- PSXLBLNR ;BIR/HTW,BAB-CMOP Labels-Non Refillable ;[ 12/18/97 12:48 PM ]
- ;;2.0;CMOP;**1,10**;11 Apr 97
- TOP W !,?54,COPAY," Days Supply: ",$G(TAYS),?102,"Mfg ________ Lot# ________"
- W !,SADD1,?102,"Tech__________RPh__________"
- W !,SCITY,", ",SSTATE," ",SZIP
- I $G(PSXBAR) S X="S",X2=BAR S X1=$X W ?54,@IOBARON,X2,@IOBAROFF,*13
- E W !!!!
- W "FORWARDING SERVICE REQUESTED"
- I '$G(RENW) G NORENEW
- NOREFILL ;NO REFILLS REMAIN PRINT SECTION
- W ?54,"* NO REFILLS REMAINING ** PHYSICIAN USE ONLY *"
- W ! I $G(REGMAIL)=1 W ?21,"CERTIFIED MAIL"
- W ?54,"*Signature:____________________________SC NSC*"
- W !,?54,"*Print Name:_________________________________*"
- W !,"***CRITICAL MEDICAL SHIPMENT***"
- W ?54,"*DEA or VA#_________________Date_____________*"
- W ?102,"Routing: MAIL"
- W !,?54,"*Refills: 0 1 2 3 4 5 7 8 9 10 11 *"
- W ?99,"*",?102,"Days Supply: ",$G(TAYS)," Cap: ",$S($G(CAP):"**NON-SAFETY**",1:"SAFETY")
- W !,?54,"***** To be filled in VA Pharmacies only *****"
- W ?102,"Isd: ",$G(ISD)," Exp: ",$G(EXPDT)
- W !,PNAME,?54,$G(PADD1),?102,"Last fill: ",$G(REFLST)
- W !,$G(PADD1),?54,$G(PADD2),?102,"Pat. St ",PSTAT," Clinic: ",CLINIC
- W !,$G(PADD2),?54,$G(PADD3),?102,$S($G(WARN)'="":"DRUG WARNING "_$G(WARN),1:"")
- W !,$G(PADD3),?54,$G(PADD4)
- W !,$G(PADD4),?54,"*Indicate address change on back of this form"
- W !,?54,"[ ] Permanent [ ] Temporary until ",$S($G(PTEMP)]"":PTEMP,1:"__/__/__")
- BAR I $G(PSXBAR) S X="S",X2=BAR,X1=$X W ?102,@IOBARON,X2,@IOBAROFF,*13
- Q
- NORENEW W ?54,"*** This prescription CANNOT be renewed ***"
- W !?21,$S($G(REGMAIL)=1:"CERTIFIED MAIL",1:""),?54,"*",?96,"*"
- W !,?54,"* A NEW PRESCRIPTION IS REQUIRED *"
- W !,"***CRITICAL MEDICAL SHIPMENT***",?54,"*",?96,"*"
- W !,?54,"***** Please contact your physician *******"
- W !,?54,$G(PADD1),?102,"Routing: MAIL"
- W !,?54,PADD2,?102,"Days Supply: ",$G(TAYS)," Cap: ",$S($G(CAP):"**NON-SFTY**",1:"SAFETY")
- W !,PNAME,?54,$G(PADD3),?102,"Isd: ",$G(ISD)," Exp: ",$G(EXPDT)
- W !,PADD1,?54,$G(PADD4),?102,"Last Fill: ",$G(REFLST)
- W !,PADD2,?54,"*Indicate address change on back of this form",?102,"Pat. Stat ",PSTAT," Clinic: ",CLINIC
- W !,$G(PADD3),?54,"[ ] Permanent [ ] Temporary until ",$S($G(PTEMP)]"":PTEMP,1:"__/__/__")
- W ?102,$S($G(WARN)'="":"DRUG WARNING "_$G(WARN),1:"")
- W !,$G(PADD4)
- I $G(PSXBAR) S X="S",X2=BAR,X1=$X W ?102,@IOBARON,X2,@IOBAROFF,*13
- Q
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HPSXLBLNR 2406 printed Feb 18, 2025@23:10:45 Page 2
- PSXLBLNR ;BIR/HTW,BAB-CMOP Labels-Non Refillable ;[ 12/18/97 12:48 PM ]
- +1 ;;2.0;CMOP;**1,10**;11 Apr 97
- TOP WRITE !,?54,COPAY," Days Supply: ",$GET(TAYS),?102,"Mfg ________ Lot# ________"
- +1 WRITE !,SADD1,?102,"Tech__________RPh__________"
- +2 WRITE !,SCITY,", ",SSTATE," ",SZIP
- +3 IF $GET(PSXBAR)
- SET X="S"
- SET X2=BAR
- SET X1=$X
- WRITE ?54,@IOBARON,X2,@IOBAROFF,*13
- +4 IF '$TEST
- WRITE !!!!
- +5 WRITE "FORWARDING SERVICE REQUESTED"
- +6 IF '$GET(RENW)
- GOTO NORENEW
- NOREFILL ;NO REFILLS REMAIN PRINT SECTION
- +1 WRITE ?54,"* NO REFILLS REMAINING ** PHYSICIAN USE ONLY *"
- +2 WRITE !
- IF $GET(REGMAIL)=1
- WRITE ?21,"CERTIFIED MAIL"
- +3 WRITE ?54,"*Signature:____________________________SC NSC*"
- +4 WRITE !,?54,"*Print Name:_________________________________*"
- +5 WRITE !,"***CRITICAL MEDICAL SHIPMENT***"
- +6 WRITE ?54,"*DEA or VA#_________________Date_____________*"
- +7 WRITE ?102,"Routing: MAIL"
- +8 WRITE !,?54,"*Refills: 0 1 2 3 4 5 7 8 9 10 11 *"
- +9 WRITE ?99,"*",?102,"Days Supply: ",$GET(TAYS)," Cap: ",$SELECT($GET(CAP):"**NON-SAFETY**",1:"SAFETY")
- +10 WRITE !,?54,"***** To be filled in VA Pharmacies only *****"
- +11 WRITE ?102,"Isd: ",$GET(ISD)," Exp: ",$GET(EXPDT)
- +12 WRITE !,PNAME,?54,$GET(PADD1),?102,"Last fill: ",$GET(REFLST)
- +13 WRITE !,$GET(PADD1),?54,$GET(PADD2),?102,"Pat. St ",PSTAT," Clinic: ",CLINIC
- +14 WRITE !,$GET(PADD2),?54,$GET(PADD3),?102,$SELECT($GET(WARN)'="":"DRUG WARNING "_$GET(WARN),1:"")
- +15 WRITE !,$GET(PADD3),?54,$GET(PADD4)
- +16 WRITE !,$GET(PADD4),?54,"*Indicate address change on back of this form"
- +17 WRITE !,?54,"[ ] Permanent [ ] Temporary until ",$SELECT($GET(PTEMP)]"":PTEMP,1:"__/__/__")
- BAR IF $GET(PSXBAR)
- SET X="S"
- SET X2=BAR
- SET X1=$X
- WRITE ?102,@IOBARON,X2,@IOBAROFF,*13
- +1 QUIT
- NORENEW WRITE ?54,"*** This prescription CANNOT be renewed ***"
- +1 WRITE !?21,$SELECT($GET(REGMAIL)=1:"CERTIFIED MAIL",1:""),?54,"*",?96,"*"
- +2 WRITE !,?54,"* A NEW PRESCRIPTION IS REQUIRED *"
- +3 WRITE !,"***CRITICAL MEDICAL SHIPMENT***",?54,"*",?96,"*"
- +4 WRITE !,?54,"***** Please contact your physician *******"
- +5 WRITE !,?54,$GET(PADD1),?102,"Routing: MAIL"
- +6 WRITE !,?54,PADD2,?102,"Days Supply: ",$GET(TAYS)," Cap: ",$SELECT($GET(CAP):"**NON-SFTY**",1:"SAFETY")
- +7 WRITE !,PNAME,?54,$GET(PADD3),?102,"Isd: ",$GET(ISD)," Exp: ",$GET(EXPDT)
- +8 WRITE !,PADD1,?54,$GET(PADD4),?102,"Last Fill: ",$GET(REFLST)
- +9 WRITE !,PADD2,?54,"*Indicate address change on back of this form",?102,"Pat. Stat ",PSTAT," Clinic: ",CLINIC
- +10 WRITE !,$GET(PADD3),?54,"[ ] Permanent [ ] Temporary until ",$SELECT($GET(PTEMP)]"":PTEMP,1:"__/__/__")
- +11 WRITE ?102,$SELECT($GET(WARN)'="":"DRUG WARNING "_$GET(WARN),1:"")
- +12 WRITE !,$GET(PADD4)
- +13 IF $GET(PSXBAR)
- SET X="S"
- SET X2=BAR
- SET X1=$X
- WRITE ?102,@IOBARON,X2,@IOBAROFF,*13
- +14 QUIT