Pharmacy Billing Requirements

ICR 200907-1215-004

OMB: 1215-0194

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2009-10-28
Supplementary Document
2007-01-10
Supplementary Document
2007-01-10
Supplementary Document
2007-01-10
Supplementary Document
2007-01-10
Supplementary Document
2007-01-10
IC Document Collections
IC ID
Document
Title
Status
38474 Modified
ICR Details
1215-0194 200907-1215-004
Historical Active 200701-1215-008
DOL/ESA
Pharmacy Billing Requirements
Extension without change of a currently approved collection   No
Regular
Approved without change 12/30/2009
Retrieve Notice of Action (NOA) 11/17/2009
  Inventory as of this Action Requested Previously Approved
12/31/2012 36 Months From Approved 03/31/2010
1,463,800 0 1,463,792
121,494 0 121,495
0 0 0

The NCPDP Standardized Pharmacy Billing Data Requirements are the electronic billing format used by pharmacies throughout the country to request payment for prescription drugs through data clearinghouses. They identify the provider, claimant, prescribing physician, drug by NDC (National Drug Code) number, prescription volume and charge. Similar data elements are required to process paper-based pharmacy bills.

US Code: 5 USC 8101 et seq Name of Law: FECA
   US Code: 30 USC 901 et seq Name of Law: BLBA
   US Code: 42 USC 7384 et seq Name of Law: EEOICPA
  
None

Not associated with rulemaking

  74 FR 37733 07/29/2009
74 FR 59243 11/17/2009
No

1
IC Title Form No. Form Name
Pharmacy Billing Requirements

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,463,800 1,463,792 0 0 8 0
Annual Time Burden (Hours) 121,494 121,495 0 0 -1 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is a decrease of one hour in the number of pharmacy bills submitted to the FECA program in recent years. Therefore, there is a decrease of -1 hour.

$2,371,618
No
No
Uncollected
Uncollected
No
Uncollected
Sheldon Turley 202-693-5337 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/17/2009


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