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Pharmskills Online - (V1) Data Entry Verification Queue - View Detail

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Rx#
3701298
Written Date
2/1/20XX
 
Rx Expires
1 year
Name
Janet T. Jones
Original Prescription
DOB
9/21/XXXX
Age
20
Ht/Wt
70 inches, 205 lbs
Hometown Family Medicine
3-G Medical Arts Building
Janet T. Jones
2/2/20XX
Zovirax 400 mg Tablet
Dispense 10 day supply
Sig: i po TID x10 days for lip sore
0
James T. Warren
DAW: generic okay
Cathy Paulsen, RN
Address
2032 Missouri Street
Phone
785-555-8126
Product/Quantity/Refills/SIG
Prescribed
Zovirax Tab
Strength
400 mg
 
Dispensed
Acyclovir 400 mg Tablet
Pres Qty
30
 
Dis Qty
30
 
Day Supply
10
 
Refills
0
 
SIG
Take 1 tablet by mouth three times a day for 10 days for lip sore.
Pill Image & Dispensing Notes
DAW
0
Origin Code
4
 
Pill Image
Name
James T. Warren
Address
3-G Medical Arts Building
Fax
785-555-5567
DEA
AW1351977
NPI
6379131958
Phone
785-555-5566
Dispensing
Notes
Patient expressed concern over recurrent Herpes Simplex infections.