NF-RX (32) RATE SCHEDULE (363)
Name
Value
NAME
NF-RX
RATE TYPE
NO FAULT INS.
BILL TYPE
OUTPATIENT
EFFECTIVE DATE
2003-12-19 00:00:00
INACTIVE DATE
2011-03-17 00:00:00
CHARGE SET
TL-RX FILL
AUTO ADD: YES
