Rx Details

 

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Authorization

Dates

Other Information

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Recommendations

Patient History

Date Status Auth By Used For   Sphere Cyl Axis Near Add H Prism V Prism PHR
02/09/2015 Active Steens Tracy L OD 1.00 -1.00 No
02/09/2015 Active Steens Tracy L OD 1.00 -1.00 No
02/09/2015 Active Steens Tracy L OD 1.00 -1.00 No
02/09/2015 Active Steens Tracy L OD 1.00 -1.00 No