TRAINING — FAKE DATA ChartScheduleIn Basket M. Rivera, CPhT · Ambulatory Pharmacy
Demo page — every patient, prescription and pharmacy below is fictional. This mock chart exists so the Rx Affordability browser extension has something to read. Click a medication row to select it, then press the extension's toolbar icon → “Capture from this page”. Without the extension installed, go straight to the navigator and enter the details by hand, or read how it works.
DN
Dorothy Nakamura
Female · 74 y.o. · DOB 1951-08-30 · MRN 004-71-2288 · PCP: Osei, Kwame MD
⚠ High prescription out-of-pocket cost
Chart Review
Results
Medications
Orders
Billing

Active outpatient medications

Click a row to select which prescription the affordability extension captures.

MedicationDoseQtyDays Last fillCopay
Xarelto (rivaroxaban) 20 mg 30 30 2026-06-28 $88.40 high copay
Jardiance (empagliflozin) 10 mg 30 30 2026-06-28 $47.00 high copay
Lisinopril 10 mg 90 90 2026-05-14 $2.10
Atorvastatin 40 mg 90 90 2026-05-14 $0.00