| {% if cancellation.rx_number %}{{ cancellation.rx_number }}-{{ cancellation.fill_instance }}{% else %}{{cancellation.req_id}}{% endif %} |
{{ cancellation.order_create_date|date:"m/d/Y h:i:s A" }} |
{{ cancellation.order_cancel_date|date:"m/d/Y h:i:s A" }} |
{% if show_ndc_dashes %}
{{ cancellation.drug_number|slice:"0:5" }}-{{ cancellation.drug_number|slice:"5:9" }}-XX |
{% else %}
{{ cancellation.drug_number }} |
{% endif %}
{{ cancellation.drug_name }} |
{{ cancellation.package_count }} |
{% if cancellation.cancel_initials != 'N/A' %}{{ cancellation.cancel_initials }}{% else %} {% endif %} |
{{ cancellation.wo_state }} |
{% endfor %}