This is a list of your prescription history, based on your medical claims. If you are taking any medications, including vitamins, over-the-counter drugs, herbal supplements, or prescription drugs not listed here, be sure to add them to your personal health record and discuss with your doctor.
| MY MEDICATION SUMMARY |
| Prescription: | |
| Name: | Albuterol |
| Generic: | Albuterol |
| Dosage: | 2 puffs 4 times daily, if needed |
| Form: | Inhaler |
| Refills Available: | 1 |
| First Date Filled: | 4/11/04 |
| Last Date filled: | 1/8/07 |
| Prescribing Physician: | Dr. Dan Miller |
| Physician Phone Number: | 502-555-1287 |
| Prescription: | |
| Name: | Advair Diskus |
| Generic: | Salmeterol/Fluticasone Inhalation Disk |
| Dosage: | 100/50 1 puff 2 times daily |
| Form: | Inhaler |
| Refills Available: | 1 |
| First Date Filled: | 3/29/05 |
| Last Date filled: | 1/8/07 |
| Prescribing Physician: | Dr. Dan Miller |
| Physician Phone Number: | 502-555-1287 |
| Prescription: | |
| Name: | Zyrtec |
| Generic: | cetirizine |
| Dosage: | 10 mg daily |
| Form: | Oral |
| Refills Available: | 2 |
| First Date Filled: | 2/6/04 |
| Last Date filled: | 1/8/07 |
| Prescribing Physician: | Dr. Alice Miller |
| Physician Phone Number: | 502-555-1287 |
| Prescription: | |
| Name: | Flonase |
| Generic: | fluticasone propionate nasal inhaler/spray |
| Dosage: | 2 sprays each nostril daily |
| Form: | Nasal inhaler |
| Refills Available: | 0 |
| First Date Filled: | 4/17/06 |
| Last Date filled: | 1/15/07 |
| Prescribing Physician: | Dr. Alice Miller |
| Physician Phone Number: | 502-555-1287 |
| Over the Counter | |
| Name: | Multi-vitamin |
| Dosage: | 1 tablet |
| Frequency Used: | Daily |
| Date Started: | 8/9/05 |
| Date Ended: | |
| Comments: | |
