VA97997 (701)    PLAN (366.03)

Name Value
ID VA97997
NAME PRINCIPAL HEALTH CARE ST LOUIS
NAME - SHORT PHCSL
REGION MO
DATE/TIME CREATED 2004-02-13 20:55:44
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004336
PROCESSOR CONTROL NUMBER (PCN) PMO HDN
NCPDP PROCESSOR NAME PCS
ENABLED? Yes
SOFTWARE VENDOR ID 5102290730
BILLING PAYER SHEET NAME PCSBIL5
REVERSAL PAYER SHEET NAME PCSREV5
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:   2004-02-14 22:27:41
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:27:41