TR-PHARM (268) RATE SCHEDULE (363)

Name	Value
NAME	TR-PHARM
RATE TYPE	TRICARE PHARMACY
BILL TYPE	OUTPATIENT
EFFECTIVE DATE	2014-01-01 00:00:00
INACTIVE DATE	2015-02-19 00:00:00
ADJUSTMENT	S X=X+11.56
CHARGE SET	RX COST AUTO ADD: YES