VA103492 (6467)    PLAN (366.03)

Name Value
ID VA103492
NAME WI MEDICARE DURABLE MEDICAL EQUIPMENT
NAME - SHORT WIDME
REGION WI
DATE/TIME CREATED 2004-02-14 16:12:01
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004766
PROCESSOR CONTROL NUMBER (PCN) WIDME
NCPDP PROCESSOR NAME ALLWIN
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:   2004-02-15 14:26:59
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:26:59