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Customize Rx Label
Reference Name (For your records)*
Formula Label Name (To be printed on label)
Pharmacy Instructions
dosing instruction
Manufacturer Label Unit Size
Manufacturer Label Dosages
Capsule (0.7g)
Times Daily
# of Days
Custom Instructions (60 charecters max)
(Clear this field to disable Custom Instruction)
New prices adjusted to include labelling service fees:
Patient : 0.00
Retainer : 0.00
Practitioner : 0.00
# of Refills
description
patent formula
NA
alternative name
product line
Estim
dosage forms
Estim
unit size
dosage
allergy warning
ingredients
Included accessories: