VA104354 (7512)    PLAN (366.03)

Name Value
ID VA104354
NAME WEST VIRGINIA MEDICAID UNISYS
NAME - SHORT WVMEDUNI
REGION WV
DATE/TIME CREATED 2004-05-28 20:40:26
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610164
PROCESSOR CONTROL NUMBER (PCN) DRWVTEST
NCPDP PROCESSOR NAME WVPHARM
ENABLED? Yes
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:   2004-05-28 20:40:31
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-05-28 20:40:31