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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 000000776054 MR001892720203/08/202103/08/202103/09/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100901921.11100Replenished 1001827193 3050193216
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776054 MR001892720203/08/202103/08/202103/09/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100907178.88900Replenished 1001823796 3049396293
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776271 MR002785760102/01/202102/01/202102/02/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100901415.55600Replenished 1001818667 988063364
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776271 MR002785760102/01/202102/01/202102/02/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100907684.44400Replenished 1001805758
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776271 MR002785760205/28/202105/28/202105/29/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET10090910.00000Replenished 1001868899 3057728019
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776271 MR002785760205/28/202105/28/202105/29/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100908190.00000Replenished 1001866451 3057164798
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776271 MR002785760309/08/202109/08/202109/09/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100903437.77800Replenished 1001922312 3067326646
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000776271 MR002785760309/08/202109/08/202109/09/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET100905662.22200Replenished 1001921174 3067195910
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000777618 MR001511490302/03/202102/03/202102/05/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET1003030100.00000Replenished 1001818667 988063364
Memorial Hospital**Trapp Pharmacy (#1)**Trapp Pharmacy (#1)Third Party – Captured 000000777618 MR001511490403/04/202103/04/202103/05/202116729018301HYDROCHLOROTHIAZIDE 25 MG TAB25 MGTABLET1003013.33300Replenished 1001822140 3049139687