VA99875 (5343)    PLAN (366.03)

Name Value
ID VA99875
NAME TAND MASTER CARRIER 01
NAME - SHORT TMC 01
REGION ALL
DATE/TIME CREATED 2004-02-14 14:29:23
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 003858
PROCESSOR CONTROL NUMBER (PCN) YME7700630
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 21:00:06
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:00:06