VA97915 (619)    PLAN (366.03)

Name Value
ID VA97915
NAME INCLINE VILLAGE GENERAL IMPROVMENT DIS
NAME - SHORT INCLINVG
REGION NV
DATE/TIME CREATED 2004-02-13 20:48:33
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610473
PROCESSOR CONTROL NUMBER (PCN) 6737
NCPDP PROCESSOR NAME RX AMERICA
ENABLED? Yes
BILLING PAYER SHEET NAME RXAMERB1
REVERSAL PAYER SHEET NAME RXAMERB2
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 22:20:47
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:20:47