Hannah Berg
F · 67y · DOB 1959-03-22 · MRN-101356
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Phone
(503) 555-0177
Email
hannah.berg@example.com
Address
1200 SW Morrison St, Portland, OR 97205
Clinic / Org
Eastside Aesthetics
Insurance
- Plan
- Medicare Part D
- Member ID
- 1EG4-TE5-MK72
- Group
- MCRD
- BIN
- 020099
- PCN
- RXPART D
Allergies:PenicillinShellfish
Active Rx
1
Currently dispensing
Next refill
2026-06-07
Soonest due date
Adherence
97%
Refill cadence
Balance
$132.40
Outstanding
Alerts
1 prescription pending (prior auth / first fill): RX-700811.
Outstanding balance of $132.40 on file.
Documented allergies: Penicillin, Shellfish. Verify against new orders.
Active medications
| Rx # | Medication | Last filled | Due | Refills |
|---|---|---|---|---|
| RX-700810 | Estriol Vaginal Cream 0.5 mg/gCMPD | 2026-05-10 | 2026-06-07 | 3 |
Notes
- GeneralBilling · 2026-05-20
Balance accruing across 3 cycles; confirm card on file is current.
- FillRPh K. Doan · 2026-04-01
LDN started at 1.5 mg; titrate per tolerance.