VA100315 (4827)    PLAN (366.03)

Name Value
ID VA100315
NAME WASHINGTON MEDICAID POINT OF SALE
NAME - SHORT WAMEDPOS
REGION WA
DATE/TIME CREATED 2004-02-14 13:42:51
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRWAPROD
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
BILLING PAYER SHEET NAME ACSWAMB1
REVERSAL PAYER SHEET NAME ACSWAMB2
REBILL PAYER SHEET NAME ACSWAMB1
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 20:18:59
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 20:18:59