Rx30

 

• General Field Name	Rx30 Field Name
  Date Dispensed	FILLDATE
  Patient Date of Birth	PATDOB
  Directions	DIRECTION 1
  Directions	DIRECTION 2
  Directions	DIRECTION 3
  Directions	DIRECTION 4
  Directions	DIRECTION 5
  Gender	GENDER
  Patient Address/Household	PATADD1
  Patient Address/Household	PATADD2
  Insurance Status	PAYTYPE
  Medication Days Supply	DS
  Medication Indication ICD10	RXDIAG 1
  Medication Name	DRUG NAME
  Medication Origin	RXORIGIN
  NDC	NDC
  Patient ID	PATKEY
  Prescription Number	RXNBR
  Quantity Dispensed	QTY DSP
  Patient Zip Code	PATZIP