VA101414 (4183)    PLAN (366.03)

Name Value
ID VA101414
NAME WELLPOINT PHARMACY MANAGEMENT
NAME - SHORT WELLPNT
REGION ALL
DATE/TIME CREATED 2004-02-14 12:43:54
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610053
PROCESSOR CONTROL NUMBER (PCN) 7Q 7700630
NCPDP PROCESSOR NAME WELLPOINT
ENABLED? Yes
BILLING PAYER SHEET NAME WPPB1
REVERSAL PAYER SHEET NAME WPPB2
REBILL PAYER SHEET NAME WPPB1
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 19:36:11
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 19:36:11