TR-PHARM (269) RATE SCHEDULE (363)

Name	Value
NAME	TR-PHARM
RATE TYPE	TRICARE PHARMACY
BILL TYPE	OUTPATIENT
EFFECTIVE DATE	2015-02-20 00:00:00
INACTIVE DATE	2015-12-31 00:00:00
ADJUSTMENT	S X=X+11.16
CHARGE SET	RX COST AUTO ADD: YES