VA100441 (4953)    PLAN (366.03)

Name Value
ID VA100441
NAME PENTAIR
NAME - SHORT PENTAIR
REGION ALL
DATE/TIME CREATED 2004-02-14 13:54:07
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 900002
PROCESSOR CONTROL NUMBER (PCN) PEN ENV
NCPDP PROCESSOR NAME EXPRESS
ENABLED? Yes
BILLING PAYER SHEET NAME ESIB1V5
REVERSAL PAYER SHEET NAME ESIB2V5
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 20:29:37
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 20:29:37