VA102768 (1648)    PLAN (366.03)

Name Value
ID VA102768
NAME LITTLE ROCK PRODUCT K
NAME - SHORT LR PRODK
REGION AR
DATE/TIME CREATED 2004-02-13 22:21:50
PHARMACY BENEFITS MANAGER NAME PRUDENTIAL SWGO
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 00280281
NCPDP PROCESSOR NAME ARGUS
ENABLED? Yes
BILLING PAYER SHEET NAME ARGUSV5
REVERSAL PAYER SHEET NAME ARGB2V5
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 12:30:28
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 12:30:28