ID |
VA98295 |
NAME |
TOTAL HEALTH 65 |
NAME - SHORT |
TH65 |
REGION |
LA |
DATE/TIME CREATED |
2004-02-13 21:22:38 |
PHARMACY BENEFITS MANAGER NAME |
NONE |
BANKING IDENTIFICATION NUMBER |
003585 |
PROCESSOR CONTROL NUMBER (PCN) |
19500 |
NCPDP PROCESSOR NAME |
MEDIMPACT |
ENABLED? |
Yes |
BILLING PAYER SHEET NAME |
MDMPCTB1 |
REVERSAL PAYER SHEET NAME |
MDMPCTB2 |
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: 2004-02-14 22:30:51
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-14 22:30:51
|