Use of this site and material contained on its pages is for EDUCATIONAL USE ONLY.
 
Pharmskills Online - (V2) Product Verification Queue - View Detail

ELECTRONIC PRESCRIPTION
Date: 10/13/2025 at 04:16 AM
Patient: Ngoc Nguyen
Address: 361 E. Pine
Drug: Abilify 20 mg Tablet
Dispense: 2-week supply
SIG: i po QD for bipolar disorder
Refills: 3
DAW: generic okay
Prescriber: James T. Warren
Address: 3-G Medical Arts Building
DEA#: AW1351977
Rx#
2183505
Written Date
10/13/2025
Name
Ngoc Nguyen
DOB
5/20/2003
Age
22
Address
361 E. Pine
Phone
(316) 555-8871
Allergies
Prescriber
James T. Warren
Practice
Hometown Family Medicine
Address
3-G Medical Arts Building
Fax
(785) 555-5567
DEA
AW1351977
NPI
6379131958
Phone
(785) 555-5566
Dispensed
Aripiprazole 20 mg Tablet
NDC #
27241-0055-03
Mfg
Ajanta
Pres Qty
14
Dis Qty
14
Day Supply
14
Refills
3
DAW
0
Origin Code
3
Instructions
Take 1 tablet by mouth once daily for bipolar disorder.
Dispensing Notes

 
Product Verification
Bag Tag
Counting Verification


Patient Name: Ngoc Nguyen
Address: 361 E. Pine
Stock Bottle


27241-0055-03
NDC: 27241-0055-03

Lot #: 613940
Exp Date: 5/3/2026
Pharmacist Action