Rx# |
496321 |
Written Date |
10/13/2025 |
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Rx Expires |
10/13/2026 |
Name |
Rose J. Bontrager |
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Original Prescription |
DOB |
1/28/2024 |
Age |
1 |
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 |
Augmentin ES-600 Oral Suspension |
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Strength |
600 mg/42.9 mg/5 mL |
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Dispensed |
Amoxicillin/Clavulanate 600 mg/42.9 mg/5 mL Oral Suspension |
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Pres Qty |
75 mL |
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Dis Qty |
75 mL |
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Day Supply |
10 |
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Refills |
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SIG |
Take 3.75 mL by mouth two times per day for 10 days to treat severe ear infection. |
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Pill Image & Dispensing Notes |
DAW |
0 |
Origin Code |
1 |
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Pill Image |
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Name |
Harold L. Green |
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Address |
2-G Medical Arts Building |
Fax |
(785) 555-7718 |
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DEA |
AG1294230 |
NPI |
5946269224 |
Phone |
(785) 555-7718 |
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DUR ALERT |
There is a DOSING ALERT for Rose J. Bontrager taking Augmentin ES-600 Oral Suspension with the instructions: Take 3.75 mL by mouth two times per day for 10 days to treat severe ear infection. |
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