VA100266 (5648)    PLAN (366.03)

Name Value
ID VA100266
NAME IOWA MEDICAID DME SUPPLIES
NAME - SHORT IOWADME
REGION IA
DATE/TIME CREATED 2004-02-14 14:57:04
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004766
PROCESSOR CONTROL NUMBER (PCN) IADME
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 21:22:55
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:22:55