| ID |
VA103951 |
| NAME |
IVA HOSPICE PROGRAM |
| NAME - SHORT |
IVAHOSP |
| REGION |
ALL |
| DATE/TIME CREATED |
2004-04-03 13:02:31 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
610568 |
| PROCESSOR CONTROL NUMBER (PCN) |
DRXIVA |
| NCPDP PROCESSOR NAME |
DATA RX |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
DATIVA~1 |
| REVERSAL PAYER SHEET NAME |
DATIVA~2 |
| 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 13:02:31
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-04-03 13:02:31
|