VA102811 (1691)    PLAN (366.03)

Name Value
ID VA102811
NAME HEALTHEXTRASRX
NAME - SHORT HXTRA
REGION ALL
DATE/TIME CREATED 2004-02-13 22:25:44
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 005947
PROCESSOR CONTROL NUMBER (PCN) CLAIMCR2
NCPDP PROCESSOR NAME COMCOTEC
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 14:52:16
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:52:16