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Medications
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Check to add medication
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Drug Name
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PRN
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Sig Note
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Sig
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Indication
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Status
• • •
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Diagnosis:
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Appointment Date
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Date/Time Prescribed
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Date/Time Started Taking
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Date/Time Stopped Taking
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Dispense Quantity
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Dispense Package
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Number Refills
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Days Supply
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DAW
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Pharmacy Notes
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Add'l Notes
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