| Parent File | Name | Number | Package | 
|---|---|---|---|
| 9002274.0125 | EFFECTIVE DATE | 9002274.1251 | Third Party Billing | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | EFFECTIVE DATE | 0;1 | DATE | 
 | 
| .02 | PRICE PER DISPENSE UNIT | 0;2 | NUMBER | 
 | 
| .05 | LAST UPDATED | 0;5 | DATE | 
 | 
| .06 | UPDATED BY | 0;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200) 
 |