VA97052 (3404)    PLAN (366.03)

Name Value
ID VA97052
NAME FIRST COMMUNITY HEALTH
NAME - SHORT 1COMH
DATE/TIME CREATED 2004-02-14 11:33:16
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 007953
NCPDP PROCESSOR NAME PROCARE RX
ENABLED? Yes
BILLING PAYER SHEET NAME PRCRBIL5
REVERSAL PAYER SHEET NAME PRCRREV5
REBILL PAYER SHEET NAME PRCRBIL5
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 18:46:44
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 18:46:44