ISA*00*          *00*          *12*1234567890     *ZZ*SCRIPTSERVEPROD*250131*0400*U*00401*000000001*0*P*
GS*PR*1234567890*SCRIPTSERVEPROD*20250131*1719*1421*X*004010
ST*855*1001
BAK*00*AC*R123456789*20250131
REF*VR*12345678
DTM*067*20250131
N1*ST*Example Pharmacy, LLC*11*0018619
PO1*1*1*EA*52.35**VC*168750*N4*16571068750
ACK*IA*1*EA*011*20250131**N4*16571068750
PO1*2*1*EA*6.66**VC*800867*N4*68180086573
ACK*IQ*1*EA*011*20250131**N4*68180086573
PO1*3*1*EA*2.78**VC*290234*N4*16729023401
ACK*IP*1*EA*011*20250131**N4*16729023401
PO1*4*2*EA*19.14**VC*998095*N4*55111015810
ACK*IR*2*EA*011*20250131**N4*55111015810
PO1*5*1*EA*16.66**VC*427577*N4*00378427577
ACK*IB*1*EA*011*20250131**N4*00378427577
CTT*2
SE*10*1001
GE*1*1421
IEA*1*000004438