|NAME||GMRA P&T COMMITTEE FDA|
An observed drug reaction has been entered. Please ensure that an FDA report has been filed. Patient: |1| |2| Causative Agent: |3| Sign Off By: |4| Sign Off D/T: |5|
|SUBJECT||NOTIFICATION OF OBSERVED DRUG REACTION|
This bulletin will be issued when an agent is both observed and a drug and has been signed off.