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linda.craven

Prescription Records

Confidential Patient Information

Alanna Craven

83 CLAPP STREET

MILTON, MA 02186

(617) 480-4738

06/09/1986

Female

01/01/2017 to 12/31/2017 Showing All prescriptions, sorted by fill date (most recent)

Fill Date Prescription Prescriber Pharmacist NDC# Ins/Claim Ref# Price

12/28/2017 Lithium Carbonate ER 450mg Tablets

Rx:2008774-10317

Qty:60

GOODALL,SHERY

L

IMG 68462022401 HPHC/

5906421186

$10.00

12/21/2017 Microgestin 1/20 Tabs 21s White

Rx:2051520-10317

Qty:21

12/19/2017 Spironolactone 100mg Tablets

Rx:2050792-10317

Qty:60

SHIN,ALICE DEC 51862000706 HPHC/

5898685708

SOBELL,JEFFREY IMG 00228267311 HPHC/

5895003235

$0.00

$10.00

12/17/2017 Propranolol 10mg Tablets

Rx:1999509-10317

Qty:60

GOODALL,SHERY

L

DEC 00115165901 HPHC/

5892647838

$10.00

12/04/2017 Quetiapine 100mg Tablets

Rx:2017655-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5875905896

$6.70

11/30/2017 Lithium Carbonate ER 450mg Tablets

Rx:2008774-10317

Qty:60

GOODALL,SHERY

L

IMG 68462022401 HPHC/

5871997384

$10.00

11/06/2017 Lithium Carbonate ER 450mg Tablets

Rx:2008774-10317

Qty:60

GOODALL,SHERY

L

DEC 68462022401 HPHC/

5844707805

$10.00

11/06/2017 Lamotrigine 25mg Tablets

Rx:2041233-10317

Qty:180

GOODALL,SHERY

L

DEC 00093003901 HPHC/

5844312967

$16.20

11/04/2017 Propranolol 10mg Tablets

Rx:1999509-10317

Qty:60

GOODALL,SHERY

L

DEC 00115165901 HPHC/

5842782787

$10.00

11/04/2017 Quetiapine 100mg Tablets

Rx:2017655-10317

Qty:30

GOODALL,SHERY

L

DEC 68180044701 HPHC/

5842782842

$6.70

11/04/2017 Spironolactone 100mg Tablets

Rx:2034844-10317

Qty:60

SOBELL,JEFFREY DEC 00228267311 HPHC/

5842782893

$10.00

10/30/2017 Valacyclovir 500mg Tablets

Rx:2039695-10317

Qty:6

STEWART,PATRIC

IA

IMG 65862044830 HPHC/

5836382201

$3.94

10/09/2017 Propranolol 10mg Tablets

Rx:1999509-10317

Qty:60

GOODALL,SHERY

L

DEC 00115165901 HPHC/

5811340279

$10.00

10/09/2017 Lithium Carbonate ER 450mg Tablets

Rx:2008774-10317

Qty:60

GOODALL,SHERY

L

DEC 68462022401 HPHC/

5811340372

$10.00

10/09/2017 Quetiapine 100mg Tablets

Rx:2017655-10317

Qty:30

GOODALL,SHERY

L

DEC 68180044701 HPHC/

5811340209

$6.70

10/09/2017 Spironolactone 100mg Tablets

Rx:2034844-10317

Qty:60

SOBELL,JEFFREY IMG 00228267311 HPHC/

5812052525

$10.00

09/30/2017 Alprazolam 0.5mg Tablets

Rx:2033013-10317

Qty:30

GOODALL,SHERY

L

IMG 00228202996 HPHC/

5802086039

$2.02

09/13/2017 Quetiapine 100mg Tablets

Rx:2017655-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5782273496

$6.70


08/26/2017 Propranolol 10mg Tablets

Rx:1999509-10317

Qty:60

GOODALL,SHERY

L

DEC 00115165901 HPHC/

5762293405

$10.00

08/20/2017 Lamotrigine 25mg Tablets

Rx:1990258-10317

Qty:90

GOODALL,SHERY

L

IMG 00093003901 HPHC/

5754901664

$9.10

08/18/2017 Quetiapine 100mg Tablets

Rx:2017655-10317

Qty:30

GOODALL,SHERY

L

DEC 68180044701 HPHC/

5753279175

$6.70

08/02/2017 Propranolol 10mg Tablets

Rx:1999509-10317

Qty:60

GOODALL,SHERY

L

MEF 00115165901 HPHC/

5734721537

$10.00

07/23/2017 Quetiapine 100mg Tablets

Rx:2017655-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5723499434

$6.70

07/17/2017 Spironolactone 100mg Tablets

Rx:2016062-10317

Qty:60

SOBELL,JEFFREY DEC 00228267311 HPHC/

5716971325

$10.00

07/15/2017 Lamotrigine 25mg Tablets

Rx:1990258-10317

Qty:90

GOODALL,SHERY

L

DEC 00093003901 HPHC/

5715110134

$9.10

07/07/2017 Lithium Carbonate ER 450mg Tablets

Rx:2008774-10317

Qty:60

GOODALL,SHERY

L

DEC 68462022401 HPHC/

5706153329

$10.00

06/20/2017 Spironolactone 100mg Tablets

Rx:1984826-10317

Qty:60

SOBELL,JEFFREY IMG 00228267311 HPHC/

5687269021

$10.00

06/20/2017 Lamotrigine 25mg Tablets

Rx:1990258-10317

Qty:90

GOODALL,SHERY

L

IMG 00093003901 HPHC/

5687269073

$9.10

06/12/2017 Lithium Carbonate ER 450mg Tablets

Rx:2008774-10317

Qty:60

GOODALL,SHERY

L

IMG 68462022401 HPHC/

5678580267

$10.00

06/12/2017 Quetiapine 100mg Tablets

Rx:2008776-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5678579625

$8.73

05/20/2017 Spironolactone 100mg Tablets

Rx:1984826-10317

Qty:60

SOBELL,JEFFREY DEC 00228267311 HPHC/

5653753556

$10.00

05/20/2017 Lamotrigine 25mg Tablets

Rx:1990258-10317

Qty:90

GOODALL,SHERY

L

DEC 00093003901 HPHC/

5653753579

$9.18

05/10/2017 Quetiapine 100mg Tablets

Rx:1994540-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5642086248

$8.73

05/10/2017 Lithium Carbonate ER 450mg Tablets

Rx:1994600-10317

Qty:60

GOODALL,SHERY

L

IMG 00054002025 HPHC/

5642086320

$10.00

05/01/2017 Propranolol 10mg Tablets

Rx:1999509-10317

Qty:60

GOODALL,SHERY

L

IMG 00115165901 HPHC/

5630854268

$10.00

04/16/2017 Spironolactone 100mg Tablets

Rx:1984826-10317

Qty:60

SOBELL,JEFFREY IMG 00228267311 HPHC/

5613721836

$10.00

04/16/2017 Lamotrigine 25mg Tablets

Rx:1990258-10317

Qty:90

GOODALL,SHERY

L

IMG 00093003901 HPHC/

5613721853

$9.18

04/10/2017 Quetiapine 100mg Tablets

Rx:1994540-10317

Qty:30

GOODALL,SHERY

L

DEC 68180044701 HPHC/

5606577395

$8.73

04/08/2017 Lithium Carbonate ER 450mg Tablets

Rx:1994600-10317

Qty:60

GOODALL,SHERY

L

DEC 00054002025 HPHC/

5605755923

$10.00

04/04/2017 Propranolol 10mg Tablets

Rx:1976937-10317

Qty:60

GOODALL,SHERY

L

DEC 00591555410 HPHC/

5600099791

$10.00


03/20/2017 Alprazolam 0.5mg Tablets

Rx:1977862-10317

Qty:30

GOODALL,SHERY

L

IMG 00228202996 HPHC/

5582107903

$2.10

03/20/2017 Lamotrigine 25mg Tablets

Rx:1990258-10317

Qty:90

GOODALL,SHERY

L

IMG 00093003901 HPHC/

5582664869

$9.18

03/19/2017 Spironolactone 100mg Tablets

Rx:1984826-10317

Qty:60

SOBELL,JEFFREY IMG 00228267311 HPHC/

5581695478

$10.00

03/15/2017 Quetiapine 100mg Tablets

Rx:1979134-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5577513465

$8.73

03/13/2017 Lithium Carbonate ER 450mg Tablets

Rx:1988715-10317

Qty:60

GOODALL,SHERY

L

DEC 68462022401 HPHC/

5574629009

$10.00

03/11/2017 Propranolol 10mg Tablets

Rx:1976937-10317

Qty:60

GOODALL,SHERY

L

DEC 00591555410 HPHC/

5573199562

$10.00

02/21/2017 Lamotrigine 25mg Tablets

Rx:1980102-10317

Qty:90

GOODALL,SHERY

L

DEC 00093003901 HPHC/

5550642955

$9.18

02/21/2017 Spironolactone 100mg Tablets

Rx:1984826-10317

Qty:60

SOBELL,JEFFREY DEC 00228267311 HPHC/

5551323949

$10.00

02/17/2017 Quetiapine 100mg Tablets

Rx:1979134-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5546813729

$8.73

02/08/2017 Lithium Carbonate ER 450mg Tablets

Rx:1969102-10317

Qty:60

GOODALL,SHERY

L

DEC 68462022401 HPHC/

5535331013

$10.00

02/08/2017 Propranolol 10mg Tablets

Rx:1976937-10317

Qty:60

GOODALL,SHERY

L

DEC 00591555410 HPHC/

5535331059

$10.00

01/29/2017 Lamotrigine 25mg Tablets

Rx:1980102-10317

Qty:90

GOODALL,SHERY

L

DEC 00093003901 HPHC/

5523265384

$9.18

01/24/2017 Spironolactone 100mg Tablets

Rx:1978993-10317

Qty:60

01/24/2017 Finacea 15% Foam 50gm

Rx:1979018-10317

Qty:50

SOBELL,JEFFREY IMG 53746051501 HPHC/

5517640294

SOBELL,JEFFREY DEC 50419082901 HPHC/

5516890051

$10.00

$25.00

01/24/2017 Quetiapine 100mg Tablets

Rx:1979134-10317

Qty:30

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5517639637

$8.73

01/18/2017 Alprazolam 0.5mg Tablets

Rx:1977862-10317

Qty:30

GOODALL,SHERY

L

MHL 00228202996 HPHC/

5510046211

$2.10

01/13/2017 Spironolactone 100mg Tablets

Rx:1971717-10317

Qty:60

SOBELL,JEFFREY DEC 53746051501 HPHC/

5504124249

$10.00

01/13/2017 Lamotrigine 25mg Tablets

Rx:1972281-10317

Qty:60

GOODALL,SHERY

L

AAB 00093003901 HPHC/

5504124336

$6.48

01/13/2017 Propranolol 10mg Tablets

Rx:1976937-10317

Qty:60

GOODALL,SHERY

L

AAB 00591555410 HPHC/

5504220393

$10.00

01/06/2017 Lithium Carbonate ER 450mg Tablets

Rx:1969102-10317

Qty:60

GOODALL,SHERY

L

IMG 68462022401 HPHC/

5492738587

$10.00

01/06/2017 Quetiapine 100mg Tablets

Rx:1969224-10317

Qty:15

GOODALL,SHERY

L

IMG 68180044701 HPHC/

5492738652

$4.91

Total: $548.53

Generics saved you $0.00

Insurance saved you $6,709.96


Please be aware that certain insurance claim information may not be included in this report. Please speak with a pharmacy staff member if you

have questions regarding payments for your prescriptions.

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