Field

Description

Type

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 two or three letters

Bin Number*

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

Alpha numeric, may contain leading zeros

Date of Service*

Date on which the patient filled their prescription.

Standard Date Formats

Date Prescribed*

Date the prescriber wrote the 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 four leading zeros

PCN Number*

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

Alpha numeric, may contain leading zeros

Prescriber ID*

Prescriber NPI. A unique, public ID for the prescribing physician.

Numeric, 10 digits, never starts with a leading zero

Quantity*

The number of units in the prescription.

Numeric, can contain decimals

Rx Number*

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

Numeric, may contain leading zeros

Service Provider ID*

Pharmacy NPI. A unique, public ID for the dispensing pharmacy.

Numeric, 10 digits, never starts with a leading zero