VA98233 (937)    PLAN (366.03)

Name Value
ID VA98233
NAME NONE
NAME - SHORT 003858
REGION ALL
DATE/TIME CREATED 2004-02-13 21:16:57
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 003858
NCPDP PROCESSOR NAME EXPRESS
ENABLED? Yes
BILLING PAYER SHEET NAME ESIB1V5
REVERSAL PAYER SHEET NAME ESIB2V5
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 11:26:56
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 11:26:56