{{name}} {{strength}}

{{modifiedVaStatus}}

{{computedSig}}

Order Details

Ordering Provider

{{#each orders}}

{{providerName}} on

{{formatDate ordered "MM/DD/YYYY HH:mm"}}

{{/each}}

Ordering Location

{{#each orders}}

{{locationName}}

{{/each}}

Pharmacist

{{#each orders}}

{{pharmacistName}}

{{/each}}

Order Text

{{name}} {{strength}}

Start Date/Time

{{formatDate overallStart "MM/DD/YYYY HH:mm"}}

Stop Date/Time

{{#if isDiscontinued }}

{{formatDate stopped "MM/DD/YYYY HH:mm"}}

{{/if}} {{#if showExpiredDate }}

({{expireText}} {{formatDate overallStop "MM/DD/YYYY HH:mm"}})

{{/if}}

Order Number

#{{slicedOrderUid}}

Prescription Number

{{#each orders}}

{{prescriptionId}}

{{/each}}

Quantity/Day Supply

{{#if orders}} {{#each orders}}

{{convertStringToInteger quantityOrdered}} for {{convertStringToInteger daysSupply}} days

{{/each}} {{else}}

No Data

{{/if}}

Fills Remaining

{{#if orders}} {{#each orders}}

{{convertStringToInteger fillsRemaining}} of {{convertStringToInteger fillsAllowed}}

{{/each}} {{else}}

No Data

{{/if}}
Fill History
{{#if fills}}
{{#each fills}} {{/each}}
Dispense Date Release Date Fill Type
{{formatDate dispenseDate}} {{formatDate releaseDate}} {{#if daysSupplyDispensed}} {{quantityDispensed}} for {{daysSupplyDispensed}} days {{else}} {{quantityDispensed}} dispensed {{/if}} {{../pickupTypeText}}
{{else}}

No Fill History

{{/if}}