| Name | Value |
|---|---|
| PATCH NAME | PSN*4*492 |
| DATE OF RECEIPT | 2016-12-15 00:00:00 |
| PRIORITY | MANDATORY |
| PARENT PACKAGE | PSN - NATIONAL DRUG FILE |
| SEQUENCE NUMBER | 488 |
| PACKAGE VERSION | 4 |
| PATCH SUBJECT | FIXED MEDICATION COPAYMENT TIER (FMCT) #2 |
| INSTALL NAME | PSN*4.0*492 |
| COMPLIANCE DATE | 2017-01-14 00:00:00 |