state medical board of ohio > homemed.ohio.gov/formala/35100181.pdfprescription list by patient...

PRESCRIPTION L I S T BY PATIENT W B E R

CHARLES SHIN, HD

PAGE 1

NOTE: PRESCRIPTION NUHBERS INDICATE NUHBERS ASSIGNED BY THE STATE MEDICAL BOARD. THIS NUMBER IS ASSIGNED ONLY rOR PURPOSES OF IDENTIFICATION OF INDIVIDUAL PRESCRIPTIONS

PATIENT NUMBER

DATE DRUG TOTAL AmlUNT

50 60 60 6 0 80 80 40 6 0 6 0 60 6 0 6 0

SCHEDULE PRESC . NUMBER

1121 1118 1460 146 1 2 38 239 240 39 913 914 852 464

- - - - - - - - - . - PERCODAN DENEROL 50HG PERCODAN PERCODAN VALIUM 5HG DAMANE 30HG PERCODAN PERCODAN VRLIUH 5110 PERCODAN PERCODAN

12/02/85 TYLOX

07130184 TYLOX 04/01/85 PERCODAN 04/01/85 VALIUH 5HG 04/01/85 SECONAL SODIUIl (HA) 100116 04/17/85 PERCODAN 04/17/85 VALIUH 5ffi 04/17/85 FIORINAL 07/22/85 PERCODAN 07/22/85 VALIUH SHG 07/22/85 SECONAL SODIUIl (HA) lOOMG 09/23/85 PERCODAH 09/23/85 VALIUPl SIlG

03/07/85 PERCODAN

05/26/85 PERCODAN

04/01/85 PERCOCEI-5 04/01/85 SONA COMPOUND 04/29/85 PERCOCET-5 05/25/85 PERCODRN 05/25/85 VALIUH 5HG 09/30/85 FIORINAL WCODEINE NO3 09/30/85 PERCOCET-5

PRESCRIPTIon LIST BY PATIENT NUnBER

CHARLES SHIN, MD

PAGE 2

AtlOWT TOTAL SCHEDULE REFILLS PRESC. APK)UNT NUMBER

50 50 2 .O 387 50 50 2 - 0 386

PATIENT DATE DRUG NUHBER

7 09/10/85 PERCODAN 7 11/12/85 PERCODAN

8 08/02/85 PERCODAN

f 08/13/84 PERCODAN 12/ 14/84 PERCODAN

9 01/29/85 PERCODAN 9 03/25/85 PERCODAN 9 04/08/85 PERCODAN 9 04/08/85 SECONAL SODIUM (HA) 100ffi 9 06/03/85 PERCODAN 9 06/03/85 SECONAL SODIUM (HA) l00MG 9 08/15/85 PERCODAN

09/04/85 PERCODAN 1 0 3 0 8 TYLOX -- 10/30/85 ~ ~ E F U M 5MG 1 1 1 1 8 5 PERCODAN 11/11/85 SECONAL SODIUM (NAI lOOMG 11/20/85 PERCODAN 12/03/85 PERCODAN

12/27/84 SOHA CONPOUND 12/27/84 VICODIN 12/27/84 SECONAL SODIUM (NA) 100116 03/07/85 VICODIN 03/07/85 SOMA COHPOUND 03/07/85 LIBRIUM 25MG 03/07/85 SECONAL SODIUM (NA) 100116 04/29/85 VALIUM 5MG .

- - . . - - - - . . - - - . . - 05/08/85 DALMANE 30MG 05/08/85 VALIUH 5MG 07/11/85 SOMA CORPOUND 07/ 11/85 VALIUM 5NG 07/11/85 DALMANE 30HG

~ .--. ~- - 08, ii/8S PERCODAN 08/12/85 VALIUM 5mi 081 19/85 PERCOCET-5 08/19/85 VALIUM 5MG 09/20/85 VALIUM 5MG r=oai"Ai. - - 09/20/85 10/10/85 VALIUM 5MG 10/10/85 DALMANE 30mi 10/10/85 PERCOCET-5 1 110 1/85 FIORINAL WCODLINE NO3

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PRESCRIPTION LIST BY PATIEHT NUMBER CHARLES SHIN* BD

PAGE 8

PATIENT DATE DRUG NUMBER

APlOUNf TOTAL AHOUNT

PRESC . NUnBER

34 04/18/85 TYLOX 34 05/06/85 TYLOX 311 05/22/85 TYLOX 34 06/18/85 TYLOX 34 08/03/85 TYLOX 34 09/29/85 TYLOX 34 10/04/85 TYLOX 34 11/18/85 TYLOX

10/17/84 TYLOX * * :: 10/17/84 VALIUM SBG 35 10/17/84 DAMANE ~ O H G

36 071 14/85 PERCODAN 36 12/ 12/85 PERCODAN

m ;; 08/16/84 PERCODAN 09/13/84 PERCODAN

37 09/13/84 v m u n ~ H G 37 12/03/84 PERCODAN 37 12/03/84 VALIUM 5BG 37 12/03/84 SECONAL SODIUn (HA) 100HG 37 02/05/85 TYLOX 37 02/05/85 VALIW SPlG 37 09/30/85 TYLOX

38 12/03/85 PERCODAN

39 0910 1/85 PERCODAN

*lP 40 04/22/85 TYLOX 0 04/22/85 vii~~ijn 9% 110 08/12/85 TYLOX - 40 08/12/85 VALIUH 5HG 110 12/09/85 TYLOX 41 03/07/85 TYLOX 41 03/07/85 ELAVU 50tK

- 42 07/23/85 PERCODAN -

P R E S C R I P T I O N LIST BY P A T I E N T NWIBER

CHARLES S H I N , ND

P A G E 9

Am)UHf T O T A L SCHEDULE R E F I L l S P R E S C . ANOUNT NUNBER

P A T I E N T DATE DRUG NUNBER

D-OL 5 0 H G HYCODAN T A B L E I S SECONAL S O D I U N DENEROL SONG TYLENOL NO 4 SECOHAL SODIUM PERCODAN SECONAL S O D I U H V I C O D I N

1 OOHG

1 OOHG

1 OOHG

1 OOHG 1 0 0 H G 1 OOtlG

44 07/30/85 DEnEROL 50ffi 44 09/30/85 DENEROL SONG

DEnEROL 50116 D M E R O L SONG VALIUN 5HG SECONAL S O D I W PERCOD AN VALIUN 5% DENEROL 50116 DENEROL SONG SECONAL S O D I U n VALIUN 5NG DEHEROL lOONG SECONAL SODIUN VALIUN 1 0 N G DENEROL 1 0 0 N G VALIUN 1 0 N G

1 OOHG

loom;

1 OONG

10offi

1 OONG

~ E C ~ N A L SODIW DENEROL 1 0 0 N G VALIUH 1 0 N G SECONAL S O D I U N DEHEROL lOONG DENEROL loom; VALIUN 5NG SECONAL SODIUM DENEROL 5 O f f i SECONAL S O D I U H

1 OONG

1 OONG

vi.iI "n-lonc.- - SECONAL S O D I U H DEPlEROL 1 0 0 N G VALIUH 5MG

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PRESCRIPTION L I S T BY PATIENT HUHBER

CHARLES SHIN, MD

PAGE 11

PATIENT HURBER

DATE DRUG AHOUMT TOTAL AMOUNT

SCHEDULE REFILLS PRESC . HUflBER

TYLOX VALIUn 10BG TYLOX~ VALIUIl 10ffi PERCODAH VALIUR lOHG TYLOX VALIUH 10ffi DALRAME 30flG PERCODAH VALIUR 5mi SECONAL SODIUn PERCODAN VALIUR 5HG

(HA)

tnr) (HA)

SECOMAL - SODIUI~ PERCOD AH SECONAL SODIUIl PERCODAH

09/26/85 PERCODAH *% :: 09/26/85 DALHAHE 30% 48 10/07/85 PERCODAH 48 10/ 15/85 PERCODAH 48 10/28/85 PERCODAH 48 i i / i2 /85 PERCODAH 48 1 1/22/85 PERCODAN 48 12/05/85 PERCODAH

49 12/03/85 TYLOX 49 12/03/85 LIBRIUn 25BG 49 12/03/85 SECONAL SODIUIl (HA) 100HG

121 19/84 TYLOX *% :: 12/19/84 VlLIUR yk 50 12/19/84 DALRAHE 30tlG 50 01/30/85 TYLOX - 50 01/30/85 VALIUR yk 50 01/30/85 DALRAME 30HG 50 02/28/85 TYLOX 50 02/28/85 VALIUR 5RG

10/29/84 TYLOX * 10/29/84 DALRAHE 30ffi - 51 01/17/85 TYLOX - 51 05/09/85 TYLOX

PRESCRIPTION LIST BY PATIENT NUMBER CHARLES SHINI MD

PAGE 12


VALIUM !3'lG

DEMEROL 50HG VALRELEASE CAPSULES DALMANE 30tlG DEHEROL 50MG PERCODAN VALIUM 5MG SECONAL SODIUM (MA)

- - - -. . -. . - - - - - . - 52 03/25/85 DEMEROL 50MG 52 03/25/85 SECONAL SODIUM (MA) lOOMG 52 03/25/85 VALIUM 5HG 52 05/02/85 SOMA COMPOUND 52 05/02/85 TYLOX 52 06/03/85 TYLOX 52 06/03/85 SOMA COMPOUND 52 09/26/85 TYLOX 52 09/26/85 TAGAMET TABLETS 52 11/14/85 TYLOX 52 1 1/14/85 VALIUM 5nG

53 10/29/85 TYLOX 53 10/29/85 VALIUM !%G

54 1 0 0 8 8 4 PERCODAN 54 041 13/85 PERCODAN 54 04/13/85 DALMANE 30RG

55 01/08/85 PERCODAN 55 01/08/85 DARVOCET-N 100 55 06/06/85 PERCODAN 55 o7/3o/es PERCODAN 55 08/17/85 TYLOX - - 55 08/i7/85 DALH~NE ~ O M G 55 09/10/85 TYLOX 55 10/01/85 DARVOCET 55 1010 1/85 PERCODAN 55 1 1 1 1 8 PERCODAN

AIlOUHT TOTAL SCHEDULE R E F I L L S PRSC. APlOUMT NUMBER

60 120 2 1.0 184 80 80 2 .O 223

PRESCRIPTION LIST BY PATIENT NUMBER

CHARLES SHIN, RD

PAGE 13

AIlOUUT TOTAL AROUNT

SCHEDULE REFILLS PRESC. NUPlBER


55 11/26/85 PERCODAN 55 11/26/85 XANAX . 2 W

56 10/09/84 PERCODAN 56 10/09/84 SECONAL SODIUH (HA) 100W 56 10/20/84 TYLOX

11119184 PERCODAN 11/19/84 VALIUH 5tlG

57 0 1/07/85 PERCODAN 57 01/07/85 VALIUH 5HG 57 02/ 1 1/85 PERCODAN 57 02/11/85 VALIUR 5HG - - - - - - - - - - - - - 57 o3jili/85 VALIUM ~ H G 57 04/04/85 PERCODAN 57 04/04/85 VALIUM 5% 57 04/04/85 SECONAL SODIW (HA) 100BG 57 06/03/85 PERCODAN 57 06/03/85 VALIUM S?lG 57 071 12/85 PERCODAN


59 lo/ 16/85 PERCODAW 59 11/05/85 PERCODAN

% :t 08/07/85 TYLOX 08/07/85 VALRELEASE CAPSULES

60 08/07/85 DALMANE 30M

04/08/85 PERCODAN

- 6 1 04/22/85 PERCODAN 6 1 04/29/85 PERCODAN

61 05/23/85 PERCODAHC 6 1 06/ 10/85 PERCODAN 61 06/10/85 VALIUM Sffi 6 1 061 17/85 PERCODAH 61 06/17/85 VALIUM S?lG 6 1 07/09/85 PERCODAN 61 07/09/85 VALIUM 10tlG

P R E S C R I P T I O N LIST BY P A T I E N T N W E R

C H A R L E S S H I N , I1D

P A G E 14

A l W l M T A SCHEDULE REFILLS P R E S C . AP1OUNT NUHBER

P A T I E N T DATE DRUG NUHBER

6 1 07/18/85 PERCODAN 6 1 081 14/85 PERCODAN 61 081 14/85 VALIUM l 0 H G

62 12/03/85 TYLOX

TY LOX VALIUH !5HG DALHANE 30ffi TYLOX

~ . . - - - . . - . . - DALHANE 3 0 H G PERCODAN VALIUH 5 t l G DALHANE 30ffi PERCOD AN DALRANE ~ 3 0 ~ ~ PERCODAN DALHANE 3 0 H G PERCODAN VALIUM !3lG DALHANE PERCODAN DALHANE 3 0 R G PERCODAN VALIUH 5HG DALHANE 3 0 H G - ~ PERCOCET-5 VALIUH 5 H G PERCODAN VALIUH 5 t l G DALHANE 3 0 H G PERCOD AN VALIUH 5 H G PERCODAN PERCODAN


0 113 1/85 TYLOX * :: 01/31/85 VALIUf l 5HG - 65 08/12/85 TYLOX - 65 08/12/85 VALIUH 5%

PRESCRIPTION L I S T BY PATIENT NUHBER

CHARLES SHIN, HD

PAGE 15

AtlOUHT TOTAL SCHEDULE REFILLS PRESC. AROUNT NUHBER

60 60 3 .O 527 6 0 60 2 .O 48 1

PATIENT D A S DRUG NUHBER

FIORINAL =LOX

08/20/84 PERCODAN

66 09/10/84 SECONAL SODIUH (HA) 100ffi 66 09/10/84 PERCODAN 66 09/10/84 VALIUH 5116 66 09/20/84 PERCODAN 66 09/20/84 VALIUH 5ffi 66 09/21/84 SOMA 66 0912 1/84 SECONAL SODIUn (NA) 100MG 66 10/08/84 SECONAL SODIUH (NA) 100ffi 66 10/08/84 SOHA COHPOUND 66 10/08/84 PERCODAN 66 10/08/84 VALIUH 5ffi - - - -. . - - - . . - . 66 io/i9/84 v m u n S ~ G 66 10/19/84 SECONAL SODIUn (NA) 100ffi 66 10/19/84 SOHA 66 11/05/84 SECONAL SODIUn (NA) 100HG

s o n A PERCODAN

1 oom 1 ooffi

SECONAL SODIUn VALIUH 5HG SECONAL SODIUN PERCODAN SOHA SECONAL SODIUn VALIun mi PERCODAN SOHA PERCODAN v A L I u n 5~10 SOHA SECONAL SODIUn PERCODAN vALIun SECONAL SODIUn PERCODLN VALIUH 5110 som PERCODLN VALIUH 5 m SOHA

1 ooffi

P R E S C R I P T I O N LIS BY P A T I E N T HUtlBE

CHARLES S H I N . H

T R D

SCHEDULE R E F I L I S P R E S C . NUMBER

PAGE 16

P A T I E N T DATE DRUG NUMBER

' TOTAL AMOUNT

SECONAL S O D f t l H PERCODAN VALIUH 5MG SOMA COMPOUND SECONAL S O D I U H PERCODAN SOHA SECONAL SODIUM VALIUH 5116

100ffi

1 ooffi

CALIun sffi PERCODAN SOHA VALIUH 5MG SECONAL -SODIUH PERCODAN VALIUII 5ffi son A PERCODAN VALIUH 3% s o n A SECONAL S O D I U t l PERCOD AN VALIUH 5MG

1 ooffi

1 OOHG

lOOMG

SOHA COHPOUND SECONAL SODIUM PERCODAN VALIUH 5HG SOHA COHPOUND SECONAL SODIUM PERCODAW SOHA~COHPOUND VALIUH 5 H G SOHA COHPOUND

1 OOHG SECONAL S O D I U H PERCODAN VALIUH 5MG PERCODAN VALIUH 5HG SOHA COMPOUND SECONAL S O D I U H PERCODAN SOHA VALIUM 5MG SECONAL S O D I U n

1 OOMG

1OOMG PERCOD AN SOHA VALIUM S n G

P A G E 17 P R E S C R I P T I O N LIST BY P A T I E N T NUnBER

CHARLES S H I N , HD


A O U N T T O T A L A r n U N I

SCHEDULE R E F I L L S P R E S C . NUHBER

SECONAL S O D I W (HA) PERCODAM VALIUH SHG SOMA SECONAL SODIUM (MA1 PERCODAN SECONAL S O D I U H (MA1 VALXUH 5HG SOMA PERCODAN VALIUM 5mi SECONAL S O D I W (HA1 SOHA

1 oom

1 oom 1 oom SECONAL S O D I U H ( H A 1

PERCODAN VALIUM 5mi SOMA COHPOUHD PERCODAN SOH& Cof lPoUHD PERCODAN VALIUt l SfKi PERCODAN PERCODAN PERCODAN SECONAL S O D I W (MA) PERCODAN SECONAL S O D I U H ( H A 1

DARVOCET-N 100 PERCODAN PERCODAH DARVOCET-N 100 VALIUH 9% DALHANE 30HG DARVOCET-W 100 PERCODAN VALIUH 5mi DALHANE 30m PERCODAN VALIUH 5116 PERCODAN V I L I U H 5P1G

68 10/28/85 TYLOX 68 1 1 8 5 TYLOX - 68 12/09/85 TYLOX

.I

PRESCRIPTION L I S T BY PATIENT NUllBER

CHARLES SHIN, HD

PAGE 19

mum MAL SCHE~ULE REFILLS' PRRESC. AHOUNT NUHBER


m e :: 1 2 2 4 8 4 PERCODAN 12/24/84 VALIUH 5ffi

75 02/04/85 TYLOX 75 02/04/85 VALIUH 5HG 75 02/25/85 TYLOX 75 09/23/85 TYLOX 75 10/21/85 TYLOX 75 11/25/85 TYLOX

:: 08/30/85 POICODAN 08/30/85 VALIUH 5ffi

77 09/16/85 PERCODAN 77 09/16/85 VALIUH 5flG 77 10/ 14/85 PERCODAN 77 10/14/85 VALIUH 5ffi 77 11/04/85 PERCODAN 77 11/04/85 VALIUH 5HG 77 11/08/85 PERCODAN 77 12/02/85 PERCODAN 77 12/02/85 VALIUH 10ffi

07/08/85 TYLOX :: 07/08/85 VALIUH 5ffi 78 07/08/85 SECONAL SODIUn (MA) lOOffi 78 09/12/85 SECONAL SODIUH [HA) lOOHG 78 09/ 12/85 PERCODAN

VALIUH 5616 TYLOX TYLOX TYLOX TY LOX SECONAL SODIVn TY LOX TY LOX SECONAL SODIVn

07/10/85 TYLOX * 07/10/85 VALIUH UtB 79 07/10/85 SECONAL SODIUH (MA) 100ffi 79 08/26/85 TYLOX 79 08/26/85 SECONAL SODIUH (MA) lOOHG - 79 09/11/85 TYLOX - 79 09/11/85 SECONAL SODIUn (HA1 100BG

P R E S C R I P T I O N L I S T BY P A T I E N T NUHBER

CHARLES S H I N , BD


N U N T TOTAL AHOUHT

SCHEDULE PRESC. NUHBER

79 10/28/85 TYLOX 79 1 0 / 2 8 / 8 5 VALIUH 5flG 79 1 0 / 2 8 / 8 5 SECONAL S O D I U ~ (HA) lOOHG 79 11/26/85 SECONAL SODIUB (HA) lOOHG 79 11/26/85 TYLOX

PERCODAN

TYLOX TY LOX

PERCODAN TYLOX TYLOX

PERCODAH - - - - - - - - - - - VALIUM 5RG PERCODAN VALIUM 5RG PERCODAN PERCODAN PERCODAN PERCODAN PERCODAN VALIUM 5HG PERCODAN VALIUM 5NG DALMANE 30BG PERCODAN VALIUM 5HG PERCODAN PERCODAN PERCODAN

PERCODAN

SOMA COnPOUND U/CODEINE PERCODAN PERCODAN

SOMA ~ CO~POUND PERCODAN SECONAL S O D I U n (MA) 1 0 0 H G

ioao 1073 1059

PRESCRIPTION LIST BY PATIENT NUMBER CHARLES SHIN, HD

PAGE 21


85 10/17/85 PERCODAN 85 10/29/85 SECONAL SODIUR (NA) 100ffi 85 10/29/85 PERCODAN 85 1 1/04/85 PERCODAN 8s 11/04/85 SECONAL SODIUR (HA) loom 85 1 1 1/85 PERCODAN 85 11/11/85 SECONAL SODIUH (MA) 100116 85 11/21/85 SECONAL SODIUH (NA) 100ffi 85 1 12185 PERCODAN

02/26/85 TYLOX x* 05/01/85 PERCODAN 87 05/01/85 VALIUM 5116 87 05/01/85 DALHANE 30ffi 87 051 13/85 PERCODAN- 87 06/ 17/85 PERCODAN 87 08/05/85 PERCODAN 87 081 19/85 PERCODAN 87 09/03/85 PERCODAN 87 09/ 10/85 PERCODAN 87 09/10/85 VALIUM 5HG 87 10/28/85 TYLOX 87 10/28/85 VALIUH 5MG

05/22/85 TYLOX * * 05/22/85 TYLENOL NO 3 88 05/22/85 VALIUM 5t'JG 88 08/05/85 TYLOX 88 08/05/85 TYLENOL NO 3 - - 88 10/28/85 TYLOX - - 88 io/28/8S VALIUM 5ffi 88 111185 TYLOX 88 12/02/85 TYLOX

89 071 1 1/85 PERCODAN jl~-# 89 07/11/85 VALIUM 5HG 89 07/ 15/85 PERCODAN 89 07/23/85 PERCODAN 89 08/06/85 PERCODAN - - 89 10/22/85 PERCODAN 89 11/05/85 PERCODAN - 89 11/05/85 VALIUM 9%

AmlUMT TOTAL SCHEDULE REFILLS PRESC. AMOUNT NURBER

PRESCRIPTION LIST BY PATIENT NUHBER CHARLES S H I N , HD

SCHEDULE REFILLS PRESC . NUHBER


Am)UMT TOTAL mourn xm :; lort318r nLEtmL no r

10/23/84 V A L I U H !if% 90 10/23/85 SECONAL SODIUn (HA1 100tlG 90 1 0 2 3 8 PERCODAW - - - . - - - . - - - 90 i i / i 2 / i 4 PERCODAN 90 12/12/84 VALIUM 5m; 90 12/12/85 SECONAL SODIUn (NAI 1OOtlG 90 12/13/84 DILAUDID SUPPOSITORIES 3HG 90 12/13/84 PLACIDYL 750MG 90 01/23/85 DEMEROL 50MG 90 03/25/85 TYLOX

TYLOX VALIUH 5mi DALMANE 30ffi

PERCODAN

DARVOCET-N 100 PERCODAN

TYLOX VALIUH 5HG DALNANE 30MG

PERCODAN PERCODAN

TYLOX

PERCODAN DALMANE 30HG

TYLOX TYLOX TY LOX TYLOX

TY LOX VALIUH 5PlG

PRE~CRIPTION LIST BY PATIENT NUPlBER

CHARLES SHIN, HD

PAGE 23

AIIOUMT TOTAL SCHEDULE APKIUNT

REFILLS PRESC . NURBER

PATIENT NUHBER

DATE DRUG

99 11/29/84 =LOX 99 09/16/85 TYLOX 99 10/12/85 TYMX 99 10/12/85 VALIUR 5% 99 10/26/85 TYLOX 99 10/27/85 SECONAL SODIUR (MA) lOOl lG 99 10/31/85 TYLOX 99 11/25/85 TYLOX

100 01/26/85 TYLOX 100 01/26/85 TAGWET 300RG TAB-

PERCODAH PERCODAN PERCODAN PERCODAN PER CODA^ PERCODAN PERCODAN PERCODAN PERCODAN PERCODAN PERCOD AH PERCODAN PERCODAN PERCODAN PERCODAN

103 1 1 1 2 8 5 PERCODAN 103 1 1/26/85 PERCODAN

104 03/25/85 LASIX TABLETS 40tlG - 104 03/25/85 PERCODAN 109 03/25/85 VALIUH 5ffi 104 061 10/85 PERCODAN 104 06/10/85 VALIUR 5RG

105 03/11/85 PERCODAN 105 0311 1/85 VALIUH 5ffi

AmUNT A SCHEDULE REFILlS PRESC. AMOUNT WUnBER

PATIENT DATE DRUG NUnBER

03/04/85 TYLOX * * (:!$ 03/04/85 VALNn YI) 106 091 12/85 PERCODAN 106 09/12/85 VALRELEASE CAPSULES 106 09/12/85 DALHANE 30ffi

107 11/19/85 TYMX

1 1/30/84 TYLOX * (:11 11/30/84 VALIUM St% 108 11/30/84 DALHANE 30% 108 12/11/84 TYLOX 108 01/08/85 TYLOX 108 01/08/85 VALIUM 5HG

021 18/84 TYLOX 02/18/84 VALIUM 5MG 1 110 1/84 VALIUM 5MG 1110 1/84 TYLOX 11/13/84 VALIUM 5MG 11/13/84 TYLOX 01/29/85 TYLOX 021 19/85 TYLOX 02/ 19/85 VALIUM 5MG 04/09/85 TYLOX 04/09/85 VALIUM 5MG

061 13/85 TYLOX * 11: 06/ 13/85 VALIUM 5MG 110 09/12/85 TYLOX 1 10 091 12/85 VALIUM 5MG 110 11/05/85 TYLOX 110 11/05/85 VALIUM 5MG 110 11/26/85 TYLOX 110 11/26/85 VALIUM !9lG - 111 12/21/84 TYMX

101 15/84 TYLOX 1: 10/15/84 DALHANE 3OtlG 112 01/05/85 TYLOX - 112 02/18/85 TYLOX 112 05/13/85 TYLOX

PRESCRIPTION LIST BY PATIENT NUMBER CHARLES SHIN, UD

Am)Unr A SCHEDULE REFILLS PRESC. AMOUNT NUHBER


112 09/09/85 TYLOX 112 11/04/85 TYLOX

113 11/26/84 TYLOX 113 06/03/85 TYLOX

09/10/84 PERCODAN ** 11: l O l l Y 8 4 T M X 114 1 1 1 8 4 TYLOX 1 14 12/08/84 PERCODAN 114 12/08/84 DALHAHE 30I'lG i i s 121 17/85 PERCODAN 114 121 17/84 VALIUH 5ffi 1 14 0 1/08/85 PERCODAN 114 01/08/85 VALIUH 5ffi 114 01/21/85 PERCODAN 114 01/21/85 VALIUH 5HG

- - -. - - - . . . . 0i/08/85 VALIUH 5ffi 02/28/85 PERCODAH 02/28/85 VALIUH 5ffi 04/18/85 PERCODAN 04/23/85 PERCODAH 04/23/85 VALIUH 5ffi 04/23/85 SECONAL SODIUM (HA) 100M 05/14/85 PERCODAN 05/14/85 VALIUH !it% 06/02/85 PERCODAN 06/11/85 PERCODAN 07/03/85 PERCODAN 08/13/85 PERCODAN 09/05/85 PERCODAN 10/02/85 PERCODAN 10/22/85 PERCODAN 11/25/85 PERCODAN 12/10/85 PERCODAN

- 1 15 05/03/85 PERCODAN *% 115 05/03/85 VALIUM 5ffi 115 05/03/85 SECONAL SODIUIl [HA) 100IlG 1 15 051 14/85 PERCODAN 115 06/05/85 SECONAL SODIUn (NAB 100l'lG

116 08/10/85 TYLENOL NO 3 116 08/10/85 SECONAL SODIW (NA) lOOHG

P R E S C R I P T I O N L I S T BY P A T I E N T NURBER

CHARLES S H I N , ND

P A C E 26

AFK)UMT T O T A L AMOUNT

R E F I L L S P R E S C . NUNBER


S C H E D U L E

117 04/24/85 rYLOX 117 04/24/85 VALIUM 5116

SECONAL S O D I U N SECONAL SODIUM PERCOD AN PERCODAN v u r u n lorn; SECONAL SODIUM PERCODAN VALIUM 5116 PERCODAN VALIUH l O f f i SECONAL S O D I U R PERCODAN VALIUH l O R G SECONAL S O D I U n PERCODAN VALIUH lONG SECONAL S O D I U n VALIUH lOMG SECONAL S O D I U R PERCODAN PERCODAN VALIUH 5MG SECONAL S O D I U N SECONAL SODIUM PERCODAN

1 OONG 1 OONG

1 OONG

1 oom

1 ooffi

1 OONG

1 OONG lOOHG

1 19 04/08/85 PERCODAN 119 04/08/85 F L E X E R I L 1 19 06/03/85 PERCODAN 119 06/03/85 F L E X E R I L 1 19 0810 1/85 PERCODAN

. - . - - - . . . . !LENOL NO 3 LLIUN 5116 :RCOD AN m u m 5m ... - - - . ~ . .

LLIUM 5% :RCODAN :RCODAN

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CHARLES SHIN, HD

PAGE 3 0

AHOUMT TOTAL SCHEDULE REFIUS PRESC. AHOUNT NUHBER

PATIENT DAm DRUG NUMBER

142 09/ 17/84 PERCODAN * 142 09/17/84 VALIII. Wb 142 05/16/85 PERCODAN 142 05/16/85 VALIUH 5ffi 142 071 12/85 PERCODAN 142 07/12/85 V A I I U H 5110 142 1010 1/85 PERCODAN 142 1010 1/85 VALIUH 5HG 142 10/25/85 PERCODAN 142 10/25/85 VALIUH 5HG 142 1013 1/85 PERCODAN 142 1 112 1/85 PERCODAN 142 12/05/85 PERCODAN

091 17/84 PERCODAN * 3 09/17/84 VALIUtl 5"G 143 09/17/84 SECONAL SODIUH (MA) 1OOffi 143 10/20/84 PERCODAN 143 10/20/84 VALIUH 5HG 143 10/20/84 SECONLL SODIUH (MA) 100W 143 12/ 17/84 PERCODAN 143 12/17/84 VALIUH 5116 143 12/17/84 SECONAL SODIUH (MA) lOOHG

144 071 15/85 PERCODAN

PERCOCfi-5 PERCOCET-5 TYLOX CODEINE 30HG VALIUH 5HG TYLOX

'lo 2 60 2 'lo 2 6 0 2 60 U 6 0 2 60 4 50 3 40 4 60 2 8 0 4 60 2 60 4 40 4 40 2 30 4

4 0 4 40 U 40 4 60 2

DARVOCET-N loo TYLENOL NO 3 DALMANE 3om PERCOCET-5 DARVOCET-N 100 PERCOCET-5 VALIUH 5HG DALMANE 30HG PERCOCET-5 DALHANE 30ffi DARVOCET-N 100 TAGAHET 200HG TI VALIUM 5HG PERCOCET-5

PRESCRIPTION L I S T BY PATIENT NUHBER

CHARLES S H I N . HD

AWUNT TOTAL AmlUNT

60 60

SCHEDULE REFILLS PATIENT DATE DRUG NUHBER

145 07/29/85 TYLOX

147 04/30/85 FLEXERIL 147 04/30/85 TYLOX 147 09/17/85 TYLOX

148 08/06/85 PERCODAN

04/08/85 TYLENOL WCODEINE 04/08/85 PERCODAN 04/22/85 PERCODAN 04/22/85 TYLENOL NO 3 04130185 TYLOX- 06/18/85 PERCODAN 11/01/85 PERCODAN

11/23/85 PERCODAN 121 12/85 PERCODAN

0 1/30/85 PERCODAN

11/29/85 PERCOCfi-5 121 19/85 TYLOX

03/07/85 TYLOX 041 15/85 TYLOX 05/20/85 TYLOX 07/ 17/85 n L o x 08/06/85 TYLOX 08/29/85 TYLOX 09/30/85 TYLOX 1 1 1 0 8 5 TYLOX

061 13/85 TYLOX


156 09/07/85 TYLOX 156 09/30/85 TYLOX

157 08/26/85 TYLOX

158 101 17/85 PERCODAN

159 01/30/85 TYLOX

% m 1:: 06/16/8s PERCODAN 06/16/85 VALIUN 5ffi

160 06/16/85 SECONAL SODIUn (MA) 100IlG

04/02/85 PERCODAN 04/17/85 PERCODAN 04/17/85 VALRELEASE CAPSULES

I PERCODAN I PERCODAN

"iii"n. .sm; 1 PERCODAN

PERCODAN PERCODAN PERCoDlrN

1 PERCODAN 1 PERCODAN

TYLOX 1 SECONAL SODIUll (HA) 100ffi 1 TYLOX

09/26/85 SECONAL SODIUn ( M A ) 1OOMG 10/18/85 SECONAL SODIUn (MA) 10OMG

PRESCRIPTION LIST BY PATIENT NUMBER CHARLES SHIN, MD

TOTAL MOUNT

SCHEDULE PRESC . NUMBER

PAGE 32

PRESCRIPTION LIST BY PATIENT NUMBER CHARLES SHIN, HD

PAGE 33

AHOIJMT TOTAL SCHEDULE REFILLS AHOUNT

PRESC. NUHBER PATIENT DATE DRUG NUHBER

162 1 1 1 1 8 5 TYLENOL NO 3 162 11/11/85 SECONAL SODIUM (HA) 100% 162 12/17/85 SECONAL SODIUM (MA) 100ffi

04/04/85 TYLOX xj(C it: 04/04/85 DALlVlNE 3ORG 163 04/04/85 VALIUH 5HG 163 08/19/85 TYLOX

164 09/11/85 TYLOX 169 09/11/85 VALIUH SCKi

165 05/23/85 TYLOX 165 10/10/85 TYLOX

166 101 15/85 PERCODAN 166 10/15/85 TYLENOL NO 3

167 01/07/85 TYMX 167 01/07/85 vnLIun 511(; 167 01/07/85 DALHANE 30ffi 167 03/13/85 TYLOX 167 03/13/85 VALIUH SPKi 167 03/13/85 DALHANE 30RG 167 05/17/85 TYMX 167 05/17/85 VALIUH !iHG 167 08/21/85 TYLOX 167 08/21/85 TYLENOL NO 3 167 08/2 1/85 VALIUH 5mi 167 1 1 1 8 8 5 TYLOX

10/29/84 PERCODAN * * 10/29/84 VALIUH Hb 168 1 1/06/84 PERCODAN

-

168 i 2 / 0 8 PERCODAN 168 12/06/84 VALIUH 5PKi 168 12/06/84 DALHANE 30% 168 0 1 1 8 5 PERCODAN 168 0111 1/85 VALIUH SCKi 168 0 1/30/85 PERCODAN - 168 01/30/85 VALIunsffi 168 01/30/85 DALHANE 30RG

00

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P R E S C R I P T I O N L I S T BY P A T I E N T NUllBER

CHARLES S H I N , MD

P A G E 36

SCHEDULE R E F I L L S P R E S C . AMOUNT TOTAL AHOUNT

P P T I E N T NUMBER

DATE DRUG NUMBER

PERCODAN F L E X E R I L PERCODAN F L E X E R I L PERCODAN F L E X E R I L F I O R I N A L PERCODAN

PERCODAN SECONAL SODIUM (NA) 100ffi HYCODAN TABLETS

VALIUH 5 H G PERCODAN SECONAL S O D I U H (MA) 100ffi PERCODAN VALIUM 5 H G SECONAL S O D I U H (NA) 100m PERCODAN VALIUM 5MG SECONAL S O D I U n (MA) 100MG

iii 177 177 177

T Y M X

D M E R O L lOOHG DEBEROL 100MG

TYLOX VALIUH 10I lG SECONAL S O D I U H (NA) 100%

PERCODAN VALIUB 5 I l G PERCODAN VALIUB 5 H G PERCODAN DALMANE 3 0 H G PERCODAN SECONAL S O D I U n (NA) 1 0 0 l l G PERCODAN SECONAL S O D I U H ( N A ) 1 0 0 n G PERCODAN

P R E S C B I P T I O N LIST BY P A T I E N T HUIlBEB

CHARLES S H I N , R D

P A G E 37


18 1 1 1/19/85 PERCODAN 181 11/9/85 SECONAL S O D I U H (MA) loow

03/11/85 V A L I W 5HG * I!: 0311 1/85 SECONAL S O D I U f l (HA) 1oOHG 182 04/22/85 v ~ t ~ i i n - i m ; 182 04/22/85 DALHANE 30ttG 182 12/17/85 PERCOCET-5

PERCODAN - - - ..~. DEREROL 50ttG V I S T A R I L 50HG PERCODAN V A L I U n 5HG V A L I U ~ sm; PERCODAN DEHEROL SON V I S T A R I L 50HG PERCODAN PERCODAN V I S T A R I L 50ttG DEHEROL 50HG PERCODAN DEHEROL 50ttG PERCODAN

PERCODAN . . . - - - . . -. . - DEHEROL 50HG V I S T A R I L 5OttG DAIPIANE 3OttG PERCODAN

PERCODAN - - - - - - - - - - - VALIUR 5ffi DEHEROL 50W V I S T A R I L 50ttG

A m U H T TOTAL SCHEDULE AnQUNT

R E F I L L S P R E S C . NURBER


183 08/27/85 PERCODAN 183 09/12/85 DEMEROL 50116 183 09/12/85 PERCODAN 183 09/12/85 VALIUM 5116 183 09/12/85 DALHANE 30ffi 183 09/20/85 PERCODAN 183 09/20/85 DEMEROL 50ffi 183 09/20/85 VISTARIL 50MG 183 10/08/85 FLEXERIL 183 10/08/85 VICODIN

10/08/85 PERCODAN 11/04/85 PERCODAN 1 1/2/85 PERCODAN

06/08/85 PERCODAN 06/08/85 VALIUM 5MG

05/31/85 nmx 05/31/85 VALIUM 9% 06/10/85 TYLOX

09/16/85 PERCODAN 09/16/85 SOMA COMPOUND

TYLOX SONA TYLOX SOMA TYLOX VALIUn 5ffi DALMANE 30W m L o x SOMA COMPOUND DALMANE 30MG m L o x SOMA COMPOUND DALMANE 30ffi TYLOX VALIUM 5ffi DALMANE 30ffi TYLOX VALIUM 5ffi


CHARLES SHIN* MD

N U W I TOTAL SCHEDULE REFILLS PRESC. AROUNT NUMBER

PAGE 38

PAGE $0


19 1 07/09/85 VICODIN 191 07/09/85 VALIUH Sffi 19 1 07/09/85 SECONAL SODIUM (NA) 100ffi --- - 191 11/04/85 TYLOX 191 11/04/85 VALIUH 5ltG 191 11/14/85 TYLOX 191 12/02/85 SECONAL SODIUH (NA) lOOMG

192 081 14/85 PERCODAN

% 193 02/11/85 TYLOX

194 09/04/85 TYMX

1 10/29/8q SECONAL~~SODIU~ ( N A ) lOOMG I 12/20/84 PERCODAN I 02/04/85 PERCODAH I 02/04/85 SECONAL SODIUn (MA) 100PKi I 02/18/85 PERCODAN I 02/18/85 SECONAL SODIUM (NA) 100MG 1 03/25/85 PERCODAN I 03/25/85 FLEXERIL 1 04/25/85 TYLOX

196 11/03/84 TYLOX 196 11/03/84 VALIUH !jHG

%$ 197 03/10/85 PERCODAN t

197 03/10/85 TYLENOL NO 3 197 03/ 14/85 PERCODAN -

zK.8 :;: g;::::: ;Es;F-5 198 071 11/85 PERCODAN 198 071 1 1/85 DALnANE 30M 198 08/06/85 PERCODAN 198 08/06/85 SECONAL SODIUM < M A ) lOOffi - 198 081 1-85 PERCODAN

AmUnr TOTAL SCHEDULE REFILLS PRESC. AHOUMT NUMBER

rea

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PRESCRIPTIMI L IST BY PAT= )(UCIBER CHARLES SHIN, IID

DATE DRUG

m x

A C K ) M TOTAL SCHEDULE R E F I U S PRESC. lUJOUHT NUtlBER

TYLOX VALIUH SHG DALHANE 30110 DEHEROL 50HG VALIUH SHG DALHANE 30110 TYLOX VALIUH W DALHANE 30110 TY LOX VALIIJH Sff i TY LOX VALIUH SHG

i iio 11 14 1115

DALHANE 30110 TYLOX

TABLETS

TYMX

TYLOX TY LOX VALIUn SHG DALHANE 30110 TY M X

P R E S C R I P T I O N L I S T BY P A T I E N T NUtlBER


P A G E 43

APKIUNf T O T A L S C H E D U L E R E F I L L S P R E S C . ACMUNT NUMBER

60 60 2 . 0 1434 60 60 4 -0 1435


215 06/12/85 TYLOX 215 06/12/85 V A L I U n 5m;

091 10184 TYLOX * og/io/84 v A L I u n m 216 01/14/85 TYLOX 216 01/14/85 V A L I U M 5 n G 216 05/20/85 TYLOX 216 05/20/85 v m u n ~ M G 216 07/22/85 TYLOX 216 07/22/85 VALIUH 5MG 216 08/26/85 TYLOX 2 16 08/26/85 V A L I U n 5HG 216 10/21/85 TYLOX 216 10/21/85 v A L r u n 5ffi 216 12/02/85 TYLOX

TYLOX v m u n 5 m PERCODAN v u u n 5no PERCODAN PERCODAN PERCODAN PERCODAH TYLOX

D E ~ E R O L 1 OOHG DEMEROL 50HG TYLOX DALnAME 30HG TYLOX

- 220 04/23/85 PERCODAN -

PRESCRIPTION L I S T BY P A T I E N T NUnBER

CHARLES SHIN, HD

PAGE 44

SCHEDULE R E F I L E S PRESC. NUHBER

PATIENT DATE DRUG NURBER

0 1/2 1/85 PERCODAN

222 021 18/85 PERCODAN 222 02/18/85 V A L I U ~ 5 M 222 02/18/85 SECONAL S O D I U n (NA) 100ffi 222 03/06/85 PERCODAW --- 222 03/06/85 ~ECONAL~ODIUH C N A ) loom 222 12/09/85 VALIUM 5ffi 222 12/09/85 SECONAL S O D I ~ CNA) loom 222 12/09/85 TYLOX 222 12/16/85 VALIUM 5ffi 222 12/16/85 SECONAL S O D I U n [HA) l00ffi

OVERALL PATIENT NAHE

OVERALL TOTAL AllOUNT

TALLY 8

TOTAL AMOUNT FOR NONTH 5 IS 60

TOTAL AROUNT FOR YEAR 85 IS 6 0

TOTAL AMOUNT FOR T H I S DRUG 6 0

DEREROL 100HG

TOTAL AROUNT FOR MONTH 8 IS 110 TOTAL AMOUNT FOR MONTH 9 IS 330 TOTAL AMOUNT FOR MONTH 10 IS 180 TOTAL AMOUNT FOR MONTH 11 IS 60

TOTAL AROUNT FOR YEAR 85 IS 680

TOTAL AMOUNT FOR T H I S DRUG 680

DEMEROL 5ORG

TOTAL AROUNT FOR RONTH 8 IS 40 TOTAL AMOUNT FOR RONTH 10 IS 160 TOTAL AMOUNT FOR RONTH 11 IS 150 TOTAL AMOUNT FOR RONTH 12 IS 6 0


TOTAL AROUNT FOR RONTH 1 IS 140 TOTAL AMOUNT FOR HONTH 2 IS 110 TOTAL AMOUNT FOR RONTH 3 IS 280 TOTAL AROUNT FOR HONTH 5 IS 40 - - - . . - . . . . - - . . - . - -. - . . . . - . - TOTAL AMOUNT FOR RONTH 7 IS 290 TOTAL AROUNT FOR RONTH 8 IS 90 TOTAL AMOUNT FOR MONTH 9 IS 170 TOTAL AMOUNT FOR RONTH 10 IS 110 TOTAL AMOUNT FOR RONTH 11 IS 210 TOTAL AROUNT FOR RONTH 12 IS 6 0


TOTAL AHOUNT FOR T H I S DRUG 2080

TOTAL DRUG AHOUNTS BY DRUG* YEAR* AND MONTH

CHARLES S H I N * RD

+

PAGE 1

DALRANE

TOTAL AMOUNT FOR MONTH 6 IS 30

TOTAL AMOUNT FOR YEAR 85 IS 30


DALMANE 3 0 H G

TOTAL AMOUNT FOR MONTH 10 IS 180 TOTAL AMOUNT FOR MONTH 11 IS 190 TOTAL AMOUNT FOR MONTH 12 I S 210


TOTAL AMOUNT FOR MONTH 1 IS 140 TOTAL AMOUNT FOR MONTH 2 IS 2 10 TOTAL AMOUNT FOR MONTH 3 I S 170 TOTAL AMOUNT FOR MONTH 4 I S 240 TOTAL AMOUNT TOR MONTH 5 I S 190 TOTAL AMOUNT FOR MONTH 6 IS 150 TOTAL AMOUNT FOR MONTH 7 IS 240 TOTAL AHOUNT FOR MONTH 8 IS 110 TOTAL AMOUNT FOR MONTH 9 IS 130 TOTAL AMOUNT FOR HONTH 10 I S 130 TOTAL AMOUNT FOR MONTH 11 IS 7 0



D I L A U D I D S U P P O S I T O R I E S 3MG




- DARVOCET

TOTAL DRUG . k N T S BY DRUG, YEAR* AND MONTH

CHARLES S H I N * MD


TOTAL AMOUNT FOR YEAR 8 5 IS 6 0


DARVOCET-N 100

TOTAL AMOUNT FOR HONTH 10 IS TOTAL AMOUNT FOR MONTH 11 IS TOTAL AHOUNT FOR MONTH 12 IS

TOTAL AnOUNT FOR YEAR 84 IS

TOTAL AMOUNT FOR MONTH 1 IS TOTAL AHOUNT FOR HONTH 5 IS TOTAL AMOUNT FOR HONTH 6 IS TOTAL AHOUNT FOR HONTH 7 IS TOTAL AHOUNT FOR MONTH 9 IS

TOTAL AMOUNT FOR YEAR 85 IS

TOTAL AMOUMT FOR T H I S DRUG

E L A V I L 15OMG

TOTAL AHOUNT FOR MONTH 7 IS 40

TOTAL AHOUNT FOR YEAR 85 IS 40

TOTAL AMOUNT FOR T H I S DRUG 4 0

E L A V I L 50IlG




F I O R I N A L

TOTAL AMOUNT FOR HONTH 4 IS 6 0 TOTAL AHOUNT FOR MONTH 8 IS 6 0 TOTAL AHOUNT FOR MONTH 9 IS 60 TOTAL AHOUNT FOR MONTH 10 IS 100



T O T A L DRUG AHOUNTS BY DRUG* YEAR* AND MONTH

CHARLES S H I N * MD

P A G E 3

FIORINAL W/CODEINE NO3

TOTAL AMOUNT FOR HOMTH 12 IS 50


TOTAL AMOUNT FOR HONTH 7 IS 60 TOTAL AMOUNT FOR MONTH 8 IS 6 0 TOTAL AHOUNT FOR MONTH 9 IS 200 TOTAL AMOUNT FOR MONTH 10 IS 50 TOTAL AMOUNT FOR MONTH 11 IS 60

TOTAL AMOUNT FOR YEAR 85 IS 4 30

TOTAL AMOUNT FOR THIS DRUG 480

FLEXERIL



TOTAL AMOUNT FCR MONTH 1 IS 60 TOTAL AMOUNT FOR MONTH 3 IS 50 TOTAL AMOUNT FOR MONTH 9 IS 120 TOTAL AMOUNT FOR MONTH 6 IS 50 TOTAL AMOUNT FOR MONTH 7 IS 120 TOTAL AMOUNT FOR MONTH 8 IS 50 TOTAL AMOUNT FOR MONTH 9 IS 110 TOTAL AMOUNT FOR MONTH 10 IS 130



HYCODAN TABLETS

TOTAL AMOUNT FOR MONTH 6 IS 6 0 - TOTAL AMOUNT FOR MONTH 7 IS 40 TOTAL AMOUNT FOR YEAR 85 IS 100


TOTAL DRUG ~ I ~ O U N T S BY DRUG, YEAR, AND MONTH

CHARLES SHIN, HD

TOTAL AMOUNT FOR HONTH 1 IS 40 TOTAL AMOUNT FOR MONTH 3 IS 6 0 TOTAL AHOUNT FOR HONTH 4 I S 120 TOTAL AHOUNT FOR MONTH 5 IS 50 TOTAL AMOUNT FOR MONTH 6 IS 110 TOTAL AROUNT FOR MONTH 12 IS 50



L A S I X TABLETS 4OMG




PERCODAH

TOTAL AMOUNT FOR HONTH 8 IS 360 ino""T FOR MONTH t 0 IS

550 TOTAL AMOUNT FOR MONTH 11 IS 540 TOTAL AMOUNT FOR MONTH 12 IS 920


TOTAL AROUNT FOR MONTH 1 IS 1120 TOTAL AMOUNT FOR MONTH 2 IS 1280 TOTAL AMOUNT FOR MONTH 3 IS 1580 TOTAL AROUNT FOR MONTH 4 IS 2230 --. TOTAL AMOUNT FOR HONTH 5 IS 1760 TOTAL AMOUNT FOR RONTH 6 IS 2145 TOTAL AROUNT FOR RONTH 7 IS 2350 TOTAL AROUNT FOR MONTH 8 IS 2320 TOTAL AMOUNT FOR RONTH 9 IS 2840 TOTAL AROUNT FOR MONTH 10 IS 2955 TOTAL AMOUNT FOR MONTH 11 IS 2940 TOTAL AROUNT FOR MONTH 12 IS 1470

TOTAL AMOUNT FOR YEAR 85 I S 24990


TOTAL DRUG AHOUNTS BY DRUG. YEAR, AND MONTH


P A G E 5

TOTAL AMOUNT FOR MONTH 8 IS 60 TOTAL AMOUNT FOR MONTH 9 IS 40 TOTAL AMOUNT FOR MONTH 11 IS 40


TOTAL AMOUNT FOR MONTH 1 IS 160 TOTAL AMOUNT FOR MONTH 2 IS 2 10 TOTAL AMOUNT FOR MONTH 3 IS 320 TOTAL AMOUNT FOR MONTH 4 IS 270

FOR rS .- - 240

TOTAL AMOUNT FOR MONTH 7 IS 295 TOTAL AMOUNT FOR MONTH 8 IS 200 TOTAL AMOUNT FOR MONTH 9 IS 330 TOTAL AMOUNT FOR MONTH 10 IS 300 TOTAL AMOUNT FOR IIONTH 11 IS 270 TOTAL AMOUNT FOR MONTH 12 IS 110



PLACIDYL 750MG







-SOMA COMPOUND WCODEINE

TOTAL AMOUNT FOR MONTH 7 IS 60 TOTAL AMOUNT FOR MONTH 8 IS 40 TOTAL AROUNT FOR MONTH 9 IS 140 TOTAL AMOUNT FOR MONTH 10 IS 50


BY DRUG, YEAR, AND MONTH CHARLES SHIN, MD


SECONAL SODIUH (NA) 100RG

TOTAL AMOUNT FOR MONTH 9 IS TOTAL AMOUNT FOR MONTH 10 IS TOTAL AMOUNT FOR MONTH 11 IS TOTAL AMOUNT FOR HONTH 12 IS


TOTAL AHOUNT FOR MONTH 1 IS TOTAL AHOUNT FOR HONTH 2 IS

AnO"NT FOR nONTH & iS TOTAL AMOUNT FOR HONTH 5 IS TOTAL AMOUNT FOR MONTH 6 IS TOTAL AMOUNT FOR HONTH 7 IS TOTAL AMOUNT FOR HONTH 8 IS TOTAL AMOUNT FOR MONTH 9 IS TOTAL APIOUNT FOR MONTH 10 IS TOTAL AMOUNT FOR MONTH 11 IS TOTAL AMOUNT FOR HONTH 12 IS



SOMA

TOTAL AMOUNT FOR MONTH 9 IS 120 TOTAL AMOUNT FOR MONTH 10 IS 80 TOTAL AMOUNT FOR MONTH 11 IS 110 TOTAL AHOUNT FOR HONTH 12 IS 200


TOTAL AHOUNT FOR HONTH 1 IS 6 0 TOTAL AMOUNT FOR HONTH 2 IS 220 TOTAL AMOUNT FOR HONTH 3 IS 50 TOTAL AMOUNT FOR MONTH 4 IS 130 TOTAL AMOUNT FOR MONTH 5 IS 60 TOTAL AMOUNT FOR MONTH 8 IS 120 - - TOTAL AMOUNT FOR MONTH 9 Is 160 TOTAL AMOUNT FOR HONTH 10 IS 120 TOTAL AMOUNT FOR HONTH 11 IS 6 0

TOTAL DRUG AMOUNTS BY DRUG, YEARS AND MONTH

CHARLES S H I N . HD

PAGE 7

TOTAL AHOUNT FOR YEAR 8 5 IS 980

TOTAL AHOUNT FOR THIS DRUG 1490

SOMA COHWUND

TOTAL AHOUNT FOR HONTH 9 IS 120 TOTAL AHOUNT FOR HONTH 10 IS 6 0 TOTAL AHOUNT FOR NONTH 11 IS 50 TOTAL AHOUNT FOR HONTH 12 IS 160


TOTAL AHOUNT FOR HONTH 1 IS 100 TOTAL AHOUNT FOR MONTH 2 IS 30 TOTAL AHOUNT FOR HONTH 3 IS 140 TOTAL AHOUNT FOR HONTH 4 IS 6 0

FOR noif" - - 190

TOTAL AMOUNT FOR HONTH 7 IS 230 TOTAL ANOUNT FOR MONTH 9 IS 190 TOTAL AHOUNT FOR MONTH 10 IS 100 TOTAL AMOUNT FOR HONTH 12 IS 50



TENUATE DOSPAN

TOTPL AMOUNT FOR MONTH 6 IS 60 TOTAL AMOUNT FOR HONTH 11 IS 50



TAGANET TABLETS

- TOTAL AMOUNT FOR MONTH 9 IS 80 TOTAL AHOUNT FOR YEAR 85 IS 80

TOTAL AHOUNT FOR THIS DRUG 80

TOTAL DRUG A h ' S BY DRUG, YEAR, AND HONTH

CHARLES SHIN, HD

TAGAHET 200HG TABLETS - -

TOTAL AROUNT FOR RONTH 7 IS

TOTAL AROUNT FOR YEAR 85 IS

TOTAL AROUNT FOR T H I S DRUG

TAGARET 3 0 0 R G TABLETS

TYLOX

TOTAL AROUNT FOR ROHTH 1 IS TOTAL AMOUNT FOR RONTH 8 IS



TALWIN NX

TOTAL AROUHT FOR HOHTH 10 IS



TOTAL AROUNT FOR HOHTH 2 IS TOTAL AROUNT FOR RONTH 7 IS TOTAL AROUNT FOR RONTH 8 IS TOTAL AROUNT FOR RONTH 9 IS TOTAL AMOUNT FOR RONTH 10 IS TOTAL AROUNT FOR RONTH 11 IS TOTAL AROUNT FOR RONTH 12 IS


TOTAL AROUNT FOR RONTH 1 IS TOTAL AMOUNT FOR RONTH 2 IS - - - - - - - - - - - - . . - - - -. - . - - - - - - TOTAL AROUNT FOR RONTH 4 IS TOTAL AROUNT FOR RONTH 5 IS TOTAL AMOUNT FOR RONTH 6 IS TOTAL AROUNT FOR RONTH 7 IS TOTAL AROUNT FOR RONTH 8 IS TOTAL AMOUNT FOR RONTH 9 IS TOTAL AROUNT FOR RONTH 10 IS TOTAL AROUNT FOR RONTH 11 IS TOTAL AROUNT FOR RONTH 12 IS

TOTAL DRUG AROUNTS BY DRUG, YEAR, AND RONTH

CHARLES S H I N , RD

PAGE 9

i .- . c ' 9 /Or i / d6 1



TYLENOL Y/CODEINE



TOTAL AMOUNT FOR HONTH 4 IS 40

TOTAL AHOUNT FOR Y E I R 85 IS 40


TYLENOL NO 3

TOTAL IHOUNT FOR HONTH 3 IS TOTAL AHOUNT FOR HONTH 4 IS TOTAL AHOUNT FOR HUNTH 5 IS TOTAL AHOUNT FOR HONTH 6 IS TOTAL AHOUNT FOR HONTH 8 IS TOTAL AHOUNT FOR HONTH 10 IS TOTAL AHOUNT FOR HONTH 11 IS

TOTAL AHOUNT FOR YEAR 85 IS

TOTAL AHOUNT FOR T H I S DRUG

TYLENOL NO 4

TOTAL AHOUNT FOR MONTH 10 IS


TOTAL AtlOUNT FOR HONTH 3 IS TOTAL AHOUNT FOR HONTH 7 IS TOTAL AtlOUNT FOR HONTH 9 IS

TOTAL AHOUNT FOR YEAR 85 IS

TOTAL AHOUNT FOR T H I S DRUG

TOTAL DRUG A . . & T S BY DRUG, YEAR, AND HONTH


- VALIUH 10HG -


TOTAL AMOUNT FOR YEAR 84 IS 6 0

TOTAL AMOUNT FOR MONTH 5 IS 60 ino""T Me"*H IS

120 TOTAL AHOUNT FOR MONTH 9 IS 6 30 TOTAL AMOUNT FOR HONTH 10 IS 400 TOTAL AMOUNT FOR MONTH 1 1 IS 180 TOTAL AMOUNT FOR MONTH 12 IS 6 0

TOTAL AMOUNT FOR YEAR 85 I S 1510


VALIUM 5MG



TOTAL AMOUNT FOR HONTH 2 IS 120 TOTAL AMOUNT FOR MONTH 8 IS 110 TOTAL AMOUNT FOR MONTH 9 IS 330 TOTAL AMOUNT FOR MONTH 10 IS 1090 TOTAL AMOUNT FOR MONTH 1 1 IS 690 TOTAL AHOUNT FOR RONTH 12 IS 620


TOTAL AMOUNT FOR MONTH 1 IS 1000 TOTAL AHOUNT FOR MONTH 2 IS 1190 TOTAL AHOUNT FOR HONTH 3 IS 1290 TOTAL AMOUNT FOR HONTH 4 IS 1640 TOTAL AHOUNT FOR MONTH 5 IS 1470 TOTAL AMOUNT FOR MONTH 6 IS 1655 TOTAL AHOUNT FOR MONTH 7 IS 1390 -...---.- TOTAL AMOUNT FOR IlONTH 8 IS 1440 TOTAL AMOUNT FOR MONTH 9 IS 1750 TOTAL AHOUNT FOR MONTH 10 IS 1600 TOTAL AMOUNT FOR MONTH 1 1 IS 890 TOTAL AMOUNT FOR MONTH 12 IS 260



V I S T A R I L

i

TOTAL DRUG AMOUNTS BY DRUGS YEAR, AND MONTH

CHARLES S H I N , MD

P A G E 1 1

*

TOTAL AMOUNT FOR HONTH 7 IS 60



V I S T A R I L 50MG

TOTAL AMOUNT FOR RONTH 10 IS 100 TOTAL AMOUNT FOR HONTH 11 IS 50


TOTAL AMOUNT FOR MONTH 1 IS 6 0 TOTAL kri6~ti-i FOR MONTH 5 f~ 40 TOTAL AMOUNT FOR HONTH 8 IS 50 TOTAL AMOUNT FOR HONTH 9 IS 60 TOTAL AMOUNT FOR MONTH 11 IS 6 0



V I C O D I N

TOTAL AROUNT FOR MONTH 12 IS


TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL TOTAL

AHOUNT AMOUNT AHOUNT AMOUNT AHOUNT AMOUNT AMOUNT AMOUNT AMOUNT

FOR FOR FOR FOR FOR FOR FOR FOR FOR

MONTH MONTH flONTH MONTH MONTH MONTH HONTH r n N T H MONTH


TOTAL AHOUNT FOR THIS DRUG

VALRELEASE C A P S U L E S

TOTAL DRUG ~ ~ ~ O U N T S BY DRUG, YEAR, AND MONTH

CHARLES S H I N * HD

1 PAGE 12

- TOTAL AMOUNT FOR HONTH 10 IS 6 0 - TOTAL AHOUNT FOR MONTH 11 IS 50

TOTAL AHOUNT FOR YEAR 8Q IS 110

TOTAL APlOUNT FOR PlONTH 5 IS 50 TOTAL APlOUNT FOR PlONTH 8 IS 40 TOTAL APlOUNT FOR PlONTH 9 IS 100 TOTAL APlOUNT FOR PlOHTH 11 IS 6 0

TOTAL APlOUNT FOR YEAR 85 IS 250


XANAX -25PKi

TOTAL APlOUNT FOR PlONTH 11 IS 50

TOTAL APlOUNT FOR YEAR 85 IS 50

TOTAL APlOUNT FOR T H I S DRUG 50

TOTAL AROUNT 92078

TOTAL DRUG AHOUHTS BY DRUG, YEAR, AND PlONTH

CHARLES S H I N , PlD

PAGE 13

11/09/88 Consent Agreement09/11/85 Citation

state medical board of ohio > homemed.ohio.gov/formala/35100181.pdfprescription list by patient...

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