VA102325 (1894)    PLAN (366.03)

Name Value
ID VA102325
NAME ALABAMA MEDICAID
NAME - SHORT AL MED
REGION AL
DATE/TIME CREATED 2004-02-13 22:44:09
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004146
NCPDP PROCESSOR NAME AL MED
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 12:00:32
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 12:00:32