PS

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Create a new prescription for your patient.

Draft onlySigned prescription is required before we can route to the pharmacy.

Alex MorganSample patient

34 y/o • Female03/14/1990 • MRN TD100850

AllergiesNo allergy recorded
  • Active medication on file: Albuterol HFA 90 mcg inhaler
  • Conditions not recorded in this sample
Preferred pharmacyNorthline Pharmacy

Prescription details

Medication history

Recent and active medications for Alex Morgan

  • Albuterol HFAMar 12, 2024

    90 mcg inhaler

    Active

    Inhale 2 puffs every 4–6 hours as needed for wheezing

  • LoratadineFeb 3, 2024

    10 mg tablet

    Discontinued

    Take 1 tablet by mouth daily as needed for allergies

  • FluticasoneNov 10, 2023

    50 mcg nasal spray

    Discontinued

    1 spray in each nostril daily

Review checklist

  • Patient confirmation pendingMedications, allergies, and pharmacy have not been confirmed with Alex Morgan in this sample.
  • Allergies on fileNo allergy recorded for this sample patient. Interaction checking is not connected, so no contraindication conclusion is available.
  • Active medication on fileAlbuterol HFA — 90 mcg inhaler
  • Pharmacy selectedNorthline Pharmacy · sample record marked eRx-ready.
  • Clinician signature requiredPrescription must be reviewed and signed by a clinician before routing. Signing is not available here.

Unchecked items are pending: this sample screen records what is on file for Alex Morgan and does not assert that a clinical review, interaction check, or patient confirmation was completed.

Pharmacy

Northline Pharmacy123 Health Ave, Suite 100
Austin, TX 78701

(512) 555-0199 (512) 555-0198

E-prescriptions supportedSecure electronic prescribing (eRx).

Pharmacy routing is not connected in this preview. No electronic prescription is transmitted.