Can someone point me in the right direction on some examples to create a
custom Z segment for the below req..
Thanks
>>
ZAP – Additional Information
Field Number
Name
Required
Description
*01*
*DEA Schedule*
*R*
*DEA Classification*
*06*
*Date Written*
*O*
*CCYYMMDDhhmmss for label*
*07*
*Safety Cap Preference*
*O*
*EasyOpen or SafetyCap*
*09*
*Script Image Filename*
*O*
*[<path>]<filename>.<extension>*
*10*
*Refill Contact Phone Number*
*O*
*11*
*Drug Brand Name*
*O*
*Brand Name for Label^Manufacturer*
*12*
*Drug Generic Equivalent*
*O*
*Generic Name for Label^Manufacturer*
*13*
*Refill Information*
*O*
*<Refill Message>^<Refill Date>^ <Refill Phone Number>*
*14*
*Substance Expiration Date*
*O*
*CCYYMMDD*
*15*
*Rx Pricing Information*
*O*
*<Rx Price>^<Rx CoPay>^<3rd Party amt>^<Store Cost>^<3rd Party Name>*
*16*
*Allergy Information*
*O*
*<Text1>^<Text2>^…^<TextN>*
*17*
*Dispensed Drug Name*
*O*
*<Drug Name>^<Drug Manufacturer>*
*18*
*Substitution Message*
*O*
*For label*
*21*
*Patient Notes*
*O*
*Free form, 255 character limit*
*22*
*Payment/Balance Information*
*O*
*<Charge>^<Previous Balance>^ <Amount Paid>^<New Balance>^ <Payment
Method>^<Account Number> *
--
John S. Strecker
Owner/President
AdvanceNet Health Solutions, Inc.
www.anshealth.com
phone:(800) 919-3744
fax:(267)-387-6889
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