I have difficulty reading my prescription as values on my prescription does not match your drop down boxes so I will send you values that I have on my script.
RIGHT Left Addition :2.0 Addition : 2.00 PD Far :0.0 Pd Far : 2.00 Pd Near : 31.0 Pd Near : 31.0 Sphere : +2.00 Sphere : +2.00 Cylinder : -1.00 x 75 Cylinder : - .50 x 105 Prism up (+)Dwn(_) : + .00 Prism Up (+) Dwn (-) : + .00 Prism In (+) Out (-) : .00 Prism In (+) Out (-) : + .00