VA98745 (484)    PLAN (366.03)

Name Value
ID VA98745
NAME EAST TEXAS LOREL
NAME - SHORT ETLOREL
REGION TX
DATE/TIME CREATED 2004-02-13 20:36:30
PHARMACY BENEFITS MANAGER NAME PRUDENTIAL SWGO
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 00280010
NCPDP PROCESSOR NAME ARGUS
ENABLED? Yes
BILLING PAYER SHEET NAME ARGUSV5
REVERSAL PAYER SHEET NAME ARGB2V5
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:   2004-02-15 10:25:15
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 10:25:15