What is National Council for Prescription Drug Program (NCPDP) version D.0?
National Council for Prescription Drug Program (NCPDP) standard transactions are used for pharmacy drug claims. They were selected as part of the code set standard* under HIPAA for the retail pharmacy environment. NCPDP transactions use National Drug Codes* (NDC) and biologics. Medicare uses the NCPDP standard transactions when billing for durable medical equipment. Even though Medicare is upgrading to the new NCPDP version D.0 as part of this project, Highmark Medicare Services is not a Durable Medical Equipment Medicare Administrative Contractor (DMEMAC) and therefore, does not support NCPDP transactions. * An asterisk denotes a web site that is external to Highmark Medicare Services. These links will open in new browser windows.
Related Questions
- Where can I find the NCPDP (National Council of Prescription Drug Programs) guides? Does my organization need to buy them in order to be compliant?
- Where can Pharmacy providers find technical specifications for the National Council for Prescription Drug Programs (NCPDP) Version 5.1 format?
- What is NCPDP version D.0?
