Quiet Nites (2 fl oz) (Blue Poppy)

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:

2 oz.

Manufacturer Label Dosages:

One to two droppers may be sufficient for younger children and 3-4 droppers may be necessary per dose for older children.

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

Quiet Nites

Alternative Name

Bao He Wan

Product Line

Blue Poppy

Dosage Forms

Liquid

Unit Size

2 oz.

Dosage

One to two droppers may be sufficient for younger children and 3-4 droppers may be necessary per dose for older children.

Allergy Warning

gluten, tree nuts/seeds

Ingredients

Fu Ling (Poria)

Shan Zha (Fructus Crataegi)

Shen Qu (Massa Medica Fermentata)

Lai Fu Zi (Semen Raphani)

Chen Pi (Pericarpium Citri Reticulatae)

Ban Xia (Rhizoma Pinelliae)

Mai Ya (Fructus Germinatus Hordei)

Lian Qiao (Fructus Forsythiae)