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Rx#
936314
Written Date
10/13/2025
 
Rx Expires
10/13/2026
Name
Mary S. Wright
Original Prescription
DOB
3/1/1985
Age
40
Ht/Wt
Womens Health Clinic
902 Princeton Blvd.
Mary S. Wright
902 Princeton Blvd.
10/13/2025
Ocella Tablet 28-day
Dispense 84  
Sig: i po QD for birth control
3
Sandra Jones
BJ1234563
DAW:
do not substitute
Address
902 Princeton Blvd.
Phone
(785) 555-1312
Product/Quantity/Refills/SIG
Prescribed
Ocella Tablet 28-day
Strength
0.03 mg/3 mg
 
Dispensed
Ocella Tablet 28-day Pack
Pres Qty
84
 
Dis Qty
84
 
Day Supply
84
 
Refills
3
 
SIG
Take 1 tablet by mouth once daily for birth control.
Pill Image & Dispensing Notes
RPh Note:
DAW
1
Origin Code
1
 
Pill Image
Name
Sandra Jones
Address
2300 Clinton Parkway Ct.
Fax
(785) 555-1096
DEA
BJ1234563
NPI
9683386307
Phone
(785) 555-1096
DUR ALERT

 
There is a PROFILE ALERT for Mary S. Wright taking Ocella Tablet 28-day
 

Alert Concern: Pharmacist Action: Proposed Change: