VA103958 (7417)    PLAN (366.03)

Name Value
ID VA103958
NAME MAINE LCD FOR THE ELDERLY OR DISABLED
NAME - SHORT MELCDELD
REGION ME
DATE/TIME CREATED 2004-04-03 14:14:44
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 005526
PROCESSOR CONTROL NUMBER (PCN) MEDEL
NCPDP PROCESSOR NAME ME MED
ENABLED? Yes
BILLING PAYER SHEET NAME MEDELB1
REVERSAL PAYER SHEET NAME MEDELB2
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 14:14:44
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-03 14:14:44