VA99190 (6319)    PLAN (366.03)

Name Value
ID VA99190
NAME WEST VIRGINIA WORKMEN'S COMP 3B
NAME - SHORT WVWC3B
REGION WV
DATE/TIME CREATED 2004-02-14 15:57:11
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRWWPROD
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
BILLING PAYER SHEET NAME ACSWVWB1
REVERSAL PAYER SHEET NAME ACSWVWB2
REBILL PAYER SHEET NAME ACSWVWB1
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 22:17:43
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:17:43