| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | ncpdp field number(+) | 0;1 | FREE TEXT | B | This is the NCPDP field number as specified in the NCPDP data dictionary. | |
| .03 | name | 0;3 | FREE TEXT | C | Descriptive name the tells what the field is within the pharmacy environment. | |
| .04 | format | 0;4 | SET OF CODES | N:NUMERIC A/N:ALPHA/NUMERIC D:SIGNED NUMERIC | This is the format of the field used within the NCPDP standard. | |
| .06 | id | 5;1 | FREE TEXT | D | The same as the .02 field, but for specific use when creating 5.1 claims. The 5.1 fields were separated because 3.x and 5.1 claims were being submitted concurrently. | |
| .07 | length | 5;2 | NUMERIC | Length of the field from the 5.1 NCPDP standard. | ||
| .08 | d0 length | 0;8 | NUMERIC | This is the NCPDP length as specified in the NCPDP Telecommunication Standard version D.0 data dictionary. | ||
| .09 | d0 format | 0;9 | SET OF CODES | N:NUMERIC A/N:ALPHANUMERIC D:SIGNED NUMERIC | This is the NCPDP data type as specified in the NCPDP Telecommunication Standard version D.0 data dictionary. | |
| 1 | vista field number | 5;3 | NUMERIC | This is the VistA field number used in BPS CLAIMS file #9002313.02 and BPS RESPONSES file #9002313.03. Only used for NCPDP numbers where the first piece of the NCPDP number is non-numeric. For example, NCPDP field B04-BT - Next Available Fill Date. | ||
| 1.01 | standard ncpdp field name | 1;1 | FREE TEXT | This field is used for those NCPDP field names that were too long to fit in the NAME (#.03) field. For those fields, this field will have the full NCPDP field name. | ||
| 10 | get code | 10;0 | WORD-PROCESSING | M code that tells the BPS system where to find the particular piece of data for this field. | ||
| 20 | d0 format code | 20;0 | WORD-PROCESSING | This field holds the M code used to format the data according to the specifications of the NCPDP Telecommunication Standard version D.0 data dictionary. For instance, alphanumeric fields are right-padded with spaces up to the length of the specified by the NCPDP standard. | ||
| 30 | set code | 30;0 | WORD-PROCESSING | M code to store the data in the appropriate segment within the claim. | ||
| 40 | format code | 25;0 | WORD-PROCESSING | M code to format the data before storing it in the claim. 5.1 was separate because 3.2 and 5.1 claims were being submitted at the same time. |
Not Referenced