TRRI-RX (62)    RATE SCHEDULE (363)

Name Value
NAME TRRI-RX
RATE TYPE TRICARE REIMB. INS.
BILL TYPE OUTPATIENT
BILLABLE SERVICE PRESCRIPTION
EFFECTIVE DATE 2012-01-23 00:00:00
INACTIVE DATE 2013-12-31 00:00:00
ADJUSTMENT S X=X+10.27
CHARGE SET