VA98996 (6125)    PLAN (366.03)

Name Value
ID VA98996
NAME DELAWARE MEDICAL ASSISTANCE PROGRAM
NAME - SHORT DMAP
REGION DE
DATE/TIME CREATED 2004-02-14 15:39:47
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610452
PROCESSOR CONTROL NUMBER (PCN) 5529
NCPDP PROCESSOR NAME DEPHARM
ENABLED? Yes
BILLING PAYER SHEET NAME DEV5
REVERSAL PAYER SHEET NAME DEV5
REBILL PAYER SHEET NAME DEV5
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 22:01:17
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:01:17