VA101636 (2229)    PLAN (366.03)

Name Value
ID VA101636
NAME EBRX
NAME - SHORT EBRX
REGION OH
DATE/TIME CREATED 2004-02-13 23:14:30
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610560
PROCESSOR CONTROL NUMBER (PCN) 95
NCPDP PROCESSOR NAME WEBMD
ENABLED? Yes
BILLING PAYER SHEET NAME WBEBRXB1
REVERSAL PAYER SHEET NAME WBEBRXB2
MAXIMUM NCPDP TRANSACTIONS 1
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 13:21:29
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 13:21:29