VA103913 (7372)    PLAN (366.03)

Name Value
ID VA103913
NAME HPA HOSPICE PROGRAM
NAME - SHORT HPAHOSPP
REGION ALL
DATE/TIME CREATED 2004-04-03 06:30:17
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610568
PROCESSOR CONTROL NUMBER (PCN) DRXHPA
NCPDP PROCESSOR NAME DATA RX
ENABLED? Yes
BILLING PAYER SHEET NAME DATHPAB1
REVERSAL PAYER SHEET NAME DATHPAB2
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:   2004-04-03 06:30:17
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-03 06:30:17