Tong Ren Tang Brand Da Huo Luo Wan (10 drops)

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

Notopterygium forbesii(Qiang huo)

Fang-Feng Root

Eugenia cumini(Ding xiang)

Cinnamomum cassia(Rou gui)

White Peony root (Bai Shao)

Lindera strychnifolia(Wu yao)

Angelica polymorpha(Dang gui)

Boswellia carterii(Ru xiang)

Commiphora myrrha(Mo yao)

Dragon’s Blood (Xie JIe)

Rehmannia glutinosa(Di huang)

Glycyrrhiza uralensis(Gan cao)

Poria cocos(Fu ling)

Atractylodes lancea(Bai zhu)

Panax ginseng(Ren shen)

Polygonatum multiflorum(HeShouWu)

Agastache rugosa(Huo xiang)

Drynaria fortunei(Gu sui bu)

Scrophularia ningpoensis(Xuan shen)

Elettaria cardamomum(Dou kou)

Cyperus rotundus(Xiang fu)

Rheum palmatum(Da huang)

Colophony(Song xiang)

Citrus reticulate(Qing pi)

Scutellaria baicalensis(Huang qin)

Arisaema japonicum(Tian nan xing)

Pueraria lobata(Ge geng)

Styrax tonkinensis(An xi xiang)

Anemone raddeana(Liang tou jian)