VA103511 (6486)    PLAN (366.03)

Name Value
ID VA103511
NAME HAWAII MEDICAID TEST PLAN
NAME - SHORT HIMEDTES
REGION HI
DATE/TIME CREATED 2004-02-14 16:13:54
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRHIACCP
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
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:   2004-02-15 13:45:44
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 13:45:44