340B ID*

The 340B ID of the covered entity where the prescription originated. This is usually the 340B ID of the covered entity under which you registered.

Alpha-Numeric ID that may contain dashes-- starts with 2 or 3 letters

Date Prescribed*

Date the prescriber wrote the prescription.

Standard Date Formats

Date of Service (DOS)*

Date on which the patient filled their prescription.

Standard Date Formats

Fill Number*

Indicates the number of times a prescription has been refilled. A value of 2 would mean the current prescription claim is for the second refill of the prescription.

Numeric, values 0-99

NDC-11*

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

Numeric, 11 digits, may contain up to 4 leading zeros

Prescriber ID*

A unique, public ID for the prescribing physician. Accepted IDs include the NPI and DEA ID.

Numeric, 10 digits, never starts with a leading zero

Quantity*

The number of units in the prescription.

Numeric, can contain decimals

Bin Number*

Prescription Drug Bank Identification Number. Enables pharmacies to electronically transmit data to the appropriate PBM for processing and reimbursement.

Numeric

Rx Number*

The native (unmodified) prescription number for the prescription as generated by the pharmacy.

Numeric, may contain leading zeros

PCN Number*

Processor Control Number. Identifier used to determine which processor will handle a prescription drug claim.

Alpha Numeric (A/N)

Service Provider ID*

A unique, public ID for the dispensing pharmacy. Accepted IDs include the NPI, DEA, NCPDP, and Medicaid ID.

Numeric, 10 digits, never starts with a leading zero