VA100111 (5493)    PLAN (366.03)

Name Value
ID VA100111
NAME MAINE MEDICAID DME
NAME - SHORT MEMEDDME
REGION ME
DATE/TIME CREATED 2004-02-14 14:42:53
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004766
PROCESSOR CONTROL NUMBER (PCN) MEDME
NCPDP PROCESSOR NAME ALLWIN
ENABLED? Yes
MAXIMUM NCPDP TRANSACTIONS 1
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 21:11:02
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:11:02