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<!-- Main Content Area -->

       
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          <td width="100%" class="blue-txtc"><h1>Medication Profile Login</h1></td>
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            <table border="0" width="100%" cellspacing="0" cellpadding="0">
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                      Please visit your IDA Pharmacist to receive your card number and log in information.
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                   <tr><td>&nbsp;
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   				  <td class="blue-txta">
                      Access your personal medication profile on your computer or cell phone – ANYWHERE, ANYTIME!
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                      <!-- insert login table -->
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                    <td class="blue-txta"><h2>Login: Please enter your Card
                      Number and Password</h2></td>
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                    <td width="100%" class="blue-txta"><b></b></td>
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                    <td width="100%">&nbsp;</td>
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                    <td width="100%" class="pass-box" height="158" align="center">
	<form name="frm" action="$login_url" method="post">
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                            <td class="blue-txta">Card Number</td>
                            <td align="center" width="10" height="30" class="blue-txta">:</td>
                            <td><input type="text" name="id" size="28"></td>
                          </tr>
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                            <td class="blue-txta">Pin</td>
                            <td align="center" height="30" class="blue-txta">:</td>
                            <td><input type="password" name="pin" size="28"></td>
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                       <!--   <tr>
                            <td class="blue-txta">Language</td>
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                          <TD><select name="lang">$language_select</select></TD>
                          
                          
                            
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                            <!-- <INPUT class=X1 type="Submit" value="Login" name="B3"> -->
														
                            <input type="image" value="Submit" class="no-border" src="$staticimages_http_prefix/but-login.jpg" width="80" height="29" name="B3">
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<!-- Session Expiry and Login Error START -->
              <p>
              {$is_expired{<font color="#ff0000">Your session has expired. Please log in again.</font>}}<br>
              {$error{<font color="#ff0000">$error</font>}}
              </p>
<!-- Session Expiry and Login Error  END -->
              </td>
              <!--<td align="right" valign="top"><img border="0" src="$staticimages_http_prefix/login-img.jpg" width="368" height="242"></td>-->
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                      </td>
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                       <td class="blue-txte"><i><b><h2>Medication Profiles available online anytime anywhere</h2></b></i></td>
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                   <td class="bullet blue-txte">You can securely login using your card and pin. </td> 
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                   <td class="bullet blue-txte">See your personal prescription history anywhere anytime</td> 
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                   <td class="bullet blue-txte">Order Refills</td> 
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                   <td class="bullet blue-txte">Share your prescription history with your doctor and other health professionals</td> 
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                   <td class="bullet blue-txte">Add your Health Values (Blood Pressure, Cholesterol and Blood Sugar)</td> 
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                   <td class="bullet blue-txte">Secure Access</td> 
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                   <td>&nbsp; </td> 
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                   <td>&nbsp; </td> 
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                <td valign="top">&nbsp;</td>
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          </td>
        <td  align="center"> <img src="$staticimages_http_prefix/login-img.jpg" width="137" height="80" border="0"  /> </td>
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[[static_footer.html]]