VA101373 (4406)    PLAN (366.03)

Name Value
ID VA101373
NAME BLACK HAWK COUNTY
NAME - SHORT BLACK
REGION ALL
DATE/TIME CREATED 2004-02-14 13:03:47
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004758
PROCESSOR CONTROL NUMBER (PCN) 5555 HDN
NCPDP PROCESSOR NAME NPS
ENABLED? Yes
BILLING PAYER SHEET NAME NPSB1V5
REVERSAL PAYER SHEET NAME NPSB1V5
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 19:32:59
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 19:32:59