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

ELECTRONIC PRESCRIPTION
Date: 07/02/2026 at 10:28 PM
Patient: Daniel Day
Address: 899 Oak Street
Drug: Urocit-K 15 mEq ER Tablet
Dispense: 15
SIG: i po TID for hypokalemia
Refills: 0
DAW: generic okay
Prescriber: Samuel Bernstein
Address: 3-C Medical Arts Building
DEA#: AB1294824
Rx#
4499140
Written Date
07/02/2026

Name
Daniel Day
DOB
7/30/1978
Age
48
Address
899 Oak Street
Phone
(785) 555-0734
Allergies

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
Potassium Citrate 15 mEq Extended-Release Tablet
NDC #
00591-2742-01
Mfg
Actavis
Pres Qty
15
Dis Qty
15
Day Supply
5
Refills
0
DAW
0
Origin Code
3

Instructions
Take 1 tablet by mouth 3 times daily for low potassium.

Dispensing Notes

 
Product Verification
Bag Tag
Counting Verification


Patient Name: Daniel Day
Address: 899 Oak Street


Stock Bottle


00591-2742-01
NDC: 00591-2742-01

Lot #: 351918
Exp Date: 9/9/2027
Pharmacist Action