|
Abilify Maintena (Aripiprazole) 400mg/1mL
• • •
|
Injection consent
|
|
Injection given by
• • •
|
|
|
Injection site
• • •
|
NDC number
|
|
EXP Date
|
Lot number
|
|
reaction to medication
|
Reaction to medication comments
|
|
Patient supplied own medication
|
|
