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Rx#
501613
Written Date
04/01/2026
 
Rx Expires
04/01/2027
Name
Richard T. Hanson
Original Prescription
DOB
11/22/1992
Age
34
Ht/Wt
at 18:30, eRx #: 8262140
ELECTRONIC PRESCRIPTION
Richard T. Hanson
1205 Edgewood Lane
Date: 04/01/2026
Lasix 40 mg Tablet
Dispense 30
Sig: i po qAM for HTN
Refills: 4
Dr. Samuel Bernstein
3-C Medical Arts Building
AB1294824
DAW: substitution permitted
Address
1205 Edgewood Lane
Phone
(785) 555-3521
Product/Quantity/Refills/SIG
Prescribed
Lasix 40 mg Tablet
Strength
40 mg
 
Dispensed
Furosemide 40 mg Tablet
Pres Qty
30
 
Dis Qty
30
 
Day Supply
 
Refills
4
 
SIG
Take 1 tablet by mouth every morning for hight blood pressure.
Pill Image & Dispensing Notes
RPh Note:
DAW
0
Origin Code
3
 
Pill Image
Name
Samuel Bernstein
Address
3-C Medical Arts Building
Fax
(785) 555-8678
DEA
AB1294824
NPI
7759028783
Phone
(785) 555-8678
DUR ALERT

 
There is a PROFILE ALERT for Richard T. Hanson taking Lasix 40 mg Tablet
 

Alert Concern: Pharmacist Action: Proposed Change: