Rx# |
936314 |
Written Date |
10/13/2025 |
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Rx Expires |
10/13/2026 |
Name |
Mary S. Wright |
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Original Prescription |
DOB |
3/1/1985 |
Age |
40 |
Ht/Wt |
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Address |
902 Princeton Blvd. |
Phone |
(785) 555-1312 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Ocella Tablet 28-day |
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Strength |
0.03 mg/3 mg |
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Dispensed |
Ocella Tablet 28-day Pack |
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Pres Qty |
84 |
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Dis Qty |
84 |
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Day Supply |
84 |
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Refills |
3 |
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SIG |
Take 1 tablet by mouth once daily for birth control. |
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Pill Image & Dispensing Notes |
DAW |
1 |
Origin Code |
1 |
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Pill Image |
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Name |
Sandra Jones |
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Address |
2300 Clinton Parkway Ct. |
Fax |
(785) 555-1096 |
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DEA |
BJ1234563 |
NPI |
9683386307 |
Phone |
(785) 555-1096 |
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DUR ALERT |
There is a PROFILE ALERT for Mary S. Wright taking Ocella Tablet 28-day |
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