1 / 8

What is D.0?

What is D.0?. NCPDP Version D.0 Compound Medications. Background. D.0 – What is it?. NCPDP Telecommunication Standard Update – Transitioning from Version 5.1 to Version D.0 Known by the industry as D.0 and pronounced "D-Dot-Zero", "D-Dot-Oh", or "D-Zero"

allene
Download Presentation

What is D.0?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. What is D.0? NCPDP Version D.0 Compound Medications

  2. Background

  3. D.0 – What is it? • NCPDP Telecommunication Standard Update – Transitioning from Version 5.1 to Version D.0 • Known by the industry as D.0 and pronounced "D-Dot-Zero", "D-Dot-Oh", or "D-Zero" • Standard developed by NCPDP directing how claims are to be transmitted to insurance • Original Deadline for Compliance: January 1, 2012 – Extended to March 31, 2012 and then again to June 30, 2012

  4. How does D.0 affect compounds? • Old Standard (Version 5.1) • Historically utilized the highest priced legend ingredient for the determination of payment • New Standard (Version D.0) • Also known as Multi-Ingredient Compound (MIC) logic • Will no longer accept single ingredient compound processing, adjudication, or reimbursement • Includes all ingredients utilized in the compound for determination of reimbursement and coverage

  5. Multi-Ingredient Compound Prescription • Active Ingredients: • Ketoprofen 10% • Baclofen 2% • Cyclobenzaprine 2% • Lidocaine 2% • Dispense 300 ml • Directions: Apply 1-2 pumps to affected area 3-4 times daily. • Refill: 5x

  6. Old Standard (5.1) Active Ingredients Inactive Ingredients Using the price of the most expensive ingredient (4.8 x 300ml): Cost: $1440.00* *A dispensing fee may be added ***These prices and quantities are for comparison use only and are not intended to represent actual compound prescriptions.

  7. New Standard (D.0) Active Ingredients Inactive Ingredients Cost of Ingredients: $86.94* *A compounding fee would be added ***These prices and quantities are for comparison use only and are not intended to represent actual compound prescriptions.

  8. Compound Pricing Examples

More Related