What is the status of the prescription dispensed incorrectly to Mrs. Jackson if later dispensed wrongly to Lisa Lake?

The correct choice regarding the status of the prescription dispensed incorrectly is that it is considered adulterated. An adulterated drug refers specifically to medications that are not prepared, packaged, or held in accordance with established standards of quality. When a prescription is dispensed incorrectly, it means that the medication may not meet the required standards for safety or efficacy intended for the specific patient.

In this scenario, the initial error occurs when Mrs. Jackson's prescription is not filled correctly, violating the standards expected in pharmaceutical practice. When this misfill is then dispensed to another patient, Lisa Lake, it further perpetuates the issue, leading to a situation in which the drug is not suitable for use as prescribed. Given that the drug is dispensed incorrectly, it no longer can claim its intended therapeutic value, thereby classifying it as adulterated.

The distinction from misbranding involves how the product is labeled and presented. A misbranded drug typically refers to those that are inaccurately labeled or are misleading in the claims on their packaging. Since the question focuses on the improper dispensing leading to a compromised product quality rather than misleading claims or improper labeling, the focus remains on the adulteration aspect rather than misbranding.