Ballot 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 Ballot period opens on Wednesday, September 6, 2017 and closes Thursday, October 12, 2017. 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 Thursday, October 12, 2017. 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 November 8-10, 2017 in Long Beach, CA.
  1. Ballot WG070011

    WG07 Manufacturer and Associated Trading Partner Transaction Standards - Data Maintenance Packet, Ballot WG070011, for enhancements to the Manufacturer Rebate Utilization, Plan, Formulary, Market Basket, and Reconciliation Flat File Standard Implementation Guide

    This ballot contains the following changes from the listed DERFs:

    • DERF 1389 which requested an update to the definition and associated values of Fill Number (403-D3) to reflect industry use. In order to appropriately apply the terms of subsequent fill and dispensing, additional changes to data elements and values are also requested.
    • DERF 1446 which requested new fields to be added to the Manufacturer Rebate Standard to:
      • Reintroduce diagnosis code information
      • Provide additional fields for formulary and benefit file cross reference to eliminate use of the formulary field to reference these additional files.
      • Provide utilization management indicators if formulary and benefit coverage files are not available or not a viable option
      • Indicate 340B discount
      • Provide more patient liability fields to provide detailed information on deductibles, tax, and copay/coinsurance
    • DERF 1505 which requested to modify the descriptions of values P, A, and R values and add two new values, N and C, with associated descriptions for Reconciliation Status Code (602-11). Additionally, updates for these values are to be made within the implementation guide.
    • DERF 1507 which requested to modify and add new values to Reconciliation Reason Code (602-10).
    • DERF 1528 which requested updates to the descriptions of the ECL values for 308-C8 Other Coverage Code.
    • DERF 1539 which requested clarification to version 07.02 (requested with DERF 1446) regarding the specific use of conditional data elements used to support a rebate invoice between trading partners as defined by contract terms.
    • DERF 1540 which requested Field 600-73 Formulary Benefit Design Type in the Manufacturer Rebate Standard Formulary Description File be changed from “required” to “conditional” and its use based on trading partner agreement.
    • DERF 1541 which requested modification to the definition of Reconciliation Error Description (Field 602-08) and revisions to the Manufacturer Rebate Standard to reflect this change.

    Note: The DERF requests in this ballot are intended to align the Manufacturer Rebate Utilization, Plan, Formulary, Market Basket, and Reconciliation Flat File Standard Implementation Guide to Version D.0 of the Telecommunication Standard Implementation Guide. Future DERFs will be submitted to align the Manufacturer Rebate Utilization, Plan, Formulary, Market Basket, and Reconciliation Flat File Standard Implementation Guide to Version F2 (or the next HIPAA-named version) of the Telecommunication Standard Implementation Guide.

    Approval of ballot WG070011 would result in the release of the Manufacturer Rebate Utilization, Plan, Formulary, Market Basket, and Reconciliation Flat File Standard Implementation Guide Version 07.02.

  2. Ballot WG070012

    WG07 Manufacturer and Associated Trading Partner Transaction Standards - Data Maintenance Packet, Ballot WG070012, for initial release of the Specialty Pharmacy Data Reporting Standard Implementation Guide

    This ballot contains the following changes from the listed DERF:

    • DERF 1542 which requested approval of the new NCPDP Specialty Pharmacy Data Reporting Standard Implementation Guide to standardize the data submitted by Specialty pharmacy to drug manufacturers/others to support programs and agreements between the parties.

    Approval of ballot WG070012 would result in the initial release of the Specialty Pharmacy Data Reporting Standard Implementation Guide Version 10.

  3. Ballot WG110077

    WG11 ePrescribing & Related Transactions - Data Maintenance Packet, Ballot WG110072, for enhancements to the SCRIPT Standard Implementation Guide, the Specialized Implementation Guide and the XML Standard

    This ballot contains the following changes from the listed DERFs:

    • DERF 1510 which requested to remove all references to the time zone element wherever it is used throughout the standard since all date and time elements are transmitted using UTC and to sunset TimeZoneDifferenceQuantity and TimeZoneIdentifier elements.
    • DERF 1511 which requested the modification of OrderGroupReason value IVTherapy to InjectableTherapy
    • DERF 1512 which requested to modify the values in the ECL to make them more human readable.
    • DERF 1513 which requested fields in SCRIPT using Boolean values be removed from the ECL.
    • DERF 1515 which requested the schema be updated to include a datatype of an1..35, the name changed to PriorAuthorizationNumber to match the ECL and modification of the annotation to match the definition for all medications for field PriorAuthorization.
    • DERF 1516 which requested a modification to the schema for DoseAdministration as well as the sunset of the element DoseCalculationClarifyingFreeText.
    • DERF 1517 which requested the removal from the ECL of values for fields determined to not have true codified lists. Some fields will only ever be populated with one value, while others would be populated with one value or left blank, depending on the situation. Additionally, fields whose values were not defined in the ecl.xsd would be added to the ecl.xsd.
    • DERF 1518 which requested, in regards to the appropriate use of product concept qualifiers and the expected timeline to sunset unacceptable quantity qualifiers, to replace the existing section 8.1.3.5 of the SCRIPT Implementation Guide with Section 14 of the Implementations Recommendations Document to ensure alignment between the two documents.
    • DERF 1520 which requested the removal of DiagnosisGeneral from the schema.
    • DERF 1537 which requested the addition of a new field MiddleInitial for use by Benefit Integration only. Additionally, a correction to the existing field MiddleInitial will be made to change the name to MiddleName (used by SCRIPT and Specialized) and remove the use by Benefit Integration. Note: For the SCRIPT and Specialized Standards, this DERF serves only as a correction to the Data Dictionary since the correct field name of MiddleName already exists within the schema and implementation guides. For Benefit Integration, the creation of a new field for MiddleInitial will be made within the ballot for Benefit Integration.)
    • DERF 1545 which requested a new option for . The only element will be the EffectiveDate. In addition, will be added to . In conjunction with this addition this DERF includes additional cleanup.
    • DERF 1546 which requested modification to the language in the SCRIPT Implementation Guide for QuantitySufficient.
    • DERF 1547 which requested a definition change to FollowUpRequest, the addition of its use in the RxHistoryRequest, RxTransferRequest, ClinicalInfoRequest, MTMServiceRequest and NewRxRequest messages and the removal of its use in the Recertification message.
    • DERF 1549 which requested updates to the Business Environment section of the SCRIPT and Specialized Implementation Guides to refer to more general terms regarding applicable laws and regulations rather than noting specifically State and Federal regulations.
    • DERF 1550 which requested clarification to the Numeric Representation section of the XML Implementation Guide.
    • DERF 1551 which requested to add PregnancyIndicator to SCRIPT.
    • DERF 1552 which requested to update verbiage in the SCRIPT Implementation Guide regarding use of the Narcotics Addiction DEA Number (NADEAN).
    • DERF 1555 which requested to change the annotation for the Pharmacy element in the schema for only the NewRx transaction to align with guidance published in a previous Implementation Guide.

    As of this ballot, the ecl.xsd has been separated from the SCRIPT/Specialized schema and will be used to create the SCRIPT/Specialized ecl.xsd. While the ecl.xsd will continue to be included in the zipped schema file for balloted items, it is not considered part of the ballot and is used ONLY to validate the schema. Ballot.

    Approval of ballot WG110077 would result in enhancements to the SCRIPT Standard Implementation Guide Version 2018xx#, the Specialized Implementation Guide Version 2018xx# and the XML Standard Version 2018xx#.

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