| ID | 
VA98454 | 
| NAME | 
CMS/PRESCOTTS SUPERMARKETS | 
| NAME - SHORT | 
CMS/PRES | 
| REGION | 
WI | 
| DATE/TIME CREATED | 
2004-02-13 19:53:41 | 
| PHARMACY BENEFITS MANAGER NAME | 
NONE | 
| BANKING IDENTIFICATION NUMBER | 
600471 | 
| PROCESSOR CONTROL NUMBER (PCN) | 
5173 | 
| NCPDP PROCESSOR NAME | 
RESTAT | 
| ENABLED? | 
Yes | 
| BILLING PAYER SHEET NAME | 
RESTATV5 | 
| REVERSAL PAYER SHEET NAME | 
RESTATV5 | 
| REBILL PAYER SHEET NAME | 
RESTATV5 | 
| 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:    2004-02-14 22:36:19
 
- DEACTIVATED?:    No
 
- DATE/TIME CREATED:    2004-02-14 22:36:19
 
 
 
 |