VA98391 (1095)    PLAN (366.03)

Name Value
ID VA98391
NAME DESTINATION RX INC
NAME - SHORT DESTRX
REGION ALL
DATE/TIME CREATED 2004-02-13 21:31:26
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 010439
NCPDP PROCESSOR NAME PHI
ENABLED? Yes
BILLING PAYER SHEET NAME PHIRXPB1
REVERSAL PAYER SHEET NAME PHIRXPB1
REBILL PAYER SHEET NAME PHIRXPB1
MAXIMUM NCPDP TRANSACTIONS 4
APPLICATION
  • E-PHARM
    NATIONAL ACTIVE?:   Active
    LOCAL ACTIVE?:   Not Active
    USER EDITED LOCAL:   INTERFACE,IB EIV
    DATE/TIME LOCAL EDITED:   2006-05-25 15:17:30
    DATE/TIME NATIONAL EDITED:   2004-02-15 00:48:34
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 00:48:34