(V2) Product Verification Queue

ELECTRONIC PRESCRIPTION

Date: 10/12/2025 at 09:01 PM

Patient: Zhang Wong

Address: 1020 Cambridge Circle

Drug: Prograf 0.5 mg Capsule

Dispense: 24

SIG: i po BID for organ transplant

Refills: 5

DAW: generic okay

Prescriber: Samuel Bernstein

Address: 3-C Medical Arts Building

DEA#: AB1294824


`Rx#`	7979941	`Written Date`	10/12/2025

`Name`	Zhang Wong
`DOB`	1/7/1989		`Age`	36
`Address`	1020 Cambridge Circle		`Phone`	(785) 555-1943
`Allergies`	Propranolol (hives)

`Prescriber`	Samuel Bernstein		`Practice`	Internal Medicine Associates
`Address`	3-C Medical Arts Building		`Fax`	(785) 555-8679
`DEA`	AB1294824	`NPI`	7759028783	`Phone`	(785) 555-8678

`Dispensed`	Tacrolimus 0.5 mg Capsule
`NDC #`	00378-2045-01		`Mfg`	Mylan
`Pres Qty`	24	`Dis Qty`	24	`Day Supply`	12
`Refills`	5	`DAW`	0	`Origin Code`	3

`Instructions`	Take 1 capsule by mouth twice daily for organ transplant.

`Dispensing Notes`

Product Verification

Bag Tag

Counting Verification

Patient Name: Zhang Wong
Address: 1020 Cambridge Circle

Stock Bottle

00378-2047-01

NDC: 00378-2047-01

Lot #: 152290
Exp Date: 5/14/2026

Pharmacist Action