VA102129 (2131)    PLAN (366.03)

Name Value
ID VA102129
NAME SOUTH CAROLINA MEDICAID
NAME - SHORT SCMD
REGION SC
DATE/TIME CREATED 2004-02-13 23:05:44
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 009745
PROCESSOR CONTROL NUMBER (PCN) P006009745
NCPDP PROCESSOR NAME FHEALTH
ENABLED? Yes
BILLING PAYER SHEET NAME FHSCB1V5
REVERSAL PAYER SHEET NAME FHSCB2V5
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 10:43:17
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 10:43:17