Obtain Standards
If you are a member and want to download the standards,
please visit "Download Standards" under the members section.
The cost to purchase the NCPDP Implementation Guides and Data Dictionaries is $650.00. With that price you also get an
NCPDP membership allowing you access to all standards updates, the member directory, work group meetings and numerous
other invaluable networking opportunities.
If you are not a member and would like to obtain access to the standards, please click on the link below to fill out a
membership application:
Membership Application Form
The Universal Claim Form may be purchased from Moore North America, Inc, an RR Donnelly company. Contact is Aura Lee Martinez. Toll Free (888) 665-2600 X 2913 Phone (602) 808-2913.
Email AuraLee.Martinez@rrd.com.
The "old" Universal Claim Form (aka "blue & white/version 3.2/2 part") will be available in limited supplies. This form may be referred to as "DAH 3-97" for the revision date or any of the previous names. We will monitor inventory to not have a surplus of the old forms 2003. The "version 5" Universal Claim Form is available and referred to as "DAH 2PT". The laser UCF is available and is referred to as "UCF L1".
For information about the use of the form for multi-ingredient compounds, click here.