Public Review of Proposed NCPDP Standards Information

Public comments are solicited on proposed new standards and proposals to revise, reaffirm or withdraw approval of existing standards simultaneously with the NCPDP ballot period. The NCPDP Public Review of Proposed NCPDP Standards period opens on Friday, March 15, 2019 and closes Monday, April 29, 2019. Should you wish to submit an Official Public Comment, the Council must receive your Official Public Comment no later than 5:00 p.m. PDT/ 6:00 p.m. MDT/ 7:00 p.m. CDT/ 8:00 p.m. EDT on Monday, April 29, 2019. All explanatory comments submitted on "Object with Reason" and "Accept with Comments" will be reviewed at the next scheduled Joint Technical Work Group meeting, which will be held May 5 - 6, 2019 in Scottsdale, AZ. The proposed NCPDP standards packets are:

  1. Proposed NCPDP Standards Packet #WG010081

    WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010081 for enhancements to the Telecommunication Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERFs:

    • DERF 1637 which requested the deletion of the Purchaser Segment and the Service Provider Segment from the Telecommunication Standard which are used only in Controlled Substance Reporting transactions that were removed from Version EB of the Telecommunication Standard.
    • DERF 1662 which requested to increase the field size of Scheduled Prescription ID Number (454-EK) to x(30). This increase would accommodate California’s Health and Safety Code requirement that a uniquely serialized number is printed on prescription forms for controlled substances and other states that may implement unique prescription serialization.

    Approval of proposed packet #WG010081 would result in the release of the Telecommunication Standard Implementation Guide Version F5 .

  2. Proposed NCPDP Standards Packet #WG010082

    WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010082 for enhancements to the Post Adjudication Standard Implementation Guide, Prior Authorization Transfer Standard Implementation Guide and Uniform Healthcare Payer Data Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERF:

    • DERF 1642 which requested changes required in the Post Adjudication, Prior Authorization Transfer and Uniform Healthcare Payer Data Standards to support the communication and sharing of multiple universal patient identifiers from different enumerating entities on a single transaction.

    Approval of proposed packet #WG010082 would result in the release of the Post Adjudication Standard Implementation Guide Version 50, the Prior Authorization Transfer Standard Implementation Guide Version 24 and the Uniform Healthcare Payer Data Standard Implementation Guide Version 27

  3. Proposed NCPDP Standards Packet #WG010083

    WG01 Telecommunication - Proposed NCPDP Standards Packet #WG010083 for enhancements to the Benefit Integration Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERFs:

    • DERF 1649 which requested to change the format of TestMessage to xsd:boolean to be more human readable. This change requires sunset of TestMessage and its associated values within the ECL, as well as schema modifications.
    • DERF 1657 which requested to move the ReturnReceipt element from each individual message type to the Message/Header element to simplify the schema. Request requires sunset of ReturnReceipt and its associated values within the ECL, as well as modifications to the SCRIPT and XML Standard Implementation Guides, schema and the definition and format for ReturnReceipt.

    Approval of proposed packet #WG010083 would result in the release of the Benefit Integration Standard Implementation Guide Version 15

  4. Proposed NCPDP Standards Packet #WG070013

    WG07 Manufacturer and Associated Trading Partner Transaction Standards - Proposed NCPDP Standards Packet #WG070013 for enhancements to the Manufacturer Rebate Utilization, Plan, Formulary, Market Basket, and Reconciliation Flat File Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERFs:

    • DERF 1664 which requested the addition of two new data elements (Patient Eligibility Start Date and Patient Eligibility End Date) to the Manufacturer Rebate Standard 'UD' Record Type in support of one Outcomes Based Contracts (OBC) variety, adherence/persistence. The new fields would allow those Trading Partner agreements, where a patient's pharmaceutical therapy adherence or persistence is being measured, to perform metrics involving the use of the duration by the patient who is under the management of the Pharmacy Management Organization (PMO), or Payer.
    • DERF 1665 which requested the addition of a new Record Type (OD) transaction layout, within the 'Utilization' category, to provide a standardized approach to data exchange supporting Outcomes Based Contracts.
    Approval of proposed packet #WG070013 would result in the release of the Manufacturer Rebate Utilization, Plan, Formulary, Market Basket, And Reconciliation Flat File Standard Implementation Guide Version 07.03

  5. Proposed NCPDP Standards Packet #WG090012

    WG09 Government Programs - Proposed NCPDP Standards Packet #WG090012 for enhancements to the Prescription Drug Monitoring Programs (PDMP) Reporting Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERF:

    • DERF 1662 which requested to increase the field size of Scheduled Prescription ID Number (454-EK) to x(30). This increase would accommodate California’s Health and Safety Code requirement that a uniquely serialized number is printed on prescription forms for controlled substances and other states that may implement unique prescription serialization.

    Approval of proposed packet #WG090012 would result in the release of the Prescription Drug Monitoring Programs (PDMP) Reporting Standard Implementation Guide Version 11

  6. Proposed NCPDP Standards Packet #WG110081

    WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110081 for enhancements to the SCRIPT Standard Implementation Guide, Specialized Implementation Guide and XML Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERFs:

    • DERF 1624 which requested to add the Observation element to the REMS messages to allow the sending of lab values. (no DD or ECL changes)
    • DERF 1628 which requested updates to the XML Implementation Guide regarding Trace Number usage and to modify the definition of RelatesToMessageID.
    • DERF 1643 which requested to update the values for MIMEType to reflect the correct IANA definitions for JPEG, TIFF, and PNG image types and to add SCRIPT to the usage of this field.
    • DERF 1646 which requested to create a new patient identifier to be added to the Identification element in the patient composite in order to communicate and openly share the LexID UPI.
    • DERF 1647 which requested to change Consent from mandatory to situational on the RxHistoryResponse transaction. (no DD or ECL changes)
    • DERF 1649 which requested to change the format of TestMessage to xsd:boolean to be more human readable. This change requires sunset of TestMessage and its associated values within the ECL, as well as schema modifications.
    • DERF 1653 which requested to change the Quantity element within the Medication Prescribed element in a Resupply message from required to optional. (no DD or ECL changes)
    • DERF 1654 which requested to remove references to the specific Prescription Order messages within the SCRIPT Standard Implementation Guide to allow flexibility as elements are added or removed from various messages. (no DD or ECL changes)
    • DERF 1656 which requested to remove language on RxFill Prescriber Matching from the SCRIPT Standard Implementation Guide since prescriber systems can match RxFill messages from a variety of elements in patient and medication segments and do not need this language to support the use of this message. (no DD or ECL changes)
    • DERF 1657 which requested to move the ReturnReceipt element from each individual message type to the Message/Header element to simplify the schema. Request requires sunset of ReturnReceipt and its associated values within the ECL, as well as modifications to the SCRIPT and XML Standard Implementation Guides, schema and the definition and format for ReturnReceipt.
    • DERF 1658 which requested a new transaction type, Medication List, to facilitate the exchange of dispensed medication history data to an HIE or HIE type entity.
    • DERF 1659 which requested to correct schema errors to the composite PACommon, MedicationPrescribed, PADaysSupplyDosesPerDay to optional with one loop that can be populated with PADaysSupply and/OR PADosesPerDay. (no DD or ECL changes)
    • DERF 1660 which requested too add Preferred Name to the Name composite as some individuals do not go by or use their legal name and a preferred name may be an important part of their identity. (no DD or ECL changes)
    • DERF 1668 which requested to modify the SCRIPT Standard Implementation Guide to add a legend for field value usage in the Medication Elements and Refill Elements section and to correct the terminology of “Conditional” usage to “Situational” usage within the same section. (no DD or ECL changes)
    • DERF 1669 which requested to combine duplication sections on Resupply and Recertification with in the SCRIPT Standard Implementation Guide. This change requires a modification to the definition of AcknowledgementID and updates to the schema.
    • DERF 1670 which requested to remove the sentence Pharmacy A sends Pharmacy B the that Pharmacy A has now assigned to the transferred prescriptions in the Prescription Transfer Confirm Transaction section of the SCRIPT Standard Implementation Guide since it is not applicable. (no DD or ECL changes)
    • DERF 1672 which requested to correct the field incorrectly identified as RxFillRequestIndicator to RxFillIndicator in the RxTransferResponse message and Transfers section within the SCRIPT Standard Implementation Guide. (no DD or ECL changes)

    Approval of proposed packet #WG110081 would result in the release of the SCRIPT Standard Implementation Guide, Specialized Implementation Guide and XML Standard Implementation Guide, all to be known as Version 201x### (Version number to be assigned once Board approval is obtained.)

  7. Proposed NCPDP Standards Packet #WG180002

    WG18 Specialty Pharmacy - Proposed NCPDP Standards Packet #WG180002 for enhancements to the Specialty Pharmacy Data Reporting Standard Implementation Guide

    This proposed packet contains the following requests from the listed DERF:

    • DERF 1661 which requested additional occurrences of Patient ID Qualifier (331-CX) and Patient ID (332-CY) to support 9 iterations in Detail Record and Example 2 – Specialty Pharmacy Data Reporting Detail Record and to modify the Situation of Use for Patient ID (332-CY). These changes would support the communication and sharing of multiple universal patient identifiers from different enumerating entities on a single transaction.

    Approval of proposed packet #WG180002 would result in the release of the Specialty Pharmacy Data Reporting Standard Implementation Guide Version 12

For problems with the site please contact us at webmaster@ncpdp.org