activities · 34
what they do
direct service · 16
- Develop and Maintain Pharmacy Standards Healthcare Provider & Supply Chain Identifier SystemsCreates 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 SystemsCreates 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 SystemsDevelops 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 & ExchangeDevelops 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 SystemsCreates 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 & ExchangeProvides 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 AdministrationAdministers 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) SolutionsOffers 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 & ExchangeOffers 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 ServiceOffers 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 ServiceOffers 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 ServiceOffers 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 SystemsOffers 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 SystemsMaintains 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 ServiceOffers 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 SystemsOffers 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 PracticesEngages 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 PracticesEngages 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 PracticesEngages 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 PracticesEngages 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 GuidancePublishes 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 DocumentsPublishes 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 DocumentsPublishes 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 DocumentsProduces 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 & TrainingOffers 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 & TrainingProvides 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 GroupsOperates 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 SystemsMaintains 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 AdministrationAdministers 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 AdministrationAdministers 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 & TrainingProvides 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 AdministrationAdministers 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 DevelopmentOperates 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 & TrainingOffers 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.
- Advancing Pharmacy Interoperability and Digital Health Integration pharmacy_interoperabilityThe organization promotes the adoption of standards and drives innovation in healthcare data exchange to advance pharmacy interoperability, care coordination, and the integration of pharmacists into the national health IT landscape through technology and data standards.
- Consensus-based Standards Development consensus_based_standards_developmentThe organization develops healthcare information exchange standards and industry guidance through a collaborative, consensus-building process involving diverse stakeholders. This approach ensures wide support, improves efficiency, and enhances patient safety by addressing challenges in healthcare data exchange and interoperability.
- Consensus-based Standards Development consensus_based_standards_developmentThe organization develops healthcare information exchange standards and industry guidance through a collaborative, consensus-building process involving diverse stakeholders. This approach ensures wide support, improves patient safety, and enhances efficiency in pharmacy services and healthcare data exchange.
- Consensus-based Standards Development consensus_based_standards_developmentThe organization develops healthcare information exchange standards and industry guidance through a collaborative, consensus-building process involving diverse stakeholders. This approach ensures wide support, improves patient safety, and enhances efficiency in pharmacy services and data exchange.
- Consensus-based Standards Development consensus-based_standards_developmentThe organization develops healthcare information standards and industry guidance through a collaborative, consensus-based process involving diverse stakeholders. This approach ensures wide support across competing entities, improves patient safety, and enhances efficiency in healthcare data exchange and pharmacy services.
- Data-Driven Healthcare Operations data_driven_healthcare_operationsThe organization emphasizes the use of accurate and complete data to support essential pharmacy operations, including credentialing, claims payments, and patient safety initiatives.
- Expert Dialogue Platform expert_dialogue_platformThe organization provides a platform for unscripted, expert-led discussions to explore innovations, policy shifts, and industry trends within healthcare, fostering knowledge exchange and thought leadership.
- Expert Dialogue and Industry Forum expert_dialogue_platformThe organization serves as a trusted forum for industry innovation and collaboration, facilitating unscripted, expert-led discussions to explore innovations, policy shifts, and industry trends in healthcare.
- Expert Dialogue and Innovation Platform expert_dialogue_platformThe organization provides a platform for unscripted, expert-led discussions to explore innovations, policy shifts, and industry trends in healthcare. This fosters a dynamic environment for knowledge exchange and collaborative problem-solving.
- Industry-Driven Data Solutions and Member Support industry_driven_innovationThe organization develops and delivers industry-created, cost-effective products and services, including data solutions, to improve data quality, operational efficiency, and support member organizations. This includes providing customizable access to standards data and using accurate data to support pharmacy operations.
- Industry-Driven Data Solutions and Operational Efficiency industry_driven_innovationThe organization develops and delivers industry-created, cost-effective data products and services to improve data quality, operational efficiency, and support member organizations. This includes using accurate and complete data for pharmacy operations, designing customizable data delivery, and implementing smarter systems to reduce waste.
- Industry-Driven Problem Solving and Innovation industry_driven_innovationThe organization serves as a forum for industry innovation and collaboration, bringing together diverse healthcare stakeholders to identify problems, develop solutions, and create cost-effective products and services. This approach aims to improve healthcare efficiencies, patient safety, and operational effectiveness for member organizations.
- Interoperability and Digital Health Integration pharmacy_interoperabilityThe organization promotes the adoption of standards and drives innovation in healthcare data exchange to advance pharmacy interoperability, care coordination, and the integration of pharmacy into the national health IT landscape. This includes developing electronic standards for various pharmacy-related processes and collaborating on use cases to streamline patient access to medications.
- Member-Centric Data Solutions and Support member_support_through_data_solutionsThe organization provides tailored data products, services, and legislative tracking to support member organizations' success, improve data quality, and enhance operational efficiency. This includes customizable access to standards data and expert analysis of legislative activity.
- Member-Informed Legislative and Data Support member_support_through_data_solutionsThe organization supports its members by tracking legislative and regulatory activity with expert analysis and providing customizable data products and services to improve data quality and operational efficiency.
- Member-Informed Legislative and Regulatory Tracking member-informed_legislative_trackingThe organization tracks state and federal legislative and regulatory activity using a member-informed, topic-based approach, combining automated tracking with expert analysis and personalized support to advocate for policy change.
- Organizational Excellence and Member Support organizational_excellence_and_sustainabilityThe organization strengthens its leadership and sustainability by leveraging internal expertise, improving governance, exploring new technologies like AI, and growing a diverse and engaged membership. It also offers premium, fee-based services exclusively to members as an add-on benefit.
- Organizational Excellence and Sustainability organizational_excellence_and_sustainabilityThe organization strengthens its leadership by leveraging internal expertise, improving board governance, exploring the role of AI, and growing a diverse and engaged membership. This approach focuses on internal capacity building and strategic foresight to ensure long-term effectiveness.
- Organizational Excellence and Sustainability organizational_excellence_and_sustainabilityThe organization strengthens its leadership and ensures sustainability by leveraging internal expertise, improving governance, exploring emerging technologies like AI, and fostering a diverse and engaged membership.
- Patient-Centered Pharmacy Experience patient_centered_prescribingThe organization focuses on enabling prescription portability and reducing systemic barriers to create a more equitable and consumer-friendly pharmacy experience, while also improving pharmacy efficiency and reducing waste through innovative systems.
- Patient-Centered Pharmacy Experience patient-centered_prescribingThe organization focuses on enabling prescription portability and reducing systemic barriers to create a more equitable and consumer-friendly pharmacy experience, with an emphasis on patient-centered prescribing.
- Patient-Centered Prescribing and Pharmacy Efficiency patient_centered_prescribingThe organization focuses on enabling prescription portability, reducing systemic barriers for a more equitable consumer experience, and implementing smarter systems to improve pharmacy efficiency and reduce waste through innovative reuse and reverse distribution models.
- Patient-Centered Prescribing and Sustainable Pharmacy Operations patient_centered_prescribingThe organization focuses on enabling prescription portability and reducing systemic barriers to create a more equitable and consumer-friendly pharmacy experience. It also implements smarter systems to improve pharmacy efficiency and reduce waste through innovative reuse and reverse distribution models.
- Pharmacy Interoperability and Digital Health Integration pharmacy_interoperabilityThe organization advances pharmacy's role in digital healthcare by promoting the adoption of standards and driving innovation in healthcare data exchange. This includes integrating pharmacists into the national health IT landscape, developing electronic standards for medication management, and streamlining patient access to medications through standards-based interoperability.
- Pharmacy Interoperability and Digital Health Integration pharmacy_interoperabilityThe organization promotes the adoption of standards and drives innovation in healthcare data exchange to advance pharmacy interoperability and care coordination. This includes integrating pharmacists into the national health IT landscape through technology and data standards, and developing electronic standards to support medication management and patient education.
- Problem-Solving Forum and Collaborative Innovation collaborative_problem_solvingThe organization acts as a forum for industry innovation and collaboration, bringing together diverse healthcare stakeholders to identify problems, develop solutions, and create cost-effective products and services that improve healthcare efficiencies, patient safety, and data quality.
- Professional Certification for Standards Mastery standards_based_certificationThe organization designs certification programs to help healthcare professionals achieve and demonstrate proficiency in specific NCPDP standards. This mechanism uses certification to validate knowledge and promote accurate implementation of these standards.
- Professional Certification for Standards Mastery professional_certification_for_standards_masteryThe organization uses certification programs as a mechanism to validate knowledge and promote accurate implementation of its standards, helping healthcare professionals achieve and demonstrate proficiency in specific NCPDP standards.
- Professional Certification for Standards Mastery standards_based_certificationThe organization designs certification programs to validate knowledge and promote accurate implementation of its standards, helping healthcare professionals achieve and demonstrate proficiency in specific NCPDP standards.
- Professional Certification for Standards Mastery professional_certification_for_standards_masteryThe organization designs and implements certification programs to validate knowledge and promote accurate implementation of its standards, helping healthcare professionals achieve and demonstrate proficiency in specific NCPDP standards.
- Standards Version Alignment standards_version_alignmentThe organization ensures consistency and accuracy in the implementation of its standards by aligning NCPDP Standards versions with corresponding Data Dictionary versions.
- Standards-Based Policy Advocacy standards_based_facilitator_modelThe organization advocates for policy change by educating policymakers and industry leaders, utilizing a standards-based facilitator model, particularly for Prescription Drug Monitoring Programs.
- Targeted Industry Guidance targeted_industry_guidanceThe organization develops specific industry guidance on critical pharmacy-related topics to address challenges and improve practices, such as controlled substance prescribing, Medicaid drug rebates, and billing for pharmacist services.
- Targeted Industry Guidance Development targeted_industry_guidanceThe organization develops specific industry guidance on critical pharmacy-related topics such as controlled substance prescribing, Medicaid drug rebates, billing for pharmacist services, and pharmaceutical product dates.
- Targeted Industry Guidance and Policy Advocacy targeted_industry_guidanceThe organization develops specific industry guidance on pharmacy-related topics and advocates for policy change through education of policymakers. This includes tracking legislative activity and using a standards-based facilitator model for policy initiatives.
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