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Central Pharmacy Outpatient

Central Pharmacy Outpatient purchases and provides medications at the lowest possible cost to mental health centers and county detention centers. People who are eligible for these medications include:

• adults with a severe mental disability
• children/adolescents with a severe emotional disturbance
• those at risk of hospitalization if medications were discontinued
• those recently released from a mental health inpatient facility

Download the Central Pharmacy Outpatient Manual

Central Pharmacy Outpatient Documents

Account for Prescriptions DMH-0232 (Rev. 10/99)

Clinic Information Sheet ODMH-CPOP (Orig. 02/03)

HIPAA Privacy Practices (Orig. 04/03)

Medication Return DMH-0243 (Rev. 03/06)

Patient Medication Information DMH-0241 (Rev. 03/06)

Physician Signature-DEA FORM

Refill Request DMH-0244 (Rev. 03/06)

Outpatient Formulary (Rev. 01/08)

Health Care Provider Record (use for registering a new prescriber) (Rev. 03/06)

For more information, contact:
Pat Mascaro
2150 West Broad Street, Columbus, Ohio 43223
Telephone: 614-752-0159
Fax: 614-752-0135