REMOVE AUTHORIZED AIDS (21)    ORDER TYPE (791810.1)

Name Value
NAME REMOVE AUTHORIZED AIDS
TYPE ABBREVIATION E
PATIENT OR STATION PATIENT
DISPLAY COSTS? DO NOT DISPLAY COSTS
SHORT NAME REMOVE
NON-CONTRACT ITEMS ALLOW NON-CONTRACT ITEMS
ASK TO VIEW ADDRESS ASK TO VIEW ADDRESS
EDIT FIELDS
  • EDIT FIELD NUMBER:   1
    FIELD NUMBER IN 791810:   .08
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Requested By
    VARIABLE NAME:   RMPFADP
  • EDIT FIELD NUMBER:   2
    FIELD NUMBER IN 791810:   .09
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Request Date
    VARIABLE NAME:   RMPFODP
  • EDIT FIELD NUMBER:   3
    FIELD NUMBER IN 791810:   S RMPFMOD=""
PRODUCT GROUP(S)
AVAILABLE TO ROES MENU #
DISABILITIES ALLOWED
  • DEAF
ITEM REQUIREMENTS STRING .01;101