What refusal code is used when a service user declines medication but the tablet has already been removed from the blister pack?

The refusal code typically used in this scenario is "Refusal of Medication - Already Dispensed." This code indicates that the medication was removed from the blister pack but the service user chose not to take it. It's important to document this refusal accurately to maintain proper records and ensure ongoing medication management. Always follow your facility's specific protocols for handling such situations.