Combination sample medication payment check and medication presc

Details Combination sample medication payment check and medication presc Combination sample medication payment check and medication presc

1998-08-03

2000-01-11

Fridie, Jr., Willmon

Printed matter

Banking

Checks

283 42, 283 56, 283 67, 283 81, 283 481, 283 58, B42F 2100, B42D 1500

Patent

active

060127406

ABSTRACT:
A combination preselected medication sample prescription form, sample payment check, and medication sample regulating device includes a support panel having an obverse or front facing surface which defines a first and second portion thereof. An area for receiving written, printed or typed patient identification information is viewably applied over the first portion and a removable medication prescription form is attached over the second portion of the support panel. The second portion includes a preprinted payment check for a sample quantity or as a partial payment for a larger quantity of preselected medication. This combination permits the physician to simultaneously begin the process of distributing a sample quantity of the preselected medication and to write a prescription for any quantity therefor. The preferred embodiment also includes a manufacturers product information sheet removably attached to either the support panel or the prescription form, or between both.

REFERENCES:
patent: 364623 (1887-06-01), Beidler
patent: 1492101 (1924-04-01), Mordecia
patent: 3111220 (1963-11-01), Bostrom
patent: 3327843 (1967-06-01), O'Meara
patent: 3381808 (1968-05-01), McGraw, II
patent: 4807909 (1989-02-01), Lapsker
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patent: 5178417 (1993-01-01), Eshoo
patent: 5181743 (1993-01-01), Lloyd
patent: 5628530 (1997-05-01), Thorton
patent: 5755462 (1998-05-01), Lupi
patent: 5803499 (1998-09-01), Tung et al.

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