| ID |
VA102955 |
| NAME |
IDAHO MEDICAID |
| NAME - SHORT |
ID MED |
| REGION |
ID |
| DATE/TIME CREATED |
2004-02-14 17:08:01 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
610508 |
| NCPDP PROCESSOR NAME |
ID MED |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
IDMEDV5 |
| MAXIMUM NCPDP TRANSACTIONS |
1 |
| 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 15:05:13
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 15:05:13
|
