Heavenly Water (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:

2 to 3 Capsules TID, between meals

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

Heavenly Water

Alternative Name

Gotu Kola

Product Line

Health Concerns

Dosage Forms

Capsules

Unit Size

90 Capsules

Dosage

2 to 3 Capsules TID, between meals

Allergy Warning

Ingredients

Gotu kola root (Centella asiatica)

Chaste tree berries (Viticis agnus-castus)

Passion flower (Passiflorae incarnatae)

Pseudostellaria root (tai zi shen)

Scute root (huang qin)

Pinellia rhizome (ban xia)

Poria sclerotium (fu ling)

White Peony root (bai shao)

Tang Kuei root (dang gui)

Cyperus rhizome (xiang fu)

Trichosanthes root (tian hua fen)

Red Date (da zao)

Baked Licorice root (zhi gan cao)

Citrus peel (chen pi)

Blue Citrus fruit (qing pi)