VA99386 (5904)    PLAN (366.03)

Name Value
ID VA99386
NAME KENTUCKY MEDICAID
NAME - SHORT KYMED
REGION KY
DATE/TIME CREATED 2004-02-14 15:19:56
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610461
PROCESSOR CONTROL NUMBER (PCN) KMMSPROD
NCPDP PROCESSOR NAME KY MED
ENABLED? Yes
BILLING PAYER SHEET NAME KYB1V5
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 21:43:05
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:43:05