Name	Value
RECORD FORMAT NAME	WBTESTB1
VERSION	Version 5.1
PRODUCTION STATUS	PRODUCTION
PAYER SHEET VERSION	1
TRANSACTION HEADER SEGMENT	TRANSACTION HEADER ORDER: 1 NCPDP FIELD NUMBER: 101 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 17 NCPDP FIELD NUMBER: 202 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 19 NCPDP FIELD NUMBER: 201 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 2 NCPDP FIELD NUMBER: 102 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 22 NCPDP FIELD NUMBER: 401 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 23 NCPDP FIELD NUMBER: 110 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 3 NCPDP FIELD NUMBER: 103 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 4 NCPDP FIELD NUMBER: 104 PROCESSING MODE: STANDARD TRANSACTION HEADER ORDER: 5 NCPDP FIELD NUMBER: 109 PROCESSING MODE: STANDARD
PATIENT SEGMENT	PATIENT SEGMENT ORDER: 33 NCPDP FIELD NUMBER: 111 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 34 NCPDP FIELD NUMBER: 331 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 38 NCPDP FIELD NUMBER: 332 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 42 NCPDP FIELD NUMBER: 304 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 46 NCPDP FIELD NUMBER: 305 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 50 NCPDP FIELD NUMBER: 310 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 54 NCPDP FIELD NUMBER: 311 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 58 NCPDP FIELD NUMBER: 322 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 62 NCPDP FIELD NUMBER: 323 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 66 NCPDP FIELD NUMBER: 324 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 70 NCPDP FIELD NUMBER: 325 PROCESSING MODE: STANDARD PATIENT SEGMENT ORDER: 74 NCPDP FIELD NUMBER: 326 PROCESSING MODE: STANDARD
INSURANCE SEGMENT	INSURANCE SEGMENT ORDER: 100 NCPDP FIELD NUMBER: 111 PROCESSING MODE: STANDARD INSURANCE SEGMENT ORDER: 103 NCPDP FIELD NUMBER: 302 PROCESSING MODE: STANDARD INSURANCE SEGMENT ORDER: 126 NCPDP FIELD NUMBER: 301 PROCESSING MODE: STANDARD
CLAIM SEGMENT	CLAIM SEGMENT ORDER: 143 NCPDP FIELD NUMBER: 111 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 144 NCPDP FIELD NUMBER: 455 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 147 NCPDP FIELD NUMBER: 402 PROCESSING MODE: SPECIAL SPECIAL CODE: D FLD402B^BPSJUTL1 CLAIM SEGMENT ORDER: 149 NCPDP FIELD NUMBER: 436 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 151 NCPDP FIELD NUMBER: 407 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 161 NCPDP FIELD NUMBER: 442 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 163 NCPDP FIELD NUMBER: 403 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 167 NCPDP FIELD NUMBER: 405 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 168 NCPDP FIELD NUMBER: 406 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 170 NCPDP FIELD NUMBER: 408 PROCESSING MODE: SPECIAL SPECIAL CODE: D FLD408B^BPSJUTL1 CLAIM SEGMENT ORDER: 172 NCPDP FIELD NUMBER: 414 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 176 NCPDP FIELD NUMBER: 415 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 179 NCPDP FIELD NUMBER: 419 PROCESSING MODE: SPECIAL SPECIAL CODE: D FLD419B^BPSJUTL1 CLAIM SEGMENT ORDER: 183 NCPDP FIELD NUMBER: 420 PROCESSING MODE: SPECIAL SPECIAL CODE: D FLD420B^BPSJUTL1 CLAIM SEGMENT ORDER: 186 NCPDP FIELD NUMBER: 460 PROCESSING MODE: STANDARD CLAIM SEGMENT ORDER: 190 NCPDP FIELD NUMBER: 308 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")="01"
PHARMACY PROVIDER SEGMENT	PHARMACY PROVIDER ORDER: 258 NCPDP FIELD NUMBER: 111 PROCESSING MODE: STANDARD PHARMACY PROVIDER ORDER: 259 NCPDP FIELD NUMBER: 465 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")="99" PHARMACY PROVIDER ORDER: 263 NCPDP FIELD NUMBER: 444 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")=9999999
PRESCRIBER SEGMENT	PRESCRIBER SEGMENT ORDER: 264 NCPDP FIELD NUMBER: 111 PROCESSING MODE: STANDARD PRESCRIBER SEGMENT ORDER: 276 NCPDP FIELD NUMBER: 466 PROCESSING MODE: STANDARD PRESCRIBER SEGMENT ORDER: 278 NCPDP FIELD NUMBER: 411 PROCESSING MODE: STANDARD PRESCRIBER SEGMENT ORDER: 281 NCPDP FIELD NUMBER: 467 PROCESSING MODE: STANDARD PRESCRIBER SEGMENT ORDER: 285 NCPDP FIELD NUMBER: 427 PROCESSING MODE: STANDARD PRESCRIBER SEGMENT ORDER: 289 NCPDP FIELD NUMBER: 498 PROCESSING MODE: STANDARD PRESCRIBER SEGMENT ORDER: 293 NCPDP FIELD NUMBER: 468 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")="99" PRESCRIBER SEGMENT ORDER: 297 NCPDP FIELD NUMBER: 421 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")=319998 PRESCRIBER SEGMENT ORDER: 301 NCPDP FIELD NUMBER: 469 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")="000" PRESCRIBER SEGMENT ORDER: 305 NCPDP FIELD NUMBER: 470 PROCESSING MODE: SPECIAL SPECIAL CODE: S BPS("X")="STEWART" I BPS("RX",BPS(9002313.0201),"RX IEN")=401944 S BPS("X")="MCNEIL"
PRICING SEGMENT	PRICING SEGMENT ORDER: 400 NCPDP FIELD NUMBER: 111 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 420 NCPDP FIELD NUMBER: 409 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 424 NCPDP FIELD NUMBER: 412 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 432 NCPDP FIELD NUMBER: 433 PROCESSING MODE: SPECIAL SPECIAL CODE: D FLD433B^BPSJUTL1 PRICING SEGMENT ORDER: 439 NCPDP FIELD NUMBER: 478 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 443 NCPDP FIELD NUMBER: 479 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 447 NCPDP FIELD NUMBER: 480 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 466 NCPDP FIELD NUMBER: 426 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 469 NCPDP FIELD NUMBER: 430 PROCESSING MODE: STANDARD PRICING SEGMENT ORDER: 473 NCPDP FIELD NUMBER: 423 PROCESSING MODE: STANDARD

WBTESTB1 (34) BPS NCPDP FORMATS (9002313.92)