The Ability for Pharmacy Benefit Payers to Communicate Formulary and Benefit Information to Prescribers Systems

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Type Standard Implementation/Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Implementation Specification
Final
Production
Rating 5
Yes
$
No
Limitations, Dependencies, and Preconditions for Consideration Applicable Security Patterns for Consideration
  • NCPDP Formulary and Benefits v3.0 does not provide real-time patient-level benefit information.
  • NCPDP is developing a Real Time Prescription Benefit standard that should be monitored as a potential emerging implementation specification.
  • Secure Communication – create a secure channel for client-to- serve and server-to-server communication.
  • Secure Message Router – securely route and enforce policy on inbound and outbound messages without interruption of delivery.
  • Authentication Enforcer – centralized authentication processes.
  • Authorization Enforcer – specifies access control policies.
  • Credential Tokenizer – encapsulate credentials as a security token for reuse (e.g.,  – SAML, Kerberos).
  • Assertion Builder – define processing logic for identity, authorization and attribute statements.
  • User Role – identifies the role asserted by the individual initiating the transaction.
  • Purpose of Use - Identifies the purpose for the transaction.

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  • The second bullet under Limitations, Dependencies, and Preconditions for Consideration should be modified to the following:
    • NCPDP is developing a Real Time Prescription Benefit standard that should be monitored as a potential emerging implementation specification.