CC-NF-RX (165) RATE SCHEDULE (363)
Name
Value
NAME
CC-NF-RX
RATE TYPE
CC NO-FAULT AUTO
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2015-01-01 00:00:00
INACTIVE DATE
2015-12-31 00:00:00
DISPENSING FEE
13.10
ADMINISTRATIVE FEE
S X=X+13.10
CHARGE SET
RX COST
AUTO ADD: YES
