| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | amis field | 0;1 | SET OF CODES | 03:FIELD 03 04:FIELD 04 06:FIELD 06 07:FIELD 07 17:FIELD 17 22:FIELD 22 | FLD | AMIS FIELD identifies which field is to be credited for AMIS purposes. These fields will be "03", "04", "06", "07", "17", or "22". |
| 1 | doses dispensed | 0;2 | NUMERIC | DOSES DISPENSED = QUANTITY DISPENSED * AMIS CONVERSION NUMBER | ||
| 2 | dispensed cost | 0;3 | NUMERIC | DISPENSED COST = QUANTITY DISPENSED * PRICE PER DISPENSE UNIT. | ||
| 3 | doses returned | 0;4 | NUMERIC | DOSES RETURNED = QUANTITY RETURNED * AMIS CONVERSION NUMBER | ||
| 4 | returns cost | 0;5 | NUMERIC | RETURNS COST = QUANTITY RETURNED * PRICE PER DISPENSE UNIT |
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