Example: bachelor of science
SUBJECT: EFFECTIVE DATE
albuterol (Proair®, Ventolin HFA®) albuterol/ipratropium (Combivent®) If clinic visit within last 12 months with asthma ipratropium (Atrovent®) pirbuterol (Maxair®) salmeterol (Serevent®) tiotropium (Spiriva®) If asthma is not on the problem list, 1 month refill and direct patient to schedule a provider appointment.
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