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Rx#
131422
Written Date
10/13/2025
Patient Information
 
Rx Expires
10/13/2026
Name
William B. Hanson
Original Prescription
DOB
7/7/2021
Age
4
Ht/Wt
Uptown Pediatric Group
1205 Edgewood Lane
William B. Hanson
1205 Edgewood Lane
10/13/2025
ProAir HFA 90 mcg/puff Oral Inhaler
Dispense 8.5 g  
Sig: i or ii puffs po Q6H prn wheezing/cough
2
Harold L. Green
AG1294230
DAW:
do not substitute
Address
1205 Edgewood Lane
Phone
(785) 555-3521
Product/Quantity/Refills/SIG
Prescribed
ProAir HFA 90 mcg/puff Oral Inhaler
Strength
90 mcg/act
 
Dispensed
ProAir HFA 90 mcg/act Oral Inhaler
Pres Qty
8.5 g
 
Dis Qty
8.5 g
 
Day Supply
25
 
Refills
2
 
SIG
Inhale 1 or 2 puffs by mouth every 6 hours as needed for wheezing or coughing.
Pill Image & Dispensing Notes
RPh Note:
DAW
1
Origin Code
1
 
Pill Image
Prescriber Information
Name
Harold L. Green
Address
2-G Medical Arts Building
Fax
(785) 555-7718
DEA
AG1294230
NPI
5946269224
Phone
(785) 555-7718
DUR ALERT
 
There is a PROFILE ALERT for William B. Hanson taking ProAir HFA 90 mcg/puff Oral Inhaler
 

Alert Concern: Pharmacist Action: Proposed Change: