VA102450 (1415)    PLAN (366.03)

Name Value
ID VA102450
NAME ALTA RX
NAME - SHORT ALTA RX
REGION ALL
DATE/TIME CREATED 2004-02-13 22:00:08
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 002286
PROCESSOR CONTROL NUMBER (PCN) 6000002286
NCPDP PROCESSOR NAME ALTA RX
ENABLED? Yes
BILLING PAYER SHEET NAME FHARXB1
REVERSAL PAYER SHEET NAME FHARXB2
REBILL PAYER SHEET NAME FHARXB3
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 12:10:43
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 12:10:43