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. Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 07/09/2019 13:03 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM P
2148-NYM Doctor: Beaudouin, Robert MD Start: 07/30/19 Exp: 08/06/19 D/C: 07/31/19 Pharmacy Dispensings: 0 ML in 25 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill linem ***pill line*** Rx#: 122160-NYM Doctor: Beaud
Education Topics: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required:No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 4 e 036 of 148 ullo Withheld exemption (b)(6) ; (b) ) , ( )(C) of the Freedom of Information Provid
—pill line— Rx#: 122148-NYM Doctor: Start: 07/30/19 Exp: 08/06/19 D/C: 07/31/19 Pharmacy Dispensings: 0 ML in 286 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days "'pill line"' "'pill line*" Rx#: 122160-NYM Doctor: Start:
Education Topics: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required:No Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Provider Outcome Verbalizes Understanding Generated 07/1232019 14:20 by MD Bureau of Prisons - NYM
ll line— Rx#: 122148-NYM Doctor: MD Start: 07/30/19 Exp: 08/06/19 D/C: 07/31/19 Pharmacy Dispensings: 0 ML in 286 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days "'pill line"' "'pill line"' Rx#: 122160-NYM Doctor: Start:
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