Rx# |
302115 |
Written Date |
02/12/2026 |
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Rx Expires |
02/12/2027 |
Name |
Stanley M. Bontrager |
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Original Prescription |
DOB |
7/11/1993 |
Age |
33 |
Ht/Wt |
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Address |
421 E. 21st Street |
Phone |
(316) 555-4551 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Relenza 5 mg/act Diskhaler |
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Strength |
5 mg/act |
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Dispensed |
Relenza 5 mg/act Diskhaler |
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Pres Qty |
1 inhaler |
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Dis Qty |
1 inhaler |
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Day Supply |
5 |
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Refills |
0 |
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SIG |
Inhale 2 puffs by mouth twice daily for 5 days to treat flu infection. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
2 |
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Pill Image |
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Name |
Carolyn Abman |
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Address |
1315 W. 12th Street |
Fax |
(316) 555-3277 |
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DEA |
BA4132647 |
NPI |
1269594188 |
Phone |
(316) 555-3277 |
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DUR ALERT |
There is a DOSING ALERT for Stanley M. Bontrager taking Relenza 5 mg/act Diskhaler with the instructions: Inhale 2 puffs by mouth twice daily for 5 days to treat flu infection. |
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