VA104357 (7515)    PLAN (366.03)

Name Value
ID VA104357
NAME MHS RX
NAME - SHORT MHSRXPSG
REGION ALL
DATE/TIME CREATED 2004-05-28 20:58:17
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 010447
NCPDP PROCESSOR NAME LAKER
ENABLED? Yes
BILLING PAYER SHEET NAME LAKMHSB1
REVERSAL PAYER SHEET NAME LAKMHSB2
REBILL PAYER SHEET NAME LAKMHSB3
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 20:58:22
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-05-28 20:58:22