Polygonum 14 (100 Caps) (Evergreen)

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:

100 capsules

Manufacturer Label Dosages:

3-4 capsules 3 times a day for an average adult

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

Evergreen Collection

Dosage Forms

Capsules

Unit Size

100 capsules

Dosage

3-4 capsules 3 times a day for an average adult

Allergy Warning

Ingredients

He Shou Wu (Radix Polygoni Multiflori)

Mo Han Lian (Herba Ecliptae)

Sang Shen (Fructus Mori)

Dang Gui (Radix Angelicae Sinensis)

Hei Zhi Ma (Semen Sesami Nigrum)

Huang Qi (Radix Astragali)

Nu Zhen Zi (Fructus Ligustri Lucidi)

Shu Di Huang (Radix Rehmanniae Praeparata)

Gan Cao (Rx/Rz Glycyrrhizae)

Bai Shao (Radix Paeoniae Alba)

Chuan Xiong (Rhizoma Chuanxiong)

Da Zao (Fructus Jujubae)

Ge Gen (Radix Puerariae Lobatae)

Gui Zhi (Ramulus Cinnamomi)