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Accumulator - View By Claim

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Health Center:
Pharmacy:
Capture Date :
To:


Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000780054 MR001125420006/11/202106/11/202106/21/202100024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1001877828 3059333148
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000780054 MR001125420209/02/202109/02/202109/12/202100024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1001922571 3067326647
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000788665 MR001125420104/23/202204/23/202205/06/202200024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002046742 3092154589
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000788665 MR001125420206/24/202206/24/202206/26/202200024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002073350 3097384163
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000792198 MR001125420008/15/202208/15/202208/25/202200024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002096808 3104187393
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000792198 MR001125420109/30/202209/30/202210/02/202200024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002113842 3107880833
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000792198 MR001125420211/17/202211/17/202211/19/202200024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002137939 3113250053
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000795008 MR001125420012/23/202212/23/202201/06/202300024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002160525 3118886765
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000795008 MR001125420101/30/202301/30/202302/02/202300024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002169921 3122017060
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000796519 MR001125420003/07/202303/07/202303/23/202300024587102TOUJEO MAX SOLOSTR 300 UNIT/ML300/ML (3)INSULN PEN666100.00000Replenished 1002194556 3127701430