HD*12345**PC*200212*200212*6*this is only a test Pharmacy claims file
12345**HM*2210677618*1*6110214*001010101*B24004304113*01*001010101*20*1*19590515*WATERVILLE*ME*04736*20021229*AN2660505*55-5446698*CVS**WATERVILLE*ME*04736*01*00006074061*HUMULIN N*02*N*5*N*20021215*30*90*6550*3550*2545*0*225*3000*0*0*PC
12345**HM*2210677618*2*6110214*001010101*B24004304113*01*001010101*20*1*19590515*WATERVILLE*ME*04736*20021229*AN2660505*55-5446698*CVS**WATERVILLE*ME*04736*0*00023866505*HUMULIN R*02*N*5*N*20021515*20*90*5050*2050*2545*0*225*3000*0*0*PC
12345**HM*2210677618*3*6110214*001010101*B24004304113*01*001010101*20*1*19590515*WATERVILLE*ME*04736*20021229*AN2660505*55-5446698*CVS**WATERVILLE*ME*04736*01*00008419201*BnD U100 SYRINGE*02*Y*0*N*20021215*2*90*5000*2500*4200*0*175*2500*0*0*PC
12345**13*4530498957*1*"M475*02"*024567894*00542QM99*03*485769488*19*2*19941230*BATH*ME*04976*20021229*OR5328693*62-5478546*RITEAID**BATH*ME*04976*01*00258361301*AMOXICILLIAN*00*Y*0*N*20021205*5*10*1950*1450*1525*0*250*500*0*0*PC
12345**13*4530498957*2*"M475*02"*024567894*00542QM99*03*485769488*19*2*19941230*BATH*ME*04976*20021229*OR5328693*62-5478546*RITEAID**BATH*ME*04976*01*58177032404*FLORIDE*08*Y*0*N*20021205*10*30*900*0*299*0*125*900*0*0*PC
12345**12*2230500606*1*B221*541254666*99923746533*02**01*2*19621231*GEORGE TOWN*ME*04979*20030102*BH3143081*54-1245876*MAIL ORDER RX**CINCINNATI*OH*05274*01*59011010710*LEVOXL*03*Y*1*N*20030101*10*30*1295*795*950*125*75*500*0*0*PC
TR*12345**PC*200212*200212*20030103