Modified Perilla & Mentha (60 capsules) (Blue Poppy)

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* 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:

60 capsules

Manufacturer Label Dosages:

3 capsules two times per day

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

Modified Perilla & Mentha

Alternative Name

Jia Jian Su He Tang

Product Line

Blue Poppy

Dosage Forms

Capsules

Unit Size

60 capsules

Dosage

3 capsules two times per day

Allergy Warning

soy

Ingredients

Bai Shao (Radix Alba Paeoniae)

Huang Qi (Radix Astragali)

Fu Ling (Poria)

Gan Cao (Radix Glycyrrhizae)

Mai Men Dong (Tuber Ophiopogonis)

Dang Shen (Radix Codonopsis)

He Shou Wu (Radix Polygoni Multiflori)

Lian Qiao (Fructus Forsythiae)

Huang Qin (Radix Scutellariae)

Ban Xia (Rhizoma Pinelliae)

Zi Su Ye (Folium Perillae)

Bai Zhi (Radix Angelica Dahuricae)

Bo He (Herba Menthae Haplocalycis)

Wu Mei (Fructus Mume)

Chen Pi (Pericarpium Citri Reticulatae)