VA99748 (5826)    PLAN (366.03)

Name Value
ID VA99748
NAME OREGON MEDICAL ASSISTANCE PHARMACY PRG
NAME - SHORT OR MED
REGION OR
DATE/TIME CREATED 2004-02-14 15:13:08
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 009729
PROCESSOR CONTROL NUMBER (PCN) P007009729
NCPDP PROCESSOR NAME FHEALTH
ENABLED? Yes
BILLING PAYER SHEET NAME FHORB1V5
REVERSAL PAYER SHEET NAME FHORB2V5
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:   2004-02-15 10:57:00
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 10:57:00