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Blood Bank (PeeKay)

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 fl oz
Manufacturer Label Dosages:
Take 5 to 15 squirts (1 full teaspoon to 1 full tablespoon), 1-3 times per day, or as directed by your health care provider.

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.

about 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.

about
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
PeeKays by Paul Kempisty, L.Ac
Dosage Forms
Tincture
Unit Size
2 fl oz
Dosage
Take 5 to 15 squirts (1 full teaspoon to 1 full tablespoon), 1-3 times per day, or as directed by your health care provider.
Allergy Warning
Ingredients

White Peony root - Bai Shao

Dong Quai root - Dang Gui

Lycium berry - Gou Qi Zi

Polygonum (Fo-Ti) - He Shou Wu

Mulberry Fruit - Sang Shen Zi

Tangerine peel - Chen Pi

Ginger root - Sheng Jiang

Nettle leaf - Xun Ma Ye

Jujube Date - Da Zao

Longan fruit - Long Yan Rou

Cnidium root - She Chuang Zi

Rehmannia root - Sheng Di Huang

Rehmannia prep. root - Shu Di Huang

Solomon's Seal root - Huang Jing

Red Cardamom fruit - Sha Ren

Cinnamon bark - Rou Gui

Cloves - Ding Xiang