| Name | Description | Type | Additional information |
|---|---|---|---|
| doctor | string |
None. |
|
| doctorpracticeno | string |
None. |
|
| originalscript | string |
None. |
|
| description | string |
None. |
|
| mixno | string |
None. |
|
| nappi | string |
None. |
|
| icd10 | string |
None. |
|
| quantity | string |
None. |
|
| directions | string |
None. |
|
| dependentcode | string |
None. |
|
| repeat | integer |
None. |
|
| claimed | string |
None. |
|
| claim | string |
None. |
|
| copay | string |
None. |
|
| status | string |
None. |