Pharmacy

The date on which payment was issued for a pharmacy claim associated with a specific National Drug Code. Used in pharmacy benefit management and claims systems to track reimbursement timing, reconcile payments to dispensing pharmacies, and support financial reporting and auditing.

The hierarchical parent record associated with a National Drug Code, linking a specific drug package NDC to its product-level or drug group classification. Used in drug reference databases and formulary systems to organize NDC records within a structured product labeling hierarchy.

A percentage value associated with a National Drug Code record, such as a discount rate, reimbursement percentage, generic substitution rate, or ingredient cost ratio. Used in pharmacy benefit management and drug pricing systems to calculate payment amounts and formulary cost-sharing obligations.

The defined time interval associated with a National Drug Code record, such as a drug's effective coverage period, days supply window, or formulary inclusion duration. Used in pharmacy benefit management systems to establish the valid timeframe for drug pricing, reimbursement, and formulary eligibility rules.

The telephone number of a contact associated with a National Drug Code record, such as a drug manufacturer, wholesaler, or pharmacy liaison. Used in pharmaceutical data management systems to support communication regarding drug availability, recalls, or formulary inquiries related to a specific drug product.

The pharmacy benefit plan or formulary tier associated with a National Drug Code, indicating which health plan covers the drug and under what terms. Used in pharmacy benefit management systems to link specific drug products to coverage rules, copay tiers, prior authorization requirements, and reimbursement schedules.

The insurance policy identifier linked to a pharmacy claim or coverage record associated with a National Drug Code. Used in pharmacy benefit management and claims adjudication systems to connect a drug dispensing event to the member's specific health plan policy for reimbursement and eligibility verification.

The preferred or standardized display name designated for a National Drug Code, used when multiple naming conventions exist for the same drug product. Used in pharmacy systems, formulary tools, and drug reference databases to ensure consistent drug identification across clinical and administrative workflows.

The cost value assigned to a drug identified by its National Drug Code, representing the drug's reimbursement price, wholesale acquisition cost, or negotiated rate. Used in pharmacy benefit management, claims adjudication, and formulary systems to calculate ingredient cost, member cost-sharing, and pharmacy reimbursement amounts.

A flag designating whether a National Drug Code is the primary or preferred NDC for a given drug product among multiple equivalent package codes. Used in pharmacy benefit management and drug reference systems to direct claims processing, formulary lookups, and drug substitution logic to the designated primary NDC record.

Indicates the processing precedence assigned to a National Drug Code in pharmacy adjudication or formulary management workflows. Used to determine which NDC-level pricing, coverage, or substitution rule applies when multiple NDC records exist for the same drug product.

The heart rate value for a national drug code. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for ndc management and reporting.

The numeric field ndc_qty representing the dispensed quantity of a medication expressed in the NDC-defined unit of measure, such as tablets, milliliters, or grams, within pharmacy claims and PBM adjudication records. This field is used in drug utilization calculations, days-supply validation, cost-per-unit analytics, and rebate eligibility determination in NCPDP D.0 claim processing workflows.

Captures the racial or ethnic demographic associated with a patient encounter or clinical study record linked to a specific National Drug Code. Used in pharmacy analytics and population health reporting to evaluate drug utilization patterns and outcomes across demographic groups.

Defines the valid span of National Drug Code values within a formulary tier, pricing table, or drug grouping rule. Used in pharmacy benefit management systems to apply coverage policies or reimbursement rates across a defined set of NDC identifiers for a drug product.

Specifies the reimbursement or billing rate associated with a National Drug Code, representing the price per unit at which a drug is paid under a pharmacy claim or contract. Used in pharmacy adjudication and drug pricing tables to calculate ingredient cost on claims.

Represents a quality, safety, or formulary performance score assigned to a National Drug Code based on clinical, regulatory, or payer-defined criteria. Used in drug utilization review and formulary management to rank or tier medications within a pharmacy benefit structure.

Captures the proportional relationship between a National Drug Code quantity and a reference value, such as days supply per unit or package size conversion factor. Used in pharmacy claims processing to normalize dispensing quantities across different drug packaging configurations.

Records the explanatory code or text indicating why a specific National Drug Code action was taken, such as a substitution, rejection, override, or formulary exception. Used in pharmacy adjudication and drug utilization review systems to document clinical or administrative decisions.

Records the date on which a National Drug Code record, update, or drug product information was received by the pharmacy system, PBM, or data warehouse. Used to track data currency and ensure formulary, pricing, and coverage tables reflect the most current NDC information available.