Use this template to add a dosage form. A dosage form is the medium used to administer the active ingredient(s) in health products. Dosage forms include, but are not limited to capsules, tablets, injectables, oral solutions, drops, creams, ointments, and patches.
To Create:
In the Search for Domains results page, click the Open Blank Template link at the bottom of the page. The system opens a domain template.
Use the field list below to complete the page.
Click the Submit button. The system saves the domain item to the database with a status of Pending.
To proceed, see PPS Data Requests Tab.
Field List Template
Fields with a red asterisk are required fields that you must complete.
Dosage Form Name *
Enter a Dosage Form Name.
Exclude from Dosage Checks
Accept the default of No or select Yes from the drop-down list.
Verb
Enter a Verb. This field is local-only and cannot be edited by National.
Other Language Verb
Enter a verb for another language. This field is local-only and cannot be edited by National.
Preposition
Enter a Preposition. This field is local-only and cannot be edited by National.
Other Language Preposition
Enter a preposition for another language. This field is local-only and cannot be edited by National.
Conjunction
Enter a Conjunction. This field is local-only and cannot be edited by National.
Med Route for Dosage Form
Enter a standard medical route. This field is local-only and cannot be edited by National.
Dosage Form Nouns
Enter a Dosage Form Noun. This field is local-only and cannot be edited by National.
Dosage Form Units Box
To add, click
the Add New Row button and the system adds a
new row.
-- In Drug Unit, enter the unit.
-- In Possible Dosages Package, select an option:
I-Inpatient or Outpatient.
-- Click the Save Changes button.
To add, click the Add New Row button and the system adds a new row.
In Drug Unit, enter the unit.
In Possible Dosages Package, select an option: I-Inpatient or Outpatient.
Click the Save Changes button.
To remove, click the Remove button beside a unit that is not valid.
Dispense Units per Dose Box
To add, click
the Add New Row button and the system adds a
new row.
-- In Dispense Unit per Dose, enter the dispensing
unit.
-- In Possible Dosages Package, select an option:
I-Inpatient or Outpatient.
-- Click the Save Changes button.
To add, click the Add New Row button and the system adds a new row.
In Dispense Unit per Dose, enter the dispensing unit.
In Possible Dosages Package, select an option: I-Inpatient or Outpatient.
Click the Save Changes button.
To remove, click the Remove button beside a unit that is not valid.
PSN Name
Enter the name of the Pharmacy Product System Second Reviewer.
Figure: Add Dosage Form Template