CCC-NF-RX (159) RATE SCHEDULE (363)
Name
Value
NAME
CCC-NF-RX
RATE TYPE
CHOICE NO-FAULT AUTO
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2017-01-01 00:00:00
INACTIVE DATE
2017-12-31 00:00:00
DISPENSING FEE
16.36
ADMINISTRATIVE FEE
S X=X+16.36
CHARGE SET
RX COST
AUTO ADD: YES
