***For fields with the number one (1) appended, the segment will display additional fields for sequential fields (ingredient 2, 3, etc).
Field #
Field Name
Possible Value or Explanation of Field
473-7E
DUR Counter 1
Indicates how many DUR codes are transmitted and is counted by adding all the DUR segment lines populated; located on the DUR tab of the main processing screen
439-E4
Reason for Service Code 1
Indicates the reason for service code required to be clarified by the pharmacy; located on the DUR tab of the main processing screen
440-E5
Professional Service Code 1
Indicates the professional service code in response to the above reason code, and is required to be chosen by the pharmacy; located on the DUR tab of the main processing screen
441-E6
Result of Service Code 1
Indicates the result of the service code in response to the above reason code, and is required to be chosen by the pharmacy; located on the DUR tab of the main processing screen
474-8E
Level of Effort 1
00- Not Specified, 11- Level 1 (Lowest, 1 to 4 minutes of time), 12- Level 2 (Low Complexity, 5 to 14 minutes of time), 13- Level 3 (Moderate Complexity, 15 to 29 minutes of time), 14- Level 4 (High Complexity, 30 to 59 minutes of time), 15- Level 5 (Highest, equal or greater than 60 minutes of time); located on the DUR tab of the main processing screen
475-J9
Co-Agent ID Qualifier 1
01- Universal Product Code (UPC), 02- Health Related Item (HRI), 03- National Drug Code (NDC), 04- Health Industry Business Communications Council (HIBCC), 11- National pharmaceutical Product Interface Code (NAPPI), 12- Global Trade Identification Number (GTIN), 15- First DataBank Formulation ID (GCN), 28- First DataBank Medication Name ID (FDB Med name ID), 29- First DataBank Routed Medication ID (FDB Routed Med IT), 30- First DataBank Routed Dosage Form ID (FDB Routed Dosage Form Med ID), 31- First DataBank Medication ID (FDB Med ID), 32- First DataBank Clinical Formulation ID Sequence Number (GCN_SEQ_NO), 33- First DataBank Ingredient List ID (HICL_SEQ_NO), 99- Other; located on the DUR tab of the main processing screen
476-H6
Co-Agent ID 1
Identifies the co-existing agent contributing to the DUR event and corresponds to the qualifier above; located on the DUR tab of the main processing screen