| Name | Value |
|---|---|
| NAME | DG TRICARE RX COPAY NEW |
| ABBREVIATION | TRI RX |
| CHARGE CATEGORY | TRICARE PATIENT |
| SEQUENCE NUMBER | NEW |
| CANCELLATION ACTION TYPE | DG TRICARE RX COPAY CANCEL |
| USER LOOKUP NAME | TRICARE RX COPAY |
| NEW ACTION TYPE | DG TRICARE RX COPAY NEW |
| BILLING GROUP | TRICARE |