| Name | Description |
| Description | Displays the description of the drug code associated with the charge. |
| Drug Code | Displays the drug code associated with the charge. |
| Drug Code Format | Displays the drug code format associated with the charge. |
| Drug Days | Displays the number of drug days associated with the charge. |
| Drug Units | Displays the number of drug units associated with the charge. |
| Drug UOM | Displays the drug's unit of measurement associated with the charge. |
| Prescription # | Displays the drug's prescription number associated with the charge. |
| Prescription Months | Displays the drug's prescription months associated with the charge. |
| Prescription Date | Displays the drug's prescription date associated with the charge. |
| Drug Price | Displays the drug's price associated with the charge.
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