| Name | Value |
|---|---|
| NCPDP FIELD NUMBER | 498.01 |
| F6 LENGTH | 1 |
| NAME | REQUEST TYPE |
| FORMAT | NUMERIC |
| F6 FORMAT | ALPHANUMERIC |
| ID | PA |
| LENGTH | 1 |
| D0 LENGTH | 1 |
| D0 FORMAT | ALPHANUMERIC |
| GET CODE |
S BPS("X")=""
|
| REQUEST SEGMENT | PRIOR AUTHORIZATION |
| D0 FORMAT CODE |
S BPS("X")=""
|
| FORMAT CODE |
S BPS("X")=""
|
| F6 FORMAT CODE |
S BPS("X")=""
|