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Multiple Choice

For isotretinoin, what requirement must be met before dispensing each prescription?

Isotretinoin is highly teratogenic, so its dispensing is tightly controlled through the iPLEDGE program. For patients who could become pregnant, a negative pregnancy test must be documented before dispensing each prescription. This per-prescription check is the safeguard that ensures therapy isn’t started or continued in pregnancy. Enrollment in iPLEDGE and ongoing monitoring, including contraception, are also required, but the essential step before every dispensing is confirming a current negative pregnancy test.

Isotretinoin is highly teratogenic, so its dispensing is tightly controlled through the iPLEDGE program. For patients who could become pregnant, a negative pregnancy test must be documented before dispensing each prescription. This per-prescription check is the safeguard that ensures therapy isn’t started or continued in pregnancy. Enrollment in iPLEDGE and ongoing monitoring, including contraception, are also required, but the essential step before every dispensing is confirming a current negative pregnancy test.