EAST 71ST STREET Ph:
Sex: M NEW YORK, NY 10021
Written: Absorica 20 mg capsule
Written,. 01/1 5/2 019
Qty3Q Capsule Refills: 0 Days Supply:
DAW: 1 Substitution Not Allowed ... enspill tr . (I) I 7114.
. 17
JEFFREY EPSTEIN MITCHELL A KLINE Written IF 7l: ABSORICA 20 MG CAPSULE
Plan UNITE1) HEALTHCARE -
358 EL BRILLO WAY 7O0 PARKAVE
Dispensed irer ABSORICA