NCPDP History and Impact

For over 40 years, NCPDP has led a transformation in the pharmacy services sector by creating and promoting standards for electronic healthcare transactions. Our collaborative, consensus-building process has produced operational efficiencies that save $30 billion annually in healthcare costs, while increasing the safety and quality of patient care.

NCPDP and the pharmacy industry have developed solutions to problems that continue to challenge the rest of healthcare. These include real-time claims adjudication, eligibility and benefit verification, real-time ordering by the physician, and sharing of medication history. The lessons we have learned can be valuable to other healthcare sectors.

NCPDP Milestones

  • 2016. NCPDP’s impact on dental concludes after NDEDIC’s successful adoption of work group structure modeled after that of NCPDP, and the publication of 2 dental industry guides.

  • 2013. National Dental EDI Council signs agreement to become an NCPDP affiliate, marking NCPDP’s expanded reach into dental segment of healthcare. The affiliation concluded August 2016.

  • 2012. NCPDP Foundation is established to fund research and education that helps advance NCPDP’s mission.

  • 2012. NCPDP engages Washington DC-based government and public affairs firm to intensify our commitment to public policy.

  • 2011. NCPDP’s white paper, “Recommendations for Improved Prescription Container Labels for Medicines Containing Acetaminophen” prompts industry change to safeguard consumer health.

  • 2011. Organizations industry-wide transition to Telecommunication Standard vD.0 as required by HIPAA.

  • 2011. NCPDP announces dataQ® 3.0. This new and improved web-based, pharmacy database solution.

  • 2010. NCVHS recommends NCPDP be named operating rules entity for retail pharmacy-related eligibility transactions.

  • 2010. Department of Health and Human Services (HHS) names NCPDP’s SCRIPT Standard for ePrescribing a core requirement for achieving meaningful use of electronic health records.

  • 2009. NCPDP announces the formation of the Standards Charter Organization (SCO), a collaboration of Standards Development Organizations (SDO) including HL7, X12, HITSP and other stakeholders.

  • 2008. HHS approves adoption of SCRIPT Standard v10.5 for voluntary use in the long-term care environment.

  • 2008. SCRIPT Standard v8.1 and Formulary and Benefit Standard v1.0 named in CMS Final Rule for ePrescribing under MMA.

  • 2008. NCPDP launches dataQ®, a web-based, database solution that provides up-to-date and in-depth pharmacy information.

  • 2008. Telecommunication, Batch and Medicaid Subrogation Standards named in HIPAA Final Rule by HHS.

  • 2007. Work Group 16 created to focus on Property and Casualty/Workers’ Compensation.

  • 2007. NCPDP celebrated the 30 year anniversary of the organization.

  • 2006. CMS certifies NCPDP as an Electronic File Interchange Organization (EFIO), enabling NCPDP to submit and maintain applications on behalf of consenting pharmacies to obtain their National Provider Identifier (NPI) numbers.

  • 2005. CMS names SCRIPT Standard v5.0 and Telecommunication Standard v5.1 in Final Rule for ePrescribing under MMA legislation.

  • 2005. Work Group 14 created to focus on implementation of NCPDP standards in long-term post acute care settings.

  • 2005. NCPDP and HL7 complete a standards coordination project, mapping the SCRIPT Standard to the HL7 Standard to facilitate ePrescribing messages.

  • 2004. NCPDP named in Medicare Prescription Drug Act.

  • 2002. NCPDP celebrated the 25th Anniversary of the organization.

  • 2001. NCPDP facility opens in Scottsdale, AZ.

  • 2000. Telecommunication Standard v5.1 named the official standard for pharmacy claims in HIPAA.

  • 1997. First NCPDP Educational Forum held in San Francisco.

  • 1996. NCPDP application for accreditation is approved by ANSI.

  • 1996. NCPDP named in HIPAA legislation.

  • 1993. NCPDP creates and adopts an expanded and revised list of Dispense As Written (DAW) codes for practicing pharmacists.

  • 1977. NCPDP is incorporated and signs agreement with NABP to maintain pharmacy file creating NCPDP Pharmacy ID, which NCPDP now owns.

  • 1976. Drug Ad Hoc Committee, which later became NCPDP, creates Universal Claim Form for pharmacy.

NCPDP-Elite Partner

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NCPDP’s Elite Partner Program establishes the highest level of sustained support for the valuable work of NCPDP in advancing patient safety and interoperability.

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