The Proper Use of the NCPDP™ Telecommunication Standard Version D.0 as it applies to the Implementation of Medicaid Reimbursement Methodologies Based on Actual Acquisition Cost (AAC) Plus a Professional Dispensing Fee
This white paper provides Medicaid agencies and fiscal agents guidance in implementing new acquisition cost based reimbursement rules for covered outpatient drugs. The paper presents common issues experienced to-date in implementing cost based reimbursement with professional dispensing fees. It highlights how to best utilize the NCPDP Telecommunication Standard Version D.0 and leverages best practices for various scenarios such as preferred brands for multisource generic situations and the proper use of the Dispense As Written (DAW)/Product Selection Code (408-D8) field values to inform pharmacies of formulary requirements.
Recommendations for Use of the NCPDP Telecommunication Standard to Prevent Use of Copayment Coupons by Medicare Part D Beneficiaries and Applicability to other Federal Programs
This paper provides recommendations for the best available long term solution to prevent the use of copayment coupons for drugs paid for by Medicare Part D.
- Date Published
- November 2016
NCPDP’s Recommendations for an Integrated, Interoperable Solution to Ensure Patient Safe Use of Controlled Substances
This latest update (2016) to NCPDP’s PDMP white paper includes an Executive Summary overview, and incorporates updates that address the Comprehensive Addiction and Recovery Act (CARA) enhancements for PDMPs and recent feedback from our EDvocacy efforts. NCPDP’s model solution leverages best practices and existing industry standards to enhance state PDMPs, support interoperability, provide real-time reporting and risk alerts, and access to data, giving providers information in a timely manner, across state lines and across pharmacies.