VA99286 (5106)    PLAN (366.03)

Name Value
ID VA99286
NAME FLORIDA MEDICAID
NAME - SHORT FLMED
REGION FL
DATE/TIME CREATED 2004-02-14 14:07:40
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRFLPROD
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
BILLING PAYER SHEET NAME ACSFLMB1
REVERSAL PAYER SHEET NAME ACSFLMB2
REBILL PAYER SHEET NAME ACSFLMB1
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 11:12:22
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 11:12:22