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, March 14, 2025, and closes Monday, April 28, 2025. 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 28, 2025. All explanatory comments submitted on "Object with Reason" and "Accept with Comments" will be reviewed at the next scheduled Joint Technical Work Group meeting, which will be held on May 4-5, 2025, in Scottsdale, AZ.

Proposed NCPDP Standards Packet #WG090019

Proposed NCPDP Standards Packet #WG090019
WG09 Government Programs - Proposed NCPDP Standards Packet #WG090019 for enhancements to the Medicaid Pharmacy Encounters Reporting Standard Implementation Guide.

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

  • DERF 002051 which requested modifications to the Medicaid Pharmacy Encounters Reporting Standard Implementation Guide, the Data Dictionary and the External Code List to support reporting of claim information for claims adjudicated in the Telecommunication Standard Version F6 format.

Approval of proposed packet #WG090019 would result in the release of the Medicaid Pharmacy Encounters Reporting Standard Implementation Guide Version 20.

Proposed NCPDP Standards Packet #WG110099

Proposed NCPDP Standards Packet #WG110099
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110099 for enhancements to the 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 002044 which requested to move the Extension from within the XML choice to after the choice within its parent sequence for the Header/Digital Signature in SCRIPT and Specialized.
  • DERF 002045 which requested to update/clarify RxTransfer sections of the SCRIPT Implementation Guide and schema.
  • DERF 002046 which requested Pharmacy and RxFillConfirmIndicator fields be added to NoteType for RxFill/Status Type/Transferred.
  • DERF 002047 which requested modifications to the SCRIPT Standard Implementation Guide to remove references to MeasurementUnitCode, an element previously sunset. Also requests to update the URL for the NCI NCPDP Terminology subsets.
  • DERF 002048 which requested to update the SCRIPT Standard Implementation Guide to provide clarity and the most up-to-date prior authorization information.
  • DERF 002052 which requested to modify, in the SCRIPT schema, the Patient and Prescriber elements in PANotification to be consistent with the other PA transactions and the NewRx transaction.

Approval of proposed packet #WG110099 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 #WG110100

Proposed NCPDP Standards Packet #WG110100
WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110100 for enhancements to the Formulary and Benefit Standard Implementation Guide.

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

  • DERF 002041 which requested to sunset Pharmacy ID (C36-9E) and create new field Pharmacy Chain Link for use in Formulary and Benefit Standard.
  • DERF 002042 which requested to update the Formulary & Benefit Standard Implementation Guide to clarify the use of Reason for Use Action (E90-ZN) in the Comments column.

Approval of proposed packet #WG110100 would result in the release of Formulary and Benefit Standard Implementation Guide Version 63.

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.

Non-Member Comments
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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