Rate Plan
| Group Num | Parent Name | Network | Panel ID | Chain Code Name | Phxs |
|---|---|---|---|---|---|
| 248 | WORLDDOC | M1001 | NRATE266 | CVS PHARMACY INC | 5372 |
Selection Criteria and Price Summary
| ID | Name | Chain No. | City | State | Phone | View Details | View Claim |
|---|---|---|---|---|---|---|---|
| 4499514500 | Rite | 00987 | Tucson | AZ | 123-456-7890 | Veiw | Veiw |
| 4499507075 | CVS | 00987 | Tucson | AZ | 123-456-7890 | Veiw | Veiw |
Price Rules and Basis
| ID | Name | Chain No. | City | State | Phone | View Details | View Claim |
|---|---|---|---|---|---|---|---|
| 4499514500 | Rite | 00987 | Tucson | AZ | 123-456-7890 | Veiw | Veiw |
| 4499507075 | CVS | 00987 | Tucson | AZ | 123-456-7890 | Veiw | Veiw |
| 4492994005 | Walg | 00987 | Tucson | AZ | 123-456-7890 | Veiw | Veiw |
| 4492994005 | Publix | 00987 | Tucson | AZ | 123-456-7890 | Veiw | Veiw |