The National Council for Prescription Drug Program (NCPDP) maintains standards for retail pharmacy.
The NCPDP Telecommunication Standard Implementation and the equivalent NCPDP Batch Standard Implementation define standards and business rules for retail pharmacy and supplier transactions, including:
- Retail Pharmacy Claims
- Retail Pharmacy Supplies and Professional Services
- Retail Pharmacy Eligibility
- Retail Pharmacy Prior Authorization
The NCPDP Medicaid Pharmacy Subrogation standard defines the specifications for the transmission of a claim from a Medicaid agency to a payer for the purpose of seeking reimbursement from the responsible health plan for a pharmacy claim the State has paid on behalf of a Medicaid recipient.
The SCRIPT standard defines the specifications for electronic prescribing (ePrescribing)