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Patient Information Patient Number: 00000000 Name: xxxxxxx, xxxxx Sex: M Age: 75 Years 3 Months 0 Days Prescription List (All Dates) Example Medication Highlighted in 'RED' was not picked up and Patient was given Credit. Example Medication Highlighted in 'YELLOW' was Marked Inactive. Description Date Total Daily Dosage Form Frequency QTY Ref Rem Last Refill bupropion 11-24-2003 BuPROPion 150mg SR Tab tab 1 QD 30 5 11-24-2003 alendronate 10-20-2003 Alendronate 70mg Tab tab 1 QWK 4 5 10-20-2003 HYDROCODONE/APAP * 10-13-2003 1-2TAB/20 TAB TABLET Q4-6HPRN 020 002.00 10-13-2003 nortriptyline 10-10-2003 Nortriptyline 75mg Cap cap 1 QD 90 3 10-10-2003 PANTOPRAZOLE * 10-06-2003 40MG/-30 TAB TABLET QHS -30 003.67 11-26-2003 AZITHROMYCIN @ 10-06-2003 500MG/28 TAB TABLET QD 028 000.00 10-11-2003 PANTOPRAZOLE * 10-06-2003 40MG/30 TAB TABLET QHS 030 003.67 10-10-2003 PREDNISONE * 09-22-2003 5MG/90 TAB TABLET QD 090 000.00 09-23-2003 PREDNISONE * 09-22-2003 10MG/0 TAB TABLET QD 000 001.00 09-23-2003 fluticasone-salmeterol 08-11-2003 Fluticasone/Salmet 250-50mc INH-oral disk INH 1 pu 60 10 08-11-2003 PREDNISONE * 08-11-2003 10MG/90 TAB TABLET QD 090 003.00 09-20-2003 BUPROPION * 08-11-2003 150MG/0 TAB TABLET BID 000 002.00 08-11-2003 PREDNISONE * 08-11-2003 10MG/0 TAB TABLET QD 000 004.00 08-11-2003 FLUTICASONE/SALMETEROL DISKUS 08-11-2003 250MCG/0 DOSE INHALANT BID 000 013.00 08-11-2003 FLUTICASONE/SALMETEROL DISKUS 08-11-2003 250MCG/0 DOSE INHALANT BID 000 011.00 11-25-2003 FLUTICASONE/SALMETEROL DISKUS 08-11-2003 250MCG/60 DOSE INHALANT BID 060 012.00 09-05-2003 BUPROPION * 08-11-2003 150MG/120 TAB TABLET BID 120 001.67 09-05-2003 FLUTICASONE/SALMETEROL DISKUS 08-11-2003 250MCG/60 DOSE INHALANT BID 060 011.00 10-13-2003 FLUTICASONE 220 MCG @ 08-08-2003 2PUFF/13 GM INHALANT BID 013 000.00 08-08-2003 SALMETEROL DISKUS@ 60 08-08-2003 50MCG/60 PUFF INHALANT BID 060 000.00 08-08-2003 PREDNISONE * 07-25-2003 10MG/30 TAB TABLET QD 030 000.00 08-05-2003 PREDNISONE * 07-25-2003 10MG/30 TAB TABLET QD 030 000.00 07-25-2003 atenolol 07-14-2003 Atenolol 50mg Tab tab 1 QD 90 1 07-14-2003 IBUPROFEN * 07-07-2003 800MG/90 TAB TABLET TID 090 003.33 11-07-2003 VERAPAMIL SR * 07-07-2003 240MG/-90 TAB TABLET QD -90 003.00 11-26-2003 VERAPAMIL SR * 07-07-2003 240MG/90 TAB TABLET QD 090 003.00 09-05-2003 IBUPROFEN @@ 07-07-2003 800MG/0 TAB TABLET TID 000 004.33 10-07-2003 IBUPROFEN * 07-07-2003 800MG/90 TAB TABLET TID 090 003.67 10-07-2003 VERAPAMIL E-R * 07-07-2003 240MG/30 TAB TABLET QD 030 004.67 07-08-2003 IBUPROFEN * 07-07-2003 800MG/90 TAB TABLET TID 090 004.67 07-08-2003 IBUPROFEN * 07-07-2003 800MG/90 TAB TABLET TID 090 004.33 09-05-2003 VERAPAMIL E-R 07-07-2003 240MG/0 TAB TABLET QD 000 004.67 09-05-2003 RANITIDINE * 06-23-2003 150MG/60 TAB TABLET BID 060 003.50 11-26-2003 RANITIDINE * 06-23-2003 150MG/120 TAB TABLET BID 120 004.00 09-08-2003 FLUTICASONE 220 MCG @ 06-23-2003 2PUFF/13 GM INHALANT BID 013 005.67 06-26-2003 RANITIDINE * 06-23-2003 150MG/60 TAB TABLET BID 060 005.50 06-26-2003 RANITIDINE * 06-23-2003 150MG/60 TAB TABLET BID 060 005.00 07-25-2003 FLUTICASONE 220 MCG @ 06-23-2003 2PUFF/13 GM INHALANT BID 013 005.33 07-23-2003 FLUTICASONE NASAL SP 0.05% @ 05-19-2003 1SPRY/-16 GM SPRAY QD -16 011.00 11-26-2003 TRIAMCINOLONE ACETONIDE @ 05-19-2003 2PUFF/20 GM AEROSOL BID 020 011.00 05-19-2003 FLUTICASONE NASAL SP 0.05% @ 05-19-2003 1SPRY/16 GM SPRAY QD 016 011.00 05-19-2003 IBUPROFEN * 05-14-2003 800MG/60 TAB TABLET TID 060 005.00 05-14-2003 PREDNISONE * 04-16-2003 10MG/30 TAB TABLET QD 030 000.00 06-20-2003 PREDNISONE * 04-16-2003 10MG/30 TAB TABLET QD 030 002.00 04-16-2003 PREDNISONE * 04-16-2003 10MG/30 TAB TABLET QD 030 001.00 05-10-2003 SALMETEROL XINAFOATE @ 03-31-2003 2PUFF/13 GM INHALANT BID 013 010.00 06-07-2003 BUPROPION * 03-31-2003 100MG/60 TAB TABLET BID 060 003.00 03-31-2003 SALMETEROL XINAFOATE @ 03-31-2003 2PUFF/13 GM INHALANT BID 013 011.00 04-24-2003 BUPROPION * 03-31-2003 100MG/60 TAB TABLET BID 060 001.00 06-24-2003 SALMETEROL XINAFOATE @ 03-31-2003 2PUFF/13 GM INHALANT BID 013 012.00 03-31-2003 BUPROPION * 03-31-2003 100MG/60 TAB TABLET BID 060 002.00 05-01-2003 BUPROPION * 03-31-2003 100MG/60 TAB TABLET BID 060 000.00 08-01-2003 PREDNISONE * 03-17-2003 10MG/30 TAB TABLET QD 030 000.00 03-19-2003 PREDNISONE * 03-17-2003 10MG/-30 TAB TABLET QD -30 001.00 03-19-2003 UNIPHYL @ 03-03-2003 400MG/0 TAB EXTENDED RELEASE TAB QAM 000 005.00 03-04-2003 SALMETEROL XINAFOATE @ 03-03-2003 2PUFF/13 GM INHALANT BID 013 011.00 03-04-2003 UNIPHYL @ 03-03-2003 400MG/90 TAB EXTENDED RELEASE TAB QAM 090 003.00 07-25-2003 UNIPHYL @ 03-03-2003 400MG/90 TAB EXTENDED RELEASE TAB QAM 090 004.00 04-28-2003 UNIPHYL @ 03-03-2003 400MG/0 TAB EXTENDED RELEASE TAB QAM 000 003.00 10-30-2003 THEOPHYLLINE TIMED REL 03-03-2003 400MG/180 CAP EXTENDED RELEASE CAP QAM 180 002.00 10-30-2003 UNIPHYL @ 03-03-2003 400MG/90 TAB EXTENDED RELEASE TAB QAM 090 002.00 10-27-2003 FLUOXETINE 12-06-2002 10MG/0 CAP CAPSULE QD 000 007.00 07-01-2003 FLUOXETINE * 12-06-2002 10MG/30 CAP CAPSULE QD 030 009.00 02-13-2003 FLUOXETINE * 12-06-2002 10MG/30 CAP CAPSULE QD 030 007.00 05-10-2003 FLUOXETINE * 12-06-2002 10MG/30 CAP CAPSULE QD 030 006.00 07-01-2003 FLUOXETINE * 12-06-2002 10MG/30 CAP CAPSULE QD 030 010.00 01-09-2003 FLUOXETINE * 12-06-2002 10MG/30 CAP CAPSULE QD 030 008.00 03-11-2003 FLUOXETINE * 12-06-2002 10MG/30 CAP CAPSULE QD 030 011.00 12-06-2002 PREDNISONE * 11-18-2002 10MG/90 TAB TABLET QD 090 000.00 11-18-2002 TRIFLURIDINE 1% OPHTH @ 10-21-2002 1DROPS/7.5 ML OPHTHALMIC SOLUTION UD 7.5 000.00 10-21-2002 HOMATROPINE OPHTH 5% 10-14-2002 1DROP/5 ML OPHTHALMIC SOLUTION QID 005 000.00 10-14-2002 TRIFLURIDINE 1% OPHTH @ 10-14-2002 1DROPS/7.5 ML OPHTHALMIC SOLUTION UD 7.5 000.00 10-14-2002 ALBUTEROL INH SOLN @ 10-07-2002 2.5MG/375 ML SOLUTION QID 375 011.00 10-07-2002 GENTAMICIN OPHTH SOLN @ 10-07-2002 2DROP/5 ML SOLUTION UD 005 000.00 10-07-2002 PREDNISONE * 10-07-2002 10MG/30 TAB TABLET QD 030 000.00 10-07-2002 IPRATROPIUM INH SOLN 10-07-2002 0.5MG/312 ML SOLUTION QID 312 011.00 10-07-2002 ALBUTEROL INHAL SOLN 10-07-2002 2.5MG/375 ML SOLUTION QID 375 011.00 10-07-2002 ALBUTEROL INHALER @ 10-03-2002 1-2PUFF/34 GM INHALANT Q4-6HPRN 034 003.00 02-13-2003 CLONAZEPAM 10-03-2002 0.5MG/30 TAB TABLET BID 030 003.00 10-04-2002 ALBUTEROL INHALER @ 10-03-2002 1-2PUFF/34 GM INHALANT Q4-6HPRN 034 003.67 10-04-2002 ALBUTEROL INHALER @ 10-03-2002 1-2PUFF/34 GM INHALANT Q4-6HPRN 034 003.33 01-06-2003 ALBUTEROL INHALER @ 10-03-2002 1-2PUFF/34 GM INHALANT Q4-6HPRN 034 002.67 04-04-2003 ALBUTEROL INHALER @ 10-03-2002 1-2PUFF/34 GM INHALANT Q4-6HPRN 034 002.00 09-05-2003 ALBUTEROL INHALER @ 10-03-2002 1-2PUFF/34 GM INHALANT Q4-6HPRN 034 002.33 07-23-2003 INSULIN REG HUMAN 09-25-2002 1U/-10 ML INJECTION UD -10 001.00 09-25-2002 INSULIN SYR 1CC 100 U 09-25-2002 1EA/-100 SYR SYRINGE UD -10 001.00 09-25-2002 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 002.00 06-07-2003 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 002.33 04-24-2003 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 001.67 06-24-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 001.67 06-24-2003 GATIFLOXACIN @ 09-24-2002 400MG/5 TAB TABLET QD 005 000.00 09-24-2002 SALMETEROL XINAFOATE @ 09-24-2002 2PUFF/13 GM INHALANT BID 013 011.00 09-24-2002 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 004.67 09-24-2002 LANCETS.STERILE @ 09-24-2002 0.005BOX/1 BOX LANCET UD 001 000.00 09-24-2002 ADVANTAGE COMFORT CURVE @ 09-24-2002 1EA/50 EA STRIP QD 050 000.00 09-24-2002 ENALAPRIL 09-24-2002 5MG/0 TAB TABLET QD 000 004.33 12-06-2002 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 003.00 01-09-2003 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 004.33 10-21-2002 ENALAPRIL * 09-24-2002 5MG/30 TAB TABLET QD 030 004.33 10-21-2002 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 004.67 09-24-2002 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 003.00 02-13-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 003.33 01-06-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 002.33 04-16-2003 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 001.33 07-25-2003 MONTELUKAST @ 09-24-2002 10MG/90 TAB TABLET QD 090 003.33 11-13-2002 MONTELUKAST @ 09-24-2002 10MG/30 TAB TABLET QD 030 002.67 03-11-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 002.00 05-10-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 002.67 03-11-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/90 TAB TABLET QD 090 000.67 07-18-2003 ENALAPRIL MALEATE * 09-24-2002 5MG/30 TAB TABLET QD 030 003.67 12-06-2002 CITALOPRAM * 04-22-2002 40MG/30 TAB TABLET QD 030 004.33 05-20-2002 CITALOPRAM * 04-22-2002 40MG/30 TAB TABLET QD 030 004.00 07-01-2002 CITALOPRAM * 04-22-2002 40MG/30 TAB TABLET QD 030 004.67 04-22-2002 IPRATROPIUM @ 04-11-2002 2PUFF/14 GM INHALANT QID 014 000.00 04-11-2002 TRIAMCINOLONE ACETONIDE @ 04-11-2002 2PUFF/20 GM AEROSOL BID 020 000.00 04-11-2002 HCTZ/SPIRONOLAC * 04-01-2002 1TAB/30 TAB TABLET QD 030 004.67 04-03-2002 IBUPROFEN * 03-22-2002 800MG/-270 TAB TABLET TID -27 001.00 02-01-2003 TRIAMCINOLONE ACETONIDE @ 03-22-2002 2PUFF/20 GM AEROSOL QID 020 003.00 05-13-2002 BECLOMETHASONE NASAL INHALER 03-22-2002 2SPRY/-16.8 GM INHALANT BID -16 003.72 01-06-2003 THEOPHYLLINE E-R @ 03-22-2002 400MG/180 TAB TABLET QAM 180 001.00 09-24-2002 THEOPHYLLINE E-R 03-22-2002 400MG/180 TAB TABLET QAM 180 002.00 06-18-2002 IBUPROFEN * 03-22-2002 800MG/270 TAB TABLET TID 270 001.00 10-04-2002 IBUPROFEN 03-22-2002 800MG/270 TAB TABLET TID 270 003.00 03-22-2002 TRIAMCINOLONE ACETONIDE @ 03-22-2002 2PUFF/20 GM AEROSOL QID 020 003.67 03-22-2002 THEOPHYLLINE E-R @ 03-22-2002 400MG/180 TAB TABLET QAM 180 003.00 03-22-2002 CITALOPRAM * 03-22-2002 20MG/15 TAB TABLET QD 015 003.67 03-22-2002 THEOPHYLLINE E-R @ 03-22-2002 400MG/180 TAB TABLET QAM 180 000.00 01-06-2003 BECLOMETHASONE NASAL INHALER 03-22-2002 2SPRY/16.8 GM INHALANT BID 16. 003.72 03-22-2002 IBUPROFEN 03-22-2002 800MG/270 TAB TABLET TID 270 002.00 06-18-2002 TRIAMCINOLONE ACETONIDE @ 03-22-2002 2PUFF/20 GM AEROSOL QID 020 003.33 04-27-2002 CLONAZEPAM * 03-18-2002 0.5MG/30 TAB TABLET QHS 030 001.00 05-20-2002 CLONAZEPAM * 03-18-2002 0.5MG/30 TAB TABLET QHS 030 001.67 03-18-2002 CLONAZEPAM * 03-18-2002 0.5MG/30 TAB TABLET QHS 030 001.33 04-22-2002 CLONAZEPAM 03-18-2002 0.5MG/90 TAB TABLET QHS 090 000.00 06-18-2002 FLUTICASONE NASAL SP @ 02-26-2002 2SPRY/-16 GM SPRAY QD -16 002.00 02-26-2002 CITALOPRAM * 02-25-2002 20MG/-15 TAB TABLET QD -15 001.00 02-26-2002 TRIAMCINOLONE ACETONIDE @ 02-25-2002 2PUFF/-20 GM AEROSOL QID -20 002.00 02-25-2002 CLONAZEPAM * 02-08-2002 0.25MG/15 TAB TABLET QHS 015 001.50 02-08-2002 CITALOPRAM * 12-19-2001 20MG/30 TAB TABLET QD 030 000.00 12-19-2001 CITALOPRAM @ 12-19-2001 20MG/60 TAB TABLET QD 060 000.00 12-19-2001 THEOPHYLLINE E-R 11-23-2001 200MG/120 TAB TABLET BID 120 001.00 11-23-2001 THEOPHYLLINE E-R 11-23-2001 200MG/120 TAB TABLET BID 120 001.00 11-23-2001 THEOPHYLLINE E-R 11-23-2001 200MG/60 TAB TABLET BID 060 000.50 01-21-2002 THEOPHYLLINE E-R 11-23-2001 200MG/60 TAB TABLET BID 060 000.00 03-08-2002 THEOPHYLLINE E-R 11-23-2001 200MG/-60 TAB TABLET BID -60 001.00 01-10-2002 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/30 TAB TABLET QD 030 003.33 04-05-2002 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/30 TAB TABLET QD 030 004.67 11-12-2001 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/30 TAB TABLET QD 030 002.67 06-19-2002 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/30 TAB TABLET QD 030 004.33 12-18-2001 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/30 TAB TABLET QD 030 004.00 01-21-2002 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/30 TAB TABLET QD 030 003.67 02-20-2002 NIFEDIPINE E.R.(ADALAT CC)@ 11-11-2001 60MG/-30 TAB TABLET QD -30 003.00 06-18-2002 ALBUTEROL INHALER @ 08-26-2001 2PUFF/17 GM INHALANT Q4HPRN 017 007.00 04-27-2002 ALBUTEROL INHALER @ 08-26-2001 2PUFF/17 GM INHALANT Q4HPRN 017 009.00 03-19-2002 ALBUTEROL INHALER @ 08-26-2001 2PUFF/-17 GM INHALANT Q4HPRN -17 007.00 07-08-2002 ALBUTEROL INH 6.8GM 08-26-2001 2PUFF/20.4 GM INHALANT Q4HPRN 20. 011.00 09-12-2001 ALBUTEROL INHALER @ 08-26-2001 2PUFF/17 GM INHALANT Q4HPRN 017 008.00 04-04-2002 ALBUTEROL INHALER @ 08-26-2001 2PUFF/17 GM INHALANT Q4HPRN 017 010.00 02-20-2002 ALBUTEROL INH 6.8GM @ 08-26-2001 2PUFF/20.4 GM INHALANT Q4HPRN 20. 012.00 08-27-2001 NIFEDIPINE E.R.(ADALAT CC)@ 07-21-2001 30MG/30 TAB TABLET QD 030 003.00 07-21-2001 THEOPHYLLIN ER * 07-21-2001 200MG/60 TAB TABLET BID 060 000.67 07-21-2001 IBUPROFEN * 07-21-2001 800MG/90 TAB TABLET TID 090 000.50 07-21-2001 THEOPHYLLIN ER 07-21-2001 200MG/60 TAB TABLET BID 060 000.00 11-06-2001 NIFEDIPINE E.R.(ADALAT CC)@ 07-21-2001 30MG/-30 TAB TABLET QD -30 003.00 08-30-2001 IBUPROFEN 07-21-2001 800MG/90 TAB TABLET TID 090 000.00 12-12-2001 IBUPROFEN * 07-21-2001 800MG/-90 TAB TABLET TID -90 000.50 09-18-2001 CITALOPRAM @ 07-16-2001 20MG/30 TAB TABLET QD 030 003.00 07-16-2001 CITALOPRAM @ 07-16-2001 20MG/30 TAB TABLET QD 030 001.00 09-12-2001 CITALOPRAM @ 07-16-2001 20MG/30 TAB TABLET QD 030 000.00 10-19-2001 NIFEDIPINE E.R.(ADALAT CC)@ 06-08-2001 30MG/0 TAB TABLET QD 000 004.00 06-08-2001 ALBUTEROL INH 6.8 04-24-2001 2PUFF/20.4 GM INHA QID 20. 0 04-24-2001 ALBUTEROL INH 6.8GM @ 04-24-2001 2PUFF/20.4 GM INHALANT QID 20. 000.00 05-28-2001 NIFEDIPINE E.R.(A 03-06-2001 30MG/30 TAB TABL QD 030 0 03-07-2001 TRIAMCINOLONE ACE 03-06-2001 2PUFF/20 GM AERO QID 020 0 04-24-2001 IPRATROPIUM @ 03-06-2001 2PUFF/14 GM INHA QID 014 0 04-24-2001 THEOPHYLLIN ER @ 03-06-2001 200MG/60 TAB TABL BID 060 0 04-07-2001 IBUPROFEN @ 03-06-2001 800MG/90 TAB TABL TID 090 0 03-07-2001 THEOPHYLLIN ER (1660) 03-06-2001 200MG/60 TAB TABLET BID 060 000.00 05-28-2001 NIFEDIPINE E.R.(ADALAT CC)@ 03-06-2001 30MG/30 TAB TABLET QD 030 000.33 06-06-2001 ALBUTEROL INHALER 17 (VP ONLY)@ 03-06-2001 2PUFF/17 GM INHALANT QID 017 001.00 06-06-2001 ALBUTEROL INHALER 17 (VP ONLY)@ 03-06-2001 2PUFF/17 GM INHALANT QID 017 002.00 03-07-2001 ALBUTEROL INH 6.8GM @ 03-06-2001 2PUFF/20.4 GM INHALANT QID 20. 001.00 06-06-2001 TRIAMCINOLONE ACETONIDE @ 03-06-2001 2PUFF/20 GM AEROSOL QID 020 000.00 07-13-2001 IPRATROPIUM @ 03-06-2001 2PUFF/14 GM INHALANT QID 014 000.00 07-13-2001 ALBUTEROL INH 6.8GM @ 03-06-2001 2PUFF/20.4 GM INHALANT QID 20. 000.00 07-13-2001 GATIFLOXIN @ 06-27-2000 400MG/10 TAB TABL 010 0 06-27-2000 HYDROCORTISONE ACETATE @ 06-20-2000 25MG/-24 SUPP SUPPOSITORY Q8HPRN -24 003.00 06-22-2000 NIFEDIPINE E.R.(ADALAT CC)@ 02-28-2000 30MG/30 TAB TABLET QD 030 010.77 05-26-2000 TRIAMCINOLONE ACETONIDE @ 02-28-2000 4PUFF/20 GM AEROSOL BID 020 011.00 03-27-2000 IPRATROPIUM @ 02-28-2000 2PUFF/14 GM INHALANT QID 014 012.30 02-28-2000 IBUPROFEN * 02-28-2000 800MG/90 TAB TABLET TID 090 004.33 06-28-2000 ALBUTEROL INHALER 01-25-2000 2PUFF/17 GM INHA 017 0 05-16-2000 ALBUTEROL INHALER 17 (VP ONLY)@ 01-25-2000 2PUFF/17 GM INHALANT Q2H 017 002.00 06-28-2000 ALBUTEROL INHALER 01-25-2000 2PUFF/17 GM INHALANT Q2H 017 003.00 05-16-2000 THEOPHYLLIN ER (1660) 09-13-1999 400MG/-60 TAB TABLET QHS -60 002.75 05-17-2000 VERAPAMIL SR * 07-08-1999 240MG/60 TAB TABLET BID 060 002.00 01-25-2000 BECLOMETHASONE NASAL INHALER 04-12-1999 2SPRY/16.8 GM INHALANT BID 16. 009.00 02-28-2000 DOLS UHS Formulary UHS Clinical Intranet MicroMedex

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