medSuggest https://docs.fdbhealth.com/display/MKDOCUS/Navigating+to+a+Routed+Medication+Route+Dosage+Form+and+Medication Retrieve the MED Medication Name ID (MED_NAME_ID) from the MED Medication Name Table (RMINMID1_MED_NAME) where the MED Medication Name (MED_NAME) equals the given drug. "SELECT med_name_id, med_name FROM rminmid1_med_name WHERE med_status_cd = '0' AND med_name ILIKE :term ORDER BY med_name", ['term' => '%' . $term . '%'] SELECT * FROM rminmid1_med_name LIMIT 5; med_name_id | med_name | med_name_type_cd | med_status_cd -------------+-------------------------------+------------------+--------------- 1 | sertraline | 2 | 0 2 | Acetaminophen-Hydrocodone | 1 | 1 3 | hydrocodone-carbinox-pseudoep | 2 | 3 4 | Phenylhistine DH | 1 | 3 5 | denture care products | 2 | 3 routedMeds https://docs.fdbhealth.com/display/MKDOCUS/Navigating+to+a+Routed+Medication+Route+Dosage+Form+and+Medication Retrieve the Routed Medication ID (ROUTED_MED_ID) and MED Routed Medication Description (MED_ROUTED_MED_ID_DESC) values from the MED Routed Medication Table (RMIRMID1_ROUTED_MED) where the MED Medication Name (MED_NAME_ID) equals the value retrieved in the previous step and the MED Medication Status Code (MED_STATUS_CD) value equals 0 (active). "SELECT routed_med_id, med_routed_med_id_desc FROM rmirmid1_routed_med WHERE med_status_cd = '0' AND med_name_id = :medNameID ORDER BY med_routed_med_id_desc", ['medNameID' => $medNameID] SELECT * FROM rmirmid1_routed_med WHERE med_name_id = 1; routed_med_id | med_name_id | med_route_id | med_routed_med_id_desc | med_status_cd ---------------+-------------+--------------+------------------------+--------------- 1 | 1 | 24 | sertraline oral | 0 routedDosages https://docs.fdbhealth.com/display/MKDOCUS/Navigating+to+a+Routed+Medication+Route+Dosage+Form+and+Medication Retrieve the MED Routed Dosage Form Med ID (ROUTED_DOSAGE_FORM_MED_ID) and from the MED Routed Dosage Form Medication Table (RMIDFID1_ROUTED_DOSE_FORM_MED) where the MED Routed Medication ID (ROUTED_MED_ID) equals the value retrieved in step 2 and th "SELECT routed_dosage_form_med_id, med_routed_df_med_id_desc FROM rmidfid1_routed_dose_form_med WHERE med_status_cd = '0' AND routed_med_id = :routedMedID ORDER BY med_routed_df_med_id_desc", ['routedMedID' => $routedMedID] SELECT * FROM rmidfid1_routed_dose_form_med WHERE routed_med_id = 1; routed_dosage_form_med_id | routed_med_id | med_dosage_form_id | med_routed_df_med_id_desc | med_status_cd ---------------------------+---------------+--------------------+-----------------------------+--------------- 1 | 1 | 81 | sertraline tablet | 0 20735 | 1 | 10 | sertraline oral concentrate | 0 meds https://docs.fdbhealth.com/display/MKDOCUS/Navigating+to+a+Routed+Medication+Route+Dosage+Form+and+Medication Retrieve the Medication Identifier (MEDID) and MED Medication Description (MED_MEDID_DESC) values from the MED Medication Table (RMIID1_MED) where the MED Routed Dosage Form Med ID (ROUTED_DOSAGE_FORM_MED_ID) equals the value retrieved in the previous step and the MED Medication Status Code (MED_STATUS_CD) value equals 0 (active). "SELECT medid, med_medid_desc, gcn_seqno FROM rmiid1_med WHERE med_status_cd = '0' AND routed_dosage_form_med_id = :dosageFormMedId ORDER BY med_medid_desc", ['dosageFormMedId' => $dosageFormMedId] \d rmiid1_med Table "public.rmiid1_med" Column | Type | Collation | Nullable | Default ---------------------------+-----------------------+-----------+----------+--------- medid | numeric(8,0) | | not null | routed_dosage_form_med_id | numeric(8,0) | | not null | med_strength | character varying(15) | | | med_strength_uom | character varying(15) | | | med_medid_desc | character varying(70) | | not null | gcn_seqno | numeric(6,0) | | not null | med_gcnseqno_assign_cd | character varying(1) | | not null | med_name_source_cd | character varying(1) | | not null | med_ref_fed_legend_ind | character varying(1) | | not null | med_ref_dea_cd | character varying(1) | | not null | med_ref_multi_source_cd | character varying(1) | | not null | med_ref_gen_drug_name_cd | character varying(1) | | not null | med_ref_gen_comp_price_cd | character varying(1) | | not null | med_ref_gen_spread_cd | character varying(1) | | not null | med_ref_innov_ind | character varying(1) | | not null | med_ref_gen_thera_equ_cd | character varying(1) | | not null | med_ref_desi_ind | character varying(1) | | not null | med_ref_desi2_ind | character varying(1) | | not null | med_status_cd | character varying(1) | | not null | generic_medid | numeric(8,0) | | | sideEffects https://docs.fdbhealth.com/display/MKDOCUS/Retrieving+a+List+of+Side+Effects -- Query the GCN_SEQNO column of the SIDE GCN_SEQNO/Drug Side Effect Code Relation Table (RSIDEGC0_GCNSEQNO_LINK) using the drug’s Clinical Formulation ID (GCN_SEQNO) value to retrieve all of its related SIDE Side Effects Code (SIDE) values. -- Query the SIDE column of the SIDE Master Table (RSIDEMA3_MSTR) using each SIDE value from the previous step to retrieve the following columns: -- SIDE Frequency of Occurrence Code (SIDE_FREQ) -- SIDE Severity Code (SIDE_SEV) -- FML Disease Identifier (DXID) -- Follow the process described in the FML module’s Finding DXID Descriptions and Synonyms application to find each DXID value’s Primary Layman Name. SELECT r1.side, sm.side_freq, sm.side_sev, sm.dxid, dx.dxid_desc56 FROM rsidegc0_gcnseqno_link r1 JOIN rsidema3_mstr sm ON r1.side = sm.side JOIN rfmldx0_dxid dx ON sm.dxid = dx.dxid WHERE r1.gcn_seqno = :gcnSeqNo ORDER BY sm.side_sev DESC, sm.side_freq ASC ['gcnSeqNo' => $gcnSeqNo] -- get a drug(routed dosage med) gcn_seqno SELECT gcn_seqno FROM rmiid1_med WHERE routed_dosage_form_med_id = 20735; gcn_seqno ----------- 46230 -- get side effects for the genseq SELECT * FROM rsidegc0_gcnseqno_link WHERE gcn_seqno = 46230; gcn_seqno | side -----------+------ 46230 | 560 46230 | 2451 -- get side effect details SELECT * FROM RSIDEMA3_MSTR WHERE side = 560; side | side_sn | fdbdx | side_freq | side_sev | side_viscd | side_labcd | side_phys | side_hyper | dxid ------+---------+-----------+-----------+----------+------------+------------+-----------+------------+------- 560 | 0 | 03.276100 | 2 | 1 | 2 | 1 | 1 | | 736 560 | 1 | 05.296000 | 2 | 1 | 1 | 0 | 1 | | 950 560 | 2 | 05.296010 | 2 | 1 | 1 | 0 | 1 | | 951 560 | 3 | 05.300007 | 2 | 0 | 1 | 0 | 0 | | 14664 560 | 4 | 05.300906 | 2 | 1 | 1 | 0 | 1 | | 985 560 | 5 | 05.302700 | 0 | 1 | 1 | 0 | 1 | | 992 560 | 6 | 05.302701 | 0 | 1 | 1 | 0 | 1 | | 993 560 | 7 | 05.307900 | 1 | 0 | 1 | 0 | 0 | | 1018 -- side_feq dictionary 1 = Incidence less frequent 0 = Incidence more frequent 2 = Incidence rare or very rare -- side_sev dictionary 0 = “less severe” if it is non-threatening (such as constipation) 1 = “severe” if it may be life-threatening (such as agranulocytosis) -- get the description for a side effect using dxid SELECT * FROM rfmldx0_dxid WHERE dxid = 736; dxid | dxid_desc56 | dxid_desc100 | dxid_status | fdbdx | dxid_disease_duration_cd ------+--------------+--------------+-------------+-----------+-------------------------- 736 | hyponatremia | hyponatremia | 0 | 03.276100 | 3 geriatricPrecautions https://docs.fdbhealth.com/display/MKDOCUS/Application%3A+Screening+a+Drug+for+Geriatric+Precautions -- Select Geriatric Precaution Code (GERI_CODE) from the GERI GCN_SEQNO Link Table (RGERIGC0_GERI_GCNSEQNO_LINK) where the Clinical Formulation ID (GCN_SEQNO) column equals the Clinical Formulation ID (GCN_SEQNO) of the drug to screen. -- Select GERI precautions information from the Geriatric Precautions Master Table (RGERIMA1_GERI_MSTR) where the GERI_CODE column equals the GERI_CODE value from the previous step. SELECT r1.geri_code, gm.geri_sl, gm.geri_desc, gm.geri_narrative FROM rgerigc0_geri_gcnseqno_link r1 JOIN rgerima1_geri_mstr gm ON r1.geri_code = gm.geri_code WHERE r1.gcn_seqno = :gcnSeqNo ORDER BY gm.geri_desc ['gcnSeqNo' => $gcnSeqNo] -- select geriatricPrecautions based for a given drug formulation code SELECT * FROM RGERIGC0_GERI_GCNSEQNO_LINK WHERE gcn_seqno = 46230 LIMIT 5 ; gcn_seqno | geri_code -----------+----------- 46230 | 831 -- get the meaning of the geri_code SELECT geri_code, geri_desc, geri_narrative FROM RGERIMA1_GERI_MSTR WHERE geri_code = 831; geri_code | geri_desc | geri_narrative -----------+------------+--------------------------------------------------------------------------------------------------------------------------------------------------------------------- 831 | Sertraline | Hepatic-Mild hepatic impairment of aging may predispose the elderly to increased serum levels and increased adverse events. Endocrine-May exacerbate or cause SIADH or hyponatremia. Monitor sodium level closely when starting or changing dosages in older adults. indications https://docs.fdbhealth.com/display/MKDOCUS/Retrieving+a+Drug%27s+List+of+Indications Indications refers to the use of that drug for treating a particular disease -- Retrieve the INDM Indications Code (INDCTS) associated to the drug product’s Clinical Formulation ID (GCN_SEQNO) using the INDM GCN_SEQNO/Drug Indications Code Relation Table (RINDMGC0_INDCTS_GCNSEQNO_LINK). -- For each Clinical Formulation ID (GCN_SEQNO)/INDCTS combination retrieved in step 2, retrieve the following columns from the INDM Master Table (RINDMMA2_INDCTS_MSTR): -- INDM Sequence Number (INDCTS_SN) -- INDM Labeled Code (INDCTS_LBL) -- FML Disease Identifier (DXID) -- INDM Proxy Indicator (PROXY_IND) -- Get the description from https://docs.fdbhealth.com/display/MKDOCUS/Finding+DXID+Descriptions+and+Synonyms -- For DxID 00000595’s Primary Professional Name, find its associated FML 56-character Description column (DXID_DESC56) and FML 100-character Description column (DXID_DESC100) in the FML Disease Identifier (DxID) Table (RFMLDX0_DXID). SELECT r1.indcts, r2.indcts_sn, r2.indcts_lbl, r2.dxid, r2.proxy_ind, r3.dxid_desc56 FROM rindmgc0_indcts_gcnseqno_link r1 JOIN rindmma2_indcts_mstr r2 ON r1.indcts = r2.indcts JOIN rfmldx0_dxid r3 ON r2.dxid = r3.dxid WHERE r1.gcn_seqno = :gcnSeqNo ORDER BY r3.dxid_desc56 ['gcnSeqNo' => $gcnSeqNo] -- Select indications for a given gcn_seqno SELECT * FROM RINDMGC0_INDCTS_GCNSEQNO_LINK WHERE gcn_seqno = 46230; gcn_seqno | indcts -----------+-------- 46230 | 201 -- get the details of the indicts SELECT * FROM RINDMMA2_INDCTS_MSTR WHERE indcts = 201 AND proxy_ind <> 'Y' LIMIT 5; indcts | indcts_sn | indcts_lbl | fdbdx | dxid | proxy_ind | pred_code --------+-----------+------------+-----------+-------+-----------+----------- 201 | 0 | U | 05.296500 | 12862 | N | 3 201 | 1 | U | 05.298001 | 8464 | N | 3 201 | 2 | L | 05.300010 | 970 | N | 2 201 | 3 | L | 05.300230 | 975 | N | 2 201 | 4 | L | 05.300300 | 976 | N | 3 NB: to remove Non-FDA approved, add where indcts_lbl <> 'U'; //U == unlabeled -- get the meaning of DXIDs SELECT * FROM RFMLDX0_DXID WHERE dxid IN (970, 975, 976); dxid | dxid_desc56 | dxid_desc100 | dxid_status | fdbdx | dxid_disease_duration_cd ------+-------------------------------+-------------------------------+-------------+-----------+-------------------------- 970 | panic disorder | panic disorder | 0 | 05.300010 | 1 975 | social phobia | social phobia | 0 | 05.300230 | 2 976 | obsessive-compulsive disorder | obsessive-compulsive disorder | 0 | 05.300300 | 2 contraindications https://docs.fdbhealth.com/display/MKDOCUS/Retrieving+a+List+of+Drug+Contraindications -- Get drug ddxcn from rddcmrm0_routed_med_link -- Retrieve the FML Disease Identifier (DXID) values associated with DDXCN 50225 from the DDCM Master Table (RDDCMMA1_CONTRA_MSTR). -- Retrieve the FML 100-Character Description (DXID_DESC100) for each DXID value using the FML Disease Identifier (DxID) Table (RFMLDX0_DXID). SELECT r1.ddxcn, r2.dxid, r2.ddxcn_sl, r3.dxid_desc56 FROM rddcmrm0_routed_med_link r1 JOIN rddcmma1_contra_mstr r2 ON r1.ddxcn = r2.ddxcn JOIN rfmldx0_dxid r3 ON r2.dxid = r3.dxid WHERE r1.routed_med_id = :routedMedID ORDER BY r2.ddxcn_sl ['routedMedID' => $routedMedID] -- get drug disease contraindications for a given routed_med_id SELECT * FROM RDDCMRM0_ROUTED_MED_LINK WHERE routed_med_id = 1; routed_med_id | ddxcn ---------------+------- 1 | 50005 -- get the details of ddxcn SELECT * FROM RDDCMDD0_CONTRA_DRUG_DESC WHERE ddxcn = 50005; ddxcn | ddxcn_drug_desc -------+----------------- 50005 | SERTRALINE -- get dxid associated with the ddxcn (get disease id associated with the contraindications) SELECT * FROM RDDCMMA1_CONTRA_MSTR WHERE ddxcn = 50005; ddxcn | ddxcn_sn | fdbdx | ddxcn_sl | ddxcn_ref | dxid -------+----------+-----------+----------+----------------------------+------- 50005 | 0 | 03.276100 | 3 | ZOLOFT PI, 12/2016 | 736 50005 | 1 | 03.253600 | 3 | ZOLOFT PI, 12/2016 | 624 50005 | 2 | 04.286906 | 3 | ZOLOFT PI, 12/2016 | 867 50005 | 3 | 05.296700 | 3 | ZOLOFT PI, 12/2016 | 954 50005 | 4 | 05.300906 | 2 | MEDWATCH, 3/04, PI 5/14 | 985 50005 | 5 | 09.573900 | 2 | ZOLOFT PI, 12/2016 | 2202 -- get human readable meanings of the dxid SELECT * FROM RFMLDX0_DXID WHERE dxid IN (736,624,867,954,985,2202); dxid | dxid_desc56 | dxid_desc100 | dxid_status | fdbdx | dxid_disease_duration_cd ------+----------------------------+----------------------------+-------------+-----------+-------------------------- 624 | SIADH syndrome | SIADH syndrome | 0 | 03.253600 | 3 736 | hyponatremia | hyponatremia | 0 | 03.276100 | 3 867 | increased risk of bleeding | increased risk of bleeding | 0 | 04.286906 | 2 954 | bipolar disorder | bipolar disorder | 0 | 05.296700 | 2 985 | suicidal ideation | suicidal ideation | 0 | 05.300906 | 3 2202 | disease of liver | disease of liver | 0 | 09.573900 | 2 dxSuggest https://docs.fdbhealth.com/display/MKDOCUS/Finding+DXID+Descriptions+and+Synonyms -- For DxID 00000595’s Primary Professional Name, find its associated FML 56-character Description column (DXID_DESC56) and FML 100-character Description column (DXID_DESC100) in the FML Disease Identifier (DxID) Table (RFMLDX0_DXID). -- For DxID 00000595’s Professional Synonyms, find its associated FML 56-character Synonym Description (DXID_SYN_DESC56) and FML 100-character Synonym Description (DXID_SYN_DESC100) in the FML Disease Identifier (DxID) Synonym Table (RFMLSYN0_DXID_SYN). Specify a value of 01 for the FML Name Type Code (DXID_SYN_NMTYP) to signify that you wish to retrieve this DxID’s Professional Synonyms. -- i.e search where term matches in the main table (rfmldx0_dxid) and in the synonyms table (rfmlsyn0_dxid_syn) on both 56 and 100 character descriptions SELECT distinct(r1.dxid), r1.dxid_desc56 FROM rfmldx0_dxid r1 JOIN rfmlsyn0_dxid_syn r2 ON r1.dxid = r2.dxid WHERE (r1.dxid_desc56 ILIKE :term OR r1.dxid_desc100 ILIKE :term OR r2.dxid_syn_desc56 ILIKE :term OR r2.dxid_syn_desc100 ILIKE :term) ORDER BY r1.dxid_desc56 ['term' => '%' . $term . '%'] -- DX has - Primary Professional Name: one and only one - RFMLDX0_DXID RFMLSYN0_DXID_SYN - Professional Synonym: zero, one, or many - dxid_syn_nmtyp = 01 - Primary Layman Name: zero, one, or many - dxid_syn_nmtyp = 02 - Layman Synonym: zero, one, or many - dxid_syn_nmtyp = 03 - Abbreviation: zero, one, or many - dxid_syn_nmtyp = 04 SELECT * FROM RFMLDX0_DXID WHERE dxid = '595'; dxid | dxid_desc56 | dxid_desc100 | dxid_status | fdbdx | dxid_disease_duration_cd ------+--------------------------+--------------------------+-------------+-----------+-------------------------- 595 | type 1 diabetes mellitus | type 1 diabetes mellitus | 0 | 03.250010 | 2 -- get synonyms: SELECT * FROM RFMLSYN0_DXID_SYN WHERE dxid = 595 AND dxid_syn_nmtyp = '01'; dxid_synid | dxid | dxid_syn_nmtyp | dxid_syn_desc56 | dxid_syn_desc100 | dxid_syn_status ------------+------+----------------+-------------------------------------+-------------------------------------+----------------- 384 | 595 | 01 | juvenile diabetes | juvenile diabetes | 0 387 | 595 | 01 | insulin-dependent DM | insulin-dependent DM | 0 388 | 595 | 01 | insulin-dependent diabetes mellitus | insulin-dependent diabetes mellitus | 0 389 | 595 | 01 | ketosis-prone diabetes mellitus | ketosis-prone diabetes mellitus | 0 390 | 595 | 01 | ketosis-prone diabetes | ketosis-prone diabetes | 0 391 | 595 | 01 | juvenile-onset diabetes | juvenile-onset diabetes | 0 392 | 595 | 01 | juvenile-onset diabetes mellitus | juvenile-onset diabetes mellitus | 0 393 | 595 | 01 | juvenile onset DM | juvenile onset DM | 0 394 | 595 | 01 | type I diabetes mellitus | type I diabetes mellitus | 0 395 | 595 | 01 | diabetes mellitus type 1 | diabetes mellitus type 1 | 0 396 | 595 | 01 | ketosis-prone DM | ketosis-prone DM | 0 58331 | 595 | 01 | insulin dependent diabetes mellitus | insulin dependent diabetes mellitus | 0 58407 | 595 | 01 | immune mediated diabetes mellitus | immune mediated diabetes mellitus | 0 allergySuggest https://docs.fdbhealth.com/display/MKDOCUS/Recording+Patient+Allergy+Information -- Query the DAM Allergen Concept ID Description column (DAM_CONCEPT_ID_DESC) in the RDAMAPM0_ALRGN_PICKLIST_MSTR table or the RDAMCA0_CONCEPT table to find all entries with the description “carbamates." SELECT r1.dam_concept_id, r1.dam_concept_id_typ, r1.dam_concept_id_desc FROM rdamca0_concept r1 WHERE (r1.dam_concept_id_desc ILIKE :term) ORDER BY r1.dam_concept_id_desc drugDrugInteraction https://docs.fdbhealth.com/display/MKDOCUS/Screening+for+Active+and+Inactive+Ingredient+Drug-Drug+Interactions drugCoadministration https://docs.fdbhealth.com/display/MKDOCUS/Displaying+Coadministration+Text duplicateTherapy https://docs.fdbhealth.com/display/MKDOCUS/Detecting+Therapeutic+Class+Duplications -- Retrieve the Routed Medication ID (ROUTED_MED_ID) in the DPT Routed Medication ID Table(rmirmid1_routed_med), or Routed Generic Identifier (ROUTED_GEN_ID) in the DPT Routed Generic Table, or Clinical Formulation ID (GCN_SEQNO) in the DPT GCN_SEQNO Table for the newly prescribed (prospective) drug and for each drug in the patient profile (profiled drugs). -- Retrieve the associated DPT Class Identifiers (DPT_CLASS_ID) from the DPT Class Table (RDPTCL0_CLASS_ID) for each prospective drug and each profiled drug. -- Compare the DPT_CLASS_IDs and retrieve the DPT Class Description (DPT_CLASS_DESC) record from the RDPTCL0_CLASS_ID table when Duplicate Therapy Class matches occur. -- Compare the number of times that a match of a given class is returned with the DPT Duplication Allowance (DPT_ALLOWANCE) from the RDPTCL0_CLASS_ID table. If the number of matches exceeds the DPT_ALLOWANCE value, a duplicate therapy exists. In most instances, the duplication allowance is zero. Programming for a duplication allowance of one or more should occur only for drugs in the same class that are used concurrently, per accepted medical practice. ===================================================================================================== Get drugs used to treat a given condition -- get dxid for the condition eg. 'social phobia' SELECT * FROM RFMLDX0_DXID WHERE dxid_desc56 ILIKE 'social%'; dxid | dxid_desc56 | dxid_desc100 | dxid_status | fdbdx | dxid_disease_duration_cd ------+---------------+---------------+-------------+-----------+-------------------------- 975 | social phobia | social phobia | 0 | 05.300230 | 2 -- get indcts for the condition SELECT DISTINCT(indcts) FROM RINDMMA2_INDCTS_MSTR WHERE dxid = 975 AND proxy_ind <> 'Y' AND indcts_lbl <> 'U'; indcts -------- 201 1006 1457 1695 -- get clinical formulations (gcn_seqno) for the above indcts SELECT * FROM RINDMGC0_INDCTS_GCNSEQNO_LINK WHERE indcts IN (201,1006,1457,1695); gcn_seqno | indcts -----------+-------- 46222 | 1006 46223 | 1006 46224 | 1006 46225 | 1006 46226 | 1006 .... -- get drugs that contain this gcn_seqno SELECT medid, med_medid_desc, gcn_seqno FROM rmiid1_med WHERE gcn_seqno IN (SELECT gcn_seqno FROM RINDMGC0_INDCTS_GCNSEQNO_LINK WHERE indcts IN (201,1006,1457,1695)); SELECT medid, med_medid_desc, gcn_seqno FROM rmiid1_med WHERE gcn_seqno IN (SELECT gcn_seqno FROM RINDMGC0_INDCTS_GCNSEQNO_LINK WHERE indcts IN (201,1006,1457,1695)); medid | med_medid_desc | gcn_seqno --------+-------------------------------------------------------+----------- 157825 | paroxetine ER 37.5 MG tablet,extended release 24 hr | 50138 159557 | venlafaxine ER 37.5 mg capsule,extended release 24 hr | 46403 160594 | venlafaxine ER 75 mg capsule,extended release 24 hr | 46404 162880 | paroxetine 10 mg tablet | 46222 165384 | Effexor XR 75 mg capsule,extended release | 46404 166110 | Paxil CR 37.5 MG tablet,extended release | 50138 182739 | Effexor XR 37.5 mg capsule,extended release | 46403 183163 | Paxil 20 mg tablet | 46223 184142 | Paxil 10 mg/5 mL oral suspension | 46226 187550 | sertraline 100 mg tablet | 46229