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RX #: 278390 1/4/2010 LWP MD
CYLCOBENZAPRINE HCL #3 GM
LOT: 292090707 HEALTH: 2
MFG: APOTHECARES FIRE:1
NDC: 37803-0368-08 REACTIVITY:0
BATCH #: 01041004 CAS:6202-23-9
For Prescription Compounding Only
Required supplies needed to compound this kit
|Cyclobenzaprine HCl (Included)
|Magnesium Oxide Heavy Powder (Included)
|Lactose Monohydrate Spray Dried Powder ( Included)
|Riboflavin Powder (Included)
|Red 1 Capsules ( Required Not Included)
Recommended supplies not included in this kit
|16 oz Glass Mortar and Pestle
|300 Capsule Machine Number 2 Notch
|Scraper ( Recommended Not Included)
|Tamper (Recommended Not Included)
|Capsule Locker (Recommended Not Included)
1. Using a 16 oz mortar and pestle triturate powders well to reduce particle size until uniform. Do not use metal bowls or spatulas while
compounding this product.
2. Using a 300 capsule machine encapsulate triturate powder mixture into number 1 red capsules
Prior to compounding, store Cyclo/Mag Kit at room temperature. Store the final product at room temperature.
Final product for oral use only. Keep out the reach of children. Compounded product, as dispensed,
is stable for at least 180 days or the time remaining on the expiration date of any given ingredient,
which ever is shorter.
Living Well Pharmacy, Inc.
PHENAZOPYRIDINE HCL 200mg
CITALOPRAM 10mg 30 TABS
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