VA103818 (7291)    PLAN (366.03)

Name Value
ID VA103818
NAME PA MEDICAID VERSION 5 TEST PLAN
NAME - SHORT PATEST51
REGION PA
DATE/TIME CREATED 2004-04-02 09:14:55
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 600760
PROCESSOR CONTROL NUMBER (PCN) 445619169
NCPDP PROCESSOR NAME PAPHARMH
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:   2004-04-02 09:14:55
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-02 09:14:55