Public Review of Proposed NCPDP Standards Information

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 13, 2020 and closes Monday, April 27, 2020. 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 27, 2020. 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 3 - 4, 2020 in Scottsdale, AZ The proposed NCPDP standards packets are:

  1. Proposed NCPDP Standards Packet #WG090015

    Proposed NCPDP Standards Packet #WG090015
    WG09 Government Programs - Proposed NCPDP Standards Packet #WG090015 for enhancements to the Prescription Drug Monitoring Programs (PDMP) Reporting Standard Implementation Guide

    • DERF 1745 which requested to add a Diagnosis Segment to the PDMP Reporting Standard to meet state reporting requirements.
    Approval of proposed packet #WG090015 would result in the release of the Prescription Drug Monitoring Programs (PDMP) Reporting Standard Implementation Guide Version 13

  2. Proposed NCPDP Standards Packet #WG110084

    Proposed NCPDP Standards Packet #WG110084
    WG11 ePrescribing & Related Transactions - Proposed NCPDP Standards Packet #WG110084 for enhancements to the SCRIPT Standard Implementation Guide, Specialized Implementation Guide and XML Standard

    • DERF 1747 which requested to allow use of the in an RxChangeResponse where the response is an Approved or Approved with Changes to an RxChangeRequest with a MessageRequestCode of: P – Prior Authorization Required, G - Generic Substitution, T - Therapeutic Interchange/Substitution, D - DUE (Drug Use Evaluation), S - Script Clarification or OS - Out of Stock U - Prescriber Authorization.
    • DERF 1749 which requested to remove the documentation within the SCRIPT on the exchange of clinical information since the Specialized Standard already provides this information.
    • DERF 1751 which requested to remove the Census guidance in the SCRIPT Standard and to add verbiage to encourage the use of PatientLocation information for patients/residents in LTPAC Care Setting.
    • DERF 1752 which requested to change the name for the child and parent elements for some XML fields in which they are duplicated in order to allow easier parsing.
    • DERF 1756 which requested to change the Validated response type in RxChangeResponse to loop up to 10 times and to move the response elements (Date, Supervisor, Identification, & Specialty) under the ReasonCode tag.
    • DERF 1758 which requested to add Extensions to the SCRIPT, Specialized and XML standards to allow trading partners the flexibility to implement solutions in the absence of standard support within the NCPDP specifications.
    • DERF 1759 which requested to update the SCRIPT Implementation Guide section 8.6.3 Patient Demographics and Identification which still references the schema/version of SCRIPT that is outdated.
    • DERF 1761 which requested to remove invalid content from the NCPDP SCRIPT Implementation Guide related to the message: DrugAdministration.
    • DERF 1762 which requested to sunset the MTM transactions in the Specialized Standard and create Service Referral transactions in the SCRIPT Standard.
    • DERF 1767 which requested sunset of the StandardUniqueHealthPlanIdentifier field in the SCRIPT and Specialized Standards due to the Secretary of the Department of Health and Human Services (HHS) rescinding, effective December 27, 2019, the final rule 45 CFR Part 162 calling for the adopted standard unique health plan identifier (HPID) and the implementation specifications and requirements for its use.
    Approval of proposed packet #WG110084 would result in the release of the SCRIPT Standard Implementation Guide, Specialized Implementation Guide and XML Standard, all to be known as Version 2020xx# (Version number to be assigned once Board approval is obtained)

  3. Proposed NCPDP Standards Packet #WGMC0008

    Proposed NCPDP Standards Packet # WGMC0008
    WGMC Maintenance and Control - Proposed NCPDP Standards Packet #WGMC0008 for enhancements to the Real-Time Prescription Benefit Standard Implementation

    • DERF 1758 which requested to add Extensions to the RTPB standard to allow trading partners the flexibility to implement solutions in the absence of standard support within the NCPDP specifications.
    Approval of proposed packet #WGMC0008 would result in the release of the Real-Time Prescription Benefit Standard Implementation Guide Version 10

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