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Analgesics / Morphinans / Antidiarrhoeals / Immune system / Immunology / Tylenol / Over-the-counter drug / Pepto-Bismol / Allergy / Medicine / Chemistry / Pharmacology


NAVAL HEALTH CLINIC ANNAPOLIS PHARMACY OCT 2014 OVER THE COUNTER MEDICATION REQUEST FORM (THIS FORM IS SUBJECT TO PRIVACY ACT OF 1974)
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Document Date: 2014-10-22 11:55:02

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Facility

NAVAL HEALTH CLINIC ANNAPOLIS PHARMACY / /

IndustryTerm

machinery / /

MedicalCondition

Fever / Sore Throat / ITEMS PER MONTH PER FAMILY PAIN/FEVER Tylenol 325mg / Pain / ALLERGIES / **Can cause drowsiness / Diarrhea / high blood pressure / Cough / Rash / Nasal Congestion / OF SSN DOB TELEPHONE NUMBER ALLERGIES / Itching / /

Position

pharmacist / /

Product

Tylenol / 240mL Pepto-Bismol / Tylenol 325mg / Mucinex / Bacitracin / 120mL Mucinex 600mg / Pepto-Bismol tablets / Miconazole / Benadryl / Zyrtec / Ibuprofen / Sodium Chloride / Hydrocortisone / Clotrimazole / Imodium / 200mg / /

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