VA100846 (4751)    PLAN (366.03)

Name Value
ID VA100846
NAME UTAH DEPARTMENT OF HEALTH
NAME - SHORT UTAH DOH
REGION UT
DATE/TIME CREATED 2004-02-14 13:36:00
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610438
NCPDP PROCESSOR NAME UTAH DOH
ENABLED? Yes
BILLING PAYER SHEET NAME UTMDB1V5
REBILL PAYER SHEET NAME UTMDB1V5
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 18:59:05
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 18:59:05