TRRI-RX (80)    RATE SCHEDULE (363)

Name Value
NAME TRRI-RX
RATE TYPE TRICARE REIMB. INS.
BILL TYPE OUTPATIENT
BILLABLE SERVICE PRESCRIPTION
EFFECTIVE DATE 2015-02-20 00:00:00
INACTIVE DATE 2015-12-31 00:00:00
ADJUSTMENT S X=X+11.16
CHARGE SET