VA99487 (6005)    PLAN (366.03)

Name Value
ID VA99487
NAME PRESCRIP MAN. CARE AND WORKERS COMP.
NAME - SHORT AS & T
REGION ALL
DATE/TIME CREATED 2004-02-14 15:29:03
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004682
PROCESSOR CONTROL NUMBER (PCN) 96
NCPDP PROCESSOR NAME WEBMD2
ENABLED? Yes
BILLING PAYER SHEET NAME WBPSMCB1
REVERSAL PAYER SHEET NAME WBPSMCB2
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 21:50:53
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:50:53