(V2) Product Verification Queue

ELECTRONIC PRESCRIPTION

Date: 10/13/2025 at 11:16 PM

Patient: Mrs. Harold Elder

Address: 940 Oak Street

Drug: Daypro 600 mg Tablet

Dispense: 20

SIG: ii po QD for arthritis

Refills: 0

DAW: substitution permitted

Prescriber: Norman Keyes

Address: 4-G Medical Arts Building

DEA#: AK4132647


`Rx#`	2917746	`Written Date`	10/13/2025

`Name`	Mrs. Harold Elder
`DOB`	2/12/1955		`Age`	70
`Address`	940 Oak Street		`Phone`	(316) 555-4156
`Allergies`

`Prescriber`	Norman Keyes		`Practice`	Uptown Family Practice
`Address`	4-G Medical Arts Building		`Fax`	(785) 555-3239
`DEA`	AK4132647	`NPI`	3816380925	`Phone`	(785) 555-3238

`Dispensed`	Oxaprozin 600 mg Tablet
`NDC #`	66336-0722-90		`Mfg`	Dispensing Sol.
`Pres Qty`	20	`Dis Qty`	20	`Day Supply`	10
`Refills`	0	`DAW`	0	`Origin Code`	3

`Instructions`	Take 2 tablets by mouth once daily for arthritis.

`Dispensing Notes`

Product Verification

Bag Tag

Counting Verification

Patient Name: Mrs. Harold Elder
Address: 940 Oak Street

Stock Bottle

63366-0722-90

NDC: 63366-0722-90

Lot #: 674765
Exp Date: 2/21/2026

Pharmacist Action