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Surescripts
NCPDP 2023 Upgrade
Surescripts is excited to introduce enhancements within our upgrade process for the NCPDP 2023 Upgrade. Together, our upgrade journey will not only comply with regulations set by the Centers for Medicare & Medicaid Services (CMS) but also elevate the Surescripts Network Alliance beyond industry standards.
Helping you successfully transition to a new standard
We’re convening and guiding the industry through the NCPDP 2023 Upgrade with an intuitive and accommodating upgrade experience.
Webinars
Take part in our NCPDP 2023 Upgrade Webinar series for an engaging experience where industry experts and thought leaders convene to share their insights, experience and best practices.
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Certification
As part of our enhanced testing and certification process, you can use our self-service tool to help validate requirements are met.
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Partnership
Lean on the knowledge of our team dedicated to providing you with relevant information on the NCPDP 2023 Upgrade, such as technical specifications and best practices.
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Become familiar with the NCPDP Upgrade at our monthly webinars
Gain a deeper understanding of the NCPCP 2023 Upgrade, how it impacts Surescripts products and what it means for your organization.
Explore NCPDP Upgrade news & insights
Find out more about the impact of the NCPDP 2023 Upgrade
What Surescripts products are impacted?
- E-Prescribing
- Medication History
- Electronic Prior Authorization
- Real Time Prescription Benefit
- Formulary
What are the new standards within the NCPDP 2023 Upgrade?
- SCRIPT Standard v2023011
- E-Prescribing
- Medication History
- Electronic Prior Authorization
- Real-Time Prescription Benefit Standard version 13
- Formulary & Benefit Standard v60
What are the compliance dates for the new NCPDP standards?
In their Final Rule, CMS established the following compliance dates:
- Either SCRIPT v2017071 or SCRIPT v2023011 may be used until January 1, 2028, when only SCRIPT 2023011 may be used.
- Either Formulary & Benefit v3 or v60 may be used until January 1, 2027, when only v60 must be used.
- RTPB v13 must be used by January 1, 2027.
Will Surescripts be providing translation services and what will translation services look like?
Translation services are included in your investment with Surescripts. This means you can depend on us to translate as you move from one standard to the next. At some point after the new standard is established, we will start to charge for translations. Specific details are forthcoming, and our goal is to go out to the network early with our approach.
When will the Surescripts implementation guides be available?
The following Surescripts implementation guides are now available:
- E-Prescribing
- Medication History
- Electronic Prior Authorization
- Real-Time Prescription Benefit (for health technology vendors)
The Formulary implementation guide is still in progress, with a target publication date of Q1 2025.
Is there a document that outlines the required changes?
Each NCPDP guide includes a change log that documents changes between versions. For NCPDP SCRIPT, you can see detailed element changes throughout each SCRIPT message in the NCPDP SCRIPT 2023011 and 2017071 comparison document. (Note: Only NCPDP members have access to this documentation; see next question for more information.)
Why do customers need to be members of NCPDP for the upgrade?
NCPDP has copyrighted their materials and transitioned some documentation to online-only tools. This makes it critical for Surescripts customers to become members of NCPDP to have access to source materials related to the version upgrades.
Epic Health Systems customers do not need to obtain NCPDP membership, as the membership is managed by Epic Corporate.
What will Surescripts expect to offer in a testing environment?
Surescripts has a full staging environment available for testing. We’re actively working on enhancing the testing tools within staging to bring more self-service capabilities to the market.
Where can we find test cases/test scripts once we are ready to test our code?
Test materials are available in Certification Tester within Workbench. You will gain access to Certification Tester once you have kicked off an upgrade project with Surescripts.
How and when can my organization become an early adopter?
Surescripts is looking to engage early adopters on the following timeline:
Currently:
- E-Prescribing
- Medication History
- Electronic Prior Authorization
- Real-Time Prescription Benefit for health technology vendors
February 28, 2025: Real-Time Prescription Benefit for pharmacy benefit managers
June 30, 2025: Formulary (file-based)
If your organization is interested, please reach out to your Account Manager.
Do we need to upgrade all products at the same time?
No. You can choose to upgrade one product at a time or multiple products at once.
Where can I find past NCPDP Upgrade webinar content?
Sign up for our webinar series
Become an active member of this journey toward implementing the NCPDP 2023 Upgrade. Enter your details to start receiving invitations to our monthly webinars where we cover the latest information and answer your questions about the upgrade.