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    RESOURCES - ePRESCRIBING


  



ePrescribing Industry Information

NCPDP Resources
Industry Resources
Vocabulary Resources
Industry Initiatives
White Papers, Reports
Federal Regulations and Information
Meaningful Use
EHR Incentive Program
Getting Involved

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.

See NCPDP Standards Matrix for reference of implementation guides to data dictionary and external code lists.

NCPDP has Task Groups actively involved in ePrescribing activities and problem solving. Task Groups meet via conference call and are open to any interested party, whether NCPDP member or not. Please consider someone from your organization joining the task groups.

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 - the NCPDP SCRIPT version 10.6 schema has been updated in 10/2012 and 12/2012. If implementing SCRIPT 10.6 in XML, please download the updated schema from Standards Download. Please see the SCRIPT Implementations Recommendations document for information on modifications

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 Spreadsheet
Drug Code Mapping Spreadsheet

The ABC’s of the SCRIPT Standard Town Hall Webinar

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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

NIST eRx Validator Google Group

Office of the National Coordinator for Health Information Technology (ONC) HealthIT.gov

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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. Roadmap

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.

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White Papers, Reports

Eprescribing Resources

Clinician’s Guide to e-Prescribing

Physician Practices, E-Prescribing 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)

E-Prescribing Best Practices

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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
   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


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Meaningful Use

Overview
Certification Programs
CMS MU link
HealthIT.gov

NIST Certification and Testing - In collaboration with ONC, the National Institute of Standards and Technology (NIST) has developed the functional and conformance testing requirements, test cases, and test tools to support the proposed Health IT Certification Programs.

Meaningful Use Stage 2: Quality Measure Value Sets from NLM - The National Library of Medicine (NLM) Value Set Authority Center (VSAC) provides downloadable access to all official versions of vocabulary Value Sets contained in Clinical Quality Measures that support Meaningful Use Stage 2. The value sets provide lists of the numerical values and individual names from standard vocabularies used to define the clinical concepts (e.g. diabetes, clinical visit) used in the quality measures. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License.

Meaningful Use Stage 1 and Stage 2 Core and Menu Objective information - Components of the Meaningful Use initiative including the 2014 Meaningful Use clinical quality measures (CQMs), their associated value sets, and the Meaningful Use Stage 2 Core and Menu Objectives are available on the Agency for Healthcare Research and Quality (AHRQ) USHIK website.

How to Get Involved

NCPDP's Work Groups
The Work Groups are the place where all of the electronic standards for transmission of pharmacy industry data are created and modified. The Work Groups meet quarterly to discuss issues critical to pharmacy industry standards.

    WG11 ePrescribing & Related Transactions develops standardized messages for prescribers, pharmacists, payers and/or other interested parties to exchange information.

    WG14 Long Term Care, in conjunction with the other Work Groups, guides and advises payers, processors, and providers of the long term care industry and institutional pharmacy programs and their agents on standards implementation, supports data processing initiatives, and provides design alternatives for standards used within the long term care industry.

Become a Member

NCPDP's Task Groups
The Work Groups, in order to complete work projects, will create Task Groups with appointed designated Task Group Leaders. Work by the Task Groups are accomplished between Joint Technical Work Group (JTWG) meetings via conference calls/emails and reported back to the controlling Work Group at the next JTWG meeting. Since Task Groups have no voting privileges, non-NCPDP members may participate and subject matter experts from companies are most welcome to join in the calls and in the creation of the work product. Task Group information

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