| Parent File | Name | Number | Package | 
|---|---|---|---|
| 3P FEE TABLE(#9002274.01) | DRUG | 9002274.0125 | Third Party Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | DRUG | 0;1 | POINTER TO DRUG FILE (#50) | DRUG(#50) 
 | 
| .02 | PRICE PER DISPENSE UNIT | 0;2 | NUMBER | 
 | 
| .03 | *LAST UPDATE | 0;3 | DATE | 
 | 
| 1 | EFFECTIVE DATE | 1;0 | DATE Multiple #9002274.1251 | 9002274.1251 |