{"aaData": [["00", "NOT SPECIFIED\n", "\n- \n\n
\n"], ["09", "COMPOUND PREPARATION COST\n", "\n- \n\n
\n"], ["10", "SALES TAX\n", "\n- \n\n
\n"], ["11", "MEDICATION ADMINISTRATION\n", "\n- \n\n
\n"], ["98", "COUPON\n", "\n- \n\n
\n"], ["99", "OTHER\n", "\n- \n\n
\n"], ["12", "REGULATORY FEE\n", "\n- \n\n
\n"], ["13", "MANUFACTURER CHARGEBACK AMOUNT PAYABLE BY PLAN\n", "\n- \n\n
\n"], ["14", "CHARGEBACK AMT PAYABLE BY ENTITY OTHER THAN PLAN\n", "\n- \n\n
\n"], ["15", "PERCENTAGE TAX\n", "\n- \n\n
\n"], ["01", "DELIVERY COST\n", "\n- \n\n
\n"], ["02", "SHIPPING COST\n", "\n- \n\n
\n"], ["03", "POSTAGE COST\n", "\n- \n\n
\n"], ["04", "ADMINISTRATIVE COST\n", "\n- \n\n
\n"], ["05", "INCENTIVE\n", "\n- \n\n
\n"], ["06", "COGNITIVE SERVICE\n", "\n- \n\n
\n"], ["07", "DRUG BENEFIT\n", "\n- \n\n
\n"], ["08", "SUM OF ALL REIMBURSEMENT\n", "\n- \n\n
\n"]]}