| ID |
VA102310 |
| NAME |
WEST VIRGINIA TITLE XIX (MEDICAID) |
| NAME - SHORT |
WVA XIX |
| REGION |
WV |
| DATE/TIME CREATED |
2004-02-13 22:42:46 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
610164 |
| PROCESSOR CONTROL NUMBER (PCN) |
DRWVPROD |
| NCPDP PROCESSOR NAME |
WVPHARM |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
ACSWVMB1 |
| REVERSAL PAYER SHEET NAME |
ACSWVMB2 |
| REBILL PAYER SHEET NAME |
ACSWVMB1 |
| 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 11:59:28
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 11:59:28
|
