Allows Pharmacy Benefit Payers to Communicate Formulary and Benefit Information to Prescriber Systems

NCPDP Comment

1. NCPDP recommends that ONC remove NCPDP Formulary and Benefit Standard Version(s) 53, 54 and 55.
2. NCPDP recommends that ONC remove the comment, “The NCPDP® WG18 Patient Consent task group is working on a solution for the exchange of patient consent information between providers,” from the Limitations, Dependencies and Preconditions for Consideration section. The WG18 Patient Consent Task Group has been disbanded.

Pharmacy HIT Collaborative (PHIT) comment

PHIT supports NCPDP’s recommendation to remove NCPDP Formulary and Benefit Standard Version(s) 53, 54, and 55.

NCPDP Comments

NCPDP recommends updating – NCPDP Formulary and Benefit Standard Version 53 to the following:

1. NCPDP Formulary and Benefit Standard Version 60

NCPDP Comments

For NCPDP Real-Time Prescriptions Benefit Standard, add “Version 12” to the Standard/Implementation Specification title.

NCPDP Comment

1. Remove existing NCPDP verbiage under “Limitations”.
2. Add the following:

Type-Implementation Specification

Standard Implementation/Specification- NCPDP Formulary and Benefit Standard, Implementation Guide, Version 53

Standards Process Maturity – Final

Implementation Maturity – Feedback requested

Adoption Level – Feedback requested

Federally required – No

Cost - $

Test Tool Availability – No

3. Modify the following:

Type-Implementation Specification

Standard Implementation/Specification- NCPDP Real Time Prescription Benefit Standard

Standards Process Maturity – Final

Implementation Maturity – Production

Adoption Level – 1

NCPDP Comment

NCPDP developed a Beta version of the Real Time Prescription Benefit Standard to be balloted in the Fall of 2019.

Real Time Prescription Benefit

The American Medical Association appreciates the opportunity to comment. Real-time Prescription Benefit (RTPB) is mentioned, however it is not linked nor actually named. We believe this section should be updated as RTPB now has a standard out for ballot.

NCPDP - Comment

• 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.