VA102762 (1642)    PLAN (366.03)

Name Value
ID VA102762
NAME BETTY MACH/SULL ELEC/INTST PACK/TENNS
NAME - SHORT BMSEIPTC
REGION ALL
DATE/TIME CREATED 2004-02-13 22:21:17
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 900014
PROCESSOR CONTROL NUMBER (PCN) WCB01
NCPDP PROCESSOR NAME CLAIMRX
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 12:29:59
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 12:29:59