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What are the total quantity and the total days supply for the following Rx: Metrogel vaginal #70gm 1 bid (am & pm) x 5 days ------------------------------------------------------------ The doctor has prescribed Metrogel vaginal gel, but most pharmacists will very likely dispense the generic version Metronidazole vaginal gel 0.75% with 5 applicators. This medicine comes in a box with the gel tube of 70g and 5 applicators. The total quantity to be dispensed is 70 g as stated by the doctor. The sig says: apply 1 applicatorful vaginally twice daily (morning and evening) for 5 days The total days supply is 5 days as stated by the doctor. |

What are the total quantity and the total days supply for the following Rx: Premarin vag cream 1 tube sig: 1 gm per vagina 2x/wk ------------------------------------------------------------ The doctor has prescribed the brand-name drug Premarin vaginal cream. Each tube has 42.5 grams of medicine. Also, it comes with an applicator. The doctor wants the pharmacist to dispense one tube. Then, the total quantity to be dispensed is either 42.5g or 43g depending on the pharmacy computer system. The sig says: insert 1 gram with applicator vaginally two times a week The patient will use 2 grams per week. How long will the tube last? If we divide 42.5 by 2, it will last 21 weeks Now, 21 weeks = 147 days The total days supply is 147 days. But, many insurance companies will reject 147 days. In turn, the pharmacist may have to change the total days supply. In this case, the total days supply could be 90 days. |

What are the total quantity and the total days supply for the following Rx: Premarin vag cream sig: apply twice per week disp: 1 tube ------------------------------------------------------------ The doctor has prescribed the brand-name drug Premarin vaginal cream. Each tube has 42.5 grams of medicine. Also, it comes with an applicator. The doctor wants the pharmacist to dispense one tube. Then, the total quantity to be dispensed is either 42.5g or 43g depending on the pharmacy computer system. The sig says: apply twice per week as directed Notice that the sig directions given by the doctor are not really specific. In this case, the pharmacist can say that the total days supply is 30 days considering the tube size, area of use, and frequency of use. But, some pharmacists may assume 60 days for the total days supply. |

Calculate the total quantity and the total days supply for the following Rx: Vagifem 18 app/box 1 box apply 1 - 2 x/week ------------------------------------------------------------ The doctor has prescribed the brand-name drug Vagifem. This medicine comes in a box with 18 vaginal tablets, that is, 18 applicators. Each applicator has one tablet. The patient will insert the applicator into the vagina in order to release the tablet. The doctor wants the pharmacist to dispense one box. Then, the total quantity to be dispensed is 18 vaginal tablets. In reality, the pharmacist will type only the number 18 on the computer. The sig says: apply 1 applicator vaginally 1 to 2 times a week The patient will use up to 2 applicators weekly. The patient will get 18 applicators. In this case, if 2 applicators = 1 week, then 18 applicators = 9 weeks In other words, these 18 applicators will last the patient 9 weeks. Now, 9 weeks = 63 days and, in turn, the total days supply is 63 days. |

What are the total quantity and the total days supply for the following drug: Miconazole 200mg vaginal sup sig: 1 per vagina qhs x 3d ------------------------------------------------------------ The doctor has prescribed Miconazole 200mg vaginal suppositories. It is an over-the-counter medication to treat vaginal yeast infections. The box comes with 3 vaginal suppositories and each suppository has 200mg of miconazole. The technician will just show the patient where the medication is located. The sig says: unwrap and insert 1 suppository into the vagina at bedtime for 3 days in a row |

What are the total quantity and the total days supply for the following drug: gynelotrimin cream vag sig: apply daily for vaginal candida ------------------------------------------------------------ The doctor has prescribed Gyne-Lotrimin vaginal cream 2% The doctor has prescribed an over-the-counter medication. The package comes with a 21g tube of clotrimazole vaginal cream and 3 disposable applicators. The technician should show the patient the location of this medicine on the shelf and should tell the patient to read the directions on the box. The sig says: place one applicatorful of cream into the vagina at bedtime for 3 days in a row. Throw applicator away after each use. It is worth noting that the patient can also get the generic version Clotrimazole vaginal cream over-the-counter. |

What are the total quantity and the total days supply for the following Rx: Crinone 8% #30 1 hs ------------------------------------------------------------ The doctor has prescribed the brand-name drug Crinone 8% gel. This medicine is for vaginal use only. Crinone 8% gel is supplied in a box with 15 single-use prefilled applicators. The doctor wants the pharmacist to dispense 30 applicators. Each applicator contains 1.45 grams of gel. In turn, if 1 applicator contains 1.45 grams, then 30 applicators contain 43.5 grams. So, the total quantity to be dispensed is 30 applicators or 43.5 grams or 44 grams depending on the pharmacy computer system. In this case, the pharmacist will dispense two boxes. The sig says: use 1 applicator vaginally at bedtime Since the patient will use 1 applicator per day, the total days supply is 30 days. It is worth noting that Crinone provides safe and effective progesterone support for women who have a progesterone deficiency and who are undergoing infertility treatment. |

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