VA97141 (2529)    PLAN (366.03)

Name Value
ID VA97141
NAME AGELITY PRESCRIPTION PLAN
NAME - SHORT AGELRX
REGION ALL
DATE/TIME CREATED 2004-02-14 10:13:07
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 009265
PROCESSOR CONTROL NUMBER (PCN) AG
NCPDP PROCESSOR NAME WEBMD
ENABLED? Yes
BILLING PAYER SHEET NAME WBAGELB1
REVERSAL PAYER SHEET NAME WBAGELB2
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:   2004-02-14 17:24:09
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 17:24:09