TR-RX (313) RATE SCHEDULE (363)

Name	Value
NAME	TR-RX
RATE TYPE	TRICARE
BILL TYPE	OUTPATIENT
BILLABLE SERVICE	PRESCRIPTION
EFFECTIVE DATE	2021-01-01 00:00:00
INACTIVE DATE	2021-12-31 00:00:00
ADJUSTMENT	S X=X+16.11
CHARGE SET	RX COST AUTO ADD: YES