Rx# |
894024 |
Written Date |
10/12/2025 |
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Rx Expires |
10/12/2026 |
Name |
William P. Jones |
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Original Prescription |
DOB |
1/2/1993 |
Age |
32 |
Ht/Wt |
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Address |
2032 Missouri Street |
Phone |
(316) 555-3931 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Imitrex 50 mg Tablet |
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Strength |
50 mg |
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Dispensed |
Sumatriptan 50 mg Tablet |
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Pres Qty |
6 |
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Dis Qty |
6 |
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Day Supply |
3 |
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Refills |
0 |
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SIG |
Take 1 tablet by mouth if needed for migraine. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
2 |
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Pill Image |
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Name |
James T. Warren |
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Address |
3-G Medical Arts Building |
Fax |
(785) 555-5566 |
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DEA |
AW1351977 |
NPI |
6379131958 |
Phone |
(785) 555-5566 |
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DUR ALERT |
There is a PROFILE ALERT for William P. Jones taking Imitrex 50 mg Tablet |
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