Agency Schedule Detail

Authorization Number : 51130025

Agency Series No. : 1590003

Status : Active

Agency Web Link :

Agency : DBH

Confidential Description :

Division : DBHCOFF

Vital Description :

Section : DBHCOFFPHAR

Record Title : Bulk and PRN Medication Orders

Revision : 0

Record Description : Form used to order bulk and PRN (as needed) medications from the pharmacy. Includes hospital name, patient name and no., drug name and strength, amount of drug needed, person requesting etc.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 3 years, then destroy.		Electronic	Delete
Retain 3 years, then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Gregory Allison	Records Officer	11/20/2025 3:15:56 PM
Approved	Terri Dittmar	Record Administrator	11/24/2025 7:26:50 AM
Approved	Martin Meeks	State Auditor	11/26/2025 9:46:32 AM
Approved	Fred Previts	State Archivist	11/28/2025 4:52:58 PM

Notes

Date	Reason	User