VA98174 (878)    PLAN (366.03)

Name Value
ID VA98174
NAME FORMAN BROTHERS
NAME - SHORT FORMANBR
REGION NJ
DATE/TIME CREATED 2004-02-13 21:11:39
PHARMACY BENEFITS MANAGER NAME PHPS EAST CARVE IN
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 01400024
NCPDP PROCESSOR NAME ARGUS
ENABLED? Yes
BILLING PAYER SHEET NAME ARGUSV5
REVERSAL PAYER SHEET NAME ARGB2V5
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 09:51:06
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 09:51:06