Unlocking Formula (90 Capsules) (Health Concerns)

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:

90 Capsules

Manufacturer Label Dosages:

3 Capsules TID

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

Unlocking Formula

Alternative Name

Patrinia

Product Line

Health Concerns

Dosage Forms

Capsules

Unit Size

90 Capsules

Dosage

3 Capsules TID

Allergy Warning

Ingredients

Patrinia herb (bai jiang cao)

Sargentodoxa stem (da xue teng)

Cyathula root (chuan niu xi)

Melia fruit (chuan lian zi)

Moutan root bark (mu dan pi)

Red Peony root (chi shao)

Poria sclerotium (fu ling)

Fennel fruit (xiao hui xiang)

Citrus seed (ju he)

Red Atractylodes rhizome (cang zhu)

White Atractylodes rhizome (bai zhu)

Phellodendron cortex (huang bai)

Cimicifuga rhizome (sheng ma)