Standards - Standards QUIC Form Resolutions

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z View New-Old Listing

200206

Colistin Sulfate Powder

http://url

QUIC FORM 200206 Colistin Sulfate Powder Resolution

This QUIC Form requested clarification on how to determine the estimated gram weight for the products. There was a motion that each would be defined as "One Each", effective as of 2nd Quarter of 2003 (April 1, 2003). The motion passed. This cannot be changed in the current standard but could be reflected in the next version.

200205

Bacitracin 5MMU Powder

http://url

QUIC FORM 200205 Bacitracin 5MMU Powder Resolution

This QUIC Form requested clarification on how to determine the estimated gram weight for the product. There was a motion that it should be defined as "One Each", effective as of 2nd Quarter of 2003 (April 1, 2003). The motion passed. This cannot be changed in the current standard but could be reflected in the next version.

200204

Copaxone

http://url

QUIC FORM 200204 Copaxone Resolution

Product contains 32 vials of Copaxone and a self-administration package, which includes 32 vials of sterile water, 32, 3 cc syringes, 32 Mixject Vial Adapters, 32 injection needles and 100 alcohol preps. Based on the NCPDP standard, these items are 1 kit. The question was raised as to whether standard of practice should influence the assignment of units of measure; i.e. how it is being dispensed. Clarification is needed on how the standard applies to a kit.

Motion was made to strictly apply the standard to the product and define Copaxone as a one EA kit. The standard will need to be amended in the future to better address the current business needs for defining unit of measure for this type of product. After additional discussion, the motion carried. A breakdown of the color-categorization of votes was taken.

200203

M.V.I. 12

http://url

QUIC FORM 200203 M.V.I. 12 Resolution

Product has 2, 5 ml. Vials and one vial with two chambers which are mixed before administration. NCPDP standard is not clear on listing of products. A standard definition for listing two vials that are mixed before administration is requested. Rule 2.2 will be applied and additional definition will be required in the Implementation Guide. Motion was passed to approve with recommendation of the WG that the billing unit for each of the NDC's should be "ml" and the change should be made at the quarter (July).

200202

Infuvite

http://url

QUIC FORM 200202 Infuvite Resolution

The Infuvite Pediatric consists of two vials to be mixed before administration. The NCPDP Billing Unit Standard does not specifically address two items under one NDC that are liquids. QUIC #200202 asks for clarification of how these should be listed and billed. Rule 2.2 will be applied and additional definition will be required in the Implementation Guide. Motion was passed to approve with recommendation of the WG that the billing unit for each of the NDC's should be "ml" and the change should be made at the quarter (July).

200101

Derma-Smoothe FS Atopic Pak

http://url

QUIC FORM 200101 Derma-Smoothe FS Atopic Pak Resolution

The QUIC form stated that FirstData Bank shows this product as a "kit" and therefore with a package size of 1 ea., but RedBook lists this product with a package size of 360ml. The question was raised as to how the pricing compendias notify pharmacies and their customers of changes. It was reported that they communicate with their customers. The suggestion was made to also communicate with the pharmacies. A motion was made to list the Derma-Smoothe FS Atopic Pak as a "1 ea". The motion was moved and seconded. The motion carried.

200004

Neupogen

http://url

QUIC FORM 200004 Neupogen Resolution

QUIC 200004 deals with the same issue as the previous QUIC form. NCPDP's standard is to round before calculating the quantity and First Health states that the quantity should be calculated first and then rounded, again they are abiding by the guidelines that HCFA gives with respect to billing most closely to what was actually dispensed. A motion was made to handle this the same as the previous QUIC form. (Apply the current standard). The motion was moved and seconded. The motion carried.

200003

Pulmozyme

http://url

QUIC FORM 200003 Pulmozyme Resolution

QUIC 200003 was submitted to clarify the rounding issue on a product with a liquid metric decimal. NCPDP's standard states that the rounding should be done before the calculation of the total quantity. But EDS requires that the rounding be done after calculating the quantity, which is the direction that HCFA recommends when billing product in the Medicaid Drug Rebate Program since it more closely aligns to the number that was actually dispensed. The goal is to develop a standard of rounding that will be used by all third party processors. Tom Bizzaro pointed out that NCPDP has no power to enforce all third party processors to use NCPDP's standard.

The group came to the same conclusion with this product as the others. Metric decimal is the best method to use because the bill would be based on the true amount used. A motion was made to apply the current standard as written. The motion was moved and seconded. The motion carried.

...