VA99090 (6219)    PLAN (366.03)

Name Value
ID VA99090
NAME RHODE ISLAND MEDICAID ELIGIBILITY
NAME - SHORT RIMTEST
REGION RI
DATE/TIME CREATED 2004-02-14 15:48:13
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610471
PROCESSOR CONTROL NUMBER (PCN) 0000000001
NCPDP PROCESSOR NAME RIPHARM
ENABLED? Yes
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 22:08:20
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:08:20