RX4 (72) IB ACTION CHARGE (350.2)
Name
Value
KEY
RX4
EFFECTIVE DATE
2010-07-01 00:00:00
IB TRANSACTION TYPE
PSO NSC RX COPAY UPDATE
UNIT CHARGE, FIXED
8
ADDITIONAL AMOUNT
1
COPAYMENT TIER
2
ADDITIONAL AMOUNT LOGIC
I $G(DFN)>0,$$PRIORITY^
DGENA
(DFN)>6
