VA97616 (3094)    PLAN (366.03)

Name Value
ID VA97616
NAME NORTH DAKOTA MEDICAID
NAME - SHORT NDMED
REGION ND
DATE/TIME CREATED 2004-02-14 11:05:28
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 601364
NCPDP PROCESSOR NAME NDPHARM
ENABLED? Yes
BILLING PAYER SHEET NAME NDMDWCB1
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 17:54:31
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 17:54:31