Focus of Initial Standards Testing

Standards

Description

Testing Requirements

Medication History (NCPDP SCRIPT)

Dispensed/Claims Hx fx of NCPDP SCRIPT

Determine readiness

Formulary & Benefit (NCPDP v.1.0)

Form status & alternative drugs, copay

Determine if should be adopted

Fill Status Notification (Fxn of NCPDP SCRIPT)

Informs when Rx filled, not filled or partially filled

Assess business value & clinical utility

Structured & Codified SIG

Patient instructions incl. dose, route, freq., etc.

Test standards develop- ment org formats

RxNorm Clinical Drug Terminology

Std drug nomenclature meant to be intralingua

Determine if RxNorm translates to NDC

Electronic Prior Authorization Messages

Provider request, payer response to PA criteria

Determine if standards are ready for adoption