MOST COMMON DUR CODES 109 M/I Transaction Count 201 Service Provider 202 Missing Pharmacy Number 301 Group Number 302 Cardholder ID 304 Date of Birth 305 Gender Code 1: Male 2: Female 310 First Name 401 Date of Service 402 Service Reference Number 405 Days Supply 408 DAW 411 Prescriber ID 439 Reason for Service 440 Professional Service 441 Result of Service 442 Quantity Dispense B e t h N e l s o n | A N M C | P h a r m a c y T e c h n i c i a n | Phone: 907.729.2198 | E‐mail: [email protected] 

Non arm’s length transaction in a Partnership