Standards Data Maintenance

Public Review of Proposed NCPDP Standards Information

Public comments are solicited on proposed new standards and proposals to revise, reaffirm or withdraw approval of existing standards simultaneously with the NCPDP ballot period. The NCPDP Public Review of Proposed NCPDP Standards period opens on Friday September 11, 2020 and closes Monday, October 26, 2020. Should you wish to submit an Official Public Comment, the Council must receive your Official Public Comment no later than 5:00 p.m. PDT/ 6:00 p.m. MDT/ 7:00 p.m. CDT/ 8:00 p.m. EDT on Monday, October 26, 2020. All explanatory comments submitted on "Object with Reason" and "Accept with Comments" will be reviewed at the next scheduled Interim Joint Technical Work Group meeting, which will be held virtually on November 4 - 6, 2020 via Zoom.

Proposed NCPDP Standards Packet #WG020011

Proposed NCPDP Standards Packet # WG020011
WG02 Product Identification - Proposed NCPDP Standards Packet #WG020011 for enhancements to the Billing Unit Standard Implementation Guide

  • DERF 1773 which requested updates to the Billing Unit Standard to:
    • provide clarity, update outdated information, address named products no longer on the market and incorporate exceptions from FAQ’s,
    • add two new FAQ’s,
    • incorporate citations of QUIC forms and DERFs into the History of Specification Changes for background on changes previously made to the Standard.
    Approval of proposed packet #WG020011 would result in the release of the Billing Unit Standard Implementation Guide Version 4.0

Proposed NCPDP Standards Packet #WG110085

Proposed NCPDP Standards Packet #WG110085
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110085 for enhancements to the SCRIPT Standard Implementation Guide and Specialized Implementation Guide

  • DERF 1760 which requested to add the field named RxBarcode into the RxFill event, for status of Dispensed and PartiallyDispensed and to Resupply.
  • DERF 1776 which requested to make StateProvince, PostalCode and CountryCode as optional in MandatoryAddressType and to change the annotation on CountryCode to “Required if country is not “US”. See Reference for country code: ISO-3166-1”. NO DD OR ECL CHANGES
  • DERF 1777 which requested the addition of six data elements to the schema and the definitions modified for three data elements to harmonize the Patient ID elements in the SCRIPT and Specialized schema with DERF 1794 for Real-Time Prescription Benefit Standard and the Telecommunication Standard.
  • DERF 1778 which requested to remove from the schema an annotation about height and weight requirements for the Observation Segment and modify language in the SCRIPT Implementation Guide. NO DD OR ECL CHANGES
  • DERF 1781 which requested a change to the section “Specific Guidance for Compounds” in the SCRIPT Standard Implementation Guide to recommend the individual ingredient strength (if known) should be in the Drug Description when the compound name includes the individual ingredients. NO DD OR ECL CHANGES
  • DERF 1783 which requested updates to two sections within the SCRIPT Standard Implementation Guide to provide additional guidance around attachments for both the Prior Authorization and REMS transactions. NO DD OR ECL CHANGES
  • DERF 1784 which requested several modifications to the SCRIPT standard to enable electronic submission of the REMs requirements that require submission of manual forms. Diagnosis elements have been streamlined and subsequently this DERF requested the sunset of data elements to standardize the communication of health conditions.
  • DERF 1785 which requested modifications to the current Patient element groupings in the schema for SCRIPT and Specialized. NO DD OR ECL CHANGES
  • DERF 1786 which requested to add the Observation element to the Census schema for Specialized. NO DD OR ECL CHANGES
  • DERF 1787 which requested to update the element in the RxChangeResponse and the element in the RxRenewalResponse transactions to include and elements. The DERF also requested updates to related guidance and code values.
  • DERF 1788 which requested add a new Patient Identification element for Appriss Health Patient Identifier (AHPID) to the SCRIPT/Specialized Standards.
  • DERF 1789 which requested the addition of two new data elements, ReasonForCancellation and PriorDispensing, and an update to the schema and SCRIPT Standard Implementation Guide to enhance their quality and effectiveness of the CancelRx and CancelRxResponse messages.
Approval of proposed packet #WG110085 would result in the release of the SCRIPT Standard Implementation Guide and Specialized Implementation Guide, both to be known as Version 2021xx# (Version number to be assigned once Board approval is obtained)

Proposed NCPDP Standards Packet #WGMC0009

Proposed NCPDP Standards Packet #WGMC0009
WGMC Maintenance and Control - Proposed NCPDP Standards Packet #WGMC0009 for enhancements to the Real-Time Prescription Benefit Standard Implementation Guide

  • DERF 1791 which requested the addition of existing data elements Accumulated Deductible Amount (512-FC) and Remaining Deductible Amount (513-FD) to the EDI format of the RTPB Standard in the RTPB Response Product and RTPB Response Alternative Product segments and the addition of two new data elements AccumulatedDeductibleAmount and RemainingDeductibleAmount to the XML format of the RTPB Standard in the RTPBResponseProduct and RTPBResponseAlternativeProduct.
  • DERF 1792 which requested the addition of two new data element for Estimated Combined Plan and Patient Savings to the Response RTPB Product Segment and Response RTPB Alternative Product Segment of the Real-Time Prescription Benefit Standard.
  • DERF 1793 which requested an update from “Restricted Provider” to “Restricted Prescriber” in 3.2 Definitions of the RTPB Standard Implementation Guide to be consistent with “restricted prescriber” used elsewhere in guide. NO DD OR ECL CHANGES
  • DERF 1794 which requested modifications to the RTPB Standard to support the communication and sharing of multiple universal patient identifiers from different enumerating entities on a single transaction.
Approval of proposed packet #WGMC0009 would result in the release of the Real-Time Prescription Benefit Standard Implementation Guide Version 11

Non-NCPDP Member Comments

$200.00 per comment period will be charged for Non-NCPDP members choosing to submit comments. This fee allows the non-member the ability to obtain copies of the NCPDP produced documents for that comment period.

The comment period includes documents for the proposed new or revised NCPDP Standards under consideration.

If you are not an NCPDP member but wish to supply comments to any or all of these proposals, please complete the registration form.

NCPDP Member Comments

If you are an NCPDP member, but not an NCPDP Consensus Group participant and wish to submit a comment, go to your MyNCPDP Member Portal. Scroll to the bottom of the page and click on Ballots.

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