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CLICK on an error to see if you found the mistake (1 error per prescription) |
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Rx# |
6314474 |
Written Date |
2/11/20XX |
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Rx Expires |
1 year |
Name |
Robert Roberts |
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Original Prescription |
DOB |
2/8/XXXX |
Age |
28 |
Ht/Wt |
72 inches, 231 lbs |
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 |
Address |
5050 Plaza Hill Road |
Phone |
785-555-0320 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Nolvadex Tab |
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Strength |
10 mg |
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Dispensed |
Tamoxifen 10 mg Tablet |
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Pres Qty |
60 |
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Dis Qty |
60 |
Notes |
Partial fill of 45 tablets due to lack of stock. We owe 15 tabs. |
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Day Supply |
30 |
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Refills |
3 |
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SIG |
Take 1 tablet by mouth twice daily. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
1 |
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Pill Image |
 |
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Name |
Cynthia McDonald |
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Address |
1402 Hillcrest Road |
Fax |
785-555-7312 |
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DEA |
BM1854911 |
NPI |
9999999999 |
Phone |
785-555-7310 |
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Dispensing Notes |
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