VA103323 (6841)    PLAN (366.03)

Name Value
ID VA103323
NAME MONTANA MEDICAID TEST PCN CHANGE
NAME - SHORT MTMDTEST
REGION MT
DATE/TIME CREATED 2004-02-14 16:46:55
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610084
PROCESSOR CONTROL NUMBER (PCN) DRMTACCP
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 14:48:10
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:48:10