Hubei #9 Pneumonia Phase (Toxic-Stag Obstructing the Lungs)

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:

Manufacturer Label Dosages:

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

Alternative Name

Product Line

Dosage Forms

Unit Size

Dosage

Allergy Warning

Ingredients

Shi Gao 石膏 (Gypsum Fibrosum) 30g

Zhi Mu 知母 (Rhizoma Anemarrhenae) 10g

Shan Yao 山药 (Rhizoma Dioscoreae) 15g

Xi Yang Shen 西洋参 (Radix Panacis Quinquefolii) 5g

Tu Fu Ling 土茯苓 (Rhizoma Smilacis Glabrae) 30g

*Tu Da Huang 土大黄 (Radix Rumicis Obtusifolii) 10g

**Tu Bei Mu 土贝母 (Rhizoma Bolbostemmatis) 10g

***Tu Niu Xi 土牛膝 (Rhizoma Achyranthes Sylvestris) 10g

Su Mu 苏木 (Lignum Sappan) 10g

Tu Bie Chong 土鳖 (Eupolyphaga seu Steleophaga) 10g

Ju Luo 橘络 (Vascular Citri Reticulatae) 15g

Lai Fu Zi 莱菔子 (Semen Raphani) 20g

Ting Li Zi 葶苈子(Semen Descurainiae seu Lepidii) 15g

Si Gua Luo 丝瓜络 (Retinervus Luffae Fructus) 30g

*sugg substitute: Da Huang 大黄 (Radix et Rhizoma Rhei)

**sugg substitute: Zhe Bei Mu 浙贝母 (Thunberg Fritillary Bulb)

***sugg substitute: Chuan Niu Xi 川牛膝 (Radix Cyathulae)