| Name | Value |
|---|---|
| BILL FORM | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| PAGE OR SEQUENCE | 190 |
| FIRST LINE NUMBER | 1 |
| LOCAL OVERRIDE ALLOWED | NO |
| STARTING COLUMN OR PIECE | 6 |
| LENGTH | 55 |
| SHORT DESCRIPTION | Drug Name, Quantity, Days Supply |
| TRANSMIT IGNORES IF NULL | TRUE |