Rx# |
701523 |
Written Date |
10/13/2025 |
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Rx Expires |
10/13/2026 |
Name |
Alexander Williams |
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Original Prescription |
DOB |
4/30/1976 |
Age |
49 |
Ht/Wt |
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Address |
1405 W. 12th Street |
Phone |
(785) 555-0036 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Detrol LA 4 mg Capsule |
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Strength |
4 mg |
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Dispensed |
Tolterodine 4 mg Extended-Release Capsule |
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Pres Qty |
30 |
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Dis Qty |
30 |
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Day Supply |
30 |
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Refills |
3 |
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SIG |
Take 1 capsule by mouth once daily for overactive bladder. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
4 |
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Pill Image |
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Name |
Carolyn Abman |
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Address |
1315 W. 12th Street |
Fax |
(316) 555-3277 |
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DEA |
BA4132647 |
NPI |
1269594188 |
Phone |
(316) 555-3277 |
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DUR ALERT |
Warning Detrol LA 4 mg Capsule appears to interact with the following drug filled for Alexander Williams on 10/08/2025:
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