Qu Ban Shui Gao - Dermatology M

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:
Smooth a thin layer over clean, dry skin on the face, avoiding the eye area. Leave overnight, then cleanse skin as normal the following day. Repeat nightly.

Manufacture spoonful (1.0g)

Capsule (0.7g)

Times Daily:
Number of Days:
---- OR ---- Click checkbox to add Instructions.

Custom Instructions:

(60 charecters max)


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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.

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.
Patent Formula Name
Alternative Name
Product Line
Dermatology M
Dosage Forms
Unit Size
Smooth a thin layer over clean, dry skin on the face, avoiding the eye area. Leave overnight, then cleanse skin as normal the following day. Repeat nightly.
Allergy Warning

Aqua (Water)


Butyrospermum Parkii (Shea) Nut Butter

Prunus Amygdalus Dulcis (Sweet Almond) Oil

Prunus Armeniaca (Apricot) Kernel Oil

Butylene Glycol

Hydrogenated Lecithin

Carthamus Tinctorius (Safflower) Seed Oil

Myrica Cerifera (Bayberry) Fruit Wax


Sodium Ascorbyl Phosphate


Cetearyl Alcohol

Palmitic Acid


C12-16 Alcohols




Ampelopsis Japonica Root Powder

Atractylodes Macrocephala Root Powder

Bletilla Striata Root Extract

Cynanchum Atratum Extract

Imperata Cylindrica Root Extract

Paeonia Albiflora Root Extract

Phaseolus Radiatus Extract

Syringa Oblata Affinis Extract

Tribulus Terrestris Extract


Commiphora Myrrha (Myrrh) Oil

Boswellia Neglecta (Frankincense) Resin Oil

Vaccinium Myrtillus Fruit Extract

Helianthus Annuus (Sunflower) Seed Oil

Inulin Lauryl Carbamate

Sodium Hyaluronate

Xanthan Gum

Saccharum Officinarum (Sugar Cane) Extract


Caprylyl Glycol

Citrus Aurantium Dulcis (Orange) Fruit Extract

Citrus Limon (Lemon) Fruit Extract


Caprylhydroxamic Acid

Acer Saccharum (Sugar Maple) Extract