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Pharmskills Online - Counseling Topic Verification - View Detail

ELECTRONIC PRESCRIPTION
Date: 07/01/2026 at 06:34 PM
Patient: Judy J. Miller
Address: 432 Locust
Drug: Zurzuvae 25 mg Capsule
Dispense: 28
SIG: ii po QD x14 days for postpartum depression
Refills: none
DAW: do not substitute
Prescriber: Sandra Jones
Address: 2300 Clinton Parkway Ct.
DEA#: BJ1234563
Rx#
1369686
Written Date
07/01/2026

Name
Judy J. Miller
DOB
6/9/1994
Age
32
Address
432 Locust
Phone
(316) 555-3069
Allergies

Prescriber
Sandra Jones
Practice
Women Health Care Clinic
Address
2300 Clinton Parkway Ct.
Fax
(785) 555-8615
DEA
BJ1234563
NPI
9683386307
Phone
(785) 555-8614

Dispensed
Zurzuvae 25 mg Capsule
NDC #
64406-0030-02
Mfg
Biogen
Pres Qty
28
Dis Qty
28
Day Supply
14
Refills
0
DAW
1
Origin Code
3

Instructions
Take 2 capsules by mouth once daily for 14 days for postpartum depression.

Dispensing Notes

 
New Rx - Mandatory Counseling
Document Patient Counseling Topics To Be Given Verbally
Used For: It is used to treat major depressive disorder (MDD).
Need to Know: This drug may cause slow thinking, trouble walking, or make you feel sleepy, dizzy, or confused. This may lead to falling.
Need to Know: Some people may have a higher chance of eye problems with this drug. Your doctor may want you to have an eye exam to see if you have a higher chance of these eye problems.
Side Effects: Signs of bleeding like throwing up or coughing up blood; vomit that looks like coffee grounds; blood in the urine; black, red, or tarry stools; bleeding from the gums; abnormal vaginal bleeding; bruises without a cause or that get bigger; or bleeding you cannot stop.
Side Effects: Drugs like this one have raised the chance of suicidal thoughts or actions in children and young adults. The risk may be greater in people who have had these thoughts or actions in the past.
Best Taken: Take in the morning.
Best Taken: Take on an empty stomach (1 hour before or 2 hours after a meal).
Med Guide: This drug does not require a medication guide but I will be providing you a drug information handout with more details about this medication.