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CMS Regulations & Guidance Versions 5010 and D.0: D.0 Resources

Guidance for pharmacy and suppliers on the NCPDP Version D.0.

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 12, 2012

This page is dedicated to information and resources regarding the NCPDP Version D.0 for pharmacy and supplier transactions. 

The NCPDP Strategic National Implementation Process (SNIP) has created an important white paper to assist the pharmacy industry in preparing for the implementation of this transaction.  The white paper can be accessed under "Related Links Outside CMS" at the bottom of the page.

The NCPDP SNIP Committee has also developed guidance to be used in filling out and creating payer sheets based on Version D.0 and above. Payer Sheets may be used in addition to provider manuals or included in provider manuals. Payers may take the request and response template sections within the guidance document, fill out the template per their usage, and send to their trading partners. The guidance also provides instructional sections to assist the payers in completing their payer sheets.  The Payer Sheet Template for Version D.0 can be accessed under "Related Links Outside CMS" at the bottom of the page. 

Payer Sheets for Medicaid Subrogation are forthcoming

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.