VA96551 (3519)    PLAN (366.03)

Name Value
ID VA96551
NAME MANAGED PHARMACY BENEFITS INCORPORATED
NAME - SHORT MPB
REGION ALL
DATE/TIME CREATED 2004-02-14 11:43:33
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610544
NCPDP PROCESSOR NAME EXPRESS
ENABLED? Yes
BILLING PAYER SHEET NAME ESIB1V5
REVERSAL PAYER SHEET NAME ESIB2V5
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 18:07:07
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 18:07:07