TR-PHARM (271) RATE SCHEDULE (363)
Name
Value
NAME
TR-PHARM
RATE TYPE
TRICARE PHARMACY
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2017-01-01 00:00:00
INACTIVE DATE
2017-12-31 00:00:00
ADJUSTMENT
S X=X+13.72
CHARGE SET
RX COST
AUTO ADD: YES
