Standards Data Maintenance

Proposed NCPDP Standards Packet #WG010089
WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010089 for enhancements to the Telecommunication Standard Implementation Guide.

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

• DERF 1939 which requested a change to the designation of the Approved Message Code Count (547-5F) and Approved Message Code (548-6F) from not used to qualified for accepted and captured reversal responses for B2, S2 and N2 transactions in the Telecommunication Standard Implementation Guide. It also requested a new Approved Message Code (548-6F) value.

Approval of proposed packet #WG010089 would result in the release of the Telecommunication Standard Implementation Guide Version FA.

Proposed NCPDP Standards Packet #WG010090
WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010090 for enhancements to the Benefit Integration Standard Implementation Guide.

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

• DERF 1924 which requested to sunset the data elements, Prefix and Suffix, in the Benefit Integration XML schema and the Data Dictionary.

Approval of proposed packet #WG010090 would result in the release of the Benefit Integration Standard Implementation Guide Version 18.

Proposed NCPDP Standards Packet #WG020013
WG02 Product Identifiers - Proposed NCPDP Standards Packet #WG020013 for enhancements to the Product Identifiers Standard Implementation Guide.

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

• DERF 1940 which requested updates to FAQ 7.5 How Do I Convert a GTIN12 OR GTIN14 to a UPC to Create an NCPDP 11-digit UPC Product Identifier? and Section 5.3 NATIONAL HEALTH RELATED ITEM CODE in the Product Identifiers Standard.

Approval of proposed packet # WG020013 would result in the release of the Product Identifiers Standard Implementation Guide Version 1.7.

Proposed NCPDP Standards Packet #WG070015
WG07 Manufacturer and Associated Trading Partner Transaction Standards - Proposed NCPDP Standards Packet #WG070015 for enhancements to the Manufacturer Rebate Standard Implementation Guide.

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

• DERF 1941 which requested a new version of the Manufacturer Rebate Standard, including multiple Record Types, to be identified as V07.05. The changes included enhancements for claim reversals, updates to field formats, addition of existing data elements to the RD/RS record types and sunsetting of Contracting Organization (PMO) Market Basket Code (601-64).

Approval of proposed packet #WG070015 would result in the release of the Manufacturer Rebate Standard Implementation Guide Version 07.05.

Proposed NCPDP Standards Packet #WG110092
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110092 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 001926 which requested to update format for PersonCode from “n1..3” to “an1..3” in the schemas for both SCRIPT/Specialized and Real-Time Prescription Benefit to match the Data Dictionary.
DERF 001927 which requested removal of the section PRESCRIBER AUTHORIZATION STATUS RESPONSE REASON CODES from the SCRIPT Implementation Guide.
• DERF 001930 which requested a revised definition of the DefaultNextQuestionID to provide better clarity of its intended use.
• DERF 001942 which requested section Quick Reference Structure be removed from the SCRIPT and Specialized Implementation Guides and Appendix A: Pictorial Transaction Flow from the SCRIPT Implementation Guide.
• DERF 001943 which requested to create a new composite called ScoreNameValueType which will contain the current elements of ScoreName and ScoreValue.
• DERF 001944 which requested a new MessageRequestCode value of PT be added to the allowed RxChangeRequest types, an additional Denial ReasonCode, and several new MessageRequestSubCode values.
• DERF 001946 which requested to update Section 12.6.2.1: For SCRIPT and Specialized Standards to remove reference to Denied New Rx To Follow which was sunset with Version 2017071.
• DERF 001947 which requested multiple changes to the schema following a review of the Medication segments in the SCRIPT standard.
• DERF 001948 which requested increasing the GroupName to 80 characters to align with Group field in X12.

Approval of proposed packet #WG110092 would result in the release of 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 #WG110093
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110093 for enhancements to the NCPDP Operating Rules for Formulary and Benefit Standard Implementation Guide.

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

• DERF 001945 which requested to update the Formulary and Benefit Operating Rules to align with Formulary and Benefit Standard Version 60.

Approval of proposed packet #WG110093 would result in enhancements to the NCPDP Operating Rules for Formulary and Benefit Standard Implementation Guide Version 11.

Proposed NCPDP Standards Packet #WGMC0012
WGMC Maintenance and Control - Proposed NCPDP Standards Packet #WGMC0012 for enhancements to the Real-Time Prescription Benefit Standard Implementation Guide.

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

• DERF 001926 which requested to update format for PersonCode from “n1..3” to “an1..3” in the schemas for both SCRIPT/Specialized and Real-Time Prescription Benefit to match the Data Dictionary.

Approval of proposed packet #WGMC0012 would result in the release of the Real-Time Prescription Benefit Standard Implementation Guide Version 14.