860330782 · AZ ↑ parent cluster ·
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NATIONAL COUNCIL FOR PRESCRIPTION

AZ · EIN 860330782 · $13.8M rev · infrastructure · advocacy · www.ncpdp.org
profile

The National Council for Prescription Drug Programs (NCPDP) is a forum for healthcare stakeholders to collaborate on challenges in healthcare data exchange, interoperability, and patient safety. It focuses on developing and promoting standards for pharmacy and healthcare, aiming to improve patient care and access to medications. The organization facilitates discussions on policy shifts, industry trends, and technological innovations within the healthcare sector.

activities · 34

what they do

direct service · 16
  • Develop and Maintain Pharmacy Standards Healthcare Provider & Supply Chain Identifier Systems
    Creates and maintains national standards for the real-time, electronic exchange of healthcare information, specifically focusing on prescribing, dispensing, monitoring, managing, and paying for medications and pharmacy services. This includes standards for electronic prescribing (SCRIPT Standard), real-time claims adjudication, eligibility and benefit verification, and medication history.
  • Develop and Maintain Pharmacy Standards Healthcare Provider & Supply Chain Identifier Systems
    Creates and maintains national standards for the real-time, electronic exchange of healthcare information, specifically focusing on prescribing, dispensing, monitoring, managing, and paying for medications and pharmacy services. These standards are developed through a collaborative consensus-building process and are referenced in federal legislation.
  • Develop and Standardize Administrative Processes Healthcare Provider & Supply Chain Identifier Systems
    Develops and standardizes administrative processes for the pharmacy sector, including the Manufacturing Rebate Standard to streamline Medicaid rebate processing and the Universal Claim Form to standardize pharmacy reimbursement processes.
  • Developing Tools and Solutions for Healthcare Operations Health Data Interoperability & Exchange
    Develops and provides various tools and solutions, including the Patient Experience Identifier for improved patient identification, a solution for processing electronic pharmacy claims for non-magnetic stripe cards, access to healthcare claims billing forms, and an API for dataQ and resQ tools, to help members operate more effectively and cost-efficiently.
  • Developing and Maintaining Healthcare Data Exchange Standards Healthcare Provider & Supply Chain Identifier Systems
    Creates and maintains national standards for the real-time, electronic exchange of healthcare information, particularly for prescribing, dispensing, monitoring, managing, and paying for medications and pharmacy services, through a collaborative consensus-building process involving 10 active work groups.
  • Facilitate Healthcare Data Exchange Solutions Health Data Interoperability & Exchange
    Provides solutions and tools to improve patient identification and interoperability (Patient Experience Identifier), process electronic pharmacy claims for non-magnetic stripe cards, access healthcare claims billing forms, and integrate NCPDP Standards Table Data into member applications via APIs.
  • Offer Certification Programs Certification Exam Administration
    Administers certification exams for individuals to become recognized experts in NCPDP standards, including the SCRIPT Standard and the Telecommunication Standard VF6, to support implementation and compliance.
  • Provide Access to Pharmacy Data and Tools Unique Device Identifier (UDI) Solutions
    Offers access to comprehensive pharmacy databases, prescriber data for millions of healthcare providers, and tools like the Patient Experience Identifier and solutions for electronic pharmacy claims processing, to support credentialing, regulatory compliance, claims processing, and data accuracy.
  • Provide Data Exchange Tools and Solutions Health Data Interoperability & Exchange
    Offers various tools and solutions for efficient healthcare data exchange, including access to standards and implementation guides, system-generated files for updating standards, a Patient Experience Identifier, solutions for electronic pharmacy claims processing, and APIs for data management tools.
  • Provide Legislative and Regulatory Tracking Legislative & Regulatory Tracking Service
    Offers a legislative and regulatory tracking program that monitors state and federal issues affecting pharmacy practice, providing members with daily updates, current reports, and direct consultation with policy analysts. This includes a weekly newsletter summarizing developments and customized online monitoring.
  • Provide Legislative and Regulatory Tracking Legislative & Regulatory Tracking Service
    Offers a legislative and regulatory tracking program that monitors state and federal issues affecting pharmacy practice, providing members with daily updates, current reports, and direct consultation with policy analysts. This includes a weekly newsletter summarizing developments and 24-hour online monitoring.
  • Provide Legislative and Regulatory Tracking Legislative & Regulatory Tracking Service
    Offers a legislative and regulatory tracking program for state and federal issues affecting pharmacy practice, providing members with daily updates, current reports, and direct consultation with policy analysts. This includes 24-hour access to customized online monitoring.
  • Provide Pharmacy and Prescriber Data Resources Healthcare Provider & Supply Chain Identifier Systems
    Offers comprehensive databases and resources for current pharmacy information, prescriber data (including 3.7 million prescribers), and cross-referenced identifiers for healthcare providers to support credentialing, regulatory compliance, claims processing, and accurate transaction routing.
  • Provide Pharmacy and Prescriber Data Resources Healthcare Provider & Supply Chain Identifier Systems
    Maintains and provides access to comprehensive pharmacy and prescriber databases, including cross-referenced identifiers for over 3.7 million prescribers, to support credentialing, regulatory compliance, claims processing, and accurate transaction routing.
  • Providing Legislative and Regulatory Tracking Services Legislative & Regulatory Tracking Service
    Offers a legislative and regulatory tracking program that provides members with daily updates, current reports, and direct consultation with policy analysts on state and federal issues affecting pharmacy practice, including 24-hour online monitoring of healthcare legislative and regulatory activity.
  • Providing Pharmacy and Prescriber Data Resources Healthcare Provider & Supply Chain Identifier Systems
    Offers access to a comprehensive pharmacy database, prescriber data for 3.7 million prescribers, and resources like HCIdea and dataQ Pharmacy Database to support credentialing, regulatory compliance, claims processing, and to improve pharmacy data accuracy.
advocacy · 4
  • Advocate for Policy and Best Practices
    Engages in advocacy efforts by advising regulatory agencies, participating in rule-making, educating legislators and policymakers, and publishing recommendations to improve patient safety (e.g., acetaminophen labeling, pediatric dosing) and address public health issues like the opioid epidemic.
  • Advocate for Policy and Best Practices
    Engages in advocacy efforts by advising regulatory agencies, participating in rule-making, educating legislators and policymakers, and publishing recommendations to improve patient safety and combat issues like the opioid epidemic.
  • Advocate for Policy and Best Practices
    Engages in advocacy efforts by advising regulatory agencies, participating in rule-making, educating legislators and policymakers, and publishing recommendations to influence policy, such as improving acetaminophen labeling, establishing milliliters as the standard for pediatric dosing, and enhancing Prescription Drug Monitoring Programs.
  • Advocating for Policy and Best Practices
    Engages in advocacy by publishing white papers that lead to improved labeling of acetaminophen-containing drugs and establishing milliliters as the standard unit for pediatric medication dosing, advising regulatory agencies, participating in rule-making, and educating legislators and policymakers on healthcare standards.
research · 4
  • Publish Research and Guidance
    Publishes white papers and guidance documents that provide industry insights, identify challenges, and offer recommendations on various pharmacy-related topics, including integrating into ADT frameworks, electronic claim submissions, social determinants of health data exchange, liquid medication dosing, and improving acetaminophen labeling.
  • Publish Research and Guidance Documents
    Publishes white papers and guidance documents that provide industry insights, identify challenges, and offer recommendations on various topics, including integrating pharmacies into ADT frameworks, electronic submission of high-value claims, collecting social determinants of health data, reducing liquid medication dosing risks, and improving acetaminophen labeling.
  • Publish Research and Guidance Documents
    Publishes white papers and guidance documents that provide industry insights, identify challenges, and offer recommendations on various pharmacy-related topics, including integrating into ADT frameworks, electronic submission of high-value claims, collecting SDOH data, reducing liquid medication dosing risks, and improving labeling of acetaminophen-containing drugs.
  • Publishing Research and Guidance Documents
    Produces white papers and guidance documents based on industry research and consensus-building, addressing topics such as integrating pharmacies into ADT frameworks, electronic submission of high-value pharmacy claims, challenges in collecting SDOH data, and best practices for liquid medication dosing to reduce patient risks.
capacity building · 10
  • Conduct Educational Programs and Training Real Estate Professional Certification & Training
    Offers educational programs, including an annual conference and webinars, and provides training to support member organizations in implementing standards and best practices. This also includes creating presentations to help users update standards and understand compliance.
  • Deliver Educational and Training Programs Real Estate Professional Certification & Training
    Provides educational programs, including an annual conference and webinars, and offers training to support member organizations in implementing standards and best practices, as well as presentations on compliance and credentials.
  • Facilitate Standards Development through Work Groups
    Operates 10 active work groups that are central to the collaborative development and voting on new standards for the pharmacy industry.
  • Maintain Provider Identification Systems Healthcare Provider & Supply Chain Identifier Systems
    Maintains a prescriber database with cross-referenced identifiers for over 2.5 million healthcare providers and established a national provider identification number system for pharmacies, used by various healthcare entities.
  • Offer Certification Programs Certification Exam Administration
    Administers certification exams for individuals to become recognized experts in NCPDP standards, including the SCRIPT Standard (V2023011 and V2017071) and the Telecommunication Standard VF6, to support implementation and compliance.
  • Offer Certification Programs Certification Exam Administration
    Administers certification exams for individuals to demonstrate expertise in NCPDP standards, including the SCRIPT Standard and the Telecommunication Standard VF6, to support implementation and adoption.
  • Offer Educational Programs and Training Real Estate Professional Certification & Training
    Provides educational programs, including an annual conference and webinars, and offers training to support member organizations in implementing standards and best practices, as well as presentations on compliance and data management.
  • Offering Certification Programs for Standards Certification Exam Administration
    Administers certification exams for individuals to become recognized experts in NCPDP standards, including the SCRIPT Standard V2023011 and the Telecommunication Standard VF6, with varying exam lengths for new and previously certified professionals.
  • Operate Work Groups for Standard Development
    Operates 10 active work groups that are central to the collaborative consensus-building process for developing and voting on new standards.
  • Providing Educational Programs and Training Real Estate Professional Certification & Training
    Offers educational programs, including an annual conference and webinars for members, and provides training to support member organizations in implementing standards and best practices, including presentations on updating standards and pharmacy compliance.
strategies · 35

how they think

Theories of action extracted from this org's own source material. Click any to see the full field of orgs running the same approach.

named programs · 10

what they call their work

CodeX REMS Use Case
Joint project with HL7 and FDA to streamline access to Risk Evaluation and Mitigation Strategy (REMS) drugs through data standards
CodeX REMS use case
A collaborative effort with HL7 to streamline patient access to REMS (Risk Evaluation and Mitigation Strategies) drugs.
Collabor8 Event
Event sponsored by PTI to foster collaboration and innovation in pharmacy technology and data standards
Collabor8 event
An event sponsored by PTI, related to streamlining REMS processes.
NCPDP_unscripted_
A podcast series featuring discussions with experts on innovations, policy shifts, and industry trends shaping healthcare, focusing on data exchange, interoperability, and patient safety.
NCPDP_unscripted_ Podcast
Interview series featuring industry leaders discussing healthcare data exchange, interoperability, policy, and innovation in pharmacy
Pharmacy HIT Collaborative
Initiative to integrate pharmacists into national health IT systems through data standards and EHR integration
Pharmacy Product Availability Pilot
Collaboration with the Assistant Secretary for Technology Policy (ASTP) to improve medication availability transparency for prescribers
colLAB Event
Collaborative innovation event focused on real-world use cases in pharmacy technology and standards development
colLAB event
An event focused on collaboration and innovation in the pharmacy landscape, exploring real-world use cases and the impact of AI and patient-centered standards.
relationships · 42

who they work with

  • Amazon Pharmacy Partner — Engages with Amazon Pharmacy executives to explore the digital future of pharmacy care.
  • American National Standards Institute Network — Accredited Standards Developer under ANSI.
  • Arrive Health Partner — Collaborates with Arrive Health on real-time benefit checks and data interoperability to improve medication access.
  • Assistant Secretary for Technology Policy (ASTP) Government — Collaborates with ASTP on the Pharmacy Product Availability Pilot to improve medication transparency.
  • CMS Government — Aligns with CMS regulations and standards, including SPAP/ADAP listings and ePrescribing compliance requirements.
  • CMS Government — CMS will adopt the SCRIPT Standard V2023011 effective January 1, 2028.
  • California Pharmacists Association Partner — Engages with the California Pharmacists Association to advance pharmacist provider status and expanded clinical roles in care delivery.
  • California Pharmacists Association Partner — Partners with the California Pharmacists Association to discuss expanded clinical roles for pharmacists and access to care.
  • Centers for Medicare and Medicaid Services Government — Government agency participating in NCPDP as a member and stakeholder in standards development.
  • CoverMyMeds Partner — Collaborates with CoverMyMeds professionals on advancing public health through pharmacy standards.
  • DoseSpot Partner — Engages with DoseSpot to discuss the evolution of ePrescribing and patient experience.
  • Experian Health Partner — Collaborates with Experian Health on patient record matching using NCPDP standards.
  • Experian Health Partner — Collaborates with Experian Health to develop the Patient Experience Identifier for patient identification in healthcare.
  • Experian Health Partner — Partnered to implement the Universal Patient Identifier (UPI) through a batch service integrated with NCPDP standards.
  • FDA Government — Collaborates with the FDA on streamlining patient access to REMS drugs through standards development.
  • FDA Government — Works with the FDA on streamlining REMS (Risk Evaluation and Mitigation Strategies) through collaborative initiatives.
  • First Databank Partner — Collaborates with First Databank on the evolution of e-prescribing and patient choice.
  • Food and Drug Administration Government — Government agency involved in NCPDP standards development, particularly related to REMS and drug safety.
  • GoodRx Partner — Hosts leaders from GoodRx to discuss bridging gaps in pharmacy and patient care through affordability and access.
  • GovHawk Partner — Provides the multi-state legislative and regulatory tracking tool for the RxReconn program.
  • HL7 Partner — Collaborates with HL7 on the CodeX REMS use case to improve patient access to REMS drugs.
  • HL7 Partner — Collaborates with HL7 on the CodeX REMS use case to streamline patient access to REMS drugs.
  • HL7 Partner — Supports integration of pharmacy systems with EHRs through alignment with HL7 EHR-S Functional Profile standards.
  • HSC - Health Standards Collaborative Network — Founded and collaborates with HSC to align healthcare standards and define a common information model.
  • Health Standards Collaborative Coalition — Member of the Health Standards Collaborative (formerly Standards Charter Organization) alongside other standards development organizations.
  • Horizon Government Affairs Partner — Contracts with NCPDP to enhance policy analysis, coverage, reporting, and tracking for the RxReconn program.
  • InfoWerks Data Services Partner — Collaborates with InfoWerks Data Services on REMS streamlining and standards development.
  • MGMA Partner — Engaged with MGMA leaders to inform them about the Real-Time Prescription Benefit Standard.
  • Monument Advocacy Partner — Features leaders from Monument Advocacy to discuss healthcare policy, prior authorization reform, and pharmacist provider status.
  • NABP Partner — Collaborated with NABP to maintain the pharmacy file and establish the NCPDP Pharmacy ID.
+ 12 more