NameDescriptionTypeAdditional information
SecurityKey

Security Key

 string

Required
PharmacyNPI

Pharmacy NPI - string(10 digit)

 string

Required
TransactionDateTime

Transaction DateTime - string

 string

Required
VendorTransactionID

VendorTransactionID - string

 string

Required
ReceipentName

ReceipentName - string

 string

Required
PatientID

PatientID - string

 string

Required
RxNumber

RxNumber - string

 string

Required
FillNumber

FillNumber - string

 string

Required
PaymentType

PaymentType - string

 string

Required
PaymentAmount

PaymentAmount - string

 string

Required
Signature

Signature (Base64String) - string

 string

Required