Methadone
Suboxone
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Prescription duration
Starting date
Ending date
Days of pickup
Daily
Weekly
Other frequency
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
First pickup date
Frequency in days
Posology
Daily dosage (mg)
DIE
BID
TID
QID
Patient must be here every dosage
Dose #1
2 mg tablets
8 mg tablets
12 mg tablets
16 mg tablets
Dose #2
2 mg tablets
8 mg tablets
12 mg tablets
16 mg tablets
Dose #3
2 mg tablets
8 mg tablets
12 mg tablets
16 mg tablets
Dose #4
2 mg tablets
8 mg tablets
12 mg tablets
16 mg tablets
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