{
"Data": {
"CreateRxStatus": 0,
"CreateRxStatusDesc": "Prescription Record Successfully Created",
"CreatedRxInfo": {
"APIKey": "",
"PharmacyNumber": "1234567890",
"PharmacyNumber_Alt": "",
"pharmacy_info": {
"pharmacy_name": "BestRx QA Pharmacy",
"address": {
"address1": "1200 Jorie Blvd",
"address2": "200",
"city": "Oak Brook",
"state": "IL",
"zipcode": "60523"
},
"phone_number": "6301234567",
"fax_number": "6301234568",
"npi": "1234567890",
"ncpdp": "7878785",
"dea": "XY1234567"
},
"transaction_id": "123456",
"transaction_date": "2025-10-31",
"transaction_time": "23:59:59",
"transaction_time_fraction": "3103522",
"rx_number": "123456",
"patient_id": 123,
"patient_last_name": "Smith",
"patient_first_name": "John",
"patient_middle_name": "A",
"patient_prefix": "Mr.",
"patient_suffix": "Jr.",
"patient_address1": "1234 Oak Rd",
"patient_address2": "S123",
"patient_city": "Bartlett",
"patient_state": "IL",
"patient_zip": "60103",
"patient_home_phone": "1234567890",
"patient_cell_phone": "1234567890",
"patient_work_phone": "1234567890",
"patient_dob": "1950-12-31",
"patient_gender": "M",
"patient_email": "smithjohn123@email.com",
"patient_group": [
{
"group_code": "1",
"group_name": "ABC"
}
],
"family_email": "johnfamily@email.com",
"patient_short_remark": "Test Short Remark",
"patient_remark": "Patient Remark",
"family_remark": "Family Remark",
"patient_shipto_organization": "John Organization",
"patient_shipto_last_name": "Smith",
"patient_shipto_first_name": "John",
"patient_shipto_careof": "Robert Smith",
"patient_shipto_address1": "1234 Oak Rd",
"patient_shipto_address2": "S123",
"patient_shipto_city": "Bartlett",
"patient_shipto_state": "IL",
"patient_shipto_zip": "60103",
"patient_shipto_phone": "1234567890",
"is_ltc_patient": true,
"ltc_facility": {
"ltc_facility_internal_id": 123,
"ltc_facility_name": "JOSEPH REHABILITATION CENTER",
"ltc_facility_code": "JRC",
"ltc_facility_payer_id": "12345",
"ltc_facility_contact_name": "Jos",
"ltc_facility_address": {
"address1": "1234 Newport Dr",
"address2": "S111",
"city": "Wheaton",
"state": "IL",
"zipcode": "60187"
},
"ltc_facility_phone": "6301234567",
"ltc_facility_fax": "6307654321",
"ltc_facility_alt_phone1": "9876543210",
"ltc_facility_alt_phone2": "1234567890"
},
"is_deactivated": false,
"transferred_out": false,
"transferred_pharmacy": "",
"transferred_pharmacy_address1": "",
"transferred_pharmacy_address2": "",
"transferred_pharmacy_city": "",
"transferred_pharmacy_state": "",
"transferred_pharmacy_zip": "",
"transferred_pharmacy_phone": "",
"transferred_pharmacy_fax": "",
"transferred_pharmacy_ncpdp": "",
"transferred_pharmacy_npi": "",
"transferred_pharmacy_dea": "",
"transfer_date": "",
"transfer_contact_name": "",
"transfer_rph_initials": "",
"transfer_rph_user_id": "",
"transfer_rph_last_name": "",
"transfer_rph_first_name": "",
"transferfrom_pharmacy": {
"pharmacy_name": "Transferring Pharmacy",
"address": {
"address1": "1234 Jorie Blvd",
"address2": "Suite 310",
"city": "Oak Brook",
"state": "IL",
"zipcode": "60523"
},
"phone_number": "6308939210",
"fax_number": "6303393171",
"npi": "1122334455",
"ncpdp": "1231234",
"dea": "AB1212121"
},
"bill_status": "1",
"bill_status_text": "Unbilled",
"workflow_status": "0",
"workflow_status_text": "Entered into System",
"workflow_step_performed_code": "1",
"workflow_step_performed_text": "Entered into System",
"workflow_step_performed_userid": "BestRx API",
"workflow_queues": [
{
"queue_code": "1",
"queue_name": "New Rxs"
}
],
"fill_number": "1",
"fill_date": "2025-12-31",
"fill_time": "23:59:59",
"picked_up": "false",
"delivered": "false",
"qty_ordered": "10",
"qty_filled": "10",
"days_supply": "10",
"refills_authorized": "3",
"refills_remaining": "3",
"refill_number": "0",
"refill_exp_date": "2026-10-30",
"item_upc_code": "",
"drug_ndc": "12345678901",
"drug_ndc_10digit": "1234567890",
"drug_ndc_10digit_formatted": "123-456-7890",
"drug_gpi": "12300010100210",
"drug_name": "SIMVASTATIN 10 MG",
"drug_strength": "MG",
"drug_mfg": "PFIZER",
"drug_schedule": "0",
"drug_is_generic": "true",
"drug_brand_name": "ZOCOR",
"drug_package_size": "3",
"drug_form": "EACH",
"drug_color": "WHITE",
"drug_shape": "ROUND",
"drug_front_imprint": "S",
"drug_back_imprint": "01",
"drug_misc_info": "WHITE TO OFF-WHITE",
"lot_number": "LOT1234",
"lot_exp_date": "2050-12-31",
"retail": "11.99",
"billed": "11.99",
"payers": [
{
"plan_seq_no": "1",
"plan_code": "BCBS",
"plan_name": "Blue Cross Blue Shield",
"plan_bin": "123456",
"plan_pcn": "ABCDEFG",
"card_id": "1234567890",
"group": "MCD_INS_GROUP",
"person_code": "01",
"relation_code": "1",
"plan_bill_status": "1",
"plan_bill_status_text": "Unbilled",
"cost_paid": "0.00",
"disp_fee_paid": "0.00",
"tax_paid": "0.00",
"discount": "0.00",
"pat_pay_amount": "0.00",
"due_from_payer": "0.00",
"applied_to_deductible": null,
"accumulated_deductible": null,
"remaining_deductible": null
}
],
"cost": "5.67",
"patient_amount_due": "0.00",
"due_from_insurance": "0.00",
"total_paid": "0.00",
"margin": "-5.67",
"margin_percent": "-100.00",
"is340b": "false",
"dispense_as_written": "false",
"daw_code": "0",
"date_rx_written": "2025-10-31",
"signature": "TAKE 1 TABLET A DAY",
"dosage_info": [
{
"dose_slot": 1,
"dose_time": "MORNING",
"dose_qty": "1",
"dose_days": "daily"
}
],
"rx_source": "5 - At Pharmacy or Transferred",
"rph_initials": "XYZ",
"tech_initials": "ABC",
"rx_serial_number": "",
"submission_clar_code": "",
"other_coverage_code": "",
"horizon_graveyard_code": "",
"diagnosis": [
{
"qualifier": "02",
"code": "I10",
"description": "Essential (primary) hypertension"
}
],
"doctor_id": 12345,
"doctor_last_name": "DOE",
"doctor_first_name": "JANE",
"doctor_middle_name": "A",
"doctor_prefix": "DR.",
"doctor_suffix": "JR.",
"doctor_npi": "1234567890",
"doctor_dea": "AB1234567",
"doctor_state_licno": "1234567",
"doctor_dps_no": "",
"doctor_medicaid_no": "1234567890",
"doctor_upin": "A1B2C3D",
"doctor_address1": "WEST CITY MEDICAL CENTER",
"doctor_address2": "Ste C",
"doctor_city": "CHICAGO",
"doctor_state": "IL",
"doctor_zip": "60612",
"doctor_phone": "7732229987",
"doctor_fax": "7732229999",
"doctor_email": "doejane@email.com",
"doctor_remark": "CALL OFFICE NUMBER FIRST",
"doctor_profession_code": "",
"doctor_profession_desc": "",
"doctor_ama_specialty_code": "",
"doctor_ama_grouping": "",
"doctor_ama_classification": "",
"doctor_ama_specialization": "",
"doctor_surescripts_service_level": "New, Refill, Change, RxFill, Cancel, ePA",
"next_refill_date": "2025-11-30",
"drug_therapeutic_class": "",
"prescribed_drug": "SIMVASTATIN 10 MG",
"filled_by": "",
"erx_message_id": "ABCD123XYZ4567890",
"erx_prescriber_order_no": "110022",
"erx_patient_medical_record_no": "",
"erx_facility_code": "",
"rx_remark": "",
"erx_pharmacy_remark": "",
"erx_prescriber_remark": "",
"erx_drug_notes": "",
"written_date_remark": "",
"inactivate_rx_remark": "",
"shipping_provider": "",
"shipping_tracking_number": "",
"dispense_using": "Safety Caps",
"is_medsync_shortfill": false,
"claim_reject_info": [],
"pbm_message": null,
"claim_additional_messages": [],
"document_count": 0,
"lot_serial_info": [
{
"drug_ndc": "1234567890",
"qty": 10.0,
"compound_seqno": 0,
"lot_number": "12345",
"lot_exp_date": "2025-12-31",
"serial_number": "1234567890"
}
],
"ProgramInfo": {
"ApplicationName": "Internet Information Services",
"ApplicationVersion": "10.0.17763.1",
"ComputerName": "BESTRX_VMSERVER",
"ComputerUser": "IIS APPPOOL\\CREATERXAPI"
}
}
},
"IsValid": true,
"Messages": []
}