ePrescribing Industry Information NCPDP Resources+- ePrescribing Fact Sheet This document contains general information about electronic prescribing, who is involved in electronic prescribing, standards, reference material from the industry. NCPDP ePrescribing Standards 101 This presentation contains information about the standards used in electronic prescribing and how to get started with the standards. Overview of Prior Authorization SCRIPT Transactions See NCPDP Standards Matrix for reference of implementation guides to data dictionary and external code lists. NCPDP SCRIPT Implementations Recommendations This document provides recommendations expected to be followed by the industry for consistent and complete prescription transactions of the NCPDP SCRIPT Standard. As the electronic prescribing industry has matured, more robust requirements have been added to the transaction standards. It is recommended that a transaction that does not follow the recommendations be rejected as incomplete. These recommendations will be brought forward and it is anticipated that they will be reflected in future versions of the SCRIPT Standard. These recommendations provide a bridge to the future versions. This document contains questions, clarifications, and corrections. This document is updated as often as quarterly. Important Information - NCPDP SCRIPT 2013101 schema has been updated 11/2013 to correct a typographical error in an ePA element. Please see the Modifications to this Document section of SCRIPT Implementation Recommendations v1.22 document for the information. Information on the use of NCI Codes in ePrescribing NCPDP Activities on Prior Authorization in ePrescribing Recommendations for Specific Code Sets Mapping from SCRIPT v8.1 to 10.6 An NCPDP task group was convened to review mapping for the FMT codes and Provider Specialty Codes between SCRIPT version 8.1 and 10.6 implementation, to have consistent industry rules on the mapping of these code sets. The spreadsheets were approved in February 2012. They are only intended to be used by entities (such as intermediary/switch) that need to map these codes between SCRIPT 8.1 and 10.6 transactions on behalf of someone (such as a customer). Other entities will use the code sets from their compendia files. Provider Specialty SpreadsheetDrug Code Mapping Spreadsheet Industry Resources+- Agency for Healthcare Research and Quality (AHRQ) Resources CMS ePrescribing Resources (also check CMS Frequently Asked Questions) ePrescribing Toolkits eHI Resources for Payers, Consumers Learn About Electronic Prescriptions Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) incentive program for electronic prescribers NIST E-prescription Validator Tool Office of the National Coordinator for Health Information Technology (ONC) HealthIT.gov Vocabulary Resources+- NCI Subsets Subset files include (but are not limited to): Drug StrengthForm, StrengthUnitOfMeasure, QuantityUnitOfMeasure, DEASchedule, and MeasurementUnitCode Terminology. The files can be downloaded from http://evs.nci.nih.gov/ftp1/NCPDP/ or http://evs.nci.nih.gov/ftp1/NCPDP/About.html RxNorm Information Systematized Nomenclature of Medicine Clinical Terms® (SNOMED CT) IHTSDO Link NLM Link Industry Initiatives+- Pharmacy e-Health Information Technology Collaborative – To assure the meaningful use of standardized electronic health records (EHR) that supports safe, efficient, and effective medication use, continuity of care, and provide access to the patient-care services of pharmacists with other members of the interdisciplinary patient care team. To assure the pharmacist’s role of providing patient-care services are integrated into the National HIT interoperable framework. The Roadmap for Pharmacy Health Information Technology Integration in U.S. Health Care. The National ePrescribing Patient Safety Initiative (NEPSI) is a joint project of dedicated organizations that each play a unique role in resolving the current crisis in preventable medication errors. The Center for Improving Medication Management is a collaborative forum that establishes project specific priorities to demonstrate the value of pharmacy interoperability with both patients and physicians for the purpose of improving the medication management process. White Papers, Reports+- ePrescribing Resources Physician Practices, ePrescribing and Accessing Information to Improve Prescribing Decisions Report March 2012 California Healthcare Foundation Issue Brief The Evolving Landscape for Electronic Prescribing of Controlled Substances (EPCS) ePrescribing Best Practices Federal Regulations and Information+- DEA and ePrescribing ePrescribing Interim Final Rule (IFR) March 31, 2010 NCPDP's Response to IFR NCPDP's response to the proposed rule issued in June 2008 DEA guidance DEA Policy on Authorized Agent of a Practitioner CMS ePrescribing Standards SCRIPT 2013 Formulary and Benefit 3.0 - Proposed rule to retire NCPDP Formulary and Benefits 1.0, effective July 1, 2014, and to propose the adoption of NCPDP Formulary and Benefits 3.0 as the official Part D eprescribing standard, effective July 1, 2014. NCPDP Response to NPRM. 2012 ePrescribing Versions - Retire NCPDP SCRIPT 8.1 and adopt NCPDP SCRIPT 10.6 effective November 1, 2013, November 1, 2014 as the expiration of the LTC exemption. Due to administrative error, NCPDP Formulary and Benefits Version 1.0 was not moved to Version 3.0 in this reg. HHS will issue future rulemaking to correct. Industry Recommendations - NCPDP Formulary and Benefit Standard Version 3.0 by July 1, 2014 and sunsetting NCPDP SCRIPT Version 8.1 by October 31, 2013. 05/2013 The industry recommended due to the administrative error, pushing the Formulary and Benefit Standard Version 3.0 required date one year, to July 1, 2015. Retire SCRIPT 8.1/Lift LTC exemption/Formulary and Benefit 3.0 NPRM July 30, 2012. 2010 ePrescribing Interim Final Rule (IFR) July 1, 2010 – SCRIPT 10.6 use July 1, 2010. NCPDP Response to IFR 2008 Final Rule naming F&B 1.0, SCRIPT 8.1, NPI effective April 1, 2009. Recommendation Letter for SCRIPT Standard Implementation Guide Version 10.6 by January 2010. 2005 Final Rule naming foundational eprescribing standards November 1, 2005. Proposed Rule Naming Foundational Standards February 4, 2005. NCPDP's Response to the NPRM. Formulary and Benefit 2012 Industry Recommendations - The industry recommended moving to NCPDP Formulary and Benefit Standard Version 3.0 by July 1, 2014. The industry recommended sunsetting NCPDP SCRIPT Version 8.1 by October 31, 2013. Retire SCRIPT 8.1/Lift LTC exemption/Formulary and Benefit 3.0 NPRM July 30, 2012. 2008 Final Rule naming F&B 1.0, SCRIPT 8.1, NPI effective April 1, 2009.