CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 1 V96M.
040502 -
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040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 080822 Arlette ordered contrast medium medication, a Barium sulfate
040902 - suspension, ref SDS 1 6T9K, which Millie takes to prepare for the CT
040903 - test scheduled on 080911. ref SDS 1 N66E
040905 -  ..
040906 - Millie went to the Sheridan Pharmacy at the Kaiser Park Shadelands
040907 - clinic in Walnut Creek.  She received two bottles of 450 ml each of
040908 - barium sulfate suspension.
040909 -
040910 -            [On 080911 after the CT test, and through the evening new
040911 -            contrast medium may cause upset stomach. ref SDS 2 S59G
040913 -             ..
040914 -            [On 081230 Barium Sulfate suspension contrast medium for CT
040915 -            test in combination with sunitinib treatment for cancer has
040916 -            severe side effects, ref SDS 3 FF4K; Millie considers
040917 -            changing back to Gastrografin. ref SDS 3 N66M
040918 -
040920 -  ..
040921 - Kaiser's invoice shows...
040922 -
040923 -            Kaiser Invoice
040925 -             ..
040926 -            Kaiser Permanente
040927 -            WCR Main Pharmacy
040928 -            1425 South Main St 1st Floor
040929 -            Walnut Creek, CA  94596
040930 -            925 295 4460
040932 -             ..
040933 -            Board A
040934 -            Claim Check #
040938 -             ..
040939 -            Patient...
040943 -             ..
040944 -            Date:  080825
040946 -             ..
040947 -            Medical Record...
040951 -             ..
040952 -            Your Durg Benefit Saved You:                    $ 26.00
040953 -            YTD Pharmacy Charges Applied to Troop/TDC
040954 -
040955 -                         Bal  2760.98                  Bal  4892.55
040957 -             ..
040958 -            Kaiser Permanente              Retail Price  Your Price
040960 -             ..
040961 -            Rx# 501 1130378...................  $26.00
040962 -
040963 -              Banana Smoothie
040964 -              Readicat 2
040965 -              Barium Sulfate Suspension
040966 -
040967 -                 [On 080911 after the CT test, and through the evening
040968 -                 new contrast medium may cause upset stomach.
040969 -                 ref SDS 2 S59G
040971 -               ..
040972 -              2.1% w/v
040973 -              2.0% w/w
040975 -               ..
040976 -              Quantity.......... 900 mls (450 ml)
040978 -               ..
040979 -              Cat No............... 7450
040980 -              NDC.................. 32909-725-03
040982 -               ..
040983 -              Doctor Liu Chunnan
040985 -               ..
040986 -              Manufactured by:
040988 -               ..
040989 -              E-Z EM Canada Inc
040990 -              subsidiary
040991 -              E-Z EM Inc
040992 -              Lake Success, NY  11042
040993 -              516 333 8230
040994 -              800 544 4624
040996 -             ..
040997 -            Total Rx price............................... $    0.00
040998 -            Non-PIMS Rx Total
040999 -            Taxable OTC Total
041000 -        Non-taxable OTC Total
041001 -            Sales tax
041003 -             ..
041004 -            Total........................................ $    0.00
041006 -             ..
041007 -            All prescription sales are final.  Unopened
041008 -            over-the-counter items may be returned for Refund within 30
041009 -            days with the original receipt.
041011 -             ..
041012 -            Consult your pharmacist or physician with a list of
041013 -            medications your are currently taking if you have any
041014 -            questions about adverse drug reactions.
041016 -             ..
041017 -            Thank you for choosing Kaiser Permanente
041018 -            ID:  U817155      SH1109   B
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