• Name: Jessica, Wilson
  • DOB: 10/07/1976
  • Patient Type: Compliance Packaging , Care Facility Patient

Rx Profile

Rx Pharm Status Fill Product Date Written Date Filled Refills Auth Refills Remain Qty Prescd Qty Disp Qty Rem Prescriber Pat Pay
51235830-000 0 New 0 D 1000 Capsule 1000 UNIT 04/13/2018 04/13/2018 5 5 10.000 10.000 50 Mr. John 5.00
51235830-000 0 New 0 D 1000 Capsule 1000 UNIT 04/13/2018 04/13/2018 5 5 10.000 10.000 50 Mr. John 5.00
51235830-000 0 New 0 D 1000 Capsule 1000 UNIT 04/13/2018 04/13/2018 5 5 10.000 10.000 50 Mr. John 5.00
51235830-000 0 New 0 D 1000 Capsule 1000 UNIT 04/13/2018 04/13/2018 5 5 10.000 10.000 50 Mr. John 5.00
51235830-000 0 New 0 D 1000 Capsule 1000 UNIT 04/13/2018 04/13/2018 5 5 10.000 10.000 50 Mr. John 5.00

Status Audit

  • Number of Rx's Completed: 10
  • Total Dollar Amt. of Rx's: $6,535.12
  • Date Last Filed: 04/01/2007
  • Date Patient Added: 05/21/2007
  • Number of Rx Completed: 10
  • Total Dollar Amount of Rx's: $2.12
  • Date Last Filled: 04/01/2007
Created By/On:Devel# 11/26/2015 | 5:23:47 am
Maintained By/On: PRASHANT 15/12/2018 | 5:06:479 am