| Parent File | Name | Number | Package | 
|---|---|---|---|
| 9002313.0301 | Other Amt Paid Repeating Flds | 9002313.1401 | Pharmacy Point of Sale | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | Other Amt Paid Counter | 0;1 | FREE TEXT | 
 | 
| 564 | Other Amount Paid Qualifier | 1;1 | FREE TEXT | 
 | 
| 565 | Other Amount Paid | 1;2 | FREE TEXT | 
 |