CCN-NF-RX (174) RATE SCHEDULE (363)
Name
Value
NAME
CCN-NF-RX
RATE TYPE
CCN NO-FAULT AUTO
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2016-01-01 00:00:00
INACTIVE DATE
2016-12-31 00:00:00
DISPENSING FEE
14.29
ADMINISTRATIVE FEE
S X=X+14.29
CHARGE SET
RX COST
AUTO ADD: YES
