VA99942 (5410)    PLAN (366.03)

Name Value
ID VA99942
NAME MASSACHUSETTS MEDICAID TEST
NAME - SHORT MASSTEST
REGION MA
DATE/TIME CREATED 2004-02-14 14:35:23
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 009555
PROCESSOR CONTROL NUMBER (PCN) MASSTEST
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
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 21:05:02
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:05:02