RIC         1  2                                        C Record Identification Code

VERSION     3  1                                        C Version Number

BASEID      4  8  $BSIDFMT                              C Unique SP Identification Number

                             452,347             LOW-HIGH BASEID Count

TYPE       12  2  $EVNTTYP                              C Event type-Prescribed Medicine

                                   0                   DU Dental
                                   0                   ER Emergency Room
                                   0                   IP Inpatient
                                   0                   IU Institutional utilization
                                   0                   MP Medical provider
                                   0                   OM Other medical expense
                                   0                   OP Outpatient
                             452,347                   PM Prescribed medicine
                                   0                   SD Separately billing physician
                                   0                   SL Separately billing lab

CORF       14  1  $INTRFMT                              C Community or facility

                             402,557                    C Community
                              49,790                    F Facility

AMTTOT     15  9  MONYFMT                               N Total payment

                             452,347                      Amount as $$$$$$.CC

AMTCARE    24  9  MONYFMT                               N Amount paid by Medicare

                             452,347                      Amount as $$$$$$.CC

AMTCAID    33  9  MONYFMT                               N Amount paid by Medicaid

                             452,347                      Amount as $$$$$$.CC

AMTHMOP    42  9  MONYFMT                               N Amount paid by private HMO

                             452,347                      Amount as $$$$$$.CC

AMTHMOM    51  9  MONYFMT                               N Amount paid by Medicare HMO

                             452,347                      Amount as $$$$$$.CC

AMTVA      60  9  MONYFMT                               N Amount paid by Veterans Administration

                             452,347                      Amount as $$$$$$.CC

AMTPRVE    69  9  MONYFMT                               N Amt paid by employer-sponsored priv ins

                             452,347                      Amount as $$$$$$.CC

AMTPRVI    78  9  MONYFMT                               N Amt paid by individually-purch priv ins

                             452,347                      Amount as $$$$$$.CC

AMTPRVU    87  9  MONYFMT                               N Amt paid by priv ins (unknown purchased)

                             452,347                      Amount as $$$$$$.CC

AMTOOP     96  9  MONYFMT                               N Amount paid out-of-pocket (OOP)

                             452,347                      Amount as $$$$$$.CC

AMTDISC   105  9  MONYFMT                               N Amount of uncollected SP liability

                             452,347                      Amount as $$$$$$.CC

AMTOTH    114  9  MONYFMT                               N Amount paid by other payor(s)

                             452,347                      Amount as $$$$$$.CC

DRUGNAME  123 30                                        C Prescribed Medicine name

PMFORM    153  2  $FORMFMT                              C Prescribed Medicine form

                              35,343                      Not ascertained
                             372,066                    1 Pill
                               2,133                   10 Patch/pad
                                 487                   11 Topical gel/jelly
                               1,332                   12 Powder
                               3,214                    2 Liquid
                               8,790                    3 Drops
                               5,863                    4 Topical ointment
                                 125                    5 Suppository
                              13,224                    6 Inhalant/aerosol spray
                                 187                    7 Shampoo, soap
                               8,450                    8 Injection
                                 354                    9 I.V.
                                 779                   91 Other

STRNUNI1  155  2  $STRNFMT                              C Unit of strength

                             107,350                      Missing
                               2,267                   -8 Don't know
                              63,021                   -9 Not ascertained
                              15,263                    1 Micrograms
                             246,363                    2 Milligrams
                                 245                    3 Grains
                               3,958                    4 Milliequivalents (MEQ)
                               1,652                    5 Grams (GM,G)
                               7,772                    6 Percent
                                 570                    7 International units
                               3,369                    8 Units
                                 517                   91 Other

STRNNUM1  157 10  STRNFMT                               N Number of units

                             107,350                    . Missing
                              73,060                   -9 Not ascertained
                               1,882                   -8 Don't know
                               8,488                    0 Zero
                             261,567                      Number of units of strength

STRNUNI2  167  2  $STRNFMT                              C Unit of strength/2nd combination

                             107,350                      Missing
                             326,240                   -1 Inapplicable
                                  68                   -8 Don't know
                                   1                   -9 Not ascertained
                               1,228                    1 Micrograms
                              16,769                    2 Milligrams
                                   9                    3 Grains
                                  24                    4 Milliequivalents (MEQ)
                                  17                    5 Grams (GM,G)
                                 417                    6 Percent
                                   7                    7 International units
                                 133                    8 Units
                                  84                   91 Other

STRNNUM2  169 10  STRNFMT                               N Number of units/2nd combination

                             107,350                    . Missing
                                  82                   -8 Don't know
                             326,726                   -1 Inapplicable
                                  54                    0 Zero
                              18,135                      Number of units of strength

TABNUM    179  8  TABFMT                                N Number of tablets

                             269,889                    . Missing
                              47,657                   -9 Not ascertained
                                 419                   -8 Don't know
                             134,382                1-999 Number of tablets in container

SUPPNUM   187  8  SUPPFMT                               N Number of suppositories

                             269,889                    . Missing or inapplicable
                             182,458                   -9 Not ascertained
                                   0                 1-98 Number of suppositories in container
                                   0                   99 99 or more suppositories in container

AMTNUM    195 10  AMTFMT                                N Amount of prescr. medicine in container

                             269,889                    . Missing
                             171,576                   -9 Not ascertained
                                 485                   -8 Don't know
                              10,397                      Number of units in container

AMTUNIT   205  2  $AMTFMT                               C Amount unit

                             269,889                      Missing
                               1,450                   -8 Don't know
                             170,126                   -9 Not ascertained
                                 457                    1 Ounces
                               2,287                    2 Grams
                               5,226                    3 Milliliters (ML, CC)
                                  28                    4 Milliequivalents (MEQ)
                                 232                    5 Milligrams (MG, MGM)
                                 332                    6 Micrograms (MCG)
                               2,187                    7 Doses, puffs, blisters
                                 133                   91 Other

THERCC    237  2  $THERFMT                              C F.D.B. generic therapeutic class

                              19,811                   UN Unclassified drug products
                              21,554                   02 Analgesics
                                   7                   03 Analgesic and antihist combo
                                 258                   05 Anesthetics
                                  30                   08 Anti-obesity drugs
                                  21                   09 Antidotes
                              12,235                   11 Antiarthritics
                              13,663                   14 Antiasthmatics
                               4,542                   17 Antihistamines
                                 127                   18 Antihistimine/Decongestant comb
                              13,293                   20 Antiinfectives
                               3,580                   23 Antiinfectives, miscellaneous
                               2,208                   26 Antineoplastics
                               3,743                   29 Antiparkinson drugs
                              26,663                   32 Autonomic drugs
                              15,485                   35 Blood
                              25,004                   38 Cardiac drugs
                              86,207                   41 Cardiovascular
                              17,310                   44 CNS drugs
                                 458                   47 Contraceptives
                               1,323                   50 Cough and cold preparations
                                  13                   53 Diagnostic
                              22,754                   56 Diuretics
                               9,097                   59 Electrolyte, caloric, & fluid rep.
                              13,082                   62 EENT preparations
                              29,674                   65 Gastrointestinal preparations
                               8,778                   68 Hormones
                              26,906                   71 Hypoglycemics
                                 848                   72 Immunosuppresant
                                  34                   74 Misc. medical supp., devices, & other
                               4,418                   77 Muscle relaxants
                              38,290                   80 Psychotherapeutic drugs
                               4,952                   83 Sedative and hypnotic drugs
                               7,452                   86 Skin preparations
                              14,550                   89 Thyroid preparations
                                 177                   92 Biologicals
                                  81                   94 Pre-natal vitamins
                               3,705                   95 Vitamins, all others
                                   0                   97 Psychotherapeutic drugs
                                  14                   98 Herbals
                                   0                   99 Unclassified drug products

OTCLEG    239  1  $OTCFMT                               C Over-the-counter/legend indicator

                                   3                      Missing
                                   0                    B Both OTC and RX
                             450,628                    F Federal or legend drug
                               1,716                    O Over-the-counter drug
                                   0                    U Unknown

ISOPCARE  240  1  $IMPFMT                               C AMTCARE payment source imputed?

                             403,683                    0 Not imputed
                              48,664                    1 Imputed

ISOPCAID  241  1  $IMPFMT                               C AMTCAID payment source imputed?

                             428,146                    0 Not imputed
                              24,201                    1 Imputed

ISOPHMOP  242  1  $IMPFMT                               C AMTHMOP payment source imputed?

                             439,045                    0 Not imputed
                              13,302                    1 Imputed

ISOPHMOM  243  1  $IMPFMT                               C AMTHMPOM payment source imputed?

                             452,347                    0 Not imputed
                                   0                    1 Imputed

ISOPVA    244  1  $IMPFMT                               C AMTVA payment source imputed?

                             444,188                    0 Not imputed
                               8,159                    1 Imputed

ISOPPRVE  245  1  $IMPFMT                               C AMTPRVE payment source imputed?

                             407,055                    0 Not imputed
                              45,292                    1 Imputed

ISOPPRVI  246  1  $IMPFMT                               C AMTPRVI payment source imputed?

                             447,755                    0 Not imputed
                               4,592                    1 Imputed

ISOPUNK   247  1  $IMPFMT                               C AMTPRVU payment source imputed?

                             452,347                    0 Not imputed
                                   0                    1 Imputed

ISOPOOP   248  1  $IMPFMT                               C AMTOOP payment source imputed?

                             361,965                    0 Not imputed
                              90,382                    1 Imputed

ISOPDISC  249  1  $IMPFMT                               C AMTDISC payment source imputed?

                             312,734                    0 Not imputed
                             139,613                    1 Imputed

ISOPOTH   250  1  $IMPFMT                               C AMTOTH payment source imputed?

                             434,145                    0 Not imputed
                              18,202                    1 Imputed

IAMTTOT   251  1  $IMPFMT                               C AMTTOT payment amount imputed?

                             412,556                    0 Not imputed
                              39,791                    1 Imputed

IAMTCARE  252  1  $IMPFMT                               C AMTCARE payment amount imputed?

                             377,474                    0 Not imputed
                              74,873                    1 Imputed

IAMTCAID  253  1  $IMPFMT                               C AMTCAID payment amount imputed?

                             422,188                    0 Not imputed
                              30,159                    1 Imputed

IAMTHMOP  254  1  $IMPFMT                               C AMTHMOP payment amount imputed?

                             437,275                    0 Not imputed
                              15,072                    1 Imputed

IAMTHMOM  255  1  $IMPFMT                               C AMTHMPOM payment amount imputed?

                             452,347                    0 Not imputed
                                   0                    1 Imputed

IAMTVA    256  1  $IMPFMT                               C AMTVA payment amount imputed?

                             440,703                    0 Not imputed
                              11,644                    1 Imputed

IAMTPRVE  257  1  $IMPFMT                               C AMTPRVE payment amount imputed?

                             392,835                    0 Not imputed
                              59,512                    1 Imputed

IAMTPRVI  258  1  $IMPFMT                               C AMTPRVI payment amount imputed?

                             446,335                    0 Not imputed
                               6,012                    1 Imputed

IAMTPRVU  259  1  $IMPFMT                               C AMTPRVU payment amount imputed?

                             452,347                    0 Not imputed
                                   0                    1 Imputed

IAMTOOP   260  1  $IMPFMT                               C Imputed out-of-pocket amount

                             340,973                    0 Not imputed
                             111,374                    1 Imputed

IAMTDISC  261  1  $IMPFMT                               C Imputed discount amount

                             312,528                    0 Not imputed
                             139,819                    1 Imputed

IAMTOTH   262  1  $IMPFMT                               C Imputed other amount

                             432,170                    0 Not imputed
                              20,177                    1 Imputed

PMEID     263 16                                        C RICPME event ID

FDB_BN    279 30                                        C First Databank brand name

FDB_GNN   309 30                                        C First Databank generic name

FDB_STR   339 10                                        C First Databank strength

FDB_RTE   349 40                                        C First Databank Route

SERV_DT   389  8                                        C Service Date

NDC_CD    397 19                                        C NDC Code

QNTY      416  8                                        N Quantity

DAYSUPP   424  3                                        N Days Supplied

PDEFLAG   427  1  MATCH                                 N PDE Match Indicator

                             182,458                    1 Survey Reported Event
                             107,350                    2 PDE Only Event
                             162,539                    3 Survey Reported Event matched to PDE

