TR-RX (120) RATE SCHEDULE (363)
Name
Value
NAME
TR-RX
RATE TYPE
TRICARE
BILL TYPE
OUTPATIENT
BILLABLE SERVICE
PRESCRIPTION
EFFECTIVE DATE
2018-01-01 00:00:00
INACTIVE DATE
2018-12-31 00:00:00
ADJUSTMENT
S X=X+13.91
CHARGE SET
RX COST
AUTO ADD: YES
