VA103839 (7312)    PLAN (366.03)

Name Value
ID VA103839
NAME FANNIN COUNTY
NAME - SHORT FANNINCY
REGION ALL
DATE/TIME CREATED 2004-04-02 12:51:39
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610568
PROCESSOR CONTROL NUMBER (PCN) DRXFCJ
NCPDP PROCESSOR NAME DATA RX
ENABLED? Yes
BILLING PAYER SHEET NAME DATFCJB1
REVERSAL PAYER SHEET NAME DATFCJB2
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 12:51:39
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-02 12:51:39