diff --git a/resources/views/form/rapport-dc/1775810563-29887e6c-dfe1-45cc-8dcd-2da516810bec.blade.php b/resources/views/form/rapport-dc/1775810563-29887e6c-dfe1-45cc-8dcd-2da516810bec.blade.php
index dac9e22a..eded869a 100644
--- a/resources/views/form/rapport-dc/1775810563-29887e6c-dfe1-45cc-8dcd-2da516810bec.blade.php
+++ b/resources/views/form/rapport-dc/1775810563-29887e6c-dfe1-45cc-8dcd-2da516810bec.blade.php
@@ -281,13 +281,10 @@
 
             if (formulation === 'Vial') {
                 inputName = 'vial_' + doseSlug;
-                inputValue = rxCount;
             } else if (formulation === 'Pen') {
                 inputName = 'pen_' + doseSlug;
-                inputValue = rxCount;
             } else {
                 inputName = doseSlug;
-                inputValue = '0';
             }
 
             if($('#field-glipiq_formulation').val()==='Vial'){