VA98113 (817)    PLAN (366.03)

Name Value
ID VA98113
NAME KELSEY SEYBOLD
NAME - SHORT KSDRX
REGION NATIONWIDE
DATE/TIME CREATED 2004-02-13 21:06:13
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610029
PROCESSOR CONTROL NUMBER (PCN) KSDRX
NCPDP PROCESSOR NAME CAREMARK
ENABLED? Yes
BILLING PAYER SHEET NAME CRMKV5B1
REVERSAL PAYER SHEET NAME CRMKV5B1
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:   2004-02-15 09:46:29
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 09:46:29