Prescription Refill
Was the original prescription for for this medication written by a 4Cs Clinic provider?
This prescription is written by a 4Cs Clinic health care provider |
Is this prescription a refill written by a UTMB health care provider?
Was this prescription written by a health care provider other than one from UTMB or a 4Cs Clinic.
This prescription was not written by a UTMB or 4Cs Clinic health care provider |

