Our organization is changing oral contraceptives dispensing from inpatient pharmacy to consistently remove placebo tablets from the pack (before dispensing the entire pack as a bulk item for nurse administration).

If your organization removes placebo tablets from oral contraceptives in pharmacy:
1) How do you communicate that placebo tables are removed to the ordering provider?
2) How does the ordering provider designate hormone withdrawal (if this is desired vs. continuous hormone administration)?

Thank you,
Liz Riney, PharmD
Cook Children's Medical Center
Fort Worth, TX