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Prescription 1: [Student-Pharmacist]

You work for the local university in the Campus Pharmacy and will counsel over the following prescription that was e-prescribed by the attached student health clinic:

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Issued by:

William Garcia, MD

NPI#:

1375983197

Location:

Student Health Clinic

400 22nd Ave

Anytown, US 35021

DEA#

SPI#::

BG5623740

5205140071001

Phone:

866-697-5678

   

Patient Name:

Peyton Markley

   

Address:

598 Richland Ave #4

Anytown, US 35021

   

Date of birth:

1/01/XXXX (22 yo)

   

Phone:

621-864-7864

   

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Prescriber Order Number:

2564220050135633204

Rx Reference Number:

912634

PRESCRIPTION AS FOLLOWS

Medication Prescribed:

acyclovir 200 mg capsule

Written:

(today’s date)

Quantity:

50.00 (Each)

NDC:

12345-0678-09

Directions:

1 capsule PO q4hr while awake

(5 times/day) × 10 days

Days Supply:

10.00

Substitutions:

Substitutions allowed

Refills:

1 (additional refills)

Diagnosis/use:

(not specified)

Diagnosis Code:

AB1234

DEA Schedule:

     

Sent:

(Today’s Date) 12:57 PM

Received:

(Today’s Date) 12:58 PM

To:

Campus Pharmacy

Signed electronically by:

William Garcia

Sender Message ID:

57668440

Signed on Date:

(Today’s Date) 12:57 PM

Prescription 2: [Student-Pharmacist]

You work in the independently owned Hometown Pharmacy and will counsel over the following prescription that was dropped off by the patient. You are the only pharmacist working and the previous few prescriptions required provider phone calls, so this prescription took longer to fill than usual:

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Prescription 3: [Student-Pharmacist]

You work at a large chain pharmacy and will counsel over the following prescription that was called in by the prescriber’s nurse.

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Prescription 4: [Student-Pharmacist]

You work at a pharmacy located within a grocery store and will counsel over the following prescription that was called in by the prescriber’s nurse.

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Prescription 1: [Acting Patient]

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Patient Background Information

• You are a college student that sheepishly came into the campus pharmacy to pick up a prescription for genital herpes. You are feeling very emotional over this diagnosis earlier today at the student health clinic and feel very embarrassed. You don’t want anyone you know to see you at the pharmacy. You feel vulnerable talking about this subject. You are not in a serious relationship and have only slept with one other person in the last 3 months. You are anxious about having to see this person in class tomorrow.

Name: Peyton Markley

Age: 22 yo

DOB: 1-1-XX

• You are NOT pregnant or breastfeeding (if female)

Reason you are presenting to the pharmacist: TELL THE STUDENT-PHARMACIST THIS

Looking over your shoulder and staring at the ground/not making eye contact: “I’m here to ...

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