VA103544 (6519)    PLAN (366.03)

Name Value
ID VA103544
NAME MEDIMPACT SUPER CARRIER
NAME - SHORT MED SC
REGION ALL
DATE/TIME CREATED 2004-02-14 16:17:03
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 003585
NCPDP PROCESSOR NAME MEDIMPACT
ENABLED? Yes
BILLING PAYER SHEET NAME MDMPCTB1
REVERSAL PAYER SHEET NAME MDMPCTB2
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 13:48:52
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 13:48:52