Pharmacy Billing (NCPDP)
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NCPDP Billing Templates

Last update
February 23, 2024

Let’s speed things up! Submit Bills faster with Billing Templates, which automatically populate Bills with predesignated Service Line Item information.

Step 1. On the navigation bar, click ‘Settings’, then click the name of the Billing Provider you want to view or edit

This will navigate directly to Billing Settings - Required for that Billing Provider.

Step 2. Click the ‘Custom Settings’ tab

Step 3. Click the ‘Billing Templates’ card

Step 4. To add a new ‘Billing Template,’ click the ‘Add Billing Template’ button

Step 5. Enter the ‘Name,’ ‘Description,’ and select the ‘Product Type’

For Name, use a naming convention so that all staff can easily identify Billing Templates from a list.  

Select the correct Product Type based on the type of billing.  Select Compound for compound pharmaceuticals.  Select Dispensed for any other type of pharmaceutical.

Step 6. For ‘Compound’ templates: Fill in required fields

Compound Name populates on the NCPDP form in field 76

Days Supply populates on the NCPDP form in field 72

Dosage Form populates on the NCPDP form in field 90

Route of Administration populates on the NCPDP form in field 92

Dispense as Written Code (DAW) populates on the NCPDP form in field 73

Unit of Measurement populates on the NCPDP form in field 78 and 91

NDC Number populates on the NCPDP form in field 95

Units populates on the NCPDP form in field 97

Additional Service Line Items lines will populate as needed.  Enter NDC Numbers in the 11-digit format without dashes.  For help converting NDC Number to the 11-digit format see this FAQ: Converting 10-digit NDC Numbers to 11 Digits

Step 7. For ‘Dispensed’ templates: Fill in required fields

Days Supply populates on the NCPDP form in field 72

Dispense as Written Code (DAW) populates on the NCPDP form in field 73

Unit of Measurement populates on the NCPDP form in field 78

NDC Number populates on the NCPDP form in field 69

Units populates on the NCPDP form in field 72

Enter NDC Numbers in the 11-digit format without dashes.  For help converting NDC Numbers to the 11-digit format see this FAQ: Converting 10-digit NDC Numbers to 11 Digits

Step 8. Click the ‘Add’ button

Step 9. To edit or delete a ‘Billing Template,’ click the template’s ‘Name’

That’s it – welcome to blazing fast billing!

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