VA101116 (3973)    PLAN (366.03)

Name Value
ID VA101116
NAME NEW MEXICO MEDICAL ASSISTANCE PROGRAM
NAME - SHORT NMMAP
REGION NM
DATE/TIME CREATED 2004-02-14 12:25:13
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRNMPROD
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
BILLING PAYER SHEET NAME ACSNMMB1
REVERSAL PAYER SHEET NAME ACSNMMB2
REBILL PAYER SHEET NAME ACSNMMB1
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 19:16:40
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 19:16:40