Shu Jin Li An San (Formula) *KC

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:

100g loose Granule Powder

Manufacturer Label Dosages:

5 grams 2 times per day

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

Shu Jin Li An San

Alternative Name

Clematis & Carthamus Combination

Product Line

Meridian Pro Formula

Dosage Forms

5:1 loose granule powder

Unit Size

100g loose Granule Powder

Dosage

5 grams 2 times per day

Allergy Warning

tree nuts/seeds

Ingredients

Wei Ling Xian

Hong Hua

Sheng Di Huang

Cang Zhu

Chuan Xiong

Tao Ren

Fu Ling

Niu Xi (Huai)

Fang Ji

Qiang Huo

Fang Feng

Chen Pi

Bai Zhi

Gan Cao

Ban Xia (Zhi)(Ginger)

Du Huo

Tian Nan Xing

Long Dan Cao

Lian Qiao

Bai Zhu

Mu Gua

Fu Zi (Zhi) (Processed)

Mu Tong (Chuan)

Zhu Ru

Huang Qin