VA104379 (7537)    PLAN (366.03)

Name Value
ID VA104379
NAME MISSOURI MEDICARE DISCOUNT PROGRAM
NAME - SHORT MOMDP
REGION MO
DATE/TIME CREATED 2004-05-28 21:26:37
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 011511
PROCESSOR CONTROL NUMBER (PCN) P021011511
NCPDP PROCESSOR NAME FHEALTH
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 21:26:42
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-05-28 21:26:42