February 2021
If you are billing the pharmacy benefit for a 340B claim, please follow the stated guidance to properly submit the claim
- NCPDP Data ELEMENT 409-D9: Ingredient Cost Submitted = 340B Acquisition Cost
- NCPDP Data Element 420-DK: Submission Clarification Code = 20
If you are billing the medical benefit for a 340B claim, please follow the stated guidance to properly submit the claim
- Modifier: UD
- Description: Medicaid level of care 13, as defined by each state