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Tonic Formula for Cold & Flu (PeeKay)

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:
Take 5 to 10 squirts, 2-3 times per day, or as directed by your health care provider.

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.

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.

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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.
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Description:
Patent Formula Name
Alternative Name
Product Line
PeeKays by Paul Kempisty, L.Ac
Dosage Forms
Unit Size
Dosage
Take 5 to 10 squirts, 2-3 times per day, or as directed by your health care provider.
Allergy Warning
Ingredients

Organic Raw Honey (32.5% by vol.) Vegetable Glycerin (32.5% by vol.)

Purified water and a blend of the following herbal extracts

concentrated at a 1.5:1 ratio (gr. herb to ml menstruum). rnFresh Ginger rhizome/ Sheng Jiang

rnForsythia fruit/ Lian Qiao

rnLonicera flower/ Jin Yin Hua

rnHoutuynia herb/ Yu Xing Cao

rnDandelion herb/ Pu Gong Yin

rnOldenlandia herb/ Bai Hua She She Cao

rnIsatis root/ Ban Lan Gen

rnPerilla leaf/ Zi Su Ye

rnCinnamon twig/ Gui Zhi

rnTangerine peel/ Chen Pi

rnMangnolia bark/ Hou Po

rnAstralagus root/ Huang Qi

rnCodonopsis root/ Dang Shen

rnPlatycodon root/ Jie Geng

rnBurdock seed/ Nui bang Zi

rnAngelica dahurica rt./ Bai Zhi

rnXanthium fruit/ Cang Er Zi

rnScute root/ Huang Qin

rnCamu Camu fruit

rnBupluerum root/ Chai Hu

rnAster seed/ Zi Wan

rnPeucedenum root/ Qian Hu

rnLoquat leaf/ Pi Pa Ye

rnPyrossia herb/ Shi Wei

rnChrysanthemum flower/ Ju Hua

rnSlippery Elm bark

rnRed Jujube date/ Hong Zao

rnAcerola Cherry

rnNotopterygium Root/ Qiang huo

rnFeverfew

rnOlive leaf

rnPinellia rhiz./ Ban Xia

rnFrittillaria bulb/ Chuan Bei Mu & Zhe Bei Mu

rnMint herb/ Bo He

rnAndrographis herb/ Chuan Xin Lian

rnGreen Tea/ Cha Ye

rnLicorice root/ Gan Cao