The data elements below comprise the default ‘minimum data set’ required for a covered entity to submit a 340B rebate request.
|
Data Element |
Description |
Notes |
|
340B ID |
Unique covered entity ID assigned by OPA |
CEs should use the parent 340B ID associated with the dispense. |
|
NDC11 |
Unique 11-digit identifier for the product dispensed |
The full 11-digit code must be used. |
|
Pharmacy NPI |
Unique identifier assigned to the pharmacy or facility that dispensed the product |
Should match the NPI record from the NPPES Registry |
|
Date of service |
Date the prescription was filled |
Sometimes referred to as “Fill Date” |
|
Rx Number |
Identifier assigned by the pharmacy for the prescription dispense |
Sometimes referred to as ‘Rx ID’ or ‘Prescription Number/ID’. |
|
Units |
Quantity dispensed |
Units should be provided in the unit of measure (UOM) defined by the manufacturer for the product and with up to 3 decimal places. |
|
Prescriber NPI |
Unique identifier assigned to the prescribing provider |
Should match the NPI record from the NPPES Registry |