Patch for Patch Sheet

Blank printable Patch for Patch Exchange Disposal Tool available for free download. To download please click on the green download button below.

What is Patch for Patch Program?
In an effort to combat the abuse, misuse, and diversion of prescription fentanyl, patients who receive a prescription for fentanyl are required to return their used patches to a pharmacy before receiving new ones.
A patch-for-patch program requires physicians and pharmacists to work in close partnership to ensure that patches are safely prescribed, dispensed, stored, and returned to the pharmacy.

Download Opioid Patch Exchange Disposal Tool