VA103951 (7410)    PLAN (366.03)

Name Value
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