Custom Granule

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Product Information

Patent Formula Name

Alternative Name

Product Line

Custom Granule

Dosage Forms

Loose Granule

Unit Size

Dosage Forms

Allergy Warning

Reference Name *

(For your records)

Formula Label Name

(To be printed on label)

Pharmacy Instructions

Kamwo Suggestions

Dosing Instructions

Manufacturer Label Unit Size

Manufacturer Label Dosages

Manufacturer Spoonful (1.0g)
Capsule (0.7g)

Times Daily

Number of Days

---- OR ----

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Custom Instructions

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