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Pharmskills Online - (V2) Product Verification Queue - View Detail

ELECTRONIC PRESCRIPTION
Date: 04/01/2026 at 05:46 PM
Patient: Evelyn Johnson
Address: 1426 Pinecone Drive
Drug: Decara 10,000 unit Capsule
Dispense: 28
SIG: i po QD for vitamin D deficiency
Refills: 0
DAW: do not substitute
Prescriber: Carolyn Abman
Address: 1315 W. 12th Street
DEA#: BA4132647
Rx#
1636861
Written Date
04/01/2026
Name
Evelyn Johnson
DOB
9/20/1949
Age
77
Address
1426 Pinecone Drive
Phone
(785) 555-3113
Allergies
Prescriber
Carolyn Abman
Practice
Family Practice Physician Group
Address
1315 W. 12th Street
Fax
(316) 555-3278
DEA
BA4132647
NPI
1269594188
Phone
(316) 555-3277
Dispensed
Decara 250 mcg Capsule
NDC #
67112-0903-50
Mfg
Medecor
Pres Qty
28
Dis Qty
14 (pt request 2 week supply)
Day Supply
14
Refills
1
DAW
1
Origin Code
3
Instructions
Take 1 capsule by mouth once daily for vitamin D deficiency.
Dispensing Notes
Note: 1 mcg cholecalciferol = 40 units vitamin D

 
Product Verification
Bag Tag
Counting Verification


Patient Name: Everly Johnson
Address: 426 Pine
Stock Bottle


67112-0903-50
NDC: 67112-0903-50

Lot #: 800636
Exp Date: 4/28/2027
Pharmacist Action