Rx# |
507813 |
Written Date |
10/12/2025 |
||||||
Rx Expires |
04/12/2026 |
Name |
William Williams |
||||||
Original Prescription |
DOB |
5/22/1998 |
Age |
27 |
Ht/Wt |
||||
![]() |
Address |
1405 W. 12th Street |
Phone |
(785) 555-0036 |
|||||
Product/Quantity/Refills/SIG |
|||||||||
Prescribed |
Xanax 0.25 mg Tablet |
||||||||
Strength |
0.25 mg |
||||||||
Dispensed |
Alprazolam 0.25 mg Tablet |
||||||||
Pres Qty |
90 |
||||||||
Dis Qty |
90 |
||||||||
Day Supply |
30 |
||||||||
Refills |
1 |
||||||||
SIG |
Take 1 tablet by mouth 3 times per day for anxiety. |
||||||||
Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
1 |
|||||
Pill Image |
![]() |
||||||||
Name |
James T. Warren |
||||||||
Address |
3-G Medical Arts Building |
Fax |
(785) 555-5566 |
||||||
DEA |
AW1351977 |
NPI |
6379131958 |
Phone |
(785) 555-5566 |
||||
DUR ALERT |
Warning Xanax 0.25 mg Tablet appears to interact with the following drug filled for William Williams on 10/07/2025:
|
|