VA97199 (2587)    PLAN (366.03)

Name Value
ID VA97199
NAME NY STATE OFFICE MNTL HLTH-MED GRANT PR
NAME - SHORT NY MHMGP
REGION ALL
DATE/TIME CREATED 2004-02-14 10:18:45
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 005260
PROCESSOR CONTROL NUMBER (PCN) 7500005260
NCPDP PROCESSOR NAME FIRST HLTH
ENABLED? Yes
BILLING PAYER SHEET NAME FHNYSMB1
REVERSAL PAYER SHEET NAME FHNYSMB2
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:   2004-02-14 17:28:59
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 17:28:59