DISPENSING PHARMACY
ABC Veterinary Pharmacy
Tel: 020 1234 5678
RESPONSIBLE PHARMACIST
Alex Smith — Pharmacist
Registration: GPhC 1234567
✓ Prescription verified
CUSTOMER
✓
Registered with Vets4u
PET HEALTH SCREENING
✗
Allergies
✗
Other medications
✓
Product information read
ORDER PROCESSED BY
Jane Doe — Counter Assistant
ORDER LINES
| Product |
Flags |
Pack |
Qty |
Total Units |
Units Req. |
Units Rem. |
Repeat |
Ph. Cost |
Ph. /Unit |
Cust. Price |
Cust. /Unit |
Type |
Continued on next page...
Items (0):
£0.00
Delivery:
£0.00
Ex-VAT:
£0.00
VAT (20%):
£0.00
TOTAL (INC VAT):
£0.00
Items (0):
£0.00
Delivery:
£0.00
TOTAL (INC VAT):
£0.00
ORDER
V4P-20260111-0001
11/01/2026
⚠ RX DATES
05/07/2026
Issued: 05/01/2026
DISPENSED BY
ABC Pharmacy
—
—
11/01/2026
|
|
PRODUCTS & REPEAT TRACKING
| Product |
Pack |
Qty |
Units Supplied |
Repeat # |
Interval |
Units Remaining |
Next Due |
DISPENSE VERIFICATION CHECKLIST
The following verification checks were completed by the responsible pharmacist/dispenser before this prescription was approved for dispensing.
| ✓ |
Verification Item |
Required |
| ☐ |
Prescriber details verified
Full name and MRCVS number present and legible
|
Yes |
| ☐ |
Owner / keeper details verified
Name, address, and contact details present and legible
|
Yes |
| ☐ |
Patient identity confirmed
Pet / patient identity matches the prescription
|
Yes |
| ☐ |
Issue date verified
Issue date present and within the permitted validity period
|
Yes |
| ☐ |
Signature verified
Handwritten or authorised electronic signature present
|
Yes |
| ☐ |
Prescription content verified
Pharmaceutical form, strength, and dosage regimen present
|
Yes |
| ☐ |
Legal statement verified
Required offence statement included on the written prescription
|
Yes |
| ☐ |
Antibiotic statement verified (where applicable)
Prophylactic / metaphylactic use declared where required
|
No |
| ☐ |
Prescription validity confirmed
Prescription in date and all details clearly legible
|
Yes |
| ☐ |
Dose and quantity verified
Supplied dose and total quantity match the prescription
|
Yes |
| ☐ |
Clinical safety check completed
Checked for known interactions, warnings, or notes
|
Yes |
Total checks completed:
0 / 11
Required checks completed:
0 / 10
Checklist status:
Incomplete
☐
Final Sign-Off Confirmation
I confirm that I have completed all verification steps above and that this prescription is valid and appropriate for dispensing.
Verified by:
—
Role:
—
Registration:
—
Date/Time:
—
REPEAT PRESCRIPTION - UNIT TRACKING
Dispense Information
Repeats written on Rx:
—
Includes original dispense:
—
Total dispenses allowed:
—
Dispenses already taken:
—
This dispense number:
—
Dispenses remaining after this:
—
|
Unit Allocation
Units per dispense:
—
Total units allocated:
—
Units previously supplied:
—
Units this dispense:
—
Units remaining after this:
—
|
Days between dispenses:
—
Next dispense due:
—
⚠️ This is the FINAL dispense. Customer will need a new prescription after this.
DISPENSING PHARMACY
ABC Veterinary Pharmacy
Tel: 020 1234 5678
RESPONSIBLE PHARMACIST
Alex Smith — Pharmacist
Registration: GPhC 1234567
✓ Prescription verified
CUSTOMER
✓
Registered with Vets4u
PET HEALTH SCREENING
✗
Allergies
✗
Other medications
✓
Product information read
ORDER PROCESSED BY
Jane Doe — Counter Assistant
ORDER ITEMS
| Product |
Flags |
Pack |
Units Req. |
Repeat |
Cust. Price |
Cust. /Unit |
Type |
Continued on next page...
Items (0):
£0.00
Delivery:
£0.00
TOTAL PAID:
£0.00
Important Safety & Usage Information
Keep all medicines and products out of sight and reach of children.
This product is supplied only for the animal(s) named on the prescription or order and must not be given to any other animal.
Use strictly in accordance with your veterinary surgeon's instructions and the product information leaflet.
Always read the enclosed product literature for dosage guidance, administration instructions, warnings, and potential side effects.
If you notice any adverse reactions or have concerns about treatment, contact your prescribing veterinary practice immediately.
Orders, Returns & Queries
Your prescription and/or product has been supplied by your selected pharmacy.
Vets4Pharmacy acts as a third-party fulfilment platform connecting pet owners with registered veterinary pharmacies.
Any questions regarding your prescription, product suitability, dispensing accuracy, replacements, or returns should be directed to the dispensing pharmacy that processed your order.
Liability for the supply, dispensing, and clinical appropriateness of prescription medicines remains with the dispensing pharmacy and prescribing veterinary surgeon.
Product Handling
Store products as indicated on the packaging.
Do not use after the expiry date.
Do not share prescription medicines with other pets or households.
Thank you for choosing your pharmacy, an official partner of Vets4u Ltd.