OTC medication (non-work related) self-selected by the employee.
OTC medication (non-work related) self-selected by the employee. Allergies: NKDA**** Current Medications: Denied **** Medical condition (Reason for request):***** Selected OTC Medication information: NDC: 0000-0000-00 Lot: Exp:0/202 Dose: Manufacturer OTC Recommendation/OTC Medication directions, warnings, and directions were available to the employee at the time of the request. Female: Denies chance of pregnancy ***** If there is a change in the acute discomfort, the recommendation is to immediately contact your PCP or seek emergency medical services.
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