VA103948 (7407)    PLAN (366.03)

Name Value
ID VA103948
NAME GA MEDICAID EZDME
NAME - SHORT GAMEDEZD
REGION GA
DATE/TIME CREATED 2004-04-03 12:31:40
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 007895
PROCESSOR CONTROL NUMBER (PCN) GAMS
NCPDP PROCESSOR NAME FREEDM/HCC
ENABLED? Yes
BILLING PAYER SHEET NAME HCCDMEB1
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 12:31:40
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-03 12:31:40