ELECTRONIC PRESCRIPTION Date: 10/13/2025 at 04:49 AM Patient: John R. Morgan Address: 1824 New York Street Drug: Crestor 20 mg Tablet Dispense: 30 SIG: i po QD to lower cholesterol Refills: 2 DAW: generic okay Prescriber: Samuel Bernstein Address: 3-C Medical Arts Building DEA#: AB1294824 Rx# 9797678 Written Date 10/13/2025 Name John R. Morgan DOB 7/14/1959 Age 66 Address 1824 New York Street Phone (785) 555-7474 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 Rosuvastatin 20 mg Tablet NDC # 72205-0004-90 Mfg Novadoz Pres Qty 30 Dis Qty 30 Day Supply 30 Refills 2 DAW 0 Origin Code 3 Instructions Take 1 tablet by mouth once daily to lower cholesterol. Dispensing Notes New Rx - Mandatory Counseling Document Patient Counseling Topics To Be Given Verbally YES NO Used For: It is used to lower bad cholesterol (LDL), lower triglycerides and to slow the progress of heart disease. YES NO Need to Know: Do not stop taking this drug all of a sudden. If you do, chest pain that is worse and in some cases heart attack may occur. YES NO Need to Know: Follow the diet and exercise plan that your doctor told you about. YES NO Side Effects: This drug may cause muscle pain, tenderness, or weakness. The risk may be raised if you have low thyroid function or kidney problems. YES NO Side Effects: Shortness of breath, a big weight gain, or swelling in the arms or legs. YES NO Best Taken: Take on an empty stomach at least 30 to 60 minutes before breakfast. YES NO Best Taken: Take this drug at the same time of day. YES NO Med Guide: I am also providing you with a required medication guide that can help patients avoid serious adverse events. Submit Counseling Selections