United States Health Information Knowledgebase


Ingredient Cost Submitted

Name:Ingredient Cost Submitted
Definition:Submitted product component cost of the dispensed prescription. This amount is included in the 'Gross Amount Due' (430-DU).
Type:Data Element
Representation Format:s$$$$$$cc
Example:Comments: This field can be further defined by using the Basis of Cost Determination Field 423-DN.
Examples: If the ingredient cost submitted is $65.00, this field would reflect: 650{.
Registration Authority:National Council for Prescription Drug Programs
Source:National Council for Prescription Drug Programs
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