CLICK on error (1 error per prescription) for Completion Code |
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Rx# |
1340257 |
Written Date |
2/7/20XX |
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Rx Expires |
1 year |
Name |
Lily M. Hanson |
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Original Prescription |
DOB |
3/1/XXXX |
Age |
30 |
Ht/Wt |
65 inches, 159 lbs |
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Address |
1205 Edgewood Lane |
Phone |
785-555-1277 |
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Product/Quantity/Refills/SIG |
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Prescribed |
Cephalexin Cap |
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Strength |
500 mg |
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Dispensed |
Cephalexin 500 mg Capsule |
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Pres Qty |
20 |
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Dis Qty |
20 |
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Day Supply |
10 |
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Refills |
0 |
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SIG |
Take 1 capsule by mouth every 12 hours for skin infection. |
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Pill Image & Dispensing Notes |
DAW |
2 |
Origin Code |
2 |
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Pill Image |
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Name |
Norman Keyes |
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Address |
4-G Medical Arts Building |
Fax |
785-555-3239 |
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DEA |
AK4132647 |
NPI |
3816380925 |
Phone |
785-555-3238 |
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Dispensing Notes |