NameDescriptionTypeAdditional information
DateOfService

date

Required
ServiceProviderId

string

Required
MemberID

string

Required

String length: inclusive between 1 and 20
GroupId

string

Required

Matching regular expression pattern: ^(COSTCO)$
PetDob

date

Required
PetGender

integer

Required

Range: inclusive between 0 and 2
PetName

string

Required

String length: inclusive between 1 and 20
MemberLastName

string

Required

String length: inclusive between 1 and 30
MemberStreetAddress

string

String length: inclusive between 0 and 30
MemberCity

string

String length: inclusive between 0 and 30
MemberStateCode

string

String length: inclusive between 0 and 2
MemberZip

string

String length: inclusive between 0 and 5
PrescriberIdQualifier

string

Required

Matching regular expression pattern: ^(1|12)$
PrescriberId

string

Required
PrescriberFirstName

string

String length: inclusive between 0 and 20
PrescriberLastName

string

String length: inclusive between 0 and 30
PrescriberStreetAddress1

string

String length: inclusive between 0 and 40
PrescriberStreetAddress2

string

String length: inclusive between 0 and 40
PrescriberCity

string

String length: inclusive between 0 and 20
PrescriberStateCode

string

String length: inclusive between 0 and 2
PrescriberZip

string

String length: inclusive between 0 and 5
RxNumber

string

Required

Matching regular expression pattern: ^[0-9]*$

String length: inclusive between 1 and 12
FillNumber

byte

Required

Range: inclusive between 0 and 99
DaysSupply

integer

Required

Range: inclusive between 1 and 999
DatePrescriptionWritten

date

Required
RefillsAuthorized

byte

Required

Range: inclusive between 0 and 99
NDC

string

Required

String length: inclusive between 11 and 19
QuantityDispensed

decimal number

Required