340B ID*

The 340B ID of the covered entity that placed the purchase. This is usually the 340B ID of the covered entity under which you registered.

Alpha Numeric (A/N)

Account Number*

Account number assigned by the wholesaler and used for the purchase.

Alpha Numeric (A/N)

Invoice Date*

The date on which the invoice for the purchase was issued by the wholesaler to the 340B covered entity.

Standard Date Formats

Invoice Number*

The invoice number assigned by the wholesaler for the purchase made by the 340B covered entity.

Alpha Numeric (A/N)

NDC-11*

The 11-digit National Drug Code which indicates the manufacturer, product, and the commercial package size.

Alpha Numeric (A/N)

Quantity*

The number of packages of the NDC-11 purchased by the 340B covered entity.

Numeric (NUM)

Ship-To Pharmacy (NPI)*

The unique public NPI for the ship to pharmacy.

Numeric (NUM)

Wholesaler Name*

Name of the wholesaler through which the covered entity made the purchase.

Alpha Numeric (A/N)