(V2) Product Verification Queue

ELECTRONIC PRESCRIPTION

Date: 10/13/2025 at 10:50 PM

Patient: William Williams

Address: 1405 W. 12th Street

Drug: Cephalexin 500 mg Tablet

Dispense: 14

SIG: i po BID x7 days for cellulitis

Refills: 0

DAW:

Prescriber: Carolyn Abman

Address: 1315 W. 12th Street

DEA#: BA4132647


`Rx#`	3498960	`Written Date`	10/13/2025

`Name`	William Williams
`DOB`	5/22/1998		`Age`	27
`Address`	1405 W. 12th Street		`Phone`	(785) 555-0036
`Allergies`	Ofloxacin (rash)

`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`	Cephalexin 500 mg Tablet
`NDC #`	00093-2240-01		`Mfg`	Teva
`Pres Qty`	14	`Dis Qty`	14	`Day Supply`	7
`Refills`	0	`DAW`	0	`Origin Code`	3

`Instructions`	Take 1 tablet by mouth twice daily for 7 days for cellulitis.

`Dispensing Notes`

Product Verification

Bag Tag

Counting Verification

Patient Name: William Williams
Address: 1405 W. 12th Street

Stock Bottle

00093-2240-01

NDC: 00093-2240-01

Lot #: 462866
Exp Date: 12/4/2026

Pharmacist Action