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Rx# |
990105 |
Written Date |
05/17/2026 |
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Rx Expires |
05/17/2027 |
Name |
Evelyn Johnson |
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Original Prescription |
DOB |
9/20/1949 |
Age |
77 |
Ht/Wt |
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 |
Address |
1426 Pinecone Drive |
Phone |
(785) 555-3113 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Oxybutynin 5 mg Tablet |
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Strength |
5 mg |
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Dispensed |
Oxybutynin 5 mg Tablet |
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Pres Qty |
90 |
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Dis Qty |
90 |
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Day Supply |
30 |
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Refills |
2 |
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SIG |
Take 1 tablet by mouth 3 times daily for overactive bladder. |
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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 DOSING ALERT for Evelyn Johnson taking Oxybutynin 5 mg Tablet with the instructions: Take 1 tablet by mouth 3 times daily for overactive bladder. |
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