Rx Manager
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MEDICATION LIST
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ACTION REQUIRED ({{actionCount}})
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DAYS
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NO ACTION NEEDED — {{nextLine}}
0 REFILLS — RENEWAL REQUIRED BEFORE NEXT FILL: {{renewNote}}
ACTIVE MEDICATIONS
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 PRN
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DAYS
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SUPPLY CALCULATION
REMAINING
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DAYS ON HAND
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DAYS
RUN-OUT
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VA {{dt.vaVerb}} ↗
RECORD
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Sig, expanded: {{dt.sigPlain}}
FILL HISTORY
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IDENTITY
GENERIC NAME *
BRAND
STRENGTH * (mg / mcg / mEq / mL / units)
FORM
ROUTE
DRUG CLASS
INDICATION
SIG & SCHEDULE
SIG — AS WRITTEN ON LABEL *
DOSES / DAY *
TYPE
FULFILLMENT
SUPPLY
QTY DISPENSED *
DATE LAST FILLED *
DAYS SUPPLY
REFILLS REMAINING *
RX SOURCE
PRESCRIBER
PHARMACY
RX NUMBER
FLAGS — AFFECT ORDER-BY LEAD
CONTROLLED SUBSTANCE SCHEDULE
STATUS
NOTES
LEAD TIMES
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ORDER-BY = RUN-OUT − LEAD.
0 REFILLS → RENEWAL LEAD APPLIES.
CONTROLLED / COLD-CHAIN DAYS ADD TO EITHER.
CAMERA UNAVAILABLE
TAP A FIELD BELOW TO ENTER MANUALLY
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REQUIRED
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MANUAL
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OPTIONAL
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MANUAL
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