Medication 1: I take Drug name* in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage* (e.g., 20 mg). I take Quantity* at a frequency of Frequency* (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No * .
Medication 2: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 3: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 4: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 5: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 6: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 7: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 8: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 9: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 10: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 11: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 12: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 13: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 14: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .
Medication 15: I take Drug name in Please Select Tablet Capsule Liquid Topical Drops Inhalers Injections Patch or Implant Suppository form, with a dosage of Dosage (e.g., 20 mg). I take Quantity at a frequency of Frequency (e.g., once a day). A generic version of this medicine can be used: Please Select Yes No .