig: apply as directed # 30 g
Prescription Label:
December 27, 2003
Douglas___
MDD:
Nystatin/Triamcinolone Cream MFR: fougera Karen Douglas, DO.
# 30 g
Refill 0 times
Dispense as Written
Serial #17854KH7
Drug Dispensed:
Brain Baksh, MD 2455 Wehrle Dr Amherst, 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 # 100
Prescription Label:
Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. Seneca, NY 14215 Take one capsule four times a day.
January 1, 2007
Prescriber Signature X_Brian Refill: 1
Baksh________
MDD:
Dantrolene 50 mg MFR: Amide Brain Baksh, MD.
# 100
Refill 1 time
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Exp. 03/2009 Lot # L12488H Please write a BRIEF description of the error/omission (3pts):
Brain Baksh, MD 2455 Wehrle Dr Amherst, 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 14215 Rx
Prescription Label:
Dantrium 200 mg
Sig: i po tid
# 90
Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. Seneca, NY 14215 Take one capsule three times a day.
January 1, 2007
Brian Baksh __
MDD:
Danazol 200 mg MFR: Barr Brain Baksh MD.
# 90
Refill 1 time
DAW
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Exp. 03/2009 Lot # K1245M Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Azmacort inhaler Sig: 2 sprays 3-4 times a day # 1 inhaler
Rx# 223326 Donald Parker 1133 Pershing Ave Kenmore, NY 11489
February 1, 2006
Inhale 2 puffs by mouth 3-4 times a day
Prescriber Signature X__William Refill: 2
Zaklikowski_
MDD:
Azmacort MFR: Abbott William Zaklikowski, MD.
#20g
Refill 2 times
Dispense as Written
Serial #K1242156
Drug Dispensed:
Name: Dorothy Love Address: 741 Union Square Amherst, NY 14216 Rx Clorazepate 7.5 mg Sig: i po bid prn # 60
DOB: 06/17/77 Date: 05/10/03
Prescription Label:
May 10, 2003
Take one tablet twice daily as needed. Maximum daily dose of 2 tablets.
Mark Lee______
MDD:2
Clonazepam 0.5 mg MFR: Teva Mark Lee, MD.
# 60
Refill 0 times
Dispense as Written
Serial #089BF784
Drug Dispensed:
Exp. 11/08 Lot # 146796A Please write a BRIEF description of the error/omission(3pts):
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 Xopenex Solution 0l.31 mg Sig: i vial q6h # 1 box
Prescription Label:
February 8, 2003
Inhale one vial via nebulizer every 6 hours

Lou___
MDD:
Xopenex 0.31 mg Nebulizer Solution MFR: Sepracor Mike Lou, MD.
# 72ml
Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
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: Eric Johnson, Jr allergies: NKA room: 221A physician: Dr Toboggan, MD date of birth: __03_/_12__/_11__ serum creatinine: ___1.0____mg/dl 3/15/11 0730 Vancomycin 15mg/kg/dose q8h in 50ml NS. Infuse over 1 hour. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___7.5___ (circle) (lb.) / Kg height: ___22____ (circle) (in.) / cm

IV Label:
Pharmacy Sterile Product Service IV Label Patient Name: Eric Johnson , 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: __2.15mg/ml__ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___
___2.25____ ml
___113_____ mg Administration Rate__52___ ml/hr diluent for drug reconstitution

Stephen Sigel, DDS 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 Serevent diskus Sig: i puff BID #1
Prescription Label:
Rx# 78787 Shirley Grace 148 Stuart Street Orchard Park, NY 14141 Inhale 1 puff by mouth twice a day.
February 13, 2005
Prescriber Signature X__Stephen Refill: 5
Sigel_____
MDD:
Serevent diskus MFR: GSK Stephen Sigel, DDS.
# 60
Refill 5 times
Dispense as Written
Serial #128PR124
Drug Dispensed:
Prescription Label:
Lidoderm Patches
Sig: apply 1 patch qd # 30
Rx# 001236 Ronnie Mitrowski 756 Symmon Road Bronx, NY 12370 Take one tablet once daily.
February 13, 2007
Jack Hoover, MD ___

MDD:
Lidoderm 5% patch MFR: Endo Jack Hoover, MD.
# 30
Refill 6 times
Dispense as Written
Serial #K1258TU8
Drug Dispensed:
Prescription Label:
February 8, 2007
Goslinski____
MDD:
Tamsulosin 0.4 mg MFG: Actavis Charles Goslinski, DO.
# 30
Refill 5 times
Dispense as Written
Drug Dispensed:
Dean Potter, MD 456 Ashland Ave Buffalo, 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, NY 14433 Rx Mirapex 0.25 mg Sig: i po TID #7
Prescription Label:
Rx# 55474 Norma Hess 999 Somerville Ave Eden, NY 14433
January 14, 2006
Take one tablet by mouth three times daily. Maximum daily dose of 2 tablets.
Prescriber Signature X__Dean Refill: 0
Potter___
MDD:2
Mirapex 0.25 mg MFR: Boehringer Dean Potter, MD.
#7
DAW
Dispense as Written
Refill 0 times
Serial #1221E125
Drug Dispensed:
Stephan Leid, MD Lic# 125896 DEA AL5121584 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: 02/28/07 Cheektowaga, NY 14444 Rx Zocor 20 mg Sig: i po qd # 30
Prescription Label:
February 28, 2007
Kevin William __
MDD:
Simvastatin 20 mg MFR: Teva Kevin William, RPA.
# 30
Refill 5 times
Dispense as Written
Serial #8985YI123
Drug Dispensed:
Exp. 02/2007 Lot # A12589L Please write a BRIEF description of the error/omission(3pts):
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: Eric Johnson allergies: NKA room: 21A physician: Dr Toboggan, MD date of birth: __04_/_30__/_79__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Vancomycin 10mg/kg/dose q12h in 100ml NS. Infuse at 10mg/min. Prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___125___ (circle) (lb.) / Kg height: ___66____ (circle) (in.) / cm

IV Label:
drug additive

___25____ ml
Peterson Mineo, MD 6485 Colvin Ave Deprew, 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, NY 14152 Rx Lodine 30 mg Sig: i po bid prn # 60
Prescription Label:
January 2, 2007

Peterson Mineo ___

MDD:
Codeine 30 mg MFR: Roxane Peterson Mineo, MD.
# 60
Refill 0 times
Dispense as Written
Serial #K0001257
Drug Dispensed:
Edwin Pizarro, MD 474 Woodcreast Dr Amherst, 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:
Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster, NY 14141 Take one tablet once daily.
October, 19 2006
Edwin Pizarro __
MDD:
Amitriptyline 10 mg MFR: Qualitest Edwin Pizarro, MD.
#60
Refill 5 times
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Prescription Label:
Rx# 22568 Addie Bibbs 856 Circle Lane N. Tonawanda, NY 14477 Take one tablet once daily.
May 8, 2006
Prescriber Signature X__Colleen Refill: 8
Battagelia___
MDD:
# 30
Refill 8 times
Dispense as Written
Serial #1748EE74
Drug Dispensed:
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 # 30
Prescription Label:
Rx# 300125 Randolph Harding 5236 Southern Blvd Grand Island, NY 14072 Take one tablet by mouth daily
February 26, 2006
Prescriber Signature X___Steven Refill: 1
Hung_____
MDD:
Zetia 10 mg tablets MFR: Merck Steven Hung, MD.
# 30
Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
Richard Zakrajesek, MD 5899 Sweet Home Road E Amherst, 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 14000 Rx
Prescription Label:
Imuran 50 mg Sig: i po hs # 30
Rx# 147857 Lucile Camelleri 678 Lafayette Ave Depew, NY 14000 Take one tablet at bedtime.
April 15, 2005
Richard Zakrajesk _
MDD:
Tenormin 50 mg MFR: AstraZeneca Richard Zakrajesk, MD.
# 30
Refill 0 times

Serial #1257UY74
Drug Dispensed:
Prescription Label:
Rx# 20303 Jimmy Clark 606 Oakwood Drive N Evans, NY 14070 Take one tablet at bedtime
May 7, 2004
Prescriber Signature X_Mark Refill: 3
Flinchbaguh___
MDD:
Desipramine 100 mg MFR: Sandoz Mark Flinchbaguh, MD.
# 30
Refill 3 times
Dispense as Written
Serial #1875JK12
Drug Dispensed:
Exp. 02/2006 Lot # 1LK71102 Please write a BRIEF description of the error/omission (3pts):
Prescription Label:
Rx# 20303 Jimmy Clark 606 Oakwood Drive N Evans, NY 14070 Take one tablet at bedtime Imipramine 25 mg
May 7, 2004
# 30
Mark Flinchbaguh _
MDD:
MFR: Amide Mark Flinchbaguh, MD. Refill 3 times
Drug Dispensed:
Dispense as Written
Serial #1875JK12
Mark Flinchbaguh, MD 74 Quail Hollow Lane E Amherst, NY 17895 716-666-6669 Lic# 174895 Name: Beverly Feasley Address:7874 Bellwood Ln Clarence, 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:
February 16, 2007
Take one teaspoonful every 6 hours as needed for cough. Maximum daily dose of 4 teaspoonfuls.
Prescriber Signature X Refill: 0 zero
Mark Flinchbaguh_
MDD: 20 cc
# 150
Refill 0 times
Dispense as Written
Serial #1K2348M5
Drug Dispensed:
Tommy Reed, MD 85 Grand Street Lockport, NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Maria Sunstrum DOB: 12/26/52 Address:4555 Eggert Road Date:05/31/05 Lockport, NY 14589 Rx Premarin 0.45 mg Sig: i po daily # 30
Prescription Label:
Rx# 66807 Maria Sunstrum 4555 Eggert Road Lockport, NY 14589 Take one tablet once daily.
May 31, 2005
Tommy Reed ___

MDD:
Premarin 0.45 mg MFR: Wyeth Pharmaceuticals Tommy Reed, MD.
# 30
Refill 5 times
Dispense as Written
Serial #M25693K45
Drug Dispensed:
Salvatore Bruce, MD 123 Abbott Road N. Tonawanda, 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, 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. K-Phos Original
Prescription Label:
Rx# 89877 Colleen Bell 2356 Knollwood Dr Eden, NY 14225
March 8, 2006
# 120
Salvatore Bruce __
MDD:
MFR: Beach Salvatore Bruce, MD. Refill 0 times
DAW
Dispense as Written
Serial #K2541458
Drug Dispensed:
Prescription Label:
Name: Angelina Ferris Address: 5000 Sunrise Blvd Akron, NY 14217 Rx Lamictal 200 mg Sig: i po daily # 30
DOB: 08/22/71 Date: 06/23/03
June 23, 2003
Prescriber Signature X_Herbert Refill: 0
Dombrowski_
MDD:
Lamictal 200 mg MFR: GlaxoSmithKline Herbert Dombrowski, MD.
# 30
DAW
Dispense as Written
Refill 0 times
Serial #D125T235
Drug Dispensed:
UNIVERSITY HOSPITAL
Dr. Toboggan, MD

IV Label:
drug additive
___25.2____ ml

Frederick Morris, MD 745 Glenwood Ave Sardnia, NY 14033 716-877-5777 DEA AM415147 Name: Jefferson Eleanor DOB: 05/24/66 Address:5685 Sundown Tr Date:06/28/04 Clarence, NY 14443 Rx Lopid 600 mg Sig: i po bid # 60
Prescription Label:
Rx# 23323 Jefferson Eleanor 5685 Sundown Tr Clarence, NY 14443 Take one tablet twice daily.
June 28, 2004
Frederick Morris _
MDD:
Gemfibrozil 600 mg MFR: Teva Frederick Morris, MD.
# 60
Refill 11 times
Dispense as Written
Serial #Z258M568
Drug Dispensed:
Floyd Olszak, MD 2225 Blossom Lane Depew, 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, NY 14222 Rx Levbid 0.375 mg Sig: i po bid # 60
Prescription Label:
Rx# 336633 Doris Eldridge 7700 Columbus Pkwy Hamburg, NY 14222
March 12, 2007
Take one capsule by mouth twice a day.

Prescriber Signature X_Floyd Refill: 2
Olszak____
MDD:
Hyoscyamine ER 0.375 mg MFR: Ethex Floyd Olszak, MD.
# 60
Refill 2 times
Dispense as Written
Serial #P2358743
Drug Dispensed:
Floyd Olszak, MD 2225 Blossom Lane Depew, 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, NY 14222 Rx
Prescription Label:
Lorabid
Sig: i po tid # 30
Rx# 336633 Doris Eldridge 7700 Columbus Pkwy Hamburg, NY 14222 Take one capsule three times a day.
March 12, 2007
Floyd Olszak ___

MDD:
Hyoscamine ER 0.375 mg MFR: Ethex Floyd Olszak, MD.
# 30
Refill 2 times
DAW
Dispense as Written
Serial #P2358743
Drug Dispensed:
1245 Ocean Ave, Suite 290 Amherst, 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 Lisinopril 10 mg Sig: i po qd # 30 Atenolol 50mg Sig: i po qd #30
Rx# 90015 Frank Barrett 8888 Michigan Ave Buffalo, NY 14200 Take one tablet once daily. Lisinopril 10 mg MFR: Mylan Victoria Flemming MD.
November 25, 2006
# 30
Refill 3 times
Phone: 716-555-5555
Flemming__
MDD:
Dispense as Written
Serial #W2538Y25
Drugs Dispensed:
Rx# 90016 Frank Barrett 8888 Michigan Ave Buffalo, NY 14200 Take one tablet once daily. Atenolol 100 mg MFR: Sandoz Victoria Flemming MD.
November 25, 2006
# 30
Refill 3 times
Prescription Label:
Flonase Sig: 2 spray each nostril qd #1
October 13, 2006

Prescriber Signature X_Mark Refill: 0
Flinchbaguh____
MDD:
Fluticasone nasal spray MFR: Roxane Mark Flinchbaguh, MD.
# 16 g
Refill 0 times
Dispense as Written
Serial #1458LL89
Drug Dispensed:
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 Fosamax 70 mg Sig: i poqweek # 1 month
Prescription Label:
Rx# 696987 Edward Osoki 6900 Nashua Road Long Island, NY 17789 Take one tablet once weekly
September 23, 2006
Paul Flicinski ___

MDD:
Fosamax 70 mg MFR: Merck Paul Flicinski, MD.
#4
DAW DAW Dispense as Written
Refill 5 times
Serial #11253LP8
Drug Dispensed:
Prescription Label:
Name: Scott Fenigstein Address: 718 Wedgewood Dr Springville, 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, 2006
#30
Lee______
MDD:1
MFR: Teva Mark Lee, MD. Refill 2 times
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Shirely Cunnigham 7845 Grand Street Williamsville, 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:
Cyclobenzaprine 5 mg Sig: i po tid prn # 90
Rx# 11245 Frank Mumham 5668 Highland Street Kenmore, NY 14217
February 14, 2007
Take one tablet three times a day if needed

Shirley Cunnigham _
MDD:
Cyproheptadine 4 mg MFR: Mylan Shirely Cunnighma, MD.
# 90
Refill 1 times
Dispense as Written
Serial #T12589M1
Drug Dispensed:
Exp. 05/2009 Lot # 7A12589 Please write a BRIEF description of the error/omission (3pts):
Jonathan Mallozzi, DO 99 Brookside Ave S Wale, 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 14207 Rx Ampyra 10 mg ER Sig: i po bid # 60
Prescription Label:
August 8, 2006

Mallozzi____
MDD:
Ampyra 10 mg MFR: Global Jonathan Mallozzi, DO.
# 60
Refill 0 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Prescription Label:
April 5, 2005
Prescriber Signature X_Joyce Refill: 5
Campenella____
MDD:
Prograf 0.5 mg MFR: Asteilas Joyce Campanella, MD.
# 60
DAW
Dispense as Written
Refill 5 times
Serial #1145J569
Drug Dispensed:
Prescription Label:
Bactroban 2% ointment Sig: AAA TID #30 g

Rx# 23456 Jean Horton 500 Main Street, Buffalo, NY 14235
May 22, 2006
Apply to affected area three times daily
Thomas Grands___
MDD:
Mupirocin 2% Ointment MFR: Teva Dr. Thomas Grands
#22 g
Refill 1 times
Dispense as Written
Serial #125L65K6
Drug Dispensed:
Prescription Label:
DOB: 08/28/43 Date: 08/01/06
Rx# 45145 Scott Fenigstein 718 Wedgewood Dr Springville, NY 14212 Take one tablet at bedtime Desipramine 100 mg
August 1, 2006
#30
Mark Lee _____

MDD:
MFR: Sandoz Mark Lee, MD. Refill 2 times
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Jackson Hundson, 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, NY 14042 Rx januvia 100 mg Sig: 1 po qd #30
Prescription Label:
Rx# 77777 Jeremy Paneinto 805 Mapleview Road Buffalo, NY 14042 Take 1 tablet by mouth daily
January 14, 2007
Hundson___
MDD:
Januvia 100 mg MFR: Merck and CO Jackson Hundson, MD.
# 30
Refill 1 time
Dispense as Written
Serial #7482L748
Drug Dispensed:
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:
Rx# 441444 Kristen Paralato 6253 Auburn Ave Akron, NY 14004 Inject as directed
February 18, 2007
Steven Johnson__
MDD:4
Levemir MFR: Novo nordisk Steven Johnson, MD.
# 10 ml
Refill 1 time
Dispense as Written
Serial #74158987
Drug Dispensed:
Edwin Pizarro, MD 474 Woodcreast Dr Amherst, 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
Prescription Label:
Ultram 50 mg
Sig: i po bid # 60
Rx# 11474 Andrew Reichert 5556 Cottonwood Dr Lancaster, NY 14141 Take one capsule twice daily.
October 19, 2006
Edwin Pizarro ___

MDD:
#60
Refill 5 times
Dispense as Written
Serial #Z4158P85
Drug Dispensed:
Name: Anthony Olson Address: 214 Miami Road Hamburg, NY14207 Rx
DOB: 04/17/32 Date: 04/07/04
Prescription Label:
Cognex 40 mg Sig: i po daily # 30
April 7, 2004
Richard Kinsely _
MDD:
# 30
Refill 2 times
Dispense as Written
Serial #M74589359
Drug Dispensed:
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 Metolazone 5 mg Sig: i po daily # 30
Prescription Label:
July 8, 2006
Clifford Bookbinder_
MDD:
Metolazone 5 mg MFR: Mylan Clifford Bookbinder, DO.
# 30
Refill 6 times
Dispense as Written
Serial #L2536Z00
Drug Dispensed:
Prescription Label:
February 8, 2006

Cross____
MDD:
Amturnide 300mg/10mg/25mg MFR: Novartis Chester Cross, MD.
# 30
Refill 5 times
Dispense as Written
Serial #Z2578456
Drug Dispensed:
Prescription Label:
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, 2006
#30
Mark Lee ______

MDD:
MFR: Teva Mark Lein, MD. Refill 2 times
Dispense as Written
Serial #0147RE12
Drug Dispensed:
Terrance Fransco, DO 7877 Easton Ave New York, 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 1 mg Sig: i po daily # 30
Prescription Label:
Rx# 78789 Pauline Gizzo 4808 E Utica Ave New York, NY 11250 Take one tablet once daily.
February 9, 2007
Prescriber Signature X___Terrance Refill: 11
Fransco___
MDD:
Detrol 1 mg MFR: Pfizer Terrance Fransco, DO.
# 30
Refill 11 times
Dispense as Written
Serial #178238W7
Drug Dispensed:
Thomas Criag, DVM 1208 Alberta Drive Rochester, 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 14225 Rx CartiaXT 300 mg Sig: i po qd # 30
Prescription Label:
January 5, 2006

Thomas Criag __
MDD:
Cartia XT 300 mg MFR: Andrx Thomas Criag DVM.
# 30
DAW DAW
Dispense as Written
Refill 0 times
Serial #18978TG8
Drug Dispensed:
Exp. 05/2008 Lot # 600G08S1A Please write a BRIEF description of the error/omission (3pts):
Claudia Fong, NP 8116 Warren Ave Buffalo, 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. Seneca, NY 14150 Rx Estratest Sig: i po daily # 30
Prescription Label:
July, 15 2005
Claudia Fong __
MDD:
Estratest MFR: Solvay Pharmacetuicals Claudia Fong, MD.
# 30
DAW DAW
Dispense as Written
Refill 6 times
Serial #ZZ147852
Drug Dispensed:
Prescription Label:
August 10, 2004
Take one to two capsules every 4 hours as needed, maximum daily dose of 6.
Prescriber Signature X_Patrick Refill: 5 ( five)
Wosinki_____
MDD: 6
Buta/ASA/Caffeine 50/325/40 mg MFR: Lannett Patrick Wosinki, MD.
# 120
Refill 5 times
Dispense as Written
Serial #Z98556874
Drug Dispensed:
Prescription Label:
August 10, 2004
Patrick Wosinki __
MDD: 6
Take one to two capsules every 4 hours as needed, maximum daily dose of 6. Buta/APAP/Caffeine 50/325/40 mg MFR: Qualitest Patrick Wosinki, MD. Refill 5 times # 120
Dispense as Written
Serial #Z98556874
Drug Dispensed:
Exp. 01/2007 Lot # C0070906A Please write a BRIEF description of the error/omission (3pts):
Terrance Fransco, DO 7877 Easton Ave New York, 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:
Rx# 78789 Pauline Gizzo 4808 E Utica Ave New York, NY 11250 Take one tablet once daily.
February 9, 2007
Terrance Fransco __
MDD:
Detrol 2 mg MFR: Pfizer Terrance Fransco, DO.
# 30
Refill 11 times
Dispense as Written
Serial #178238W7
Drug Dispensed:
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 Cipro 500mg Sig: ii po tid x 7 days # 42
Prescription Label:
March 9, 2011
Take two tablets by mouth three times daily for 7 days.

Brower_____
MDD:
Ciprofloxacin 500mg MFR: Aurobindo Suzanne Brower, MD.
#42
Refill 0 times
Dispense as Written
Serial #568LK236
Drug Dispensed:
Rosemary Kazmierski, NP 4458 Thompson Raod Colden, 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 Rx
Prescription Label:
dicyclomine 20 mg Sig: 1 qid # 120
Rx# 78412 Adrian Kobrins 78 Applewood Road Angola, NY 14086 Take one tablet four times daily
July 13, 2005
Rosemary Kazmierski __
MDD:
Dicylcomine 20 mg tablets MFR: Mylan Rosemary Kazmierski, NP.
# 120
Refill times
Dispense as Written
Serial #741578M8
Drug Dispensed:
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-Cept Sig: i po daily # 28
Prescription Label:
March 3, 2006
Prescriber Signature X_Stanley Refill: 11
Kaiser____
MDD:
Solia MFR: Prasco Stanley Kaiser, MD.
# 28
Refill 11 times
Dispense as Written
Serial #Y2587M58
Drug Dispensed:
Exp. 05/2009 Lot # TT2325 Please write a BRIEF description of the error/omission (3pts):
Stephen Sigel, MD 789 Ward Street Lancaster, 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, NY 14778 Rx Singulair 10 mg Sig: i po daily
Prescription Label:
Rx# 114566 Tabatha Sanford 7787 Brown Hill Road Springville, NY 14778 Take one tablet once daily
March 25, 2005
Stephen Sigel __
MDD:
Singulair 10 mg MFR: Merck and Co Inc Stephen Sigel MD.
# 30
Refill 5 times
Dispense as Written
Serial #230L25M6
Drug Dispensed:
Prescription Label:
Name: Carolina Belanger Address: 6677 Stony Point Rd W. Seneca, 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. Seneca, NY 14222 Use as directed Imitrex 50 mg
September 17, 2006
#9
Prescriber Signature X__Kevin Refill: 3
William__
MDD:
Dispense as Written
Serial #25P352H5
Drug Dispensed:
Exp. 09/2008 Lot # L25631K Please write a BRIEF description of the error/omission(3pts):
Rosemary Kazmierski, DPM 4458 Thompson Raod Colden, 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 Rx Paxil 10mg Sig: i po qd # 30
Prescription Label:
Rx# 78412 Adrian Kobrins 78 Applewood Road Angola, NY 14086
July 13, 2005

Kazmierski__
MDD:
Paroxetine 10mg MFR: Aurobindo Rosemary Kazmierski, DPM
# 30
Refill 2 times
Dispense as Written
Serial #741578M8
Drug Dispensed:
Alfredo Gallagher, NP 878 Sweet Home Road Lancaster, 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 14127 Rx Lanoxin 250 mcg Sig: i po daily # 30
Prescription Label:
September 16, 2006
Alfredo Gallagher
MDD:
Lanoxin 250 mg MFR: GlaxoSmithKline Alfredo Gallagher, NP.
# 30
Refill 6 times
DAW
Dispense as Written
Serial #P2315248
Drug Dispensed:
Prescription Label:
DOB: 08/28/43 Date: 02/20/11
February 21, 2011
Lee______
MDD:
#8.5 g
Refill 2 times
Dispense as Written
Serial #0147RE12
Drug Dispensed:
UNIVERSITY HOSPITAL

IV Label:
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
___16.5____ ml

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:
Rx# 90012 Amy Centino 239 Battle Ave Buffalo, NY 14334 Take one tablet twice daily.
July 9, 2006
Richard Zakrajesek
MDD:
# 60
Refill 1 time
Dispense as Written
Serial #3636K258
Drug Dispensed:
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: Greg Adams allergies: Penicillin (anaphylaxis) room: 432B physician: Dr Toboggan, MD date of birth: __04_/_30__/_69__ serum creatinine: ___0.9____mg/dl 3/15/11 0730 Zosyn 3.375g q6h in 50ml NS. Infuse over 30min. prepare 1 dose Dr. Toboggan, MD medical record no.: 8769 sex: (circle) (male) / female weight: ___181_____ (circle) (lb). / Kg height: ___59____ (circle) (in.) / cm

IV Label:
Pharmacy Sterile Product Service IV Label Patient Name: Greg Adams Additives: Zosyn 3.375g 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 3.375g powder____ final bag concentration: __67.5mg/ml____ manufacturer: ___UB Labs_________ lot: __D123___ exp: _12/31/12___

___10____ ml
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:02/08/09 Lackawanna, NY 14034 Rx
Prescription Label:
Toviaz 8mg Sig: 1 po qd # 30
Rx# 89872 Mary Foreman 789 Parkwood Ave Lackawanna, NY 14034 Take one tablet once daily.
February 8, 2009
Mike Lou ____

MDD:
Toviaz 8mg MFR: Pfizer Mike Lou, MD.
# 30
Refill 3 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
Prescription Label:
May 9, 2003
Kenneth Taung __
MDD:
Felodipine ER 10 mg Kenneth Taung, MD.
# 30 Refill 3 times
Dispense as Written
Serial #ZU28569M
Drug Dispensed:
Prescription Label:
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 # 90 (ninety) CODE A
June 1, 2006

Nicolas Green __
MDD: 1
# 90
DAW
Dispense as Written
DAW
Refill 0 times
Serial #0258TF39
Drug Dispensed:
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:
February 13, 2005
Take one tablet twice daily if needed.

Stephen Sigel ___

MDD:
Claritin D 24 MFR: Schering-Plough Health Stephen Sigel, MD.
# 30
DAW
Dispense as Written
Refill 5 times
Serial #128PR124
Drug Dispensed:
Name: Garris Garvey DOB: 08/24/45 Address: 3569 Grand Island Blvd Date: 02/02/07 Hamburg, NY 14001 Rx
Prescription Label:
Cyclosporine 25 mg Sig: iii po bid ud # 180
February 02, 2007
Take 3 capsules twice daily as directed Cyclophosphamide 25 mg # 180
Sean Hunter rpa __

MDD:
MFR: Apotex Sean Hunter, RPA. Refill 2 times
Serial #123HJ74L
Exp. 02/2008 Lot # M124LK Please write a BRIEF description of the error/omission(3pts):
Rosemary Kazmierski, DPM 4458 Thompson Raod Colden, 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, NY 14086 Rx Sprintec-28 Sig: i po qd # 28
Prescription Label:
July 13, 2005

Kazmierski__
MDD:
Sprintec 0.250/0.035 MFR: Barr Rosemary Kazmierski, DPM
# 28
Refill 10 times
Dispense as Written
Serial #741578M8
Drug Dispensed:
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:
February 02, 2007
Take 3 capsules twice daily as directed

Sean Hunter rpa __

MDD:
Cyclosporine 25 mg MFR: Apotex Sean Hunter, RPA.
# 180
Refill 3 times
Dispense as Written
Serial #123HJ74L
Drug Dispensed:
Exp. 02/2009 Lot # K21452 Please write a BRIEF description of the error/omission(3pts):
Jonathan Mallozzi, DDS 99 Brookside Ave S Wale, 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 14207 Rx Advair 250/50 Sig: i pff bid # 1 diskus
Prescription Label:
Rx# 124007 Jason Panko 225 Sweetheaven Ct Buffalo, NY 14207 Inhale 1 puff by mouth twice daily
August 8, 2006
Mallozzi____
MDD:
Advair 250/50 MFR: Glaxosmithkline Jonathan Mallozzi, DDS
# 60
Refill 5 times
Dispense as Written
Serial #78452K89
Drug Dispensed:
Floyd Olszak, MD 2225 Blossom Lane Depew, 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 14023 Rx Temazepam 30 mg Sig: i po hs # 30 ( thirty)
Prescription Label:
November 28, 2006
Prescriber Signature X_Floyd Refill: 0 ( zero)
Olszak_____
MDD:
Temazepam 30 mg MFR: Mylan Floyd Olszak, MD.
# 30
Refill 0 times
Dispense as Written
Serial #8569KL78
Drug Dispensed:
Prescription Label:
Climara 0.025 mg patch Sig: apply 1 q week #4
Rx# 01258 Vicki Liang 4788 Loving Lane Williamsville, NY 12258
December 9,2006
Prescriber Signature X___Pauline Refill: 3
Davidson___
MDD:
Apply one patch once a week Climara 0.025 mg patch MFR: Berlex Dr. Pauline Davidson Refill 3 times #4
DAW
Dispense as Written
Serial #112KJ125
Drug Dispensed:
Kenneth Taung, MD 1478 Morrison Ct Cheektowaga, 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, NY 14789___ Rx Combivent Sig: 2 puffs po QID # 1 inhaler
Prescription Label:
Rx# 85697 Angelina Pulaski 115 Harry Street Kenmore, NY 14789 Inhale 2 puffs by mouth four times daily
July 4, 2006
Kenneth Taung _____

MDD:
Combivent Inhaler MFR: Boehringer Ingelheim Dr. Kenneth Tang
#14.6g
Refill 10 times
Dispense as Written
Serial #0085HJ89
Drug Dispensed:
Rosemary Kazmierski, DPM 4458 Thompson Raod Colden, 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 Rx Atripla Sig: i po qhs # 30
Prescription Label:
July 13, 2005
Take one tablet by mouth once daily at bedtime

Kazmierski__
MDD:
Atripla 600/200/300 MFR: Bristol Myers Squibb Rosemary Kazmierski, DPM
# 30
Refill 2 times
Dispense as Written
Serial #741578M8
Drug Dispensed:
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:
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
Refill 0 times
Dispense as Written
Serial #1748G15H
Drug Dispensed:
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:
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
Refill 0 times
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Prescription Label:
March 9, 2006

Brower_____
MDD:
Exelon 4.5 mg MFR: Novartis Suzette Brown, NP.
#60
Refill 3 times
Dispense as Written
Serial #568LK236
Drug Dispensed:
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:
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
Refill 3 times
Dispense as Written
Serial #KL238745
Drug Dispensed:
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:
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
Steven Hung _
MDD:
Misoprostol 200 mg MFR: Greenstone Steven Hung, MD.
# 60
Refill 1 time
Dispense as Written
Serial #586JU782
Drug Dispensed:
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:
April 7, 2004
Prescriber Signature X_Diane Refill: 2
Montgomery _
MDD:
# 30
Refill 2 times
Dispense as Written
Serial #M74589359
Drug Dispensed:
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:
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
Refill 0 times
Dispense as Written
Serial #1748G15H
Drug Dispensed:
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:
Depakote 125 Sig: 1 po q12h # 28
February 8, 2003
Mike Lou ____

MDD:
Senokot MFR: Purdue Mike Lou, MD.
# 28
Refill 0 times
Dispense as Written
Serial #2315KU78
Drug Dispensed:
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:
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.
Stanley Kaiser _
MDD: 6
Lonox MFR: Sandoz Stanley Kaiser, MD
# 30
daw
Dispense as Written
Refill 0 times
Serial #K2587L12
Drug Dispensed:
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:
May 23, 2008
Peterson Mineo __
MDD:
Azilect 1mg MFR: Teva Peterson Mineo, MD.
# 30
Refill 3 times
Dispense as Written
Serial #985HG253
Drug Dispensed:
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:
February 14, 2005
Prescriber Signature X_Arnold Refill: 5
Fletcher _
MDD:
Lantus MFR: Sanofi-Aventis Arnold Fletcher, MD.
# 10
Refill 5 times
Dispense as Written
Serial #36LK2587
Drug Dispensed:
Arnold Fletcher, 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, NY 14133 Rx Oxybutynin 5 mg Sig: i po bid # 60
Prescription Label:
Rx# 102332 Pamela Rusford 858 Waltercrest Tr W Seneca, NY 14123 Take one tablet twice daily.
June 14, 2005
Arnold Fletcher __
MDD:
Oxybutynin ER 5 mg MFR: Mylan Arnold Fletcher, MD.
# 60
Refill 5 times
Dispense as Written
Serial #Z235M587
Drug Dispensed:
Exp. 09/2007 Lot # 1N3111 Please write a BRIEF description of the error/omission (3pts):
UNIVERSITY HOSPITAL

IV Label:
___16.5____ ml

Monica Greenfield, NP 290 Meyer Road Amherst, 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, NY 12323__ Rx Fentanyl 25 mcg patch Sig: apply 1 patch q 72 h # 10 ( Ten)
Prescription Label:
Rx# 23456 Lily Grant 229 Young Road Buffalo, NY 12323
December 24, 2006
Monica Greenfield ___

MDD: 1 q 3d
Take one tablet every 72 hours. Maximum of 1 every 3 days. Fentanyl 25 mcg patch MFR: Mylan Monica Greenfield, NP Refill 0 time #10
Dispense as Written
Serial #001UY569
Drug Dispensed:
Brain Baksh, MD 2455 Wehrle Dr Amherst, 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:
Rx# 52356 Jeanette Calzone 101 Connecticut Ave W. Seneca, NY 14215 Take one tablet four times a day.
January 1, 2007
Brian Baksh __
MDD:4
Dantrolene 50 mg Brain Baksh, MD.
# 100 Refill 1 time
Dispense as Written
Serial #7841CX39
Drug Dispensed:
Name: Francis Rennick Address: 5678 Sunset Drive Tonawanda, NY 12339 Rx Concerta 54mg Sig: i tid # 90 (ninety)
Prescriber Signature X___ Refill:
DOB: 12/16/88 Date: 06/01/06
Prescription Label:
Rx# 000123 Francis Rennick 5678 Sunset Drive Tonawanda, NY 12339 Take 1 tablet three times daily.
June 2, 2006
Mark Lee __
MDD:
Concerta 54mg MFR: Janssen Mark Lee, MD.
#90
DAW
Dispense as Written
Refill 0 times
Serial #00TJI258
Drug Dispensed:
Shirely Cunnigham, MD 7845 Grand Street Williamsville, 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:
Cyclobenzaprine 5 mg Sig: i po tid prn # 90
Rx# 11245 Frank Mumham 5668 Highland Street Kenmore, NY 14217 Take one tablet three times a day
February 14, 2007
Shirley Cunnigham _
MDD:
Cyclobenzaprine 5 mg MFR: Mylan Shirely Cunnigham, MD.
# 90
Refill 1 times
Dispense as Written
Serial #T12589M1
Drug Dispensed:
Exp. 05/2008 Lot # 70289Z Please write a BRIEF description of the error/omission (3pts):
Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville, NY 14145 Rx skelaxin 800mg Sig: i po 3-4 x daily # 60
Prescription Label:
October 10, 2004
Take one tablet by mouth 3-4 times daily

Prescriber Signature X___Joseph Koch____ Refill: 5 MDD:
Skelaxin 800 mg tablets MFR: King Joseph Koch, RPA.
# 60
DAW
Dispense as Written
Refill 5 times
Serial #012KLI78
Drug Dispensed:
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: 05/23/05 Lockport, NY 14799 Rx Synthroid 200 mcg Sig: i po daily # 90
Prescription Label:
May 23, 2005
Peterson Mineo __
MDD:
Synthroid 200 mg MFR: Abott Peterson Mineo, MD.
# 90
Refill 11 times
DAW
Dispense as Written
Serial #985HG253
Drug Dispensed:
Prescription Label:
Name: Clyde Nielsen DOB: 08/26/56 Address: 4578 Elmview Place Date: 03/17/06 Cheektowaga, NY 14669 Rx Tenormin 100 mg Sig: i po qd # 30
Rx# 114569 Clyde Nielsen 4578 Elmview Place Cheektowaga, NY 14669 Take one tablet once daily
March 17, 2006
Prescriber Signature X__Richard Refill: 6
Kinsely__
MDD:
Atenolol 100 mg MFR: Sandoz Richard Kinsely, MD.
# 30
Refill 6 times
Dispense as Written
Serial #058HG256
Drug Dispensed:
Exp. 12/2007 Lot # Y253255 Please write a BRIEF description of the error/omission(3pts):
Name: Carol Hoffman DOB: 11/17/50 Address: 235 Million Street Date: 07/07/04 Williamsville, NY 14145 Rx Clinoril 200 mg Sig: i po bid prn # 60
Prescriber Signature X_ Joseph Koch Refill: 5
Prescription Label:
October 10, 2004
__
MDD:
Ketoprofen ER 200 mg MFR: Mylan Joseph Koch, RPA.
# 60
Refill 5 times
Dispense as Written
Serial #012KLI78
Drug Dispensed:
Exp. 10/2007 Lot #1N3304 Please write a BRIEF description of the error/omission(3pts):
Thomas Criag, MD 1208 Alberta Drive Rochester, 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 14225 Rx CartiaXT 90mg Sig: i po qd # 30
Prescription Label:
Rx# 78589 Harry Hugh 5089 Niagara Blvd Buffalo, NY 14225 Take one tablet once daily.
January 5, 2006
Thomas Criag __
MDD:
Procardia XL 90 mg MFR: Pfizer Thomas Criag MD.
# 90
Refill 0 times
Dispense as Written
Serial #18978TG8
Drug Dispensed:
Exp. 02/2011 Lot # 67P0Z0A Please write a BRIEF description of the error/omission (3pts):
Richard Zakrajesek, MD 5899 Sweet Home Road E Amherst, 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, NY 14000 Rx Imuran 50 mg Sig: i po hs prn # 30
Prescription Label:
Rx# 147857 Lucile Camalleri 678 Lafayette Ave Depew, NY 14000
June 16, 2005
Take one tablet at bedtime if needed.

Richard Zakrajesk __
MDD:
Imuran 50 mg MFR: Prometheus Richard Zakrajesk, MD.
#30
Refill 0 times
Dispense as Written
DAW
Serial #1257UY74
Drug Dispensed:
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 Depakote 500 mg Sig: i po q12h # 60
Prescriber Signature X_____________ Refill: 0
Prescription Label:
MDD:
February 8, 2003
Depakote 500 mg MFR: Apothecon Mike Lou, MD.
# 60
DAW DAW
Dispense as Written
Refill 0 times
Serial #2315KU78
Drug Dispensed:
Thomas Criag, MD 1208 Alberta Drive Rochester, 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, NY 14225 Rx
Prescription Label:
xanax 0.5mg
Sig: i po TID prn # 90
January 5, 2008
Take one tablet three times daily as needed. Maximum daily dose of 3 tablets.
Thomas Criag __
MDD:3
Alprazolam 0.5mg MFR: Greenstone Thomas Criag MD.
# 90
Refill 2 times
Dispense as Written
Serial #18978TG8
Drug Dispensed:
Exp. 02/2011 Lot # 67P0Z0A Please write a BRIEF description of the error/omission (3pts):
George Spencer, MD 1001 Elmwood Ave Aurora, 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, NY 14133 Rx Tiagabine 4 mg Sig: i po tid # 90
Prescription Label:
Rx# 114570 Jenny Gilmore 8112 Magnolia Street S Wales, NY 14133 Take one tablet three times a day
July 22, 2006
George Spencer __
MDD:
Gabitril 4 mg MFR: Cephalon George Spencer, MD.
# 90
Refill 5 times
Dispense as Written
Serial #J2512K23
Drug Dispensed:
Terrance Fransco, DO 7877 Easton Ave New York, 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 14001 Rx Ovidrel 250 mcg Sig: Inj SC UD # 1 (one)
Prescriber Signature X__Terrance Refill: 0(zero)
Prescription Label:
Rx# 114571 Sophia Little 2002 Fairfield Ave Amherst, NY 14001
March 8, 2011
Fransco__
MDD:1
Inject subcutaneously as directed. Ovidrel 250mcg/0.5ml MFR: Serono Terrance Fransco, DO. Refill 0 times #1
Dispense as Written
Serial #852H56N8
Drug Dispensed:
Exp. 05/2012 Lot # G5856K Please write a BRIEF description of the error/omission (3pts):
Jack Hoover, MD Lynn Marshall, RPA Lic# 125898 Lic#874563 DEA BH1414250 DEA: AB1234567 78 Harlem Road Bronx, NY 12365 716-333-4444 Name: Nicolas Lockard DOB: 04/29/78 Address:197 Hartford Road Date:05/05/05 Aurora , NY 14228 Rx Hydrocodone/APAP 7.5-750 Sig: i po q4-6h prn # 60 (sixty)
Prescription Label:
May 5, 2005
Take one tablet by mouth every four to six hours as needed. Max of 5 tabs/day
Lynn Marshall __
MDD:5
# 60
Refill 0 times
Dispense as Written
Serial #17418H78
Drug Dispensed:
Tommy Reed, MD 85 Grand Street Lockport, NY14589 716-877-7777 Lic# 584612 DEA BR1144891 Name: Maria Sunstrum DOB: 12/26/52 Address:4555 Eggert Road Date:05/31/05 Lockport, NY 14589 Rx Micronase 5mg Sig: iii po BID # 180
Prescription Label:
Rx# 66807 Maria Sunstrum 4555 Eggert Road Lockport, NY 14589 Take three tablets twice daily. Glyburide 5mg
May 31, 2005
# 180
Prescriber Signature X__Tommy Refill: 5
Reed__
MDD:
MFR: TEVA Tommy Reed, MD. Refill 5 times
Dispense as Written
Serial #M25693K45
Drug Dispensed:
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 Imitrex 100mg dose once
Prescription Label:
Sig: 1 po at onset of migraine, may repeat after 2 hours. #9
Rx# 90012 Amy Celestino 2390 Baxter Ave Buffalo, NY 14334
July 9, 2006
Take 1 tablet at onset of migraine, may repeat dose once after 2 hours. Imitrex 100mg #9
Zakrajesek_
MDD:
MFR: GSK Richard Zakrajesek, MD. Refill 1 time
Dispense as Written
Serial #3636K258
Drug Dispensed:
Exp. 07/2008 Lot # LK74589 Please write a BRIEF description of the error/omission (3pts):
Aaron Miller, MD 7845 Winchester Ave W Seneca, 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:
Rx# 71474 Beatrice Massa 888 Princeton Road Colins, NY 14034 Take one tablet once every week.
August 6, 2006
Aaron Miller ___

MDD:
Actonel 35 mg MFR: P&G Aaron Miller, MD.
#4
Refill 3 times
Dispense as Written
Serial #00125L02
Drug Dispensed:
Exp. 07/2008 Lot # LK74589 Please write a BRIEF description of the error/omission (3pts):
Terrance Fransco, 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, NY 14001 Rx Treximet Sig: 1 at onset of migraine. May repeat dose once after 2 hours. #9
Prescriber Signature X__Terrance Refill: 5
Prescription Label:
Rx# 114571 Sophia Little 2002 Fairfield Ave Amherst, NY 14001
January 31, 2009
Take one tablet at onset of migraine. May repeat dose once after two hours.
Fransco__
MDD:
Treximet 85/500mg MFR: GSK Terrance Fransco, DO.
#9
Refill 5 times
Dispense as Written
Serial #852H56N8
Drug Dispensed:
Exp. 05/2010 Lot # G5856K Please write a BRIEF description of the error/omission (3pts):

E&amp;O Practice Prescriptions Spring 2011

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Errors and Omissions Practice problems :

Prescriber Signature X_Richard Refill: 1

Probenecid 500 mg MFR: Watson Richard Zakrajesek, MD.

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

Sig: 1 po q6h prn knee pain # 60 (sixty)

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

Emilio Estevez, DDS times

Accolate 20 mg Sig: i po bid #60

May 22, 2006

Accolate 20 mg MFR: AstraZeneca Pharmaceuticals Dr. Thomas Grands

Accupril 20 mg Sig: i po daily # 30

Prescriber Signature X___Sharon Refill: 3

MFR: Greenstone Dr. Sharon White Refill 3 times

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

December 12, 2002

Prescriber Signature XMary Refill: 8

Diovan 160 mg MFR: Novatis Mary May, CNM.

Prescriber Signature X__Kenneth Refill: 5

Viibryd 40 mg MFR: Lannett Dr. Kenneth Taung

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

Inject 1.25ml subcutaneously twice a week as directed

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

December 12, 2006

Prescriber Signature X__ Refill: 0

John Rousseau ____

Azithromycin 250 mg MFR: Greenstone

John Rousseau, MD.

June 25, 2006

Prescriber Signature X__ Refill: 3

Vistaril 50 mg MFR: Pifzer Elaine Knell, MD.

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

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

November 25, 2005

Prescriber Signature X_ Refill: 3

Zyrtec 10 mg MFR: Pfizer Cynthia MaCare, RPA.

Prescriber Signature X__ Refill: 11

Tommy Reed ____

Coumadin 2 mg MFR: Bristol-Myers Squibb

Tommy Reed, MD.

Procanbid 500 mg Sig: i po bid # 60

Prescriber Signature X Refill: 1

Probenecid 500 mg MFR: Watson Richard Zakrajesek, MD.

DOB: 04/30/72 Date: 03/27/06

Rx# 90013 Lewis Connell 2525 Woodshire Street Depew, NY 14051

March 27, 2006

Apply 3 to 4 times a day for 2 weeks

Prescriber Signature X_ Refill: 2

Proctocort 1% Cr MFR: Salix William Zaklikowski, MD

Prescriber Signature X__Kenneth Refill: 5

Viibryd 40 mg MFR: Lannett Dr. Kenneth Taung

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

Take 1 tablet by mouth four times daily as needed

Ibuprofen 800mg MFR: Amneal Julius Hibbert, MD.

Prescriber Signature X_ Refill: 5

Prempro 0.625 mg/5 mg MFR: Wyeth Patrick Wosinki, MD.

Rx# 23533 Shawn Dimeo 700 Embassy Sq Depew, NY 14209

Take one tablet by mouth once daily

Amturnide 300mg/5/25mg MFR: Novartis Chester Cross, MD.

E&O Practice Prescriptions Spring 2011

E&O Practice Prescriptions Spring 2011

E&O Practice Prescriptions Spring 2011