Rx# |
990099 |
Written Date |
02/12/2026 |
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Rx Expires |
05/12/2026 |
Name |
Lily Wong |
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Original Prescription |
DOB |
8/30/2009 |
Age |
17 |
Ht/Wt |
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Address |
1020 Cambridge Circle |
Phone |
(785) 555-1943 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Vyvanse 10 mg Capsule |
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Strength |
10 mg |
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Dispensed |
Lisdexamfetamine 10 mg 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 |
0 |
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SIG |
Take 1 capsule by mouth once daily for ADHD. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
3 |
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Pill Image |
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Name |
George Platz |
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Address |
908 Concord |
Fax |
(316) 555-7793 |
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DEA |
AP7323013 |
NPI |
7036888798 |
Phone |
(316) 555-7793 |
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DUR ALERT |
There is a DOSING ALERT for Lily Wong taking Vyvanse 10 mg Capsule with the instructions: Take 1 capsule by mouth once daily for ADHD. |
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