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373 374</head> 375<body> 376<!--=== Content Part ===--> 377<div class="panel-body no-padding"> 378 <div class="profile-event"> 379 380 <img src="https://cdn.refillrxconnect.com/themes/1/assets/img/services/pills.jpg" alt=">Pill Identifier" class="img-responsive" /> 381 <div class="service-block service-block-default clearfix" style="margin-bottom:-20px;"> 382 <div class="reg-block-header"> 383 <div class="clearfix margin-bottom-10"><button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button></div> 384 <h2>Pill Identifier</h2> 385 <p>Now you can quickly identify pills that have become separated from their original packaging, or verify tablet and capsule products you may have questions about - ensuring that the right medication is taken to treat the right medical condition. Please note - this information does not apply to compounded medications.</p> 386 </div> 387 388 <form method="post" action="/drug-information/search" autocomplete="off" class="sky-form" id="pillsearch-form"> 389 <div class="margin-bottom-20"></div> 390 <div class="alert alert-warning fade in alert-dismissable"> 391 <strong>Enter all or some of the letters and/or numbers from a capsule or 1 side of the tablet.</strong> 392 </div> 393 <div class="row"> 394 <section class="col col-xs-12"> 395 <label for="drugname" class="input text-left"> Drug Name <div class="input-group"> 396 <span class="input-group-addon"><i class="fa fa-search"></i></span> 397 <input type="text" class="form-control authenticate" id="drugname" name="drugname" aria-label="Drug Name" placeholder=""> 398 <input type="hidden" name="drugname_default" value="*" /> 399 </div> 400 </label> 401 </section> 402 <section class="col col-xs-12"> 403 <label for="pillmark" class="input text-left"> Marking/Imprint <div class="input-group"> 404 <span class="input-group-addon"><i class="fa fa-search"></i></span> 405 <input type="text" class="form-control authenticate" id="pillmark" name="pillmark" placeholder=""> 406 </div> 407 </label> 408 </section> 409 </div> 410 411 <div class="row"> 412 <section class="col col-xs-12 col-sm-6"> 413 <label class="select"> 414 <select name="pillshape" id="pillshape"> 415 <option selected="selected" value="0"> Shape (Optional)</option> 416 <option value='53'>Almond</option><option value='66'>Animal</option><option value='12'>Apple</option><option value='78'>Arc Diamond</option><option value='73'>Arc Hexagonal</option><option value='74'>Arc Pentagonal</option><option value='77'>Arc Square</option><option value='72'>Arc Triangle</option><option value='45'>Assorted</option><option value='8'>Barrel</option><option value='34'>Bow Tie</option><option value='41'>Bullet</option><option value='69'>Butterfly</option><option value='30'>Clover</option><option value='51'>Cylindrical</option><option value='19'>D</option><option value='13'>Diamond</option><option value='75'>Dome</option><option value='29'>Double Circle</option><option value='65'>Ellipsoidal</option><option value='24'>Elliptical</option><option value='54'>Eye</option><option value='21'>Five Sided</option><option value='43'>Football</option><option value='11'>Hexagonal</option><option value='42'>Kidney</option><option value='76'>Moon</option><option value='47'>Multi (2)</option><option value='33'>Multi (3)</option><option value='2'>Oblong</option><option value='25'>Octagonal</option><option value='4'>Oval</option><option value='64'>Ovoid</option><option value='70'>
416Ovoid Rectangular</option><option value='68'>Ovoid Retangular</option><option value='63'>Peanut</option><option value='10'>Pentagon</option><option value='56'>Pillow</option><option value='6'>Rectangular</option><option value='32'>Rectangular (rounded End)</option><option value='55'>Rod</option><option value='3'>Round</option><option value='57'>Seed</option><option value='9'>Shield</option><option value='46'>Spherical</option><option value='5'>Square</option><option value='37'>Square (rounded Corners)</option><option value='15'>Teardrop</option><option value='48'>Torpedo</option><option value='27'>Trapezoidal</option><option value='20'>Triangular</option><option value='52'>U</option> </select> 417 <i></i> 418 </label> 419 </section> 420 <section class="col col-xs-12 col-sm-6"> 421 <label class="select"> 422 <select name="pillcolor" id="pillcolor"> 423 <option selected="selected" value="0"> Color (Optional)</option> 424 <option value='23'>Beige</option><option value='35'>Black</option><option value='9'>Blue</option><option value='8'>Brown</option><option value='32'>Clear</option><option value='5'>Gray</option><option value='16'>Green</option><option value='11'>Maroon</option><option value='263'>Multi Color</option><option value='2'>Orange</option><option value='10'>Pink</option><option value='4'>Purple</option><option value='14'>Red</option><option value='3'>White</option><option value='18'>Yellow</option> </select> 425 <i></i> 426 </label> 427 </section> 428 <section class="col col-xs-12 col-sm-6"> 429 <label class="select"> 430 <select name="pillscore" id="pillscore"> 431 <option selected="selected" value="0"> Score (Optional)</option> 432 <option value='5'>Double Scored</option><option value='8'>Multi Scored</option><option value='6'>Partially Scored</option><option value='2'>Scored</option><option value='7'>Triple Scored</option> </select> 433 <i></i> 434 </label> 435 </section> 436 <section class="col col-xs-12 col-sm-6"> 437 <label class="select"> 438 <select name="pillclar" id="pillclar"> 439 <option selected="selected" value="0"> Clarity (Optional)</option> 440 <option value='2'>Clear</option><option value='5'>Cloudy</option><option value='9'>Hazy</option><option value='12'>Milky</option><option value='11'>Opalescent</option><option value='13'>Opaque</option><option value='8'>Slightly Hazy</option><option value='7'>Slightly Opalescent</option><option value='14'>Slightly Translucent</option><option value='3'>Translucent</option><option value='4'>Transparent</option> </select> 441 <i></i> 442 </label> 443 </section> 444 <section class="col col-xs-12 col-sm-6"> 445 <label class="select"> 446 <select name="pillcoat" id="pillcoat"> 447 <option selected="selected" value="0"> Coating (Optional)</option> 448 <option value='2'>Coated</option><option value='5'>Enteric Coated</option><option value='3'>Film Coated</option><option value='7'>Gelatin Coated</option><option value='4'>Sugar Coated</option> </select> 449 <i></i> 450 </label> 451 </section> 452 <section class="col col-xs-12 col-sm-6"> 453 <label class="select"> 454 <select name="pillflav" id="pillflav"> 455 <option selected="selected" value="
4550"> Flavor (Optional)</option> 456 <option value='81'>Anise</option><option value='172'>Anise Butterscotch</option><option value='426'>Anise Mint</option><option value='128'>Apple</option><option value='253'>Apple Cinnamon</option><option value='302'>Apple Crisp</option><option value='377'>Apple Mint</option><option value='454'>Apple Pie</option><option value='390'>Apple Watermelon</option><option value='119'>Apricot Peach</option><option value='309'>Arctic Mint</option><option value='60'>Assorted</option><option value='305'>Assorted Berries</option><option value='306'>Assorted Fruit</option><option value='307'>Assorted Tropical Fruit</option><option value='13'>Banana</option><option value='419'>Banana Cherry</option><option value='284'>Banana Cream</option><option value='440'>Banana Nut</option><option value='367'>Banana Smoothie</option><option value='62'>Banana Grape</option><option value='28'>Berry</option><option value='432'>Berry Blast</option><option value='428'>Berry Twist</option><option value='232'>Berry Citrus</option><option value='139'>Black Cherry</option><option value='264'>Black Currant</option><option value='110'>Black Raspberry</option><option value='412'>Blackberry</option><option value='381'>Blackberry Orange</option><option value='237'>Bland</option><option value='261'>Blue Mint</option><option value='283'>Blue Raspberry</option><option value='225'>Blueberry</option><option value='15'>Bubble Gum</option><option value='445'>Bubble Mint</option><option value='199'>Butter Pecan</option><option value='52'>Butterscotch</option><option value='269'>Candy Apple</option><option value='76'>Caramel</option><option value='276'>Caramel Nut</option><option value='102'>Caramel Cherry</option><option value='90'>Caramel Mint</option><option value='256'>Caramel Orange Raspberry</option><option value='444'>Caramel Raspberry</option><option value='3'>Cherry</option><option value='163'>Cherry Banana Mint</option><option value='97'>Cherry Banana Peppermint</option><option value='333'>Cherry Berry</option><option value='443'>Cherry Brandy</option><option value='266'>Cherry Bubblegum</option><option value='344'>Cherry Cream</option><option value='203'>Cherry Eucalyptus</option><option value='418'>Cherry Mixed Fruit</option><option value='453'>Cherry Peppermint</option><option value='387'>Cherry Pomegranate</option><option value='16'>Cherry Banana</option><option value='95'>Cherry Mint</option><option value='189'>Cherry Orange</option><option value='376'>Cherry Peppermint</option><option value='124'>Cherry Punch</option><option value='115'>Cherry Raspberry</option><option value='72'>Cherry Vanilla</option><option value='126'>Cherry Vanilla Banana</option><option value='345'>Chicken</option><option value='134'>Chocolate</option><option value='239'>Chocolate Carmel</option><option value='161'>Chocolate Chip</option><option value='278'>Chocolate Chunk</option><option value='339'>Chocolate Cream</option><option value='274'>Chocolate Fudge</option><option value='141'>Chocolate Malt</option><option value='208'>Chocolate Maple Nut</option><option value='84'>Chocolate Mint</option><option value='392'>Chocolate Orange</option><option value='207'>Chocolate Peanut</option><option value='191'>Chocolate Truffle</option><option value='287'>Chocolate Chocolate Chip</option><option value='51'>Cinnamon</option><option value='206'>Cinnamon Oatmeal Raisin</option><option value='303'>Cinnamon Spice</option><option value='441'>Cinnamon Anise</option><option value='19'>Citrus</option><option value='351'>Citrus Berry</option><option value='388'>Citrus Punch</option><option value='416'>Citrus Splash</option><option value='288'>Citrus Berry</option><option value='89'>Citrus Vanilla</option><option value='442'>Coconut Lime</option><option value='218'>Coffee Latte</option><option value='212'>Cookies & Cream</option><option value='59'>Cool Mint</option><option value='157'>Cotton Candy</option><option value='125'>Cotton Candy Mint</option><option value='236'>Cranberry</option><option value='241'>Cranberry Berry</option><option value='455'>Cream</option><option value='369'>Creamy Vanilla</option><option value='400'>Creme De Menthe</option><option value='383'>Dark Chocolate</option><option value='341'>Eucalyptus</option><option value='131'>Flavored</option><option value='41'>Flavorless</option><option value='271'>French Vanilla</option><option value='321'>Fresh Mint</option><option value='8'>Fruit</option><option value='267'>Fruit & Berry</option><option value='258'>Fruit Gum</option><option value='66'>Fruit Punch</option><option value='338'>Fruit Smoothie</option><option value='425'>Fruitastic</option><option value='456'>Fruitilicious</option><option value='406'>Fruity</option><option value='280'>Fudge Graham</option><option value='20'>Grape</option><option value='174'>Grape Bubblegum Peppermint</option><option value='106'>Grape Menthol</option><option value='45'>Grapefruit</option><option value='312'>Green Apple</option><option value='294'>Homemade Vanilla</option><option value='209'>Honey</option><option value='185'>Honey Apple</option><option value='459'>Honey Elderberry</option><option value='460'>Honey Ginger</option><option value='108'>Honey Lemon</option><option value='374'>Honeylemon Chamomile White Tea</option><option value='461'>Kiwi Berry</option><option value='386'>Kiwi Strawberry</option><option value='56'>Lemon</option><option value='403'>Lemon Chiffon</option><option value='332'>Lemon Citrus</option><option value='12'>Lemon Creme</option><option value='463'>Lemon Grapefruit</option><option value='17'>Lemon Lime</option><option value='135'>Lemon Mint</option><option value='457'>Lemon Plum</option><option value='168'>Lemon Vanilla</option><option value='360'>Lemonade</option><option value='49'>Licorice</option><option value='40'>Light Cherry Spearmint</option><option value='34'>Lime</option><option value='38'>Lime Mint</option><option value='217'>Malt</option><option value='397'>Mango</option><option value='429'>Mango Twist</option><option value='193'>Melon</option><option value='103'>Menthol</option><option value='140'>Menthol Eucalyptus</option><option value='450'>Menthol Berry</option><option value='117'>Menthol/cherry</option><option value='315'>Mild Licorice</option><option value='314'>Mild Mint</option><option value='233'>Milk Chocolate</option><option value='37'>Mint</option><option value='223'>Mint Creme</option><option value='75'>Mixed Berry</option><option value='80'>Mixed Fruit</option><option value='112'>Mixed Melon</option><option value='197'>Mocha</option><option value='255'>Mochaccino</option><option value='154'>Multi</option><option value='408'>Multi (2)</option><option value='402'>Multi (4)</option><option value='186'>Natural</option><option value='224'>Nectar</option><option value='162'>Oatmeal Raisin</option><option value='4'>Orange</option><option value='88'>Orange Banana</option><option value='213'>Orange Citrus</option><option value='143'>Orange Cream</option><option value='451'>Orange Crush</option><option value='439'>Orange Vanilla</option><option value='6'>Orange Pineapple</option><option value='18'>Orange Raspberry</option><option value='399'>Orange Raspberry Caramel</option><option value='63'>Orange Vanilla</option><option value='259'>Original</option><option value='398'>Passion Fruit</option><option value='85'>Peach</option><option value='438'>Peach Pineapple</option><option value='449'>Peach Mango</option><option value='167'>Peach Mint</option><option value='221'>Peaches & Cream</option><option value='330'>Peanut Butter & Jelly</option><option value='331'>Peanut Butter Chocolate</option><option value='422'>Peanut Chocolate Chip</option><option value='50'>Peppermint</option><option value='158'>Peppermint Creme</option><option value='407'>Peppermint Strawberry Anise</option><option value='47'>Peppermint Vanilla</option><option value='178'>Pina Colada</option><option value='71'>Pineapple</option><option value='211'>Pineapple Banana</option><option value='363'>Pineapple Coconut Mint</option><option value='43'>Pineapple Orange</option><option value='35'>Pineapple Peach</option><option value='336'>Pink Grapefruit</option><option value='462'>Plum</option><option value='372'>Pomegranate Acai Blueberry</option><option value='424'>Prune</option><option value='2'>Raspberry</option><option value='272'>Raspberry Creme</option><option value='361'>Raspberry Lemonade</option><option value='210'>Raspberry Mint</option><option value='385'>Raspberry Tea</option><option value='414'>Raspberry Grape</option><option value='130'>Red Grape</option><option value='373'>Rich Chocolate</option><option value='431'>Ruby Raspberry</option><option value='329'>Smores</option><option value='313'>Sour Apple</option><option value='446'>Sour Cherry</option><option value='32'>Spearmint</option><option value='260'>Spring Mint</option><option value='14'>Strawberry</option><option value='183'>Strawberry Anise</option><option value='295'>Strawberry Cream</option><option value='121'>Strawberry Creme</option><option value='433'>Strawberry Lemonade</option><option value='452'>Strawberry Peppermint</option><option value='310'>Strawberry Vanilla</option><option value='286'>Strawberry Yogurt</option><option value='98'>Strawberry Banana</option><option value='48'>Strawberry Mint</option><option value='458'>Strawberry Orange</option><option value='447'>Strawberry Punch</option><option value='26'>Sweet</option><option value='352'>Sweet Cinnamon</option><option value='230'>Tangerine</option><option value='171'>Tapioca</option><option value='27'>Tasteless</option><option value='318'>Tropical</option><option value='430'>Tropical Blast</option><option value='152'>Tropical Fruit</option><option value='156'>Tropical Fruit Punch</option><option value='393'>Tropical Orange</option><option value='227'>Tropical Punch</option><option value='120'>Tutti Frutti</option><option value='23'>Unflavored</option><option value='91'>Vanilla</option><option value='257'>Vanilla Bean</option><option value='448'>Vanilla Caramel</option><option value='436'>Vanilla Cherry</option><option value='420'>Vanilla Cherry Swirl</option><option value='281'>Vanilla Mint</option><option value='114'>Vanilla Berry</option><option value='179'>Watermelon</option><option value='144'>White Chocolate</option><option value='362'>White Grape</option><option value='184'>Wild Berry</option><option value='277'>Wild Blueberry</option><option value='87'>Wild Cherry</option><option value='417'>Wild Cherry Punch</option><option value='137'>Wintergreen</option><option value='33'>Wintergreen Spice</option><option value='415'>Yellow Plum Lemon</option> </select> 457 <i></i> 458 </label> 459 </section> 460 </div> 461 462 <div class="row"> 463 <div class="col-xs-12"> 464 <button type="submit" class="btn-u btn-block">Identify Pill</button> 465 </div> 466 </div> 467 </form> 468 469 </div> 470 </div> 471</div><!--/container--> 472<!--=== End Content Part ===-->
473<script type="text/javascript"> 474var Validation = function () { 475 476 return { 477 478 //Validation 479 initValidation: function () { 480 $("#pillsearch-form").validate({ 481 // Rules for form validation 482 rules: 483 { 484 pillmark: 485 { 486 required: true 487 }, 488 }, 489 490 // Do not change code below 491 errorPlacement: function(error, element) 492 { 493 error.insertAfter(element.parent()); 494 } 495 }); 496 } 497 498 }; 499}(); 500</script>
500 501 502</body> 503</html>
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