Standards Data Maintenance

Proposed NCPDP Standards Packet #WG020016
WG02 Product Identifiers - Proposed NCPDP Standards Packet #WG020016 for enhancements to the Billing Unit Standard Implementation Guide.

This proposed packet contains the following request from the listed DERF(s):

• DERF 002018 which requested updates to the NCPDP Billing Unit Standard Implementation Guide.

Approval of proposed packet #WG020016 would result in the release of the Billing Unit Standard Implementation Guide Version 5.0.

Proposed NCPDP Standards Packet #WG070017
WG07 Manufacturer and Associated Trading Partner Transaction Standards - Proposed NCPDP Standards Packet #WG070017 for enhancements to the Manufacturer Rebate Standard Implementation Guide

This proposed packet contains the following requests from the listed DERF(s):

• DERF 001346 which requested to sunset the Response Pricing fields that are the current components to the Patient Pay Amount (505-F5) and replace with a grouping of three new fields.
• DERF 001348 which requested the sunset of Benefit Stage Count (392-MU), Benefit Stage Qualifier (393-MV) and Benefit Stage Amount (394-MW) and their associated reject codes. The DERF requested the addition of two new fields, Benefit Stage Indicator Count and Benefit Stage Indicator.
• DERF 001433 which requested to increase the field length of the Product/Service ID (407-D7) and other code set fields to 40 bytes to accommodate current identifiers and plan for future expansion. This DERF also provides modification to current NCPDP standards impacted by the requested field changes.
• DERF 001591 which requested to increase the field length of all dollar fields to accommodate the emergence of drugs that are exceeding the current field limitations for dollar amount.
• DERF 001724 which requested to increase the field length for 411-DB Prescriber ID, 421-DL Primary Care Provider ID, 580-XY Associated Prescription/Service Provider ID, A26-ZP Prescriber Alternate ID and 444-E9 Provider ID from 15 to 35 to support state license number formats that expand beyond 15 characters and to promote harmonization of field lengths across the NCPDP Standards/Forms using these data elements.
• DERF 002027 which requested a new version of the Manufacturer Rebate Standard correcting the field length of the Paid Rate data elements, modifying the field length and format for the Patient Pay Component Amount, correcting the field format for Patient Pay Amount (505-F5) for Manufacturer Rebate Standard in the Data Dictionary, adding various "invoice" related elements to record types "UD," "US," and "OD," adding new "Paid" related elements to record type "RD," adding five additional occurrences of Reconciliation Reason Code (602-10) to record types "RD" and "RS," removing of Reconciliation Reason Code values based on removed data elements and adding values based on new data elements and adding Section 1.3 for handling the transition from VD.0 to F6 of the Telecommunication Standard.

Approval of proposed packet #WG070017 would result in the release of the Manufacturer Rebate Data Standard Implementation Guide Version 07.06.

Proposed NCPDP Standards Packet #WG110097
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110097 for enhancements to the SCRIPT Standard Implementation Guide and Specialized Standard Implementation Guide

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

• DERF 002019 which requested Race, Ethnicity and FinancialGuarantor be added to PatientMandatoryAddress schema.
• DERF 002032 which requested updates to Section 7.2 Veterinary Prescriptions in the SCRIPT Standard Implementation Guide.
• DERF 002033 which requested modification to the DrugProductCodeWithText grouping in the schema to make the elements of Code and Qualifier a sequence and updates to the language in the SCRIPT Standard Implementation Guide around the codification of the DrugProductCoded elements based on an FAQ approved in May 2024.
• DERF 002034 which requested new transactions for REMSReversalRequest/REMSReversalResponse within the SCRIPT Standard and modifications to the implementation guide to clarify the utilization of all REMS transactions by pharmacist and pharmacies.

Approval of proposed packet #WG110097 would result in the release of SCRIPT Standard Implementation Guide and Specialized Standard Implementation Guide all to be known as Version 202Yxx# (Version number to be assigned once Board approval is obtained.

Proposed NCPDP Standards Packet #WG110098
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110098 for enhancements to the Formulary and Benefit Standard Implementation Guide.

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

• DERF 002035 which requested a new version of the Formulary and Benefit Standard to address issues found in a gap analysis of Formulary and Benefit Standard V60.

Approval of proposed packet #WG110098 would result in the release of Formulary and Benefit Standard Implementation Guide Version 62.