VA102894 (7015)    PLAN (366.03)

Name Value
ID VA102894
NAME MEDICARE
NAME - SHORT MEDICARE
REGION CA
DATE/TIME CREATED 2004-02-14 17:02:28
PHARMACY BENEFITS MANAGER NAME INTER VALLEY HP
BANKING IDENTIFICATION NUMBER 400013
PROCESSOR CONTROL NUMBER (PCN) MED HDN
NCPDP PROCESSOR NAME NDC
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 14:59:50
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:59:50