IDA ALLAN
MedicationActionTiming
As written · eRx / NCPDP
BRILINTA TAB 90MG TABS
NCPDP messageNew Rx
PrescriberVICKSTROM, CRAIG
Written2025-04-23
SigTAKE ONE TABLET BY MOUTH TWICE A DAY
Qty180.0
Refills0 left
Supply90-day
NDC00186-0777-60
What to do
Out of refills — send a renewal request
ask the prescriber to renew before filling
Reject · code 69 (Filled After Coverage Terminated)
Can ride along · due within 7 days