| |
 |
|
The name of the
medicine and what is it supposed to do |
|
 |
|
Insurance coverage |
| |
|
|
.................................................................................................. |
|
|
|
.................................................................................................. |
| |
 |
|
When and how to take
the medicine |
|
 |
|
What foods, drinks, or activities to avoid
while on the medication |
| |
|
|
.................................................................................................. |
|
|
|
.................................................................................................. |
| |
 |
|
Possible drug
interactions or allergies |
|
 |
|
When to take the medication |
| |
|
|
.................................................................................................. |
|
|
|
.................................................................................................. |
| |
 |
|
Possible side effects |
|
 |
|
How to store the medication |
| |
|
|
.................................................................................................. |
|
|
|
.................................................................................................. |
| |
 |
|
Safety during pregnancy
or breastfeeding |
|
 |
|
What to do if you miss a dose |
| |
|
|
.................................................................................................. |
|
|
|
|
| |
 |
|
A less expensive
version (generic) of the medicine |
|
|
|
|