VA102593 (1558)    PLAN (366.03)

Name Value
ID VA102593
NAME MISSOURI MEDICAID 51 TEST PLAN
NAME - SHORT MOMEDTES
REGION MO
DATE/TIME CREATED 2004-02-13 22:13:26
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004047
PROCESSOR CONTROL NUMBER (PCN) 43-1754897
NCPDP PROCESSOR NAME MOPHTEST
ENABLED? Yes
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 12:38:00
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 12:38:00