VA104508 (7651)    PLAN (366.03)

Name Value
ID VA104508
NAME PROGRESSIVE MEDICAL W/C TEMP
NAME - SHORT PMWCA720
REGION ALL
DATE/TIME CREATED 2004-06-23 16:45:35
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 600471
PROCESSOR CONTROL NUMBER (PCN) A720
NCPDP PROCESSOR NAME RESTAT
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:   2004-06-23 16:45:40
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-06-23 16:45:40