VA99236 (5056)    PLAN (366.03)

Name Value
ID VA99236
NAME ILLINOIS DEPT OF CENTRAL MGNT SRVS
NAME - SHORT ILDOCMS
REGION IL
DATE/TIME CREATED 2004-02-14 14:03:12
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610150
PROCESSOR CONTROL NUMBER (PCN) HDN
NCPDP PROCESSOR NAME NDC
ENABLED? Yes
BILLING PAYER SHEET NAME NDCILCB1
REVERSAL PAYER SHEET NAME NDCILCB2
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 20:37:18
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 20:37:18