Industry Best Practices

We are more than a just standards development organization – we are a problem-solving forum for the healthcare industry. Over the years, we have made numerous contributions to improving efficiencies and patient safety not only through our standards but also through industry guidance. Our industry guidance is traditionally published in the form of a white paper.

Industry guidance spans a variety of topics including: the use of the Quantity Prescribed to address Schedule II controlled substances; Medicaid Drug Rebate Program; Billing Guidance for Pharmacists' Professional and Patient Care Services; and Dates Associated with Pharmaceutical Products.

Some examples of our industry guidance include the following:

 
ADT White Paper

This white paper explores the significance of Admit, Discharge and Transfer (ADT) notifications for pharmacies, outlines the current landscape and provides education on how pharmacies may integrate into the ADT notification framework.

Million Dollar Claims White Paper

While NCPDP stands by the recommendation to bill million dollar pharmacy claims using the Universal Claim Form to remain HIPAA compliant, this document explores the two different electronic submission methods for million dollar or higher pharmacy claims and the various industry impacts potentially encountered by pharmacies, payers/processors and other entities.

 
 
SDOH Data White Paper

The purpose of this white paper is to highlight the current challenges in collection and exchange of SDOH in the pharmacy and being able to utilize timely and accurately the data to improve patient safety and outcomes.

Standardizing Dosing mL White Paper

This paper provides the healthcare industry, in particular the pharmacy sector, with historical and background information on the patient risks associated with the dosing of liquid medications and recommendations to mitigate those risks through best practices in prescription orders, prescription labeling and the provision of dosing devices.

 
 
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These and all of our guidance documents are developed using our multi-stakeholder, consensus building process – the same process we use to develop our industry standards. Join NCPDP and help shape the future of healthcare.

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