VA100200 (5582)    PLAN (366.03)

Name Value
ID VA100200
NAME INDIANA MEDICAID DME CLAIMS
NAME - SHORT INDME
REGION ALL
DATE/TIME CREATED 2004-02-14 14:51:02
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004766
PROCESSOR CONTROL NUMBER (PCN) INDME
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 21:17:57
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:17:57