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NR 565 Week 3 RX Writing Assignment: ANS Drug: Levetiracetam 750 mg tablets CA$15.79   Add to cart

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NR 565 Week 3 RX Writing Assignment: ANS Drug: Levetiracetam 750 mg tablets

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Louis Brown (DOB 10/12/1975) returns to your office for a 6 month follow-up visit with a stable, well-controlled seizure disorder. He needs a prescription refill on his levetiracetam which he has been taking without issue for several years. He was … by his neurologist last year since he has had n...

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  • January 29, 2022
  • 1
  • 2021/2022
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NR565 Prescription Template




Provider Name: __Brandie Ingram_____________
Superhero Family Practice, INC
1234 Kryptonite Way
Superhero City, Superhero State 12301
(800) 123-4567

Patient Name: __Louis Brown______________________ Date: __09/12/2020__________
Address: ___9056 Eagle Park Road, Atlanta, GA 30302______ DOB: 10/12/1975____
License: _RN230125__ NPI: _1832217629__ DEA ( Controlled Substances Only): ______________


Levetiracetam 750 mg tablets
Sig: take 2 tablets twice daily by mouth
Disp#: 360
1 Refill




DISPENSE AS WRITTEN (DAW) Generic Substitution Permitted




Brandie Ingram

Signature of Provider Signature of Provider




This study source was downloaded by 100000829957125 from CourseHero.com on 01-29-2022 08:05:37 GMT -06:00


https://www.coursehero.com/file/70561719/WK-3-NR565-Prescription-Template-B-Ingramdocx/

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