CY2021 ProRx PDP 5T Lean_21480

Brand or generic drug names may be used. Give the dose, units and route of administration for the agent as applies to the schedule provided in the schedule box. In the case of combination drugs (e.g. Bactrim), provide the total number of tablets/capsules taken on the schedule provided in the schedule box. The following abbreviations for the drug schedule box may include but are not limited to ... ................
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