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