| ID |
VA103953 |
| NAME |
PAID PRESCRIPTIONS |
| NAME - SHORT |
PAID |
| REGION |
ALL |
| DATE/TIME CREATED |
2004-04-03 13:23:11 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
610014 |
| NCPDP PROCESSOR NAME |
PAID |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
PAIDB1V5 |
| REVERSAL PAYER SHEET NAME |
PAIDB2V5 |
| 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 13:23:11
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-04-03 13:23:11
|
