{% csrf_token %} {% if drugnum_type == 'NDC' %} {% else %} {% endif %}
Drug Number: - -      (5-4-2, 4-4-2, 5-4-1, or 5-3-2)
Drug Number:
Blister Card:
Blisters Filled: Pills Per Dose: Cards on Hand:
Par Level: Low Level: Auto Prepack: