VA103918 (7377)    PLAN (366.03)

Name Value
ID VA103918
NAME MT MEDICAID EZDME
NAME - SHORT MTMEDEZD
REGION MT
DATE/TIME CREATED 2004-04-03 07:21:45
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 007895
PROCESSOR CONTROL NUMBER (PCN) MTMS
NCPDP PROCESSOR NAME FREEDM/HCC
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:   2004-04-03 07:21:45
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-03 07:21:45