RTIP • Non-Compound Pharmacy Claim

Welcome to the Non-Compound Pharmacy Claim screen.

For field descriptions within the application, mouse-over the field title and click your mouse.

A small help screen will appear with a definition of the field data. Once you are done viewing the help definition, click the OK button to exit the help screen and return to the RTIP application.

Required fields are designated with a red asterisk and must be completed.