| ID |
VA101733 |
| NAME |
SOUTH DAKOTA MEDICAID |
| NAME - SHORT |
SD MED |
| REGION |
SD |
| DATE/TIME CREATED |
2004-02-14 09:53:48 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
601574 |
| NCPDP PROCESSOR NAME |
SD PHARM |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
SDMDBIL5 |
| 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 13:29:58
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 13:29:58
|
