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Physical Therapy

PT Rx Form

Rx Form

Be specific with dose amounts and directions on frequency for taking medications.

compound - cmpd               manufactured - mfd

ACETIC ACID

CYCLOBENZAPRINE

DEXAMETHASONE SOD PHOS

EPINEPHRINE

HYDROCORTISONE

KETOPROFEN

LIDOCAINE

POTASSIUM IODIDE

SODIUM CHLORIDE

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