# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | return to stock date/time | 0;1 | DATE-TIME | B | This is the date/time the prescription fill was returned to stock. | |
1 | fill number | 0;2 | FREE TEXT | This is the prescription fill number that was returned to stock (e.g., "0" for the original fill, "1" for refill 1, "2" for refill 2, ...). For partial fills, the letter "P" is appended to the fill number (e.g., "P1" for partial fill 1, "P2", for partial fill 2, ...). | ||
2 | fill date | 0;3 | DATE-TIME | This is the date the prescription was filled. | ||
3 | quantity | 0;4 | NUMERIC | This is the quantity of medication dispensed for the fill. | ||
4 | days supply | 0;5 | NUMERIC | This is the number of days of supply dispensed with the fill. | ||
5 | unit price of drug | 0;6 | NUMERIC | This is the current unit cost of the drug at the time of fill in US dollars. | ||
6 | mail/window | 0;7 | SET OF CODES | M:MAIL W:WINDOW | This field contains 'M' if the fill was mailed to the patient and 'W' if the fill was picked up at the pharmacy window. | |
7 | remarks | 0;8 | FREE TEXT | This is the comment entered by pharmacy staff for the fill. | ||
8 | pharmacist | 0;9 | POINTER | 200 | This is the pharmacist who filled the prescription. | |
9 | lot # | 0;10 | FREE TEXT | This is the lot # of the dispense drug used for the fill. | ||
10 | clerk | 0;11 | POINTER | 200 | This is the clerk for the fill. | |
11 | login date | 0;12 | DATE-TIME | This is the date the refill record was created. | ||
12 | division | 0;13 | POINTER | 59 | This is the pharmacy division that dispensed the prescription fill. | |
13 | ib number | IB;1 | POINTER | 350 | This is the Integrated Billing action associated with the fill. | |
14 | copay exceeding cap | IB;2 | POINTER | 354.71 | This is the Integrated Billing Copay Transaction entry. It indicates the fill's copay exceeded the annual copay cap. | |
15 | dispensed date | 0;14 | DATE-TIME | This is the date the medication was placed into the package. | ||
16 | ndc | 0;15 | FREE TEXT | This is the National Drug Code for the fill. | ||
17 | manufacturer | 0;16 | FREE TEXT | This is the name of the manufacturer of the dispense drug in the fill. | ||
18 | drug expiration date | 0;17 | DATE-TIME | This date is used to show the expiration date of the medication. The date reflects the manufacturer's expiration date, not the date the Rx can no longer be filled. | ||
19 | provider | 1;1 | POINTER | 200 | This is the provider seeing the patient at the time of this fill. | |
20 | administered in clinic | 0;18 | BOOLEAN | 1:YES | This indicates whether the fill was administered in clinic or not. | |
21 | released date/time | 1;2 | DATE-TIME | This is the date/time the fill was released. | ||
22 | generic provider | 1;3 | FREE TEXT | This is a provider outside the medical center who provided care to the patient. | ||
23 | bingo board wait time | 1;4 | NUMERIC | This field specifies, in minutes, the total wait time for bingo board purposes. | ||
24 | filling person | 1;5 | POINTER | 200 | This is the person who scanned the barcode before filling the prescription. | |
25 | checking pharmacist | 1;6 | POINTER | 200 | This is the pharmacist who checked the medication. | |
26 | pfss account reference | PFS;1 | POINTER | 375 | This is a reference number to an external medical billing system Account Number for the purposes of uniquely identifying prescription charges for 1st or 3rd party billing. | |
27 | pfss charge id | PFS;2 | NUMERIC | This is another unique identifier required when prescription charge messages are passed to the external billing system. | ||
28 | daw code | EPH;1 | NUMERIC | This is the Dispensed As Written code for the fill. This information is used for NCPDP electronic claim transmission to third party payers (insurance companies). | ||
29 | date/time ndc validated | EPH;2 | DATE-TIME | This is the date/time the NDC was validated prior to release of the prescription fill. | ||
30 | ndc validated by | EPH;3 | POINTER | 200 | This is the user who validated the NDC for the fill. | |
31 | billing eligibility indicator | EPH;4 | SET OF CODES | T:TRICARE V:VETERAN C:CHAMPVA | This is the billing eligibility indicator used to bill insurance companies for the fill. | |
32 | epharmacy suspense hold date | EPH;5 | DATE-TIME | This is the date until when the fill should be held on suspense. |
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