VA104521 (7664)    PLAN (366.03)

Name Value
ID VA104521
NAME ILLINOIS FIRE CLUB
NAME - SHORT ILLFC
REGION IL
DATE/TIME CREATED 2004-06-23 16:50:08
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610150
NCPDP PROCESSOR NAME NDC
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 16:50:14
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-06-23 16:50:14