Kentucky Revised Statutes Title XVIII. Public Health § 218A.190.Exempt codeine preparations

(a) That the medicinal preparation shall contain in addition to the codeine in it, some drug or drugs conferring upon it medicinal qualities other than those possessed by the codeine alone;

(b) That such preparation shall be dispensed or sold in good faith as a medicine, and not for the purpose of evading the provisions of this chapter;

(c) That such preparation shall only be sold at retail without a prescription to a person at least eighteen (18) years of age and only by a pharmacist. An employee may complete the actual cash or credit transaction or delivery;

(d) That such preparations shall not be displayed in areas of the pharmacy open to the public; and

(e) That no person shall purchase and no pharmacist or practitioner shall sell to the same person within a forty-eight (48) hour period more than one hundred twenty (120) milliliters of an exempt codeine preparation. Any person purchasing in excess of this limitation shall be deemed to be in illegal possession.

(a) Date;

(b) Registration number of recipient;

(c) Name of recipient;

(d) Address;

(e) Name of preparation; and

(f) Quantity.

(a) Date;

(b) Name of recipient;

(c) Address;

(d) Name of preparation;

(e) Quantity; and

(f) Pharmacist's or practitioner's name.