Pharmacy Prescription


    Pharmacy Prescription
    
    
    
    
    
    
        
            
            
				
                OH
				
                Garfield Heights
				
                44125
				
                23434 McCracken Road
			
            
            
                
					
                    Lilly
					
                    Tiani-Cisco
					
                    
					
                    
				
                
                
                
                
                
            
        
    
    
        
        
        
            
            
            
				
                OH
				
                Garfield Heights
				
                44125
				
                12300 McCracken Road
			
            
            
                
					
                    Tony
					
                    Anderson
					
                    Dr.
				
            
            
                
                Marymount Hospital
                
                
					
                    OH
					
                    Garfield Heights
					
                    44125
					
                    12300 McCracken Road8
				
            
        
    
    
        
            
                
                Marymount Hospital
                
                
					
                    OH
					
                    Garfield Heights
					
                    44125
					
                    12300 McCracken Road
				
            
        
    
    
        
        
        
            
            
				
                OH
				
                Garfield Heights
				
                44125
				
                12300 McCracken Road
			
            
            
                
					
                    Tony
					
                    Anderson
					
                    Dr.
				
            
            
                
                Marymount Hospital
                
                
					
                    OH
					
                    Garfield Heights
					
                    44125
					
                    12300 McCracken Road
				
            
        
    
    
        
            
                
                
            
            
                
                
                
                    
                    
                
                
                    
                    
                    
						
                        OH
						
                        Garfield Heights
						
                        44125
						
                        12300 McCracken Road
					
                    
                    
                        
							
                            Tony
							
                            Anderson
							
                            Dr.
						
                    
                    
                        
                        Marymount Hospital
                        
                        
							
                            OH
							
                            Garfield Heights
							
                            44125
							
                            12300 McCracken Road
						
                    
                
            
        
    
    
        
            
                
                    
                    
                    
                    
                    
                    Prescription for medication
                    
						
                        
                            
                                
                                    Branded Medication
                                    Package name
                                    Packag form
                                    LOT number
                                    Package capacity
                                    Ingredients
                                    Date from
                                    Date to
                                    Frequency
                                    Route code
                                    Approach site
                                    Dose quantity
                                    Rate quantity
                                    Reason
                                    Patient instructions
                                    Fulfillment instructions
                                    Dispense amount
                                    Substitution
                                
                            
                            
                                
                                    Insulin (human) 1mg/10ml, 5 injections package
                                    
                                    
                                    
                                    
                                    
										
                                        
                                            
												
                                                Insulin
												
                                                1mg/10ml
											
                                        
									
                                    2015-04-20
                                    2015-04-25
                                    1 times per d
                                    injection
                                    arm
                                    1mg
                                    1/d
                                    :
                                    max. 1/d
                                    1 OP
                                    1mg
                                    none
                                
                            
                        
					
                    
                        
                            
                            
                            
                            
                            
                            
								 
							
                                
                            
                            
                            
                                
                                
                            
                            
                                
                            
                            
                            
                                
									 
								
                                    
                                
                            
                            
                                
                                    
                                        
											 
										
                                            
                                        
                                    
                                
                                
                                    
                                        
											 
										
                                            
                                        
                                    
                                
                            
                            
                                
                                    
                                        
											 
										
                                            
                                        
                                    
                                
                                
                                    
                                        
											 
										
                                            
                                        
                                    
                                
                            
                            
                                
                                    
                                    
                                    
                                        
                                        
                                            
												 
											
                                                
                                            
                                        
                                        Insulin (human)
                                        
                                        
                                            
                                                
                                                Insulin (human) 1mg/10ml, 5 injections package
                                                
                                                
                                            
                                        
                                        
                                            
                                                
                                                
                                            
                                            
                                                
                                                various
Branded Medication	Package name	Packag form	LOT number	Package capacity	Ingredients	Date from	Date to	Frequency	Route code	Approach site	Dose quantity	Rate quantity	Reason	Patient instructions	Fulfillment instructions	Dispense amount	Substitution
Insulin (human) 1mg/10ml, 5 injections package					Insulin 1mg/10ml	2015-04-20	2015-04-25	1 times per d	injection	arm	1mg	1/d	:	max. 1/d	1 OP	1mg	none