CY2010 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262

Appendix C - CY 2010 Free First Fill File Record Layout

Required File Format = ASCII File
Do not include a header record
Filename extension should be “.TXT”
Field Name

Field Type

RxCUI

NUMBER
Always
Required

Maximum
Field Length
Maximum of 8
digits

Field Description

Sample Field Value(s)

RxCUI concept unique identifier from the
active Formulary Reference File.

210597

Please Note: Certain characters are restricted from HPMS. The submitted file will be rejected if any of the following characters are
included in any field: 1) greater than sign (>), 2) less than sign (<), 3) semi-colon (;), and 4) ampersand (&).