Allows a Pharmacy to Notify a Prescriber of Prescription Fill Status

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	NCPDP SCRIPT Standard, Implementation Guide, Version 2017071	Final	Production		Yes	$	Yes
Implementation Specification	NCPDP SCRIPT Standard, Implementation Guide, Version 2023011	Final	Feedback requested	Feedback Requested	Yes

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
Please refer to CMS.gov for more information regarding Medicare Part D electronic prescribing requirements and sign up to receive the latest announcements. The following transactions need to be implemented for interoperability purposes: NCPDP SCRIPT 2017071 - RxFill: sent from a pharmacy to a prescriber or long-term or post-acute care (LTPAC) facility indicating the FillStatus (dispensed, partially dispensed, not dispensed or returned to stock, transferred to another pharmacy) of the new, refill or resupply prescriptions for a patent. RxFillIndicator: Informs the pharmacy of the prescriber’s intent for fill status notifications for a specific patient/medication. RxFillIndicatorChange: Sent by the prescriber to the pharmacy to indicate that the prescriber is changing the types of RxFill transactions that were previously requested, where the prescriber may modify the fill status of transactions previously selected or cancel future RxFill transactions. When transferring a prescription, the RxFillRequestIndicator should be passed to the new pharmacy as part of the prescription information. If it supports the RxFill transaction, the pharmacy to which the prescription was transferred is responsible to send the appropriate Physician RxFill Request Flag with each subsequent dispensing event. The prescriber must electronically send the prescription via the NCPDP SCRIPT standard in order for the prescriber’s system to receive RxFill transactions and ensures the correct matching between the original prescription and the subsequent RxFill transactions. Adoption of RxFill may be improved by allowing prescribers to specify which prescriptions are to receive RxFill transactions and which RxFill message types to receive. Additionally, prescribers may choose to receive RxFill transactions for patients receiving certain medications. EMRs may also provide additional capabilities to support RxFill message handling and prescriber preferred notifications that may provide process improvements such as limiting the number of transactions received, the cost of transactions, privacy concerns and information overload. Both the pharmacy and the prescriber must have their systems configured for the transaction in order to facilitate successful exchange, including the ability to send or receive verify, status, or error transactions.	Secure Communication – Create a secure channel for client-to- server 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.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

Please refer to CMS.gov for more information regarding Medicare Part D electronic prescribing requirements and sign up to receive the latest announcements.
The following transactions need to be implemented for interoperability purposes:
- NCPDP SCRIPT 2017071 -
  - RxFill: sent from a pharmacy to a prescriber or long-term or post-acute care (LTPAC) facility indicating the FillStatus (dispensed, partially dispensed, not dispensed or returned to stock, transferred to another pharmacy) of the new, refill or resupply prescriptions for a patent.
  - RxFillIndicator: Informs the pharmacy of the prescriber’s intent for fill status notifications for a specific patient/medication.
  - RxFillIndicatorChange: Sent by the prescriber to the pharmacy to indicate that the prescriber is changing the types of RxFill transactions that were previously requested, where the prescriber may modify the fill status of transactions previously selected or cancel future RxFill transactions.
  - When transferring a prescription, the RxFillRequestIndicator should be passed to the new pharmacy as part of the prescription information. If it supports the RxFill transaction, the pharmacy to which the prescription was transferred is responsible to send the appropriate Physician RxFill Request Flag with each subsequent dispensing event.
The prescriber must electronically send the prescription via the NCPDP SCRIPT standard in order for the prescriber’s system to receive RxFill transactions and ensures the correct matching between the original prescription and the subsequent RxFill transactions.
Adoption of RxFill may be improved by allowing prescribers to specify which prescriptions are to receive RxFill transactions and which RxFill message types to receive. Additionally, prescribers may choose to receive RxFill transactions for patients receiving certain medications. EMRs may also provide additional capabilities to support RxFill message handling and prescriber preferred notifications that may provide process improvements such as limiting the number of transactions received, the cost of transactions, privacy concerns and information overload.
Both the pharmacy and the prescriber must have their systems configured for the transaction in order to facilitate successful exchange, including the ability to send or receive verify, status, or error transactions.

Secure Communication – Create a secure channel for client-to- server 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.

Comment

Submitted by pwilson@ncpdp.org on 2017-11-20

NCPDP - Comments on Version 10.6

The adoption level should be modified to a 2.