VA102485 (1450)    PLAN (366.03)

Name Value
ID VA102485
NAME HOOSIERRX IN SR PLAN
NAME - SHORT HOOSIERX
REGION ALL
DATE/TIME CREATED 2004-02-13 22:03:19
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRSHPROD
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
BILLING PAYER SHEET NAME ACSINHB1
REBILL PAYER SHEET NAME ACSINHB3
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 12:14:15
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 12:14:15