Standards Data Maintenance

Consensus Group

To meet ANSI requirements for certification of NCPDP standards, a new Voting Consensus Group is formed annually for new data maintenance packets resulting from the Joint Technical Work Group Meetings held in that year. To participate one must enroll each year. The enrollment period occurs in the January-February timeframe. Participation in the Voting Consensus Group is voluntary but must consist of at least 30 participants and represent a reasonable balance of stakeholder interests.

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 10, 2021, and closes Monday, October 25, 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, October 25, 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 November 3-5, 2021, via Zoom.

Proposed NCPDP Standards Packet #WG010087

Proposed NCPDP Standards Packet #WG010087
WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010087 for enhancements to the Telecommunication Standard Implementation Guide and Post Adjudication Standard Implementation Guide.

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

  • DERF 1821 which requested an increase in the field length from 11 to 20 for Route of Administration (995-E2) to accommodate SNOMED CT Route of Administration subset values with up to 15 characters.

Approval of proposed packet #WG010087 would result in the release of the Telecommunication Standard Implementation Guide Version F8 and Post Adjudication Standard Implementation Guide Version 53.

Proposed NCPDP Standards Packet #WG020012

Proposed NCPDP Standards Packet #WG020012
WG02 Product Identification - Proposed NCPDP Standards Packet #WG020012 for enhancements to the Product Identifiers Standard Implementation Guide.

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

  • DERF 1827 which requested the addition of an FAQ to the Product Identifiers Standard to address the topic of NDC numbers changing for products moving from Emergency Use Authorization to Approval.
  • DERF 1839 which requested an update to FAQ 7.5 in the Product Identifiers Standard.

Approval of proposed packet #WG020012 would result in the release of the Product Identifiers Standard Implementation Guide Version 1.6.

Proposed NCPDP Standards Packet #WG070014

Proposed NCPDP Standards Packet #WG070014
WG07 Manufacturer and Associated Trading Partner Transaction Standards – Proposed NCPDP Standards Packet #WG070014 for enhancements to the Manufacturer Rebate Standard Implementation Guide.

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

  • DERF 1841 which requested modifications to the Manufacturer Rebate Standard, Reconciliation Detail File Format, specifically related to the header and trailer records. This DERF enhances other recent changes to the Manufacturer Rebate Standard by revising the structure of the ‘HD’ and ‘TR’ record types to accommodate the ability for manufacturers to report reconciliation reason code details back to PMOs as part of the reconciliation detail (‘RD’) record type transaction.

Approval of proposed packet #WG070014 would result in the release of the Manufacturer Rebate Standard Implementation Guide Version 07.04.

Proposed NCPDP Standards Packet #WG110087

Proposed NCPDP Standards Packet #WG110087
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110087 for enhancements 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 1829 which requested modifications to the RxTransfer messages.
  • DERF 1830 which requested updates to the original MedicationDispensed annotation, the addition of an annotation for MedicationPrescribed in the Schema and the addition of new guidance in the Implementation Guide.
  • DERF 1831 which requested modifications to the segment to expand the use of this information for prescribing of insulin. The DERF clarifies the usage and annotations of the elements in .
  • DERF 1833 which requested the addition of a new element to header of the SCRIPT and Specialized messages called MessageIndicatorFlag and a new codified value for LTPAC Care Settings to the To/From fields in the message header.
  • DERF 1834 which requested an update to the SCRIPT Implementation Guide to clarify and provide consistent guidance on the appropriate use of the response types available in the RxChangeResponse and RxRenewalResponse messages.
  • DERF 1844 which requested to sunset the element SubstitutionCode and create a new element named Substitutions with the same July 2021 definition and code values as SubstitutionCode.
  • DERF 1845 which requested to add RxTransfer transactions within the scope of the Retraction/Withdrawal process.
  • DERF 1846 which requested NumberOfRefills in the HistoryDispensedMedication composite as an optional element in the RxHistoryResponse.
  • DERF 1847 which requested a new optional composite of Requestor for RxHistoryRequest transaction, containing RequestorName which points to the NameComposite and the current RequestorRole element.
  • DERF 1848 which requested a new ECL value for SourceQualifier and the addition of StateProvince within SourceQualifier to identify State PDMP within MedicationDispensed segment in the RxHistory response.
  • DERF 1850 which requested an update the SCRIPT Implementation Guide with guidance for all MessageRequestCode values for RxChange, including updating the available ReasonCode values to use in Denied scenarios.
  • DERF 1851 which requested to add NextQuestionCondition composite to the Select type question composite and only under the SelectMultiple element in the PAInitiationResponse, PAAppealResponse and PAResponse transactions.
  • DERF 1852 which requested to change the field format and length for RefillsRemaining.
  • DERF 1853 which requested to add a new optional element of “Pronoun” to the NameComposite within SCRIPT/Specialized which uses the LOINC Version and LOINC codes to identify the individual’s preferred pronouns.

Approval of proposed packet #WG110087 would result in the release of the 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.)

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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