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, March 12, 2021 and closes Monday, April 26, 2021. 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, April 26, 2021. 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 May 3-5, 2021, via Zoom.

Proposed NCPDP Standards Packet #WG010086

Proposed NCPDP Standards Packet #WG010086
WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010086 for enhancements to the Telecommunication Standard Implementation Guide, Post Adjudication Standard Implementation Guide, Prescription File Transfer Standard Implementation Guide, Prior Authorization Standard Implementation Guide, Uniform Healthcare Payer Data Standard Implementation Guide and Benefit Integration Standard Implementation Guide.

This proposed packet contains the following request from the listed DERFs:

  • DERF 1798 which requested a modification to the definition of Total Prescribed Quantity Remaining(D02-KW).
  • DERF 1808 which requested the addition of a new data element, Sex Assigned at Birth.
Approval of proposed packet #WG010086 would result in the release of the Telecommunication Standard Implementation Guide Version F7, Post Adjudication Standard Implementation Guide Version 52; Prescription File Transfer Standard Implementation Guide Version 39; Prior Authorization Transfer Standard Implementation Guide Version 26; Uniform Healthcare Payer Data Standard Implementation Guide Version 29; Benefit Integration Standard Implementation Guide Version 17

Proposed NCPDP Standards Packet #WG090016

Proposed NCPDP Standards Packet #WG090016
WG09 Government Programs - Proposed NCPDP Standards Packet #WG090016 for enhancements to the Prescription Drug Monitoring Programs (PDMP) Reporting Standard Implementation Guide.

This proposed packet contains the following requests from the listed DERF:

  • DERF 1808 which requested the addition of a new data element, Sex Assigned at Birth.
Approval of proposed packet #WG090016 would result in the release of the Prescription Drug Monitoring Programs (PDMP) Reporting Standard Implementation Guide Version 14.

Proposed NCPDP Standards Packet #WG110086

Proposed NCPDP Standards Packet #WG110086
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110086 for enhancements to the Formulary and Benefit Standard Implementation Guide, SCRIPT Standard Implementation Guide, Specialized Standard Implementation Guide and XML Standard Implementation Guide.

This proposed packet contains the following requests from the listed DERFs:

  • DERF 1755 which requested the addition of a new response type, pending, for renewal and change requests (SCRIPT).
  • DERF 1779 which requested a modification to SCRIPT to remove Section 8.1.6.10 Medication Elements and Refill Elements.
  • DERF 1780 which requested modification to SCRIPT/Specialized Imp Guide and schema, including New TherapeuticSubstitutionIndicator and modification to SubstitutionCode and values.
  • DERF 1782 which requested a new field “Combination Drug Grouping” to the existing Alternative Product Groups and Step Therapy Product Groups files to give payers a method to succinctly provide the drugs required to replace a combination drug.
  • DERF 1801 which requested a modification to Recertification guidance in the SCRIPT Implementation guide.
  • DERF 1802 which requested an update to the SCRIPT Implementation guide to add element usage for InjuryRelated.
  • DERF 1803 which requested a SCRIPT/Schema modification to change ProfessionalServiceCode values of MO and RO, to M0 and R0.
  • DERF 1804 which requested the restructure of the patient universal patient identifiers for XML-based standards by adding an ECL supported qualifier (SCRIPT/Specialized/RTPB).
  • DERF 1805 which requested an update to the XML Standard guide to align to the most current recommendations for linking messages in a communication string.
  • DERF 1808 which requested the addition of a new data element, Sex Assigned at Birth.
  • DERF 1811 which requested SCRIPT Implementation guide modification to the Long Term Care Change Process.
  • DERF 1812 which requested to Sunset AuthorizationNumber and PriorAuthorization and create PriorAuthorizationNumber.
  • DERF 1813 which requested SCRIPT Implementation guide modification to LTPAC element usage sections.
  • DERF 1814 which requested RxFill modifications.
  • DERF 1815 which requested Sig Format Element Changes.
Approval of proposed packet #WG110086 would result in the release of the Formulary and Benefit Standard Implementation Guide Version 54, SCRIPT Standard Implementation Guide, Specialized Standard Implementation Guide, and XML Standard Implementation Guide all to be known as Version 202Yxx# (Version number to be assigned once Board approval is obtained.)

Proposed NCPDP Standards Packet #WG180004

Proposed NCPDP Standards Packet #WG180004
WG18 Specialty Pharmacy - Proposed NCPDP Standards Packet #WG180004 for enhancements to the Specialty Pharmacy Data Reporting Standard Implementation Guide.

This proposed packet contains the following requests from the listed DERF:

  • DERF 1808 which requested the addition of a new data element, Sex Assigned at Birth.
Approval of proposed packet #WG180004 would result in the release of the Specialty Pharmacy Data Reporting Standard Implementation Guide Version 14.

Proposed NCPDP Standards Packet #WGMC0010

Proposed NCPDP Standards Packet #WGMC0010
WGMC Maintenance and Control - Proposed NCPDP Standards Packet #WGMC0010 for enhancements to the Real-Time Prescription Benefit Standard Implementation Guide.

This proposed packet contains the following requests from the listed DERFs:

  • DERF 1804 which requested the restructure of the patient universal patient identifiers for XML-based standards by adding an ECL supported qualifier (SCRIPT/Specialized/RTPB).
  • DERF 1808 which requested the addition of a new data element, Sex Assigned at Birth.
  • DERF 1818 which requested an enhancement to the Real-Time Prescription Benefit Standard to support the drug discount program use case.
Approval of proposed packet #WGMC0010 would result in the release of the Real-Time Prescription Benefit Standard Implementation Guide Version 12.

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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