PLAN NAME (MEDICAID'S) ANSI BIN# PROCESSOR # CERT ID PHAR QUAL DR. QUAL TENTATIVE DATES
ALABAMA MEDICAID 004146 LIVE NOW
ALASKA MEDICAID 009661 P013009661 012103DR01 05 LIVE NOW
ARKANSAS MEDICAID 610093 716007869 05 05 LIVE NOW
CALIFORNIA MEDICAL 610442 XAH1263 XAH1263 LIVE NOW
COLORADO MEDICAID 610084 DRCOPROD 05 LIVE NOW
CONNECTICUT MEDICAID 610480 5529 PDTRANS 05 LIVE NOW
WASHINGTON DC MEDICAID 009711 P005009711 012103DR01 05 LIVE NOW
DELAWARE MEDICAID 610452 5529 345074165 LIVE NOW
FLORIDA MEDICAID 610084 DRFLPROD 05 LIVE NOW
GEORGIA MEDICAID 003858 A4 LIVE NOW
HAWAII MEDICAID 610084 DRHIPROD 0000000000 LIVE NOW
IDAHO MEDICAID 610508 445266162 05 LIVE NOW
ILLINOIS MEDICAID 008259 05 DEA LIVE NOW
INDIANA MEDICAID 610084 DRRXPROD LIVE NOW
IOWA MEDICAID 610084 DRIAPROD 05 LIVE NOW
KANSAS MEDICAID 610517 05 05 LIVE NOW
KENTUCKY MEDICAID 610461 KMMSPROD 05 LIVE NOW
LOUISIANA MEDICAID 610514 LOUIPROD 05 05 LIVE NOW
MAINE MEDICAID 005526 MEPOP
MARYLAND MEDICAID 009753 P010009753 012103DR01 LIVE NOW
MASS MEDICAID 009555 MASSPROD 5100230006 05 LIVE NOW
MICHIGAN MEDICAID 009737 P008009737 012103DR01 LIVE NOW
MINNESOTA MEDICAID 610459 LIVE NOW
MISSISSIPPI MEDICAID 610084 DRMSPROD 05 LIVE NOW
MISSOURI MEDICAID 004047

DEA

LIVE NOW
MONTANA MEDICAID 610084 DRMTPROD LIVE NOW
N. CAROLINA MEDICAID 601312 639820608 05 LIVE NOW
N. DAKOTA MEDICAID 601364 LIVE NOW
NEBRASKA MEDICAID 610084 DRNEPROD LIVE NOW
NEVADA MEDICAID 009646 P009009646 012103DR01 05 LIVE NOW
NEW HAMPSHIRE MEDICAID 009513 P002002286 012103DR01 LIVE NOW
NEW JERSEY MEDICAID 610515 Check Link Left NJMED 05 05 LIVE NOW
NEW MEXICO MEDICAID 610084 DRNMPROD LIVE NOW
NEW YORK MEDICAID 004740 YxxPIN#TSN 05 05,08 LIVE NOW
OHIO MEDICAID 009679 P014009679 012103DR01 05 05 LIVE NOW
OKLAHOMA MEDICIAID 010579 OKA01 05 LIVE NOW
OREGON MEDICAID 009729 P007009729 012103DR01 LIVE NOW
PENNSYLVANIA MED ASSISTANCE 600760 445266162 PAN00023 05 2/19/04
RHODE ISLAND MEDICAID 610471 05 LIVE NOW
S. CAROLINA MEDICAID 009745 P006009745 012103DR01

05

13 LIVE NOW
S. DAKOTA MEDICAID 601574