"Quantity Prescribed" Required for Schedule II Drugs Beginning Sept. 21
Beginning Sept. 21, 2020, VDP will require the "Quantity Prescribed" field (460–ET) on all pharmacy claims for Schedule II drugs. CMS published a final rule(link is external) on Jan. 24, 2020, titled ‘‘Administrative Simplification: Modification of the Requirements for the Use of Health Insurance Portability and Accountability Act of 1996 National Council for Prescription Drug Programs D.0 Standard’’ requiring the “Quantity Prescribed” field (460–ET) when processing pharmacy claims for Schedule II drugs. The final rule applies to all health insurance plans, including Medicaid and CHIP. For more information click here.
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