Prescription
Patient Name: ____________________________ Address: _________________________________ Rx
Date: _______________ Age: ________________
VIGAMOX 0.5% 3mL Sig: 1gtt OD OS OU QID x 7 Days PRED FORTE 1% 5mL (prednisolone acetate ophthalmic suspension ) Sig: 1gtt OD OS OU QID x 7 Days; THEN; TID x 3 Days; BID x 2 Days and QD x 2 Days
Refills: _______
PROLENSA 0.07% 1.6ml NDC 24208-602-01 Sig: 1gtt OD OS OU QD x 3 Days PostOperatively Craig Beyer, D.O DEA #