.01 | name(+) | 0;1 | FREE TEXT | | B | The Pharmacy Benefits Manager's (PBM's) long name. |
.02 | date/time created(+) | 0;2 | DATE-TIME | | | The date and time associated with the creation of Pharmacy Benefits
Manager (PBM) file (#366.02) entry. |
1.01 | primary contact name | 1;1 | FREE TEXT | | | The Pharmacy Benefits Manager's (PBM's) primary contact name in general VA
name format (Family,Given Middle/MI Suffix). |
1.02 | primary contact prefix | 1;2 | FREE TEXT | | | The Pharmacy Benefits Manager's (PBM's) primary contact prefix / title
(e.g. Dr.). |
1.03 | primary contact degree | 1;3 | FREE TEXT | | | Enter the Pharmacy Benefits Manager's (PBM's) primary contact degree code
(e.g. MD). |
1.04 | alternate contact name | 1;4 | FREE TEXT | | | The Pharmacy Benefits Manager's (PBM's) alternate contact name in general
VA name format (Family,Given Middle/MI Suffix). |
1.05 | alternate contact prefix | 1;5 | FREE TEXT | | | The Pharmacy Benefits Manager's (PBM's) alternate contact prefix / title
(e.g. Dr.). |
1.06 | alternate contact degree | 1;6 | FREE TEXT | | | The Pharmacy Benefits Manager's (PBM's) alternate contact degree code
(e.g. MD). |
2 | contact means | 2;0 | MULTIPLE | 366.022 | | The Pharmacy Benefits Manager's (PBM's) Contact Means sub-file.
Applies to both the PBM's primary and alternate contacts. |
3 | application | 3;0 | MULTIPLE | 366.023 | | The Pharmacy Benefits Manager's (PBM's) Application (electronic interface
application) sub-file. |