VA99939 (5407)    PLAN (366.03)

Name Value
ID VA99939
NAME VIRGINIA MEDICAL ASSISTANCE PHAR PROG
NAME - SHORT VA MAPP
REGION VA
DATE/TIME CREATED 2004-02-14 14:35:07
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 010900
PROCESSOR CONTROL NUMBER (PCN) 5148010900
NCPDP PROCESSOR NAME VA MED
ENABLED? Yes
BILLING PAYER SHEET NAME FHVAB1V5
REVERSAL PAYER SHEET NAME FHVAB2V5
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 21:04:46
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:04:46