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You should notify a manager/designee when a medication

  1. a. Needs to be reordered

  2. b. Is missing from the package

  3. c. Is prescribed by a physician

  4. d. Expires in a week

The correct answer is: b. Is missing from the package

When a medication is missing from the package, it is important to notify a manager or designee so that they can take appropriate action to ensure patient safety. This could include checking the inventory, ordering a replacement medication, and reviewing any potential errors or discrepancies. Option A may also require notifying a manager, but it may not necessarily involve patient safety. Option C is incorrect because the prescribing physician does not need to be notified in this situation. Option D is also incorrect because medications should not be used past their expiration date, but it does not necessarily require immediate action from a manager. Therefore, option B is the most appropriate and necessary action to take in this situation.