OptumRx

7/21/xx

Optum Pharmacy 704, Inc
5627 University Heights, Ste 108
San Antonio, TX 78249
Attn: Stryker Awtry, PIC
(877) 889-6358

Metformin Label
re: Rx 337298782
Metformin Tab 500 MG
dispensed 07/24/22
by: ECARROLL
(877) 889-6358
according to the Texas State Board License Lookup,
ECARROLL can ONLY be: Emma Carroll,
Texas License Number 60986 expired 11/30/21.

Phone conversation on Friday, 7/21/23
with Kshama Kumari
a/k/a Kay Kumari
who claims to be a pharmacist,
licensed in:
Texas, license number 51323,
and
Oklahoma, license number 15076, expires in 10 days on 7/31/23.

Optum Pharmacy 704, Inc
(210) 326-2957
Texas License Number 24318
NPI# 1154893600
DEA bs9476032
Colorado License Number OSP.0005669
5627 University Heights, Ste 108
San Antonio, TX 78249
J Stryker Awtry, PIC
Texas License Number 43405

Texas Pharmacy Rules
291.121
(F) A pharmacist from the provider pharmacy shall be accessible at all times to respond to patients’ or other health professionals' questions and needs pertaining to drugs dispensed through the use of the automated pharmacy system. Such access may be through a 24 hour pager service or telephone which is answered 24 hours a day.

(7) Labeling.
(A) At the time of delivery of the drug, the dispensing container shall bear a label in plain language and printed in an easily readable font size, unless otherwise specified, with at least the following information:
(i) name, address and phone number of the pharmacy;
(ii) unique identification number of the prescription that is printed in an easily readable font size comparable to but no smaller than ten-point Times Roman;
(iii) date the prescription is dispensed;
(iv) initials or an identification code of the dispensing pharmacist;
(v) name of the prescribing practitioner;
(vi) if the prescription was signed by a pharmacist, the name of the pharmacist who signed the prescription for a dangerous drug under delegated authority of a physician as specified in Subtitle B, Chapter 157, Occupations Code;
(vii) name of the patient or if such drug was prescribed for an animal, the species of the animal and the name of the owner that is printed in an easily readable font size comparable to but no smaller than ten-point Times Roman. The name of the patient's partner or family member is not required to be on the label of a drug prescribed for a partner for a sexually transmitted disease or for a patient's family members if the patient has an illness determined by the Centers for Disease Control and Prevention, the World Health Organization, or the Governor's office to be pandemic;
(viii) instructions for use that are printed in an easily readable font size comparable to but no smaller than ten-point Times Roman;
(ix) quantity dispensed;
(x) appropriate ancillary instructions such as storage instructions or cautionary statements such as warnings of potential harmful effects of combining the drug product with any product containing alcohol;
(xi) if the prescription is for a Schedule II - IV controlled substance, the statement "Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed";
(xii) if the pharmacist has selected a generically equivalent drug or interchangeable biological product pursuant to the provisions of the Act, Chapter 562, the statement "Substituted for Brand Prescribed" or "Substituted for 'Brand Name'" where "Brand Name" is the actual name of the brand name product prescribed;
(xiii) the name and strength of the actual drug or biological product dispensed that is printed in an easily readable size comparable to but no smaller than ten-point Times Roman, unless otherwise directed by the prescribing practitioner;
(I) The name shall be either:
(-a-) the brand name; or
(-b-) if no brand name, then the generic drug or interchangeable biological product name and name of the manufacturer or distributor of such generic drug or interchangeable biological product. (The name of the manufacturer or distributor may be reduced to an abbreviation or initials, provided the abbreviation or initials are sufficient to identify the manufacturer or distributor. For combination drug products or non-sterile compounded drug preparations having no brand name, the principal active ingredients shall be indicated on the label.)
(II) Except as provided in clause (xii) of this subparagraph, the brand name of the prescribed drug or biological product shall not appear on the prescription container label unless it is the drug product actually dispensed.
(xiv) if the drug is dispensed in a container other than the manufacturer's original container, the date after which the prescription should not be used or beyond-use-date. Unless otherwise specified by the manufacturer, the beyond-use-date shall be one year from the date the drug is dispensed or the manufacturer's expiration date, whichever is earlier. The beyond-use-date may be placed on the prescription label or on a flag label attached to the bottle. A beyond-use-date is not required on the label of a prescription dispensed to a person at the time of release from prison or jail if the prescription is for not more than a 10-day supply of medication; and
(xv) either on the prescription label or the written information accompanying the prescription, the statement "Do not flush unused medications or pour down a sink or drain." A drug product on a list developed by the Federal Food and Drug Administration of medicines recommended for disposal by flushing is not required to bear this statement.
(B) If the prescription label required in subparagraph (A) of this paragraph is printed in a type size smaller than ten-point Times Roman, the pharmacy shall provide the patient written information containing the information as specified in subparagraph (A) of this paragraph in an easily readable font size comparable to but no smaller than ten-point Times Roman.
(C) The label is not required to include the initials or identification code of the dispensing pharmacist as specified in subparagraph (A) of this paragraph if the identity of the dispensing pharmacist is recorded in the pharmacy's data processing system. The record of the identity of the dispensing pharmacist shall not be altered in the pharmacy's data processing system.
(D) The dispensing container is not required to bear the label as specified in subparagraph (A) of this paragraph if:
(i) the drug is prescribed for administration to an ultimate user who is institutionalized in a licensed health care institution (e.g., nursing home, hospice, hospital);
(ii) no more than a 90-day supply is dispensed at one time;
(iii) the drug is not in the possession of the ultimate user prior to administration;
(iv) the pharmacist-in-charge has determined that the institution:
(I) maintains medication administration records which include adequate directions for use for the drug(s) prescribed;
(II) maintains records of ordering, receipt, and administration of the drug(s); and
(III) provides for appropriate safeguards for the control and storage of the drug(s); and
(v) the dispensing container bears a label that adequately:
(I) identifies the:
(-a-) pharmacy by name and address;
(-b-) unique identification number of the prescription;
(-c-) name and strength of the drug dispensed;
(-d-) name of the patient; and
(-e-) name of the prescribing practitioner or, if applicable, the name of the pharmacist who signed the prescription drug order;
(II) if the drug is dispensed in a container other than the manufacturer's original container, specifies the date after which the prescription should not be used or beyond-use-date. Unless otherwise specified by the manufacturer, the beyond-use-date shall be one year from the date the drug is dispensed or the manufacturer's expiration date, whichever is earlier. The beyond-use-date may be placed on the prescription label or on a flag label attached to the bottle. A beyond-use-date is not required on the label of a prescription dispensed to a person at the time of release from prison or jail if the prescription is for not more than a 10-day supply of medication; and
(III) sets forth the directions for use and cautionary statements, if any, contained on the prescription drug order or required by law.

Size Comparison
MetFormin Label
with a sample, printed at:
10 point Times New Roman
for size comparison

Texas State Board of Pharmacy
Home Page

OptumRx
Phone call (877) 889-6358
Sunday, 8/6/23 11:18am
lasted 35:42.
Jane Doe,
and
Kathryne Q Doe, a/k/a/ Kathryne Quan
Pharmacist
North Carolina License number 32143
Optum Home Delivery Pharmacy
OptumRx.com/public/lending = privacy office = sign into my account

OptumRx, Customer Service
Phone call (800) 356-3477
Monday, 8/7/23 7:46am
lasted 10:09.
Nichole Doe
OptumRx, Customer Service
Box 2975
Mission, KS 66211

Philip G Rice
11268 E Linvale Dr
Aurora, CO 80014

(970) 235-0470
phil.rice@mkgappraisal.com

-- End of Letter --

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