VA99441 (5959)    PLAN (366.03)

Name Value
ID VA99441
NAME MAINE MEDICAID
NAME - SHORT ME MED
REGION ME
DATE/TIME CREATED 2004-02-14 15:24:56
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 005526
PROCESSOR CONTROL NUMBER (PCN) MEPOP
NCPDP PROCESSOR NAME ME MED
ENABLED? Yes
BILLING PAYER SHEET NAME MEPOPB1
REVERSAL PAYER SHEET NAME MEPOPB2
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 21:47:41
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:47:41