VA98288 (992)    PLAN (366.03)

Name Value
ID VA98288
NAME RHODE ISLAND MEDICAID
NAME - SHORT RI MED
REGION RI
DATE/TIME CREATED 2004-02-13 21:22:00
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610471
NCPDP PROCESSOR NAME RIPHARM
ENABLED? Yes
MAXIMUM NCPDP TRANSACTIONS 1
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:   2004-02-14 22:30:15
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:30:15