SUZANNE TEHAKO
MedicationActionTiming
As written · eRx / NCPDP
FAMOTIDINE TAB 20MG TABS
NCPDP messageNew Rx
PrescriberLOUKUSA, EVAN
Written2025-11-21
SigTAKE ONE TABLET BY MOUTH DAILY AT BEDTIME
Qty30.0
Refills0 left
Supply30-day
NDC70710-1683-00
What to do
Insurance rejected the claim
Reject · code 76 (Plan Limitations Exceeded)
No action needed
Can ride along · due within 7 days