VA100114 (5496)    PLAN (366.03)

Name Value
ID VA100114
NAME RELIGIOUS SELF ASSURED
NAME - SHORT RELSFLA
REGION ALL
DATE/TIME CREATED 2004-02-14 14:43:10
PHARMACY BENEFITS MANAGER NAME BROOKS RX WATCH
BANKING IDENTIFICATION NUMBER 610487
PROCESSOR CONTROL NUMBER (PCN) RSA HDN
NCPDP PROCESSOR NAME NDC
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 21:11:18
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:11:18