Hubei #9 Recovery Phase

Apply Custom Rx Label ?

* Fill Out the Information Below for Custom Labelling

Reference Name*:

(For your records)

Formula Label Name:

(To be printed on label)

Pharmacy Instructions:

Kamwo Suggestions:

dosing instructions

Manufacturer Label Unit Size:

Manufacturer Label Dosages:

Manufacture spoonful (1.0g)

Capsule (0.7g)

Times Daily:

Number of Days:

---- OR ---- Click checkbox to add Instructions.

Custom Instructions:

(60 charecters max)

Refills:

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* Creating and Using Custom Labels what does create and use custom label mean?

Kamwo replaces the Manufacture's label with a Rx label with custom info entered by practitioner.

why should I create a custom label?

Manage patient dosing by specifying number of refills.

Prevent patient from self-medicating (without practitioner consultation) by buying medicine with manufacture label.

Add retainer (for practitioner effort) with a total price that is above product's retail price.

PATIENT NAME: The name of the patient whom this product is intended to be used by.

Formula Label Name: Name of the formula used in the prescription.

Unit Size: Size of the prescription, based on grams and the number of bottles.

Custom Practitioner Dosing Instructions: Choose from preloaded instructions or create your own set.

Date Filled: The date that the prescription was filled for the patient.

Expiration Date: The date that the product is best used by.

Rx Number: Number allocated with the prescription.

Practitioner Name: The patient's prescribing Practitioner's full name.

Description:

Patent Formula Name

Alternative Name

Product Line

Dosage Forms

Unit Size

Dosage

Allergy Warning

Ingredients

Sha Shen 沙参 (Radix Glehniae seu Adenophorae) 15g

Mai Dong 麦冬 (Radix Ophiopogonis) 15g

Wu Wei Zi 五味子(Fructus Schisandrae Chinensis) 15g

Ren Shen 人参 (Radix et Rhizoma Ginseng) 12g

Lai Fu Zi 莱菔子 (Semen Raphani) 15g

Si Gua Luo 丝瓜络 (Retinervus Luffae Fructus) 15g

*Ju Luo 橘络 (Vascular Citri Reticulatae) 15g

Zi Su Zi 苏子(Fructus Perillae) 12g

Zhe Bei Mu 浙贝 (Bulbus Fritillariae Thunbergii) 12g

Ku Xing Ren 杏仁 (Semen Armeniacae Amarum) 12g

Huang Qin 黄芩 (Radix Scutellariae) 15g

Gan Cao 生甘草 (Radix et Rhizoma Glycyrrhizae) 10g

*Sugg Substitute: Ju Hong 橘紅 Exocarpium Citri Rubrum 6g