VA103208 (6726)    PLAN (366.03)

Name Value
ID VA103208
NAME NEBRASKA MEDICAID
NAME - SHORT NEMED
REGION NE
DATE/TIME CREATED 2004-02-14 16:36:38
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRNEPROD
NCPDP PROCESSOR NAME ACS
ENABLED? Yes
BILLING PAYER SHEET NAME ACSNEMB1
REVERSAL PAYER SHEET NAME ACSNEMB1
REBILL PAYER SHEET NAME ACSNEMB1
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 14:37:33
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:37:33