{"aaData": [["1", "AD", "Additional Drug Needed\n", "REA\n", "", "\nCode indicating optimal treatment of the patient's condition requiring the\naddition of a new drug to the existing drug therapy.\n
\n\n", "", "", ""], ["10", "DD", "Drug-Drug Interaction\n", "REA\n", "", "\nIndicates that drug combinations in which the net pharmacologic response may be\ndifferent from the result expected when each drug is given separately.\n
\n\n", "", "\neRx drug interacts with [DRUG_NAME]. Please advise: To fill this medication,\nsend denial with note stating pt requires both medications or note that\n[DRUG_NAME] should be canceled. If med should not be filled, Cancel RX and send\nreplacement.\n
\n\n", ""], ["100", "PM", "Patient monitoring\n", "PSC\n", "", "\nCode indicating the evaluation of established therapy for the purpose of\ndetermining whether an existing therapeutic plan should be altered.\n
\n\n", "", "", ""], ["1000", "C45235", "SOLID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance having definite shape and volume manufactured for the administration\nof active and/or inert ingredient(s). Solids include tablets, capsules, powders,\ngranules and certain suppositories.\n
\n\n", "StrengthForm\n", "", ""], ["1001", "C42984", "SOLUBLE FILM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA film that will dissolve in a liquid solvent to form a solution.\n
\n\n", "StrengthForm\n", "", ""], ["1002", "C42985", "SOLUBLE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that will dissolve in a liquid solvent to form a solution.\n
\n\n", "StrengthForm\n", "", ""], ["1003", "C42986", "SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA clear, homogeneous liquid composed of one or more chemical substances\ndissolved in a solvent or mixture of mutually miscible solvents.\n
\n\n", "StrengthForm\n", "", ""], ["1004", "C69028", "SOLUTION FOR RECONSTITUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for reconstitution before administration.\n
\n\n", "StrengthForm\n", "", ""], ["1005", "C42987", "SOLUTION FOR SLUSH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution composed of an iced saline slurry with or without active and/or inert\ningredient(s) intended to induce regional hypothermia from the point of\nadministration.\n
\n\n", "StrengthForm\n", "", ""], ["1006", "C47912", "SPONGE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a porous, interlacing, absorbent, usually shape retaining\nmaterial, such as cellulose wood fibers or plastic polymer form.\n
\n\n", "StrengthForm\n", "", ""], ["1007", "C42989", "SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of active and/or inert ingredient(s) in oil or\nwater, typically dispensed from an atomizer or nebulizer.\n
\n\n", "StrengthForm\n", "", ""], ["1008", "C42990", "SPRAY SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray composed of a suspension that contains active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["1009", "C68946", "SPRINKLE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed active and/or inert ingredient(s) of as small pellet-like\ngranules. The capsule is intended to be broken open, facilitating the scattering\nof the granules into soft foods, although it may also be swallowed whole.\n
\n\n", "StrengthForm\n", "", ""], ["101", "P0", "Patient consulted\n", "PSC\n", "", "\nCode indicating patient communication related to collection of information or\nclarification of a specific limited problem.\n
\n\n", "", "", ""], ["1010", "C42991", "STICK DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed active and/or inert ingredient(s) in a long, slender\ncylindrical shape.\n
\n\n", "StrengthForm\n", "", ""], ["1011", "C47914", "STRIP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active and/or inert ingredient(s) in a long narrow piece of\nmaterial.\n
\n\n", "StrengthForm\n", "", ""], ["1012", "C42751", "SUBLINGUAL TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet intended for administration under the tongue.\n
\n\n", "StrengthForm\n", "", ""], ["1013", "C42992", "SUGAR COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet covered with sugar.\n
\n\n", "StrengthForm\n", "", ""], ["1014", "C42993", "SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid composed of active and/or inert ingredient(s) in a wax,\nfat or a glycerin gelatin jelly and that is conical or oval in shape. It is\nintended to be inserted into a body orifice.\n
\n\n", "StrengthForm\n", "", ""], ["1015", "C42994", "SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nInsoluble solid particles composed of active and/or inert ingredient(s) that are\ndispersed in a liquid.\n
\n\n", "StrengthForm\n", "", ""], ["1016", "C68986", "SUSPENSION 12 HOUR SUSTAINED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension designed to release active and/or inert ingredient(s) slowly so as\nto achieve a constant circulating concentration of the ingredient over a 12 hour\ntime interval.\n
\n\n", "StrengthForm\n", "", ""], ["1017", "C69027", "SUSPENSION FOR RECONSTITUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension mixed with a liquid to form a solution or suspension before\nadministration.\n
\n\n", "StrengthForm\n", "", ""], ["1018", "C42672", "SUSTAINED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA dosage form designed to release active and/or inert ingredient(s) slowly so as\nto achieve a constant circulating concentration of the ingredient over a period\nof time.\n
\n\n", "StrengthForm\n", "", ""], ["1019", "C69007", "SUSTAINED RELEASE BUCCAL TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet intended for administration between the cheek and gum of the oral\ncavity. The active and/or inert ingredient(s) are usually absorbed through the\noral mucosa and designed to be released slowly over a period of time.\n
\n\n", "StrengthForm\n", "", ""], ["102", "PT", "Perform laboratory test\n", "PSC\n", "", "\nCode indicating that the pharmacist performed a clinical laboratory test on a\npatient.\n
\n\n", "", "", ""], ["1020", "C69043", "SUSTAINED RELEASE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to release active and/or inert ingredient(s) slowly so as to\nachieve a constant circulating concentration of the ingredient over a period of\ntime.\n
\n\n", "StrengthForm\n", "", ""], ["1021", "C69044", "SUSTAINED RELEASE ORAL LIQUID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended for oral administration and designed to\nrelease active and/or inert ingredient(s) slowly so as to achieve a constant\ncirculating concentration of the ingredient over a period of time.\n
\n\n", "StrengthForm\n", "", ""], ["1022", "C69036", "SUSTAINED RELEASE PARENTERAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn injectable solution or suspension designed to release active and/or inert\ningredient(s) slowly so as to achieve a constant circulating concentration of\nthe ingredient over a period of time.\n
\n\n", "StrengthForm\n", "", ""], ["1023", "C68947", "SUSTAINED RELEASE PELLET CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed of active and/or inert ingredient(s) small, spherical\nstructures that contain active and/or inert ingredient(s) encased within a\nshell. It is designed to release ingredients slowly so as to achieve a constant\ncirculating concentration of the ingredient over a period of time.\n
\n\n", "StrengthForm\n", "", ""], ["1024", "C78751", "SUSTAINED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet designed to release active and/or inert ingredient(s) slowly so as to\nachieve a constant circulating concentration of the ingredient over a period of\ntime.\n
\n\n", "StrengthForm\n", "", ""], ["1025", "C47889", "SUTURE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of fibrous strands of material that are used to bind wound\nedges together.\n
\n\n", "StrengthForm\n", "", ""], ["1026", "C47898", "SWAB DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a small piece of absorbent material attached to one end of a\nsmall stick.\n
\n\n", "StrengthForm\n", "", ""], ["1027", "C42996", "SYRUP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of a viscid vehicle that contains a high\nconcentration of sucrose or other sugars and active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["1028", "C42998", "TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a mixture of that active and/or inert ingredient(s) are\npressed or compacted together, usually in the form of a relatively flat and\nround, square or oval shape.\n
\n\n", "StrengthForm\n", "", ""], ["1029", "C69004", "TABLET 12 HOUR SUSTAINED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet designed to release active and/or inert ingredient(s) slowly so as to\nachieve a constant circulating concentration of the ingredient over a 12 hour\ntime interval.\n
\n\n", "StrengthForm\n", "", ""], ["103", "R0", "Pharmacist consulted other source\n", "PSC\n", "", "\nCode indicating communication related to collection of information or\nclarification of a specific limited problem.\n
\n\n", "", "", ""], ["1030", "C69003", "TABLET 24 HOUR SUSTAINED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet designed to release active and/or inert ingredient(s) slowly so as to\nachieve a constant circulating concentration of the ingredient over a 24 hour\ntime interval.\n
\n\n", "StrengthForm\n", "", ""], ["1031", "C60997", "TABLET COATED PARTICLE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of a conglomerate of particles that contains active and/or\ninert ingredient(s) that have been individually covered with a coating.\n
\n\n", "StrengthForm\n", "", ""], ["1032", "C61004", "TABLET FOR SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that changes into a solution when added to a liquid solvent.\n
\n\n", "StrengthForm\n", "", ""], ["1033", "C61005", "TABLET FOR SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that changes into a suspension when added to a liquid solution.\n
\n\n", "StrengthForm\n", "", ""], ["1034", "C69006", "TABLET PARTICLE CRYSTAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of small fragments of singular, repeating units of that are\nsystematically arranged over an evenly spaced lattice.\n
\n\n", "StrengthForm\n", "", ""], ["1035", "C42759", "TABLET TRITURATE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA compressed cylindrical tablet composed of medicated powder and dispersed with\na mixture of lactose, powdered sucrose and a moistening agent.\n
\n\n", "StrengthForm\n", "", ""], ["1036", "C47892", "TAMPON DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a plug made from absorbent material.\n
\n\n", "StrengthForm\n", "", ""], ["1037", "C47897", "TAPE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of narrow woven fabric or a narrow extruded synthetic material,\nusually with an adhesive on one or both sides.\n
\n\n", "StrengthForm\n", "", ""], ["1038", "C78749", "TAR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid that is oily and viscous and composed of a hydrocarbon based resin\nformed from the breakdown and distillation of organic substances.\n
\n\n", "StrengthForm\n", "", ""], ["1039", "C69063", "THROAT SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray intended for administration to the mucosa of the throat.\n
\n\n", "StrengthForm\n", "", ""], ["104", "RT", "Recommend laboratory test\n", "PSC\n", "", "\nCode indicating that the pharmacist recommends the performance of a clinical\nlaboratory test on a patient.\n
\n\n", "", "", ""], ["1040", "C43000", "TINCTURE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution composed of an alcoholic extract or solution of nonvolatile active\nand/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["1041", "C91186", "TOOTHPASTE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA paste intended for administration to the teeth.\n
\n\n", "StrengthForm\n", "", ""], ["1042", "C42747", "TOPICAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1043", "C91187", "TOPICAL CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1044", "C91188", "TOPICAL FOAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA foam intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1045", "C91189", "TOPICAL GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1046", "C91190", "TOPICAL LOTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA lotion intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1047", "C91191", "TOPICAL OIL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA oil intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1048", "C91192", "TOPICAL OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA ointment intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1049", "C91193", "TOPICAL POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["105", "SC", "Self-care consultation\n", "PSC\n", "", "\nCode indicating activities performed by a pharmacist on behalf of a patient\nintended to allow the patient to function more effectively on his or her own\nbehalf in health promotion and disease prevention, detection, or treatment.\n
\n\n", "", "", ""], ["1050", "C91178", "TOPICAL POWDER SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder spray intended for administration to the skin.\n
\n\n", "StrengthForm\n", "", ""], ["1051", "C64905", "TOPICAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1052", "C91194", "TOPICAL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray intended for topical administration.\n
\n\n", "StrengthForm\n", "", ""], ["1053", "C68998", "TOPICAL SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for administration to a body surface.\n
\n\n", "StrengthForm\n", "", ""], ["1054", "C43001", "TROCHE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid discoid composed of active and/or inert ingredient(s) in a suitably\nflavored base, that dissolves when sucked in the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["1055", "C43002", "UNASSIGNED DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn indication that the dosage form has yet to be assigned.\n
\n\n", "StrengthForm\n", "", ""], ["1056", "C64902", "UNMEDICATED SPONGE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a porous, interlacing, absorbent, usually shape retaining\nmaterial that does not contain active ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["1057", "C69052", "URETHRAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration into the urethra.\n
\n\n", "StrengthForm\n", "", ""], ["1058", "C91195", "URETHRAL GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for administration into the urethra.\n
\n\n", "StrengthForm\n", "", ""], ["1059", "C69053", "URETHRAL SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suppository intended for administration within the urethra.\n
\n\n", "StrengthForm\n", "", ""], ["106", "SW", "Literature search/review\n", "PSC\n", "", "\nCode indicating that the pharmacist searches or reviews the pharmaceutical and/or\nmedical literature for information related to the care of a patient.\n
\n\n", "", "", ""], ["1060", "C69048", "VAGINAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1061", "C69050", "VAGINAL CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1062", "C47890", "VAGINAL DIAPHRAGM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA dome-shaped insert with a springy, flexible rim intended to be inserted into\nthe vagina and positioned behind the pelvic bone to completely cover the cervix.\n
\n\n", "StrengthForm\n", "", ""], ["1063", "C69051", "VAGINAL FOAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA foam composed of active and/or inert ingredient(s), intended for\nadministration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1064", "C91197", "VAGINAL GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel composed of active and/or inert ingredient(s), intended for administration\nin or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1065", "C69054", "VAGINAL OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn ointment intended for administration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1066", "C91198", "VAGINAL POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder composed of active and/or inert ingredient(s), intended for\nadministration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1067", "C91199", "VAGINAL RING DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA ring composed of active and/or inert ingredient(s), intended for\nadministration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1068", "C91200", "VAGINAL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray composed of active and/or inert ingredient(s), intended for\nadministration in or around the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["1069", "C68990", "VAGINAL SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suppository intended for administration within the vagina.\n
\n\n", "StrengthForm\n", "", ""], ["107", "TC", "Payer/processor consulted\n", "PSC\n", "", "\nCode indicating communication by a pharmacist to a processor or payer related to\nthe care of the patient.\n
\n\n", "", "", ""], ["1070", "C69049", "VAGINAL TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet intended for vaginal administration.\n
\n\n", "StrengthForm\n", "", ""], ["1071", "C43003", "WAFER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a thin slice of material that contain active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["1072", "C64903", "WASH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of active and/or inert ingredient(s) and\nintended for administration as an irrigant and cleanser.\n
\n\n", "StrengthForm\n", "", ""], ["1073", "C78750", "WAX DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of lipids made up of hydrocarbons or esters of fatty\nacids; active and/or inert ingredient(s) are commonly suspended within the wax\nmatrix layer.\n
\n\n", "StrengthForm\n", "", ""], ["1074", "C64910", "WOUND STICK DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA relatively long and often cylindrical solid composed of active and/or inert\ningredient(s) intended for wound application.\n
\n\n", "StrengthForm\n", "", ""], ["1075", "C70518", "ATTOCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 3.7E-8 atomic disintegrations or other\nnuclear transformations per second or one quintillionth of curie (10E-18 curie).\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1076", "C42562", "BECQUEREL\n", "NCI\n", "NCIt\n", "\nA SI derived unit of activity of a radionuclide, equal to one nuclear\ndisintegration or other nuclear transition from a particular energy state\noccurring in an amount of a radionuclide during one second-long time interval.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1077", "C70515", "CENTICURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 3.7 E8 atomic disintegrations or other\nnuclear transformations per second. One centicurie is equal to 0.37\ngigabecquerel.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1078", "C48466", "CURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity in the CGS system, defined as 3.7 E10 atomic\ndisintegrations or other nuclear transformations per second. One curie is equal\nto 37 gigabecquerels.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1079", "C70514", "DECICURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 3.7 E9 atomic disintegrations or other\nnuclear transformations per second. One decicurie is equal to 3.7\ngigabecquerels.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["108", "TH", "Therapeutic product interchange\n", "PSC\n", "", "\nCode indicating that the selection of a therapeutically equivalent product to\nthat specified by the prescriber for the purpose of achieving cost savings for\nthe payer.\n
\n\n", "", "", ""], ["1080", "C70517", "FEMTOCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 3.7E-5 atomic disintegrations or other\nnuclear transformations per second or one quadrillionth of curie (10E-15 curie).\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1081", "C70513", "GIGABECQUEREL\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity equal to 10E9 nuclear disintegrations or other nuclear\ntransformations per second, or to 10E9 becquerels.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1082", "C48579", "INTERNATIONAL UNIT\n", "NCI\n", "NCIt\n", "\nThe unitage assigned by the WHO to International Biological Standards -\nsubstances, classed as biological according to the criteria provided by WHO\nExpert Committee on Biological Standardization (e.g. hormones, enzymes, and\nvaccines), to enable the results of biological and immunological assay\nprocedures to be expressed in the same way throughout the world. The definition\nof an international unit is generally arbitrary and technical, and has to be\nofficially approved by the International Conference for Unification of Formulae.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1083", "C70511", "KILOBECQUEREL\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity equal to 10E3 nuclear disintegrations or other nuclear\ntransformations per second, or to 10E3 becquerels.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1084", "C70512", "MEGABECQUEREL\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity equal to 10E6 nuclear disintegrations or other nuclear\ntransformations per second, or to 10E6 becquerels.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1085", "C42576", "KILOGRAM PER CUBIC METER\n", "NCI\n", "NCIt\n", "\nA SI derived unit of mass concentration defined as the concentration of one\nkilogram of a substance per unit volume of the mixture equal to one cubic meter,\nor the concentration of one milligram of a substance per unit volume of the\nmixture equal to one milliliter, or one gram of a substance per one liter of the\nmixture. It is also a unit of mass density (volumic mass) defined as the density\nof substance which mass equal to one milligram occupies the volume one\nmilliliter.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1086", "C48507", "MICROCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity equal to one millionth of a curie or 37 kilobecquerels,\nand corresponding to a radioactivity of 37 000 atomic disintegrations per\nsecond.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1087", "C71205", "MICROGRAM PER DAY\n", "NCI\n", "NCIt\n", "\nA unit of mass flow rate equivalent to the rate at which one millionth of a gram\nof matter crosses a given surface or is delivered to a given object or space\nover a period of time equal to twenty four hours. Microgram per 24 hours is also\na dose administration rate unit equal to the rate at which one millionth of a\ngram of a product is administered per unit of time equal to twenty four hours.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1088", "C91132", "MICROGRAM PER FIFTEEN MILLILITERS\n", "NCI\n", "NCIt\n", "\nThe quantity of micrograms in a volume of fifteen milliliters of a substance.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1089", "C67394", "MICROGRAM PER HOUR\n", "NCI\n", "NCIt\n", "\nA unit of mass flow rate equivalent to the rate at which one millionth of a gram\nof matter crosses a given surface or is delivered to a given object or space\nover a period of time equal to one hour.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["109", "ZZ", "Other Acknowledgement\n", "PSC\n", "", "\nWhen ZZ is used, the textual DUE Acknowledgment Reason must be used to provide\nadditional detail.\n
\n\n", "", "", ""], ["1090", "C64572", "MICROGRAM PER MILLILITER\n", "NCI\n", "NCIt\n", "\nA metric unit of mass concentration defined as the concentration of one gram of\na substance per unit volume of the mixture equal to one cubic meter. The concept\nalso refers to the metric unit of mass density (volumic mass) defined as the\ndensity of a substance which mass equal to one gram occupies the volume of one\ncubic meter.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1091", "C91135", "MICROGRAM PER THREE DAYS\n", "NCI\n", "NCIt\n", "\nThe quantity of micrograms prescribed or delivered in three days.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1092", "C48511", "MILLICURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity equal to one thousandth of a curie or 37 megabecquerels,\nand corresponding to a radioactivity of 37 millions of atomic disintegrations\nper second.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1093", "C91131", "MILLIGRAM PER FIVE MILLILITERS\n", "NCI\n", "NCIt\n", "\nThe quantity of milligrams in a volume of five milliliters of a substance.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1094", "C48513", "MILLIMOLE\n", "NCI\n", "NCIt\n", "\nA unit of amount of substance equal to 0.001 mole.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1095", "C67310", "MILLION UNITS\n", "NCI\n", "NCIt\n", "\nA quantity equivalent to one million units (10E6 units).\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1096", "C67352", "NANOCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity equal to one billionth of a curie or 37 becquerels, and\ncorresponding to radioactivity of 37 atomic disintegrations per second.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1097", "C70516", "PICOCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 0.037 atomic disintegrations or other nuclear\ntransformations per second or one trillionth of curie (10E-12 curie). One\npicocurie is equal to 37 millibecquerels.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1098", "C70520", "YOCTOCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 3.7E-14 atomic disintegrations or other\nnuclear transformations per second or one septillionth of curie (10E-24 curie).\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["1099", "C70519", "ZEPTOCURIE\n", "NCI\n", "NCIt\n", "\nA unit of radioactivity defined as 3.7E-11 atomic disintegrations or other\nnuclear transformations per second or one sextillionth of curie (10E-21 curie).\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["11", "DF", "Drug-Food interaction\n", "REA\n", "", "\nIndicates interactions between a drug and certain foods.\n
\n\n", "", "", ""], ["110", "DP", "Dosage evaluated\n", "PSC\n", "", "\nCode indicating that dosage has been evaluated with respect to risk for the\npatient.\n
\n\n", "", "", ""], ["1100", "38", "Original Quantity\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "", "", "", ""], ["1101", "40", "Remaining Quantity\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "", "", "", ""], ["1102", "87", "Quantity Received\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "", "", "", ""], ["1103", "QS", "Quantity sufficient as determined by the dispensing pharmacy\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "\nQuantity to be based on established dispensing protocols between the prescriber\nand pharmacy/pharmacist.\n
\n\n", "", "", ""], ["1104", "QT", "Quantity Transferred\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "", "", "", ""], ["1105", "CF", "Compound Final Quantity\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "", "", "", ""], ["1106", "UQ", "Central Fill Unit of Use Quantity\n", "QCQ\n", "QUANTITY CODE LIST QUALIFIER\n", "", "", "", ""], ["1107", "A", "Medicare Part A\n", "PAY\n", "PAYER TYPE\n", "\nPart of the Original Medicare Plan managed by the federal government. Covers\nsome, but not all, of the expenses incurred for inpatient hospital care or\nmedical care that a person may receive at a skilled nursing facility (not a\ncustodial care facility). Some hospice care and some home health care are also\ncovered. Limitations apply, and have deductibles, copays, or other costs to\nsatisfy.\n
\n\n", "", "", ""], ["1108", "B", "Medicare Part B\n", "PAY\n", "PAYER TYPE\n", "\nPart of the Original Medicare Plan managed by the federal government. This\ncovers medically necessary services from doctors or outpatient hospital care. It\nalso helps with costs associated with some physical and occupational therapist\nservices and some home health care services. A person typically must sign up for\nPart B and pay a monthly premium in order to benefit from coverage.\n
\n\n", "", "", ""], ["1109", "C", "Medicare Part C\n", "PAY\n", "PAYER TYPE\n", "\nPart of Medicare includes medical and other benefits provided through private\nhealth benefits companies (approved by the federal government) known as Medicare\nAdvantage Plans. Plans cover the same or better benefits as the Original\nMedicare Plan with easy-to-budget copay and coinsurance amounts when a person\nuses a network doctor and hospital.\n
\n\n", "", "", ""], ["111", "FE", "Formulary enforcement\n", "PSC\n", "", "\nCode indicating that activities including interventions with prescribers and\npatients related to the enforcement of a pharmacy benefit plan formulary have\noccurred. Comment: Use this code for cross-licensed brand products or generic to\nbrand interchange.\n
\n\n", "", "", ""], ["1110", "D", "Medicare Part D\n", "PAY\n", "PAYER TYPE\n", "\nThe optional Medicare prescription drug coverage.\n
\n\n", "", "", ""], ["1111", "E", "Medicaid\n", "PAY\n", "PAYER TYPE\n", "\nA program, financed jointly by the federal government and the states, that\nprovides health coverage for mostly low-income women and children as well as\nnursing-home care for low-income elderly.\n
\n\n", "", "", ""], ["1112", "F", "Managed Care\n", "PAY\n", "PAYER TYPE\n", "\nManaged Medicaid or other managed plans.\n
\n\n", "", "", ""], ["1113", "G", "Hospice\n", "PAY\n", "PAYER TYPE\n", "\nA Hospice Organization is responsible for the patient's treatment and\nprescription coverage.\n
\n\n", "", "", ""], ["1114", "H", "Commercial\n", "PAY\n", "PAYER TYPE\n", "\nA prescription health insurance program provided by a for-profit, private\ninsurance agency or company.\n
\n\n", "", "", ""], ["1115", "J", "Private Pay\n", "PAY\n", "PAYER TYPE\n", "\nThe patient (resident or financial guarantor) pays the full cost.\n
\n\n", "", "", ""], ["1116", "K", "Worker's Compensation\n", "PAY\n", "PAYER TYPE\n", "\nPlan providing workers compensation insurance (insurance required by law from\nemployers for the protection of employees while engaged in the employer's\nbusiness).\n
\n\n", "", "", ""], ["1117", "L", "Discount Program\n", "PAY\n", "PAYER TYPE\n", "\nA program that offers savings on prescription drugs to patients who are without\nhealth insurance, a traditional benefits plan, or have prescriptions that are\nnot covered by insurance.\n
\n\n", "", "", ""], ["1118", "M", "Coupon\n", "PAY\n", "PAYER TYPE\n", "\nReimbursement based on the coupon amount determined by the processor.\n
\n\n", "", "", ""], ["1119", "N", "Voucher\n", "PAY\n", "PAYER TYPE\n", "\nA form authorizing a disbursement of cash or a credit against a purchase or\nexpense.\n
\n\n", "", "", ""], ["112", "P", "PENDING\n", "ERX\n", "", "", "", "", ""], ["1120", "P", "Military / VA\n", "PAY\n", "PAYER TYPE\n", "\nA government-run military veteran benefit system that administers programs of\nveterans' benefits for veterans, their families, and survivors.\n
\n\n", "", "", ""], ["1121", "ZY", "Other\n", "PAY\n", "PAYER TYPE\n", "\nAny other payer types not covered by definitions above. New codes, definitions\nand descriptions should be developed for anything classified as Other.\n
\n\n", "", "", ""], ["1122", "ZZ", "Unknown\n", "PAY\n", "PAYER TYPE\n", "\nPayer type unknown.\n
\n\n", "", "", ""], ["1123", "ND", "National Drug Code (NDC)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nNational Drug Code is a unique 10-digit, 3-segment number. For consistency in\nbilling and reimbursement in the pharmacy services sector of healthcare, the NDC\nin a unique 11-digit formatted number, a zero is added. This number identifies\nthe labeler/manufacturer, product, and package size of the drug. The first\nsegment is the labeler code and assigned by the FDA. The second segment, the\nproduct code, identifies a specific strength, dosage form, and formulation. The\nthird segment, the package code, identifies package sizes. Both the product and\npackage codes are assigned by the labeler/manufacturer.\n
\n\n", "", "", ""], ["1124", "UP", "Universal Product Code (UPC)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nAn 11 digit code which identifies the manufacturer and the specific description\nof the product.\n
\n\n", "", "", ""], ["1125", "RT", "National Drug File Reference (NDF-RT)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nNational Drug File Reference Terminology - A value descending from the NDF-RT\nconcept types of "Mechanism of Action - N0000000223", "Physiologic Effect -\nN0000009802" or "Chemical Structure - N0000000002". Maintained by VA,\ndistributed by NCI - for classes of medications.\n
\n\n", "", "", ""], ["1126", "NH", "Health Related Item (HRI)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nHealth Related Item is a unique 10 digit numeric code assigned to health related\ndrug products by the FDA and the manufacturer or distributor. The format of an\nHRI is 4-6 and it is converted to the 11 digit number used on billing\ntransactions by adding a zero to the 11th position.\n
\n\n", "", "", ""], ["1127", "UN", "Unique Ingredient Identifier (UNII)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nThe UNII is a part of the joint USP/FDA Substance Registration System (SRS),\nwhich has been designed to support health information technology initiatives by\nproviding unique identifiers for substances in drugs, biologics, foods, and\ndevices based on molecular structure and/or descriptive information. The SRS is\nused to generate permanent, unique, unambiguous identifiers for substances in\nregulated products, such as ingredients in drug products.\n
\n\n", "", "", ""], ["1128", "SCD", "RxNorm Semantic Clinical Drug (SCD)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the ingredient plus strength and dose form.\n
\n\n", "", "", ""], ["1129", "SBD", "RxNorm Semantic Branded Drug (SBD)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the ingredient, strength and dose form plus the branded name.\n
\n\n", "", "", ""], ["113", "A", "APPROVED\n", "ERX\n", "", "", "", "", ""], ["1130", "GPK", "RxNorm Generic Package (GPCK)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the generic drug delivery device.\n
\n\n", "", "", ""], ["1131", "BPK", "RxNorm Branded Package (BPCK)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the branded drug delivery device.\n
\n\n", "", "", ""], ["1132", "GMP", "Elsevier/Gold Standard Marketed Product Identifier (MPid)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nThe Marketed Product Identifier represents a unique, permanent database object\nthat represents a product name, strength, dosage form, and marketer for brand\nproducts and a name, strength, and dosage form for a generic product.\n
\n\n", "", "", ""], ["1133", "GPI", "Elsevier/Gold Standard Product Identifier (ProdID)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nThe Product Identifier (ProdID) is a permanent database object that represents a\ndrug concept sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1134", "GSP", "Elsevier/Gold Standard Specific Product Identifier (SPID)\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nThe Specific Product is a permanent database object that represents a group of\nproducts sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1135", "DI", "Device Identifier\n", "CIQ\n", "COMPOUND INGREDIENT PRODUCT CODE QUALIFIER\n", "\nMandatory, fixed portion of a Unique Device Identifier (UDI) that identifies the\nspecific version or model of a device and the labeler of that device. The DI\nportion is issued by Federal Drug Administration (FDA) Accredited Issuing\nAgencies such as GS1 and HIBCC.\n
\n\n", "", "", ""], ["1136", "AA", "Dose(s) administered from Emergency box (kit) or automated dispensing machine.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1137", "AB", "Product has been contaminated during administration.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1138", "AC", "Patient requires oral solid medications to be crushed before administration.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1139", "AD", "Patient requests/requires oral solid medications to be smallest tablet/capsule.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["114", "PR", "PROCESSED\n", "ERX\n", "", "", "", "", ""], ["1140", "AE", "Medications administered via gastric tube.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "\nUsed only if Route of Administration is not specified as gastric tube.\n
\n\n", "", "", ""], ["1141", "AF", "Patient requests product to be dispensed as written.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1142", "AG", "Compound requested\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "\nAllergy to inactive ingredient found in commercially available product.\n
\n\n", "", "", ""], ["1143", "AH", "Compound requested\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "\nDosage form not commercially available.\n
\n\n", "", "", ""], ["1144", "AJ", "Compound requested\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "\nStrength not commercially available.\n
\n\n", "", "", ""], ["1145", "AK", "Incremental Dispensing\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "\nPrescriber allows pharmacy to dispense in quantities less than the prescribed\nquantity.\n
\n\n", "", "", ""], ["1146", "AL", "Patient needs labs, appointment, or office visit.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1147", "AM", "Patient bringing drug coupon, discount, or other benefit card.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1148", "AN", "Prescription is a lost, stolen, or replacement supply.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1149", "AP", "Prescription is a vacation supply.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["115", "E", "ERROR\n", "ERX\n", "", "", "", "", ""], ["1150", "AQ", "Therapeutic interchange not allowed.\n", "PCQ\n", "PATIENT CODIFIED NOTE QUALIFIER\n", "", "", "", ""], ["1151", "45", "Device Identifier (DI)\n", "CAQ\n", "CO-AGENT QUALIFIER\n", "\nMandatory, fixed portion of a Unique Device Identifier (UDI) that identifies the\nspecific version or model of a device and the labeler of that device. The DI\nportion is issued by Federal Drug Administration (FDA) Accredited Issuing\nAgencies such as GS1 and HIBCC.\n
\n\n", "", "", ""], ["1152", "46", "American Psychiatric Association Diagnostic Statistical Manual of Mental Disorders (DSM 5)\n", "CAQ\n", "CO-AGENT QUALIFIER\n", "\nDiagnostic criteria for the most common mental disorders including: description,\ndiagnosis, treatment, and research findings. Comments: The Diagnostic and\nStatistical Manual of Mental Disorders - Fifth Edition (DSM-5) is published by\nthe American Psychiatric Association, Washington D.C.\nhttps://www.psychiatry.org/.\n
\n\n", "", "", ""], ["1153", "0", "Not Applicable\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1154", "1", "Spouse\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1155", "2", "Son or Daughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1156", "3", "Father or Mother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1157", "4", "Grandfather or Grandmother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1158", "5", "Grandson or Granddaughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1159", "6", "Uncle or Aunt\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["116", "N", "NEW RX\n", "ERX\n", "", "", "", "", ""], ["1160", "7", "Nephew or Niece\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1161", "8", "Cousin\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1162", "9", "Adopted Child\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1163", "10", "Foster Child\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1164", "11", "Son-in-law or Daughter-in-law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1165", "12", "Brother-in-law or Sister-in-law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1166", "13", "Mother-in-law or Father-in-law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1167", "14", "Brother or Sister\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1168", "15", "Ward\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1169", "16", "Stepparent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["117", "I", "IN PROCESS\n", "ERX\n", "", "", "", "", ""], ["1170", "17", "Stepson or Stepdaughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1171", "18", "Self\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1172", "19", "Child\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nDependent between the ages of 0 and 19; age qualifications may vary depending on\npolicy\n
\n\n", "", "", ""], ["1173", "20", "Employee\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1174", "21", "Unknown\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1175", "22", "Handicapped Dependent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1176", "23", "Sponsored Dependent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nDependents between the ages of 19 and 25 not attending school; age\nqualifications may vary depending on policy\n
\n\n", "", "", ""], ["1177", "24", "Dependent of a Minor Dependent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1178", "25", "Ex-spouse\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1179", "26", "Guardian\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["118", "HPT", "PATIENT NOT FOUND\n", "ERX\n", "", "", "", "", ""], ["1180", "27", "Student\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nDependent between the ages of 19 and 25 attending school; age qualifications may\nvary depending on policy\n
\n\n", "", "", ""], ["1181", "28", "Friend\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1182", "29", "Significant Other\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1183", "30", "Both Parents\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nThe residence or legal custody of the student is with both parents\n
\n\n", "", "", ""], ["1184", "31", "Court Appointed Guardian\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1185", "32", "Mother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1186", "33", "Father\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1187", "34", "Other Adult\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1188", "36", "Emancipated Minor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nA person who has been judged by a court of competent jurisdiction to be allowed\nto act in his or her own interest; no adult is legally responsible for this\nminor; this may be declared as a result of marriage\n
\n\n", "", "", ""], ["1189", "37", "Agency Representative\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["119", "HPD", "PROVIDER NOT FOUND\n", "ERX\n", "", "", "", "", ""], ["1190", "38", "Collateral Dependent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nRelative related by blood or marriage who resides in the home and is dependent\non the insured for a major portion of their support\n
\n\n", "", "", ""], ["1191", "39", "Organ Donor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nIndividual receiving medical service in order to donate organs for a transplant\n
\n\n", "", "", ""], ["1192", "40", "Cadaver Donor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nDeceased individual donating body to be used for research or transplants\n
\n\n", "", "", ""], ["1193", "41", "Injured Plaintiff\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1194", "43", "Child Where Insured Has No Financial Responsibility\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nChild is covered by the insured but the insured is not the legal guardian\n
\n\n", "", "", ""], ["1195", "45", "Widow\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1196", "46", "Widower\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1197", "47", "State Fund\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "\nThe state affiliated insurance organization providing coverage and or benefits\nto the claimant\n
\n\n", "", "", ""], ["1198", "48", "Stepfather\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1199", "49", "Stepmother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["12", "DI", "Drug Incompatibility\n", "REA\n", "", "\nIndicates physical and chemical incompatibilities between two or more drugs.\n
\n\n", "", "\neRx drug is incompatible with [DRUG_NAME]. To fill this Rx, send denial with\nnote stating pt requires both medications or note that [DRUG_NAME] should be\ncanceled. If med should not be filled, Cancel RX and send a replacement.\n
\n\n", ""], ["120", "HNF", "NON-FORMULARY DRUG THAT NEEDS APPROVAL\n", "ERX\n", "", "", "", "", ""], ["1200", "50", "Foster Parent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1201", "51", "Emergency Contact\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1202", "52", "Employer\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1203", "53", "Life Partner\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1204", "55", "Adopted Daughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1205", "56", "Adopted Son\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1206", "57", "Adoptive Father\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1207", "58", "Adoptive Mother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1208", "59", "Adoptive Parents\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1209", "60", "Annuitant\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["121", "HSO", "INSUFFICIENT STOCK\n", "ERX\n", "", "", "", "", ""], ["1210", "61", "Aunt\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1211", "62", "Brother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1212", "63", "Brother-in-law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1213", "64", "Business\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1214", "65", "Business Associate\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1215", "66", "Business Insurance Trust\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1216", "67", "Business Partner\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1217", "68", "Charity\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1218", "70", "Children of Marriage\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1219", "71", "Company\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["122", "HDI", "DRUG-DRUG INTERACTION\n", "ERX\n", "", "", "", "", ""], ["1220", "72", "Corporation\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1221", "73", "Creditor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1222", "74", "Daughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1223", "75", "Daughter-in-Law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1224", "76", "Dependent\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1225", "78", "Estate\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1226", "79", "Ex-wife\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1227", "80", "Family Member\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1228", "81", "Father-in-Law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1229", "82", "Fianc (Male)\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["123", "HAD", "ADVERSE DRUG INTERACTION\n", "ERX\n", "", "", "", "", ""], ["1230", "83", "Finance (Female)\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1231", "84", "Fiduciary\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1232", "86", "Foster Daughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1233", "87", "Foster Father\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1234", "88", "Foster Mother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1235", "90", "Foster Son\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1236", "91", "God Daughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1237", "92", "God Father\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1238", "93", "God Parents\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1239", "94", "God Son\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["124", "HBA", "BAD ADDRESS\n", "ERX\n", "", "", "", "", ""], ["1240", "95", "Grandchildren\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1241", "96", "Granddaughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1242", "97", "Grandfather\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1243", "98", "Grandmother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1244", "99", "Grandparents\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1245", "A1", "Grandson\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1246", "A2", "Great Aunt\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1247", "A3", "Ex-husband\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1248", "A4", "Half Brother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1249", "A5", "Half Sister\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["125", "HPC", "PROVIDER CONTACTED\n", "ERX\n", "", "", "", "", ""], ["1250", "A6", "Husband\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1251", "A7", "Institution\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1252", "A8", "Mortgage Holder\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1253", "A9", "Mother-in-Law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1254", "B1", "Nephew\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1255", "B2", "Niece\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1256", "B3", "Parents-in-Law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1257", "B4", "Partnership\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1258", "B5", "Partner\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1259", "B6", "Personal Insurance Trust\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["126", "HPA", "PRIOR APPROVAL NEEDED\n", "ERX\n", "", "", "", "", ""], ["1260", "B7", "Sister\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1261", "B8", "Sister-in-Law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1262", "B9", "Sole Proprietorship\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1263", "C1", "Son\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1264", "C2", "Son-in-Law\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1265", "C3", "Step Brother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1266", "C4", "Step Children\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1267", "C5", "Step Daughter\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1268", "C8", "Step Sister\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1269", "C9", "Step Son\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["127", "HOR", "OTHER REASON\n", "ERX\n", "", "", "", "", ""], ["1270", "D1", "Trust\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1271", "D2", "Trustee\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1272", "D3", "Uncle\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1273", "D4", "Wife\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1274", "D5", "Teacher\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1275", "D6", "School Counselor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1276", "D7", "School Principal\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1277", "D8", "Other School Administrator\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1278", "D9", "Coach\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1279", "E1", "Activity Sponsor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["128", "HPP", "PATIENT CONTACTED\n", "ERX\n", "", "", "", "", ""], ["1280", "E2", "Supervisor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1281", "E3", "Co-worker\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1282", "E4", "Minister or Priest\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1283", "E5", "Ecclesiastical or Religious Leader\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1284", "E6", "God Mother\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1285", "E7", "Probation Officer\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1286", "E8", "Accountant\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1287", "E9", "Advisor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1288", "F1", "Alma Mater\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1289", "F2", "Applicant\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["129", "HPR", "HOLD DUE TO PATIENT REQUEST\n", "ERX\n", "", "", "", "", ""], ["1290", "F3", "Banker\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1291", "F6", "Clergyman\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1292", "F7", "Client\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1293", "F8", "Club or Organization Officer\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1294", "F9", "Doctor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1295", "G2", "Educator/Teacher/Instructor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1296", "G3", "Betrothed\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1297", "G4", "Insured\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1298", "G5", "Lawyer\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1299", "G6", "Medical Care Provider\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["13", "DL", "Drug-Lab Conflict\n", "REA\n", "", "\nIndicates that laboratory values may be altered due to the use of the drug, or\nthat the patient's response to the drug may be altered due to a condition that is\nidentified by a certain laboratory value.\n
\n\n", "", "", ""], ["130", "HQY", "QUANTITY OR REFILL ISSUE\n", "ERX\n", "", "", "", "", ""], ["1300", "G7", "Neighbor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1301", "G8", "Other Relationship\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1302", "G9", "Other Relative\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1303", "H1", "Owner\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1304", "H4", "Payor\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1305", "N1", "None\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1306", "OT", "Non-applicable Individual Relationship Category\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1307", "ZZ", "Mutually Defined\n", "ACR\n", "ALTERNATE CONTACT RELATIONSHIP\n", "", "", "", ""], ["1308", "GMP", "Elsevier/Gold Standard Marketed Product Identifier\n", "DDB\n", "DRUG DB QUALIFIER\n", "\nThe Marketed Product Identifier represents a unique, permanent database object\nthat represents a product name, strength, dosage form, and marketer for brand\nproducts and a name, strength, and dosage form for a generic product.\n
\n\n", "", "", ""], ["1309", "GPI", "Elsevier/Gold Standard Product Identifier\n", "DDB\n", "DRUG DB QUALIFIER\n", "\nThe Product Identifier (ProdID) is a permanent database object that represents a\ndrug concept sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["131", "RJ", "REJECTED\n", "ERX\n", "", "", "", "", ""], ["1310", "GSP", "Elsevier/Gold Standard Specific Product Identifier\n", "DDB\n", "DRUG DB QUALIFIER\n", "\nThe Specific Product is a permanent database object that represents a group of\nproducts sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1311", "ND", "National Drug Code\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nNational Drug Code is a unique 10-digit, 3-segment number. For consistency in\nbilling and reimbursement in the pharmacy services sector of healthcare, the NDC\nin a unique 11-digit formatted number, a zero is added. This number identifies\nthe labeler/manufacturer, product, and package size of the drug.\n
\n\n", "", "", ""], ["1312", "UP", "Universal Product Code\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nAn 11 digit code which identifies the manufacturer and the specific description\nof the product.\n
\n\n", "", "", ""], ["1313", "RT", "National Drug File Reference\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nNational Drug File Reference Terminology - A value descending from the NDF-RT\nconcept types of "Mechanism of Action - N0000000223", "Physiologic Effect -\nN0000009802" or "Chemical Structure - N0000000002". Maintained by VA,\ndistributed by NCI - for classes of medications.\n
\n\n", "", "", ""], ["1314", "NH", "Health Related Item\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nHealth Related Item is a unique 10 digit numeric code assigned to health related\ndrug products by the FDA and the manufacturer or distributor. The format of an\nHRI is 4-6 and it is converted to the 11 digit number used on billing\ntransactions by adding a zero to the 11th position.\n
\n\n", "", "", ""], ["1315", "UN", "Unique Ingredient Identifier\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nThe UNII is a part of the joint USP/FDA Substance Registration System (SRS),\nwhich has been designed to support health information technology initiatives by\nproviding unique identifiers for substances in drugs, biologics, foods, and\ndevices based on molecular structure and/or descriptive information.\n
\n\n", "", "", ""], ["1316", "SCD", "RxNorm Semantic Clinical Drug\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the ingredient plus strength and dose form.\n
\n\n", "", "", ""], ["1317", "SBD", "RxNorm Semantic Branded Drug\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the ingredient, strength and dose form plus the branded name.\n
\n\n", "", "", ""], ["1318", "GPK", "RxNorm Generic Package\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the generic drug delivery device.\n
\n\n", "", "", ""], ["1319", "BPK", "RxNorm Branded Package\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nAn RxNorm code maintained and distributed by the National Library of Medicine\n(NLM) representing the branded drug delivery device.\n
\n\n", "", "", ""], ["132", "RM", "REMOVED\n", "ERX\n", "", "", "", "", ""], ["1320", "GMP", "Elsevier/Gold Standard Marketed Product Identifier\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nThe Marketed Product Identifier represents a unique, permanent database object\nthat represents a product name, strength, dosage form, and marketer for brand\nproducts and a name, strength, and dosage form for a generic product.\n
\n\n", "", "", ""], ["1321", "GPI", "Elsevier/Gold Standard Product Identifier\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nThe Product Identifier (ProdID) is a permanent database object that represents a\ndrug concept sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1322", "GSP", "Elsevier/Gold Standard Specific Product Identifier\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nThe Specific Product is a permanent database object that represents a group of\nproducts sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1323", "DI", "Device Identifier\n", "ICQ\n", "INGREDIENT CODE QUALIFIER\n", "\nMandatory, fixed portion of a Unique Device Identifier (UDI) that identifies the\nspecific version or model of a device and the labeler of that device. The DI\nportion is issued by Federal Drug Administration (FDA) Accredited Issuing\nAgencies such as GS1 and HIBCC.\n
\n\n", "", "", ""], ["1324", "ND", "National Drug Code\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nNational Drug Code is a unique 10-digit, 3-segment number. For consistency in\nbilling and reimbursement in the pharmacy services sector of healthcare, the NDC\nin a unique 11-digit formatted number, a zero is added. This number identifies\nthe labeler/manufacturer, product, and package size of the drug. The first\nsegment is the labeler code and assigned by the FDA\n
\n\n", "", "", ""], ["1325", "UP", "Universal Product Code\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nAn 11 digit code which identifies the manufacturer and the specific description\nof the product\n
\n\n", "", "", ""], ["1326", "RT", "National Drug File Reference\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nNational Drug File Reference Terminology - A value descending from the NDF-RT\nconcept types of "Mechanism of Action - N0000000223", "Physiologic Effect -\nN0000009802" or "Chemical Structure - N0000000002". Maintained by VA,\ndistributed by NCI - for classes of medications.\n
\n\n", "", "", ""], ["1327", "NH", "Health Related Item\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nHealth Related Item is a unique 10 digit numeric code assigned to health related\ndrug products by the FDA and the manufacturer or distributor. The format of an\nHRI is 4-6 and it is converted to the 11 digit number used on billing\ntransactions by adding a zero to the 11th position.\n
\n\n", "", "", ""], ["1328", "UN", "Unique Ingredient Identifier\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nThe UNII is a part of the joint USP/FDA Substance Registration System (SRS),\nwhich has been designed to support health information technology initiatives by\nproviding unique identifiers for substances in drugs, biologics, foods, and\ndevices based on molecular structure and/or descriptive information. The SRS is\nused to generate permanent, unique, unambiguous identifiers for substances in\nregulated products, such as ingredients in drug products.\n
\n\n", "", "", ""], ["1329", "GMP", "Elsevier/Gold Standard Marketed Product Identifier\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nThe Marketed Product Identifier represents a unique, permanent database object\nthat represents a product name, strength, dosage form, and marketer for brand\nproducts and a name, strength, and dosage form for a generic product.\n
\n\n", "", "", ""], ["133", "PR", "Preferred\n", "DCS\n", "", "\nPreferred means available on a pharmaceutical formulary in a manner such that the\nproduct is given preference in dispensing decisions over competing products in a\ntherapeutic class or therapeutic use.\n
\n\n", "", "", ""], ["1330", "GPI", "Elsevier/Gold Standard Product Identifier\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nThe Product Identifier (ProdID) is a permanent database object that represents a\ndrug concept sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1331", "GSP", "Elsevier/Gold Standard Specific Product Identifier\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nThe Specific Product is a permanent database object that represents a group of\nproducts sharing the same active ingredients, dosage form, and strength.\n
\n\n", "", "", ""], ["1332", "DI", "Device Identifier\n", "PQC\n", "PRODUCT QUALIFIER CODE\n", "\nMandatory, fixed portion of a Unique Device Identifier (UDI) that identifies the\nspecific version or model of a device and the labeler of that device. The DI\nportion is issued by Federal Drug Administration (FDA) Accredited Issuing\nAgencies such as GS1 and HIBCC\n
\n\n", "", "", ""], ["1333", "RXR", "RXRENEWAL RESPONSE REPLACE - NEW\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1334", "RXI", "RXRENEWAL RESPONSE - IN PROCESS\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1335", "RXE", "RXRENEWAL RESPONSE - PROCESSING ERROR\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1336", "CRN", "RXCHANGE REQUEST - NEW\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1337", "CRC", "RXCHANGE REQUEST COMPLETE\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1338", "CRP", "RXCHANGE REQUEST PROCESSED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1339", "CRX", "RXCHANGE REQUEST EXPIRED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["134", "AP", "Approved\n", "DCS\n", "", "\nThe product is included in the plan formulary.\n
\n\n", "", "", ""], ["1340", "CRR", "RXCHANGE REQUEST RESPONSE RECEIVED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1341", "CRE", "RXCHANGE REQUEST ERROR\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1342", "ICA", "INBOUND RXCHANGE ERROR ACKNOWLEDGED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1343", "CXN", "RXCHANGE RESPONSE - NEW\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1344", "CXV", "RXCHANGE RESPONSE - PRESCRIBER AUTH - NEW\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1345", "CXY", "RXCHANGE RESPONSE - PRIOR AUTH - NEW\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1346", "CXI", "RXCHANGE RESPONSE - IN PROCESS\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1347", "CXP", "RXCHANGE RESPONSE PROCESSED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1348", "CXC", "RXCHANGE RESPONSE COMPLETE\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1349", "CXD", "RXCHANGE RESPONSE DENIED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["135", "PA", "Prior Authorization Required - A prior authorization is required before the prescription can be dispensed.\n", "DCS\n", "", "", "", "", ""], ["1350", "CXW", "RXCHANGE RESPONSE WAITING\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1351", "CXA", "RXCHANGE RESPONSE ACKNOWLEDGED\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1352", "CXE", "RXCHANGE RESPONSE - PROCESSING ERROR\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1353", "HC", "HOLD DUE TO CHANGE\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1354", "CXQ", "CANCELED DUE TO CHANGE\n", "ERX\n", "ERX STATUS\n", "", "", "", ""], ["1355", "D", "DUE (Drug Use Evaluation)\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber authorize a change to the patient's\ncurrent medication therapy, such as a dosing regimen or an alternative\nmedication that will have fewer, or no, adverse effects than the original\nprescription.\n
\n\n", "", "", ""], ["1356", "G", "Generic Substitution\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber allow the dispensing of a generic\nmedication when substitution is not allowed by the prescriber or\nregulations.\n
\n\n", "", "\nRx received was marked Dispense as Written however Brand Name product is not\navailable to be dispensed. Please approve generic substitution option below or\nsend replacement Rx.\n
\n\n", ""], ["1357", "OS", "Out of Stock\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber authorize a change to the original\nprescription due to the pharmacy being out of stock of the requested\nmedication.\n
\n\n", "", "\nThe medication prescribed is currently out of stock. Please submit\na new Rx from the option(s) below.\nVA Formulary: https://www.domain.ext/formularyadvisor/\n
\n\n", ""], ["1358", "P", "Prior Authorization Required\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber review the drug requested and obtain a\nprior authorization from the payer for the existing prescription.\n
\n\n", "", "\nThis product requires a prior authorization. Please call the VA Pharmacy\nat [PHONE_NUMBER] to discuss.\nVA Formulary: https://www.domain.ext/formularyadvisor/\n
\n\n", ""], ["1359", "S", "Script Clarification\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber clarify the original prescription.\n
\n\n", "", "\nThe eRx is missing or unclear on [ADD_TEXT_HERE], Please edit and respond or\ncancel Rx and send a new prescription with the requested information.\n
\n\n", ""], ["136", "NF", "Non-Formulary\n", "DCS\n", "", "\nThe product is not included in the plan formulary.\n
\n\n", "", "", ""], ["1360", "T", "Therapeutic Interchange/Substitution\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber authorize a therapy change to the\nprescription. This includes the workflow where a pharmacy requests a\n30-90 day quantity or a formulary change.\n
\n\n", "", "\nPharmacy is unable to supply medication as prescribed; however, alternative\noptions may exist. Please approve an option below or Cancel Rx and send a\nreplacement.\n
\n\n", ""], ["1361", "U", "Prescriber Authorization\n", "MRC\n", "MESSAGE REQUEST CODE\n", "\nMay be used to request a prescriber authorization information, such as\nconfirming their DEA number or enrollment with the prescription benefit\nplan. Denied and Validated are the only acceptable RxChangeResponse types\nfor this workflow. Use the elements in the Validated response type to return\nthe requested information.\n
\n\n", "", "", ""], ["1362", "A", "Prescriber must confirm their State license status\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1363", "B", "Prescriber must confirm their DEA license status in prescribing state\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1364", "C", "Prescriber must confirm their DEA registration by DEA class\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1365", "D", "Prescriber must confirm their State Controlled Substance Registration license status\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1366", "E", "Prescriber must confirm their registration by State Controlled Substance Registration class\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1367", "F", "Prescriber must confirm their NADEAN license status\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1368", "G", "Prescriber must obtain/validate Type1 NPI\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1369", "H", "Prescriber must enroll/re-enroll with prescription benefit plan\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "\nExpired or no authorization on file with VA. Fax RFS Form (VA 10-10172) to\n[ADD_TEXT_HERE] to request auth, or send Rx to non-VA pharmacy (not covered\nby VA). Rx will be cancelled at this time, resend upon approval including\nauthorization #.\n
\n\n", "", "", ""], ["137", "NR", "Not Reimbursed\n", "DCS\n", "", "\nThe product is not reimbursable in the plan formulary.\n
\n\n", "", "", ""], ["1370", "I", "Prescriber must confirm prescriptive authority criteria for prescribed medication is met\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1371", "J", "Prescriber must enroll/re-enroll in REMS\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1372", "K", "Prescriber must confirm their assignment as patients' lock-in prescriber\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1373", "L", "Prescriber must obtain/validate their supervising prescriber\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1374", "M", "Prescriber must confirm their Certificate to Prescribe Number status\n", "MRSC\n", "MESSAGE REQUEST SUB-CODE\n", "", "", "", ""], ["1375", "AR", "Unable to cancel prescription; prescription was transferred to another pharmacy\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1376", "AS", "Qualified provider unavailable to provide this service\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1377", "AT", "Not accepting new patients\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1378", "AU", "Unable to accommodate service based parameters\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1379", "AV", "These parameters do not meet the patient's needs\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["138", "DC", "Differential Co-Pay\n", "DCS\n", "", "\nThe product may be subject to potentially higher copay.\n
\n\n", "", "", ""], ["1380", "AW", "Based on assessment, patient needs are outside of contractual agreement\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1381", "AX", "Patient condition no longer applicable\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1382", "AY", "Patient not available for service\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1383", "AZ", "Patient declined service\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1384", "BA", "Qualified provider unavailable to provide this service\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1385", "BB", "No Information Available\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1386", "BC", "Not Authorized to Release\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1387", "BD", "Unable to Send Response in Format Requested\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1388", "BE", "Medication denied at patient request\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1389", "BF", "Conscientious objection\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["139", "UN", "Unknown\n", "DCS\n", "", "\nThe coverage status code is not discernible.\n
\n\n", "", "", ""], ["1390", "BG", "Not the patient-desired pharmacy\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1391", "BH", "Not In Central Fill inventory List\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1392", "BJ", "Out of Stock - The dispensing entity does not have sufficient quantity of the requested product to fulfill the order/prescription.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1393", "BK", "Quantity to Dispense Incorrect for NDC Sent - NDC requested is for an item that must be distributed in the manufacturer's packaging and the requested quantity is not an even mulitple of the manufacturer's packaging.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1394", "BL", "Rx Received After Established Deadline - The order was not received in time for the requestedshipment date.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1395", "BM", "Duplicate Order - More than one message for an order was received.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1396", "BN", "Fill Locally not filled by Central Fill Facility\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1397", "BO", "NDC Discontinued from Formulary - Do not resend. The NDC number requested is on the discontinued inventory list and there is not sufficient quantity of the medication requested tofulfill the order.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1398", "BP", "Out of Stock/Manufacturer Back Order - NDC requested is currently on back order from the manufacturer.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1399", "BQ", "Discontinued by Manufacturer - NDC requested has been discontinued by the manufacturer.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["14", "DM", "Apparent Drug Misuse\n", "REA\n", "", "\nCode indicating a pattern of drug use by a patient in a manner that is\nsignificantly different than that prescribed by the prescriber.\n
\n\n", "", "", ""], ["140", "ST", "Step Therapy Required\n", "DCS\n", "", "\nThe plan formulary requires that medication in a specific drug class be tried\nprior to the requested medication.\n
\n\n", "", "", ""], ["1400", "BR", "Rx Canceled by Central Fill Facility: Automation - Due to automation issues at the Central FillFacility the Rx must be filled locally.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1401", "BS", "Rx Canceled by Central Fill Facility: Site Closure - Due to site closure issues at Central FillFacility the Rx must be filled locally\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1402", "BT", "Drug Recalled by Manufacturer - NDC requested has been recalled by the manufacturer.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1403", "BU", "Eligible for Fulfillment from Central Fill Facility\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1404", "BV", "Pharmacy not enrolled/aligned with Central Fill Facility\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1405", "BW", "Change to a different medication\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1406", "BX", "Electronic Prior Authorization not supported - Submit via other methods\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1407", "BY", "Other- not covered by other values\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1408", "BZ", "Cannot find PACase ID\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1409", "CA", "Unable to locate based on insufficient information - identifiers do not match\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["141", "SI", "Signed Prescriptio\n", "DCS\n", "", "\nThis indicates the prescription has been signed according to the DEA requirements\nfor electronic prescribing of controlled substances.\n
\n\n", "", "", ""], ["1410", "CB", "Request already processed- final determination has been made\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1411", "CC", "Prior Authorization not required for patient/medication\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1412", "CD", "Cannot find matching patient\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1413", "CE", "Patient not eligible(does not have coverage with the payer)\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1414", "CF", "Prior Authorization duplicate/approved\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1415", "CG", "Prior Authorization duplicate/in process\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1416", "CH", "Closed by health plan/payer/processor/PBM\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1417", "CJ", "Closed by Provider\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1418", "CK", "Closed by Member\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1419", "CL", "Attachment type(mimetype) not supported\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["142", "CP", "Compund\n", "DCS\n", "", "\nCompound as per Change Healthcare\n
\n\n", "", "", ""], ["1420", "CM", "Prescriber not allowed to submit PA request\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1421", "CN", "Response content is inconsistent with the question\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1422", "CO", "The receiver is not the PA processor for this patient\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1423", "CP", "The receiver is not the PA processor for this patient and medication combination\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1424", "CQ", "Transfer needs to be discussed - call with information provided\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1425", "CR", "Prescription(s) cannot be electronically transferred; will be sent via manual transfer\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1426", "CS", "Prescription not found\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1427", "CT", "Prescription cannot be transferred out because it was previously transferred\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1428", "CU", "Prescription cannot be transferred out because it is voided/cancelled/deactivated\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1429", "CV", "Stop date has been exceeded\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["143", "SP", "Supplies\n", "DCS\n", "", "\nSupplies as per Change Healthcare\n
\n\n", "", "", ""], ["1430", "CW", "Prescription cannot be transferred out because it has expired\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1431", "CX", "Prescription cannot be transferred out by law/regulation\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1432", "CY", "Prior Authorization duplicate/denied\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1433", "CZ", "Patient had allergy to requested medication\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1434", "DA", "Medication has been discontinued\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1435", "DB", "Drug Use Evaluation\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1436", "DC", "No refills remaining or medication order has expired\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1437", "DD", "Pharmacy has no intention to stock the medication requested/prescribed\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1438", "DE", "Prior Authorization has been denied by payer\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1439", "DF", "Generic Substitution - A modification of the product prescribed to a generic equivalent.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["144", "01", "UPC\n", "CAQ\n", "", "\nUniversal Product Code (UPC)\n
\n\n", "", "", ""], ["1440", "DG", "Therapeutic Interchange/Substitution - A modification of the product prescribed to apreferred product choice.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1441", "DH", "Profile Medication - medication appropriate for administration, not dispensed by pharmacy at thistime.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1442", "DJ", "No Data - There is a response indicating that no data was found for the search criteria providedin the search request.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1443", "DK", "Prescription Data\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1444", "DL", "Disallowed - There was a permission problem of some type performing this request against this destination.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1445", "DM", "Error- This response indicates a processing error in performing this request. (May only be used when a more specific ReasonCode does not apply).\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1446", "DN", "Excessive days supply according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1447", "DO", "Insufficient days supply according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1448", "DP", "Inappropriate days supply for the quantity prescribed according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1449", "DQ", "Excessive dosage according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["145", "02", "HRI\n", "CAQ\n", "", "\nHealth Related Item (HRI)\n
\n\n", "", "", ""], ["1450", "DR", "Insufficient dosage according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1451", "DS", "Refills not permitted according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1452", "DT", "Quantity limit exceeds maximum according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1453", "DU", "Inappropriate quantity prescribed according to REMS restrictions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1454", "DV", "Laboratory test results requiredo r not documented\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1455", "DW", "Laboratory test not conducted within specified time period.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1456", "DX", "Prescribing not authorized due to laboratory test results.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1457", "DY", "Prescriber has not documented safe use conditions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1458", "DZ", "Prescriber has not documented patient opioid tolerance.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1459", "EA", "Prescriber has not documented that patient has met contraceptive requirements.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["146", "03", "NDC\n", "CAQ\n", "", "\nNational Drug Code (NDC)\n
\n\n", "", "", ""], ["1460", "EB", "Invalid prescription may not be electronically submitted; hand written orders only.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1461", "EC", "Non matched Diagnosis code submitted.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1462", "ED", "Patient First Name must be submitted.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1463", "EE", "Patient Last Name must be submitted.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1464", "EF", "Patient Zip Code must be submitted.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1465", "EG", "Multiple patient matches ; call REMS Administrator.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1466", "EH", "Patient First Name must be submitted.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1467", "EI", "Patient is younger than the minimum age required.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1468", "EJ", "Patient is older than the maximum age allowed.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1469", "EK", "Patient is on a \"Do Not Rechallenge List\".\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["147", "04", "HIBCC\n", "CAQ\n", "", "\nHealth Industry Business Communications Council (HIBCC)\n
\n\n", "", "", ""], ["1470", "EL", "Patient has not provided required documentation for safe use conditions.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1471", "EM", "Patient must enroll/certify.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1472", "EN", "Patient must re-enroll/re-certify.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1473", "EO", "Pharmacy not enrolled/certified.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1474", "EP", "Pharmacy must re-enroll/re-certify.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1475", "EQ", "Pharmacy not matched.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1476", "ER", "Invalid Pharmacy type? contact program administrator.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1477", "ES", "Prescriber must enroll/certify.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1478", "ET", "Prescriber must re-enroll/re-certify.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1479", "EU", "Prescriber qualifications for REMS not met.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["148", "06", "DUR/PPS\n", "CAQ\n", "", "\nDrug Use Review/Professional Pharmacy Service (DUR/PPS)\n
\n\n", "", "", ""], ["1480", "EV", "Missing/Invalid Prescriber ID.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1481", "EW", "Non-Matched Prescriber last name.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1482", "EX", "Prescriber has been deactivated.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1483", "EY", "Pharmacy is not participating.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1484", "EZ", "Prescriber-Patient Agreement not found.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1485", "FA", "No attempt will be made to obtain REMS approval.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1486", "FB", "Electronic REMS not supported. Submit via other methods.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1487", "FC", "Cannot find REMS CaseID\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1488", "FD", "REMS Authorization not required for patient/product.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1489", "FE", "Patient not eligible\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["149", "07", "CPT4\n", "CAQ\n", "", "\nCommon Procedure Terminology (CPT4)\n
\n\n", "", "", ""], ["1490", "FF", "REMS Authorization duplicate/approved\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1491", "FG", "REMS Authorization duplicate/in process\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1492", "FH", "REMS Authorization duplicate/denied\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1493", "FI", "Closed by REMS Administrator\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1494", "FJ", "The receiver is not the REMS Administrator for this patient\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1495", "FK", "The receiver is not the REMS Administrator for this patient and product combination\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1496", "FL", "Provider responded after deadline to reply. PA must be reinitiated\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1497", "FM", "Product not covered by this plan. Prior Authorization not available. (Used when the drug will not be covered even if the provider does a PA)\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1498", "FN", "Prescription withinp rescribing limits. Prior Authorization not required for PATIENT/MEDICATION.(Used when there are coverage rules in place, but the prescriber is not going outside of them)\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1499", "FO", "Coverage limits may exist for quantity and/or days supply. Plan will pay up to coverage limit. PriorAuthorization not required for PATIENT/MEDICATION. (Used when the plan willonly pay up to a certain amount, but not above.)\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["15", "DR", "Dose Range Conflict\n", "REA\n", "", "\nCode indicating that the prescription does not follow recommended medication\ndosage.\n
\n\n", "", "\nThe prescribed dosage does not align with manufacturer recommendations. Please\nadvise: To fill as is, send denial to this request with note stating reason fill\nis acceptable. To fill within manufacturer guidelines, approve recommendation\nbelow.\n
\n\n", ""], ["150", "08", "CPT5\n", "CAQ\n", "", "\nCommon Procidure Terminology (CPT5)\n
\n\n", "", "", ""], ["1500", "FP", "Coverage limits have beene xceeded exception not available. Prior Authorization not required for PATIENT/MEDICATION when within coverage limit.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1501", "FQ", "Active PA on file.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1502", "FR", "Submitted Product Code is not valid. Please resolve and resubmit.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1503", "FS", "The medication prescribed is out of stock and cannot be obtained in a clinically appropriate timeframe.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1504", "FT", "The medication presscribed is available for administration from the Automated Dispensing System\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1505", "FV", "The medication prescribed is available for cycle fill\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1506", "FW", "Patient requested reduced quantity.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1507", "FX", "Prescriber requested/allowed reduced quantity.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1508", "FY", "Days' Supply and/or Quantity are limited by Payer.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1509", "FZ", "Regulatory Days Supply Limitation.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["151", "09", "HCPCS\n", "CAQ\n", "", "\nHealth Care Financing Administration Common Procedural Coding System (HCPCS)\n
\n\n", "", "", ""], ["1510", "GA", "Prescriber Authorization - prescriber must confirm their state license status.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1511", "GB", "Prescriber Authorization - prescriber must confirm their DEA license status in prescribing state.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1512", "GC", "Prescriber Authorization - prescriber must confirm their DEA registration by DEA class.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1513", "GD", "Prescriber Authorization - prescriber must confirm their state Controlled Substance Registrationlicense status.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1514", "GE", "Prescriber Authorization - prescriber must confirm their registration by state Controlled SubstanceRegistration class.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1515", "GF", "Prescriber Authorization - prescriber must confirm their NADEAN license status.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1516", "GG", "Prescriber Authorization - prescriber must obtain/validate Type1 NPI.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1517", "GH", "Prescriber Authorization - prescriber must enroll/re-enroll with prescription benefit plan.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1518", "GI", "Prescriber Authorization - prescriber must confirm prescriptive authority criteria for prescribedmedication is met.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1519", "GJ", "Prescriber Authorization - prescriber must enroll/re-enroll in REMS.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["152", "10", "PPAC\n", "CAQ\n", "", "\nPharmacy Practice Activity Classification (PPAC)\n
\n\n", "", "", ""], ["1520", "GK", "Prescriber Authorization - prescriber must confirm their assignment as patients' lock-in prescriber.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1521", "GL", "Prescriber Authorization - prescriber must obtain/validate their supervising prescriber.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1522", "GM", "Active Registration Status.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1523", "GN", "In-Active License with prescriptive authority based on state/federal regulations.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1524", "GP", "Active with Prescriptive Authority - prescribed product class.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1525", "GQ", "Active with Prescriptive Authority - Prescriber Type.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1526", "GR", "Active with Prescriptive Authority - Supervising Prescriber Type.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1527", "GS", "Registered.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1528", "GT", "Enrolled/Re-Enrolled.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1529", "GU", "Assigned.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["153", "11", "NAPPI\n", "CAQ\n", "", "\nNational Pharmaceutical Product Interface Code (NAPPI)\n
\n\n", "", "", ""], ["1530", "GV", "Requestor Role notauthorized to receive PDMP data.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1531", "GW", "Biologic/Biosimilar Substitution\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1532", "GX", "New Prescription Notification\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1533", "GY", "Collaborative Changes\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1534", "GZ", "Immunization Notification\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1535", "HA", "Pharmacist Initiated Alteration In Days' Supply.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1536", "HB", "Contraindicated Per Medication Profile\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1537", "HC", "Contraindicated Due To Identified Allergy\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1538", "HD", "Lab Results Out Of Acceptable Range ForProduct\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1539", "HE", "Laboratory results documented/updated\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["154", "12", "GTIN\n", "CAQ\n", "", "\nGlobal Trade Identification Number (GTIN)\n
\n\n", "", "", ""], ["1540", "HF", "Diagnosis documented/updated\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1541", "HG", "Updated quantity/days supply\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1542", "HH", "REMS Administrator Authorized\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1543", "HI", "Prescription not found. Contact Pharmacy byother means.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1544", "HJ", "Notificationof Prescription Cancellation - Used in scenarios defined by trading partner agreement such as a notification from a prescriber representative to areceiving system that the prescription is cancelled.\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1545", "HK", "Notificationof Prescription Renewal\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1546", "HL", "Notificationof Prescription Update\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1547", "HM", "Active suspension in place\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["1548", "HCR", "PRESCRIBER'S CS CREDENTIAL IS NOT APPROPRIATE\n", "ERX\n", "", "", "", "", ""], ["1549", "HWR", "CS PRESCRIPTION WRITTEN/ISSUE DATE HAS PROBLEMS\n", "ERX\n", "", "", "", "", ""], ["155", "14", "GPI\n", "CAQ\n", "", "\nMedi-span Product Line Generic Product Identifier (GPI)\n
\n\n", "", "", ""], ["1550", "HIS", "PROVIDER DEA# ISSUE\n", "ERX\n", "", "", "", "", ""], ["1551", "HRX", "HOLD FOR RX EDIT\n", "ERX\n", "", "", "", "", ""], ["1552", "HDE", "DRUG USE EVALUATION\n", "ERX\n", "", "", "", "", ""], ["1553", "HTI", "THERAPUTIC INTERCHANGE\n", "ERX\n", "", "", "", "", ""], ["1554", "HSC", "SCRIPT CLARIFICATION\n", "ERX\n", "", "", "", "", ""], ["1555", "HGS", "GENERIC SUBSTITUTION\n", "ERX\n", "", "", "", "", ""], ["1556", "REM09", "ERX Issue not resolved-Provider contacted\n", "REM\n", "", "", "", "", ""], ["1557", "PVD03", "Missing/bad digital signature on inbound CS ERX\n", "REJ\n", "", "", "", "", ""], ["1558", "PVD04", "Prescriber's CS credential is not appropriate\n", "REJ\n", "", "", "", "", ""], ["1559", "PTT03", "Patient's mailing address is missing/mismatched\n", "REJ\n", "", "", "", "", ""], ["156", "15", "GCN\n", "CAQ\n", "", "\nFirst DataBank Formulation ID (GCN)\n
\n\n", "", "", ""], ["1560", "ERR99", "Other\n", "REJ\n", "", "", "", "", ""], ["1561", "HAL", "NO PATIENT ALLERGY ASSESSMENT\n", "ERX\n", "", "", "", "", ""], ["1562", "HEL", "PATIENT ELIGIBILITY ISSUE\n", "ERX\n", "", "", "", "", ""], ["1563", "HUR", "UN-REMOVED\n", "ERX\n", "", "", "", "", ""], ["1564", "HFF", "HOLD FOR FUTURE FILL\n", "ERX\n", "", "", "", "", ""], ["1565", "REM81", "Prior Authorization Denied\n", "REM\n", "", "", "", "", ""], ["1566", "REM82", "No Community Care Authorization for this Prescription\n", "REM\n", "", "", "", "", ""], ["1567", "REM83", "Patient Not Found in Local VA Database\n", "REM\n", "", "", "", "", ""], ["1568", "PRN", "PRN Directions\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates that the prescription received is missing dose and/or frequency\nguidelines.\n
\n\n", "", "\nVA policy prohibits filling prescriptions with only "AS NEEDED" for\ndirections. Please indicate frequency of administration.\n
\n\n", ""], ["1569", "UDD", "As Directed Directions\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates that the prescription received is missing dose and/or frequency\nguidelines.\n
\n\n", "", "\nVA policy prohibits filling prescriptions with only "AS DIRECTED"\ndirections. Please indicate frequency of administration.\n
\n\n", ""], ["157", "16", "GFC\n", "CAQ\n", "", "\nMicromedex/Medical Economics Generic Formulation Code (GFC)\n
\n\n", "", "", ""], ["1570", "COD", "Conflicting Directions\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates that the prescription received has conflicting directions.\n
\n\n", "", "\nThis prescription contains conflicting directions. Please verify which\ndirections are to be followed.\n
\n\n", ""], ["1571", "MSD", "Missing Directions\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates that the prescription received has incomplete directions for use.\n
\n\n", "", "\nPlease provide the complete set of patient instructions.\n
\n\n", ""], ["1572", "RIJ", "Route of Injection\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates that the prescription received is missing the route of injection\nfor medication.\n
\n\n", "", "\nPlease verify the ROUTE of injection.\n
\n\n", ""], ["1573", "VEF", "Verify Formulation\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates that the prescription received is missing the formulation of\nmedication to dispense.\n
\n\n", "", "\nPlease verify which formulation should be dispensed.\n
\n\n", ""], ["1574", "VLQ", "Verify Low Quantity\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates the prescription received has a written quantity that is less\nthan typical prescribing.\n
\n\n", "", "\nThe quantity written is less than typically prescribed. Please verify the\nquantity to dispense.\n
\n\n", ""], ["1575", "VPQ", "Verify Package Quantity\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates the prescription received has a written quantity that is less\nthan smallest available quantity to dispense from the pharmacy.\n
\n\n", "", "\nPlease verify the quantity to dispense. Our filling sites are only able to\nprovide this product in quantities of [QUANTITY], which is more than the\ntotal quantity prescribed.\n
\n\n", ""], ["1576", "AUT", "Prescriber Not Authorized\n", "SCR\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates the Prescriber is not authorized by VA to see this patient.\n
\n\n", "", "\nVA records show this patient does not have active authorization for care\nfrom your office. This prescription will be removed from the VA system.\nFor authorization questions, patients or providers can call the VA Office\nof Community Care at [PHONE_NUMBER].\n
\n\n", ""], ["1577", "DSC", "Days Supply Change\n", "TIS\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates a change in the days supply for the medication prescribed.\n
\n\n", "", "\nPharmacy would like to dispense this medication for 90 days of supply\ninstead 30 days. Please approve the 90-days option below or Cancel Rx and\nsend a replacement.\n
\n\n", ""], ["1578", "FMC", "Formulary Change\n", "TIS\n", "THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON\n", "\nIndicates Pharmacy is unable to supply medication as prescribed.\n
\n\n", "", "\nPharmacy is unable to supply medication as prescribed; however, alternative\noptions may exist. Please approve an option below or Cancel Rx and send a\nreplacement.\n
\n\n", ""], ["158", "17", "DDID\n", "CAQ\n", "", "\nMedi-Span Product Line Drug Descriptor ID (DDID)\n
\n\n", "", "", ""], ["159", "18", "First DataBank SmartKey\n", "CAQ\n", "", "\nFirst DataBank SmartKey\n
\n\n", "", "", ""], ["16", "DS", "Tobacco Use\n", "REA\n", "", "\nCode indicating that a conflict was detected when a prescribed drug is\ncontraindicated or might conflict with the use of tobacco products.\n
\n\n", "", "", ""], ["160", "19", "GM\n", "CAQ\n", "", "\nMicromedex/Medical Economics Generic Master (GM)\n
\n\n", "", "", ""], ["161", "20", "ICD9\n", "CAQ\n", "", "\nInternational Classification of Diseases (ICD9)\n
\n\n", "", "", ""], ["162", "21", "ICD-10-CM\n", "CAQ\n", "", "\nInternational Classification of Diseases-1-Clinical Modifications (ICD-1-CM)\n
\n\n", "", "", ""], ["163", "22", "Medi-Span Product Line Diagnosis Code\n", "CAQ\n", "", "\nMedi-Span Product Line Diagnosis Code\n
\n\n", "", "", ""], ["164", "23", "NCCI\n", "CAQ\n", "", "\nNational Criteria Care Institute (NCCI)\n
\n\n", "", "", ""], ["165", "24", "SNOMED\n", "CAQ\n", "", "\nThe Systematized Nomenclature of Human and Veterinary Medicine (SNOMED)\n
\n\n", "", "", ""], ["166", "25", "CDT\n", "CAQ\n", "", "\nCommon Dental Terminology (CDT)\n
\n\n", "", "", ""], ["167", "26", "DSM IV\n", "CAQ\n", "", "\nAmerican Psychiatric Association Diagnostic Statistical Manual of Mental\nDisorders (DSM IV)\n
\n\n", "", "", ""], ["168", "27", "ICD-10-PCS\n", "CAQ\n", "", "\nInternational Classification of Diseases-1-Procedure Coding System (ICD-1-PCS)\n
\n\n", "", "", ""], ["169", "28", "FDB Med Name ID\n", "CAQ\n", "", "\nFirst DataBank Medication Name ID (FDB Med Name ID)\n
\n\n", "", "", ""], ["17", "ED", "Patient Education/Instruction\n", "REA\n", "", "\nCode indicating that a cognitive service whereby the pharmacist performed a\npatient care activity by providing additional instructions or education to the\npatient beyond the simple task of explaining the prescriber's instructions on the\nprescription.\n
\n\n", "", "", ""], ["170", "29", "FDB Routed Med ID\n", "CAQ\n", "", "\nFirst DataBank Routed Medication ID (FDB Routed Med ID)\n
\n\n", "", "", ""], ["171", "30", "FDB Routed Dosage Form Med ID\n", "CAQ\n", "", "\nFirst DataBank Routed Dosage Form ID (FDB Routed Dosage Form Med ID)\n
\n\n", "", "", ""], ["172", "31", "FDB MedID\n", "CAQ\n", "", "\nFirst DataBank Medication ID (FDB MedID)\n
\n\n", "", "", ""], ["173", "32", "GCN_SEQ_NO\n", "CAQ\n", "", "\nFirst DataBank Clinical Formulation ID Sequence Number (GCN_SEQ_NO)\n
\n\n", "", "", ""], ["174", "33", "HICL_SEQ_NO\n", "CAQ\n", "", "\nFirst DataBank Ingredient List ID (HICL_SEQ_NO)\n
\n\n", "", "", ""], ["175", "34", "UPN\n", "CAQ\n", "", "\nUniversal Product Number (UPN)\n
\n\n", "", "", ""], ["176", "35", "LOINC\n", "CAQ\n", "", "\nLogical Observation Identifier Names and Codes (LOINC)\n
\n\n", "", "", ""], ["177", "36", "NDC\n", "CAQ\n", "", "\nRepresentative National Drug Code (NDC)\n
\n\n", "", "", ""], ["178", "37", "AHFS\n", "CAQ\n", "", "\nAmerican Hospital Formulary Service (AHFS)\n
\n\n", "", "", ""], ["179", "38", "SCD\n", "CAQ\n", "", "\nRxNorm Semantic Clinical Drug (SCD)\n
\n\n", "", "", ""], ["18", "ER", "Overuse\n", "REA\n", "", "\nCode indicating that the current prescription refill is occurring before the days\nsupply of the previous filling should have been exhausted.\n
\n\n", "", "", ""], ["180", "39", "SBD\n", "CAQ\n", "", "\nSemantic Branded Drug (SBD)\n
\n\n", "", "", ""], ["181", "40", "GPCK\n", "CAQ\n", "", "\nRxNorm Generic Package (GPCK)\n
\n\n", "", "", ""], ["182", "41", "BPCK\n", "CAQ\n", "", "\nRxNorm Branded Package (BPCK)\n
\n\n", "", "", ""], ["183", "99", "Other\n", "CAQ\n", "", "\nOther\n
\n\n", "", "", ""], ["184", "G1", "Prior Authorization\n", "PAV\n", "", "", "", "", ""], ["185", "PD", "Promotion Number (Sample RX)\n", "PAV\n", "", "", "", "", ""], ["186", "D3", "NCPDP Provider ID Number\n", "PAV\n", "", "", "", "", ""], ["187", "94", "Pharmacy or Prescriber File ID\n", "PAV\n", "", "", "", "", ""], ["188", "0B", "State License Number\n", "PAV\n", "", "", "", "", ""], ["189", "1C", "Medicare Number\n", "PAV\n", "", "", "", "", ""], ["19", "EX", "Excessive Quantity\n", "REA\n", "", "\nCode that documents the quantity is excessive for the single time period for\nwhich the drug is being prescribed.\n
\n\n", "", "", ""], ["190", "1D", "Medicaid Number\n", "PAV\n", "", "", "", "", ""], ["191", "1E", "Dentist License Number\n", "PAV\n", "", "", "", "", ""], ["192", "1G", "UPIN\n", "PAV\n", "", "", "", "", ""], ["193", "1M", "PPO Number\n", "PAV\n", "", "", "", "", ""], ["194", "2U", "Payer Identification Number\n", "PAV\n", "", "", "", "", ""], ["195", "BO", "BIN Location Number\n", "PAV\n", "", "", "", "", ""], ["196", "DH", "DEA Number\n", "PAV\n", "", "", "", "", ""], ["197", "HI", "HIN\n", "PAV\n", "", "", "", "", ""], ["198", "NC", "Secondary Coverage Company Number\n", "PAV\n", "", "", "", "", ""], ["199", "NF", "National Association of Insurance Commissioner's Code\n", "PAV\n", "", "", "", "", ""], ["2", "AN", "Prescription Authentication\n", "REA\n", "", "\nCode indicating that circumstances required the pharmacist to verify the validity\nand/or authenticity of the prescription.\n
\n\n", "", "", ""], ["20", "HD", "High Dose\n", "REA\n", "", "\nDetects drug doses that fall above the standard dosing range.\n
\n\n", "", "\nThe prescribed dosage exceeds typical maximum. Please advise: To fill as is,\nsend denial to this request with note stating reason fill is acceptable. To\nfill within manufacturer guidelines, approve recommendation below.\n
\n\n", ""], ["200", "SY", "Social Security Number\n", "PAV\n", "", "", "", "", ""], ["201", "HPI", "National Provider ID\n", "PAV\n", "", "", "", "", ""], ["202", "ZZ", "Mutually Defined\n", "PAV\n", "", "", "", "", ""], ["203", "PTT01", "Patient not eligible\n", "REJ\n", "", "", "", "", ""], ["204", "PTT02", "Cannot resolve Patient\n", "REJ\n", "", "", "", "", ""], ["205", "PVD01", "Provider not eligible\n", "REJ\n", "", "", "", "", ""], ["206", "PVD02", "Cannot resolve Provider\n", "REJ\n", "", "", "", "", ""], ["207", "DRU01", "Not eligible for refills\n", "REJ\n", "", "", "", "", ""], ["208", "DRU02", "Non-formulary drug\n", "REJ\n", "", "", "", "", ""], ["209", "DRU03", "Duplicate Prescription found for this Patient\n", "REJ\n", "", "", "", "", ""], ["21", "IC", "Iatrogenic Condition\n", "REA\n", "", "\nCode indicating that a possible inappropriate use of drugs that are designed to\namerliorate complications caused by another medication has been detected.\n
\n\n", "", "", ""], ["210", "DRU04", "Invalid Quantity\n", "REJ\n", "", "", "", "", ""], ["211", "DRU05", "Duplicate therapeutic class\n", "REJ\n", "", "", "", "", ""], ["212", "DRU06", "CS prescription written/issue date has problems\n", "REJ\n", "", "", "", "", ""], ["213", "ERR01", "Multiple errors, please contact the Pharmacy\n", "REJ\n", "", "", "", "", ""], ["214", "ERR02", "Incorrect Pharmacy\n", "REJ\n", "", "", "", "", ""], ["215", "ERR03", "Issues with prescription, please contact the pharmacy\n", "REJ\n", "", "", "", "", ""], ["216", "REM01", "Drug out of stock or on backorder and unavailable for processing\n", "REM\n", "", "", "", "", ""], ["217", "REM02", "Patient was not able to pick up\n", "REM\n", "", "", "", "", ""], ["218", "REM03", "Prescription canceled by Provider\n", "REM\n", "", "", "", "", ""], ["219", "REM04", "Prescription processed manually\n", "REM\n", "", "", "", "", ""], ["22", "ID", "Ingredient Duplication\n", "REA\n", "", "\nCode indicating that simultaneous use of drug products containing one or more\nidentical generic chemical entities has been detected.\n
\n\n", "", "\nPt has medication containing the same ingredient on file. To fill this Rx, send\ndenial with note stating pt requires both medications or note that [DRUG_NAME]\nshould be canceled. If med should not be filled-Cancel RX and send a\nreplacement.\n
\n\n", ""], ["220", "REM05", "Provider will cancel this eRx and submit another\n", "REM\n", "", "", "", "", ""], ["221", "REM06", "Unable to mail prescription and patient unable to pick up\n", "REM\n", "", "", "", "", ""], ["222", "REM07", "Unable to contact patient\n", "REM\n", "", "", "", "", ""], ["223", "REM08", "Unable to contact provider\n", "REM\n", "", "", "", "", ""], ["224", "REM91", "Undefined system error\n", "REM\n", "", "", "", "", ""], ["225", "REM92", "Other\n", "REM\n", "", "", "", "", ""], ["226", "E", "Truven/Micromedex Generic Formulation Code (GFC)\n", "DDB\n", "", "", "", "", ""], ["227", "G", "Truven/Micromedex Generic Master (GM)\n", "DDB\n", "", "", "", "", ""], ["228", "AF", "American Hospital Formulary Service (AHFS)\n", "DDB\n", "", "", "", "", ""], ["229", "FD", "First DataBank Routed Dosage Form ID\n", "DDB\n", "DRUG DB QUALIFIER\n", "\nRepresents the product or generic name, route of administration, and dosage\nform.\n
\n\n", "", "", ""], ["23", "LD", "Low Dose\n", "REA\n", "", "\nCode indicating that the submitted drug doses fall below the standard dosing\nrange.\n
\n\n", "", "\nThe prescribed dosage is below typical minimum. Please advise: To fill as is,\nsend denial to this request with note stating reason fill is acceptable. To fill\nwithin manufacturer guidelines, approve recommendation below.\n
\n\n", ""], ["230", "FG", "First DataBank Clinical Formulation ID Sequence Number (GCN_SEQNO)\n", "DDB\n", "", "", "", "", ""], ["231", "FI", "First DataBank Medication ID (FDB MedID)\n", "DDB\n", "", "", "", "", ""], ["232", "FL", "First DataBank Ingredient List ID (HICL_SEQNO)\n", "DDB\n", "", "", "", "", ""], ["233", "FM", "First DataBank Medication ID (FDB MedID)\n", "DDB\n", "", "", "", "", ""], ["234", "FN", "First DataBank Medication Name ID (FDB Med Name ID)\n", "DDB\n", "", "", "", "", ""], ["235", "FS", "First Databank Smartkey\n", "DDB\n", "", "", "", "", ""], ["236", "MC", "Multum Drug ID\n", "DDB\n", "", "", "", "", ""], ["237", "MD", "Medi Span's Drug Descriptor ID (DDID)\n", "DDB\n", "", "", "", "", ""], ["238", "MG", "Medi-Span's Generic Product Identifier (GPI)\n", "DDB\n", "", "", "", "", ""], ["239", "MM", "Multum MMDC\n", "DDB\n", "", "", "", "", ""], ["24", "LK", "Lock In Recipient\n", "REA\n", "", "\nCode indicating that the professional service was related to a plan/payer\nconstraint on the member whereby the member is required to obtain services from\nonly one specified pharmacy or other provider type, hence the member is "locked\nin" to using only those providers or pharmacies.\n
\n\n", "", "", ""], ["240", "BPK", "RxNorm Branded Package (BPCK)\n", "DDB\n", "", "", "", "", ""], ["241", "GPK", "RxNorm Generic Package (GPCK)\n", "DDB\n", "", "", "", "", ""], ["242", "SBD", "RxNorm Semantic Branded Drug (SBD)\n", "DDB\n", "", "", "", "", ""], ["243", "SCD", "RxNorm Semantic Clinical Drug (SCD)\n", "DDB\n", "", "", "", "", ""], ["244", "W", "WAIT\n", "ERX\n", "", "", "", "", ""], ["245", "IEA", "INBOUND ERROR ACKNOWLEDGED\n", "ERX\n", "", "", "", "", ""], ["246", "RRN", "RXRENEWAL REQUEST - NEW\n", "ERX\n", "", "", "", "", ""], ["247", "RRX", "RXRENEWAL REQUEST EXPIRED\n", "ERX\n", "", "", "", "", ""], ["248", "RRR", "RXRENEWAL REQUEST RESPONSE RECEIVED\n", "ERX\n", "", "", "", "", ""], ["249", "RRE", "RXRENEWAL REQUEST ERROR\n", "ERX\n", "", "", "", "", ""], ["25", "LR", "Underuse\n", "REA\n", "", "\nCode indicating that a prescription refill that occurred after the days supply of\nthe previous filling should have been exhausted.\n
\n\n", "", "", ""], ["250", "RRP", "RXRENEWAL REQUEST PROCESSED\n", "ERX\n", "", "", "", "", ""], ["251", "RRF", "RXRENEWAL REQUEST FAILED\n", "ERX\n", "", "", "", "", ""], ["252", "RRC", "RXRENEWAL REQUEST COMPLETE\n", "ERX\n", "", "", "", "", ""], ["253", "RXA", "RXRENEWAL RESPONSE ACKNOWLEDGED\n", "ERX\n", "", "", "", "", ""], ["254", "RXD", "RXRENEWAL RESPONSE DENIED/DNTF\n", "ERX\n", "", "", "", "", ""], ["255", "RXN", "RXRENEWAL RESPONSE - NEW\n", "ERX\n", "", "", "", "", ""], ["256", "RXF", "RXRENEWAL RESPONSE FAILED\n", "ERX\n", "", "", "", "", ""], ["257", "RXP", "RXRENEWAL RESPONSE PROCESSED\n", "ERX\n", "", "", "", "", ""], ["258", "RXC", "RXRENEWAL RESPONSE COMPLETE\n", "ERX\n", "", "", "", "", ""], ["259", "RXW", "RXRENEWAL RESPONSE WAITING\n", "ERX\n", "", "", "", "", ""], ["26", "MC", "Drug-Disease (Reported)\n", "REA\n", "", "\nIndicates that the use of the drug may be inappropriate in light of a specific\nmedical condition that the patient has. Information about the specific medical\ncondition was provided by the prescriber, patient or pharmacist.\n
\n\n", "", "", ""], ["260", "CAN", "ORIGINAL ERX CANCELED IN THE HOLDING QUEUE\n", "ERX\n", "", "", "", "", ""], ["261", "CNP", "CANCEL RESPONSE PROCESSED\n", "ERX\n", "", "", "", "", ""], ["262", "CAO", "CANCEL PROCESS COMPLETE\n", "ERX\n", "", "", "", "", ""], ["263", "CAH", "CANCEL COMPLETED IN HOLDING QUEUE\n", "ERX\n", "", "", "", "", ""], ["264", "CAA", "CANCEL REQUEST ACKNOWLEDGED\n", "ERX\n", "", "", "", "", ""], ["265", "CAR", "CANCEL REQUEST RECEIVED\n", "ERX\n", "", "", "", "", ""], ["266", "CNE", "CANCEL RESPONSE/INBOUND ERROR\n", "ERX\n", "", "", "", "", ""], ["267", "CAF", "CANCEL PROCESS FAILED\n", "ERX\n", "", "", "", "", ""], ["268", "CAP", "UNABLE TO FIND ORIGINAL ERX\n", "ERX\n", "", "", "", "", ""], ["269", "CAX", "CANCEL RESPONSE FROM VISTA UNSUCCESSFUL\n", "ERX\n", "", "", "", "", ""], ["27", "MN", "Insufficient Duration\n", "REA\n", "", "\nCode indicating that regimens shorter than the minimal limit of therapy for the\ndrug product, based on the product's common uses, has been detected.\n
\n\n", "", "", ""], ["270", "IRA", "INBOUND RXRENEWAL ERROR ACKNOWLEDGED\n", "ERX\n", "", "", "", "", ""], ["271", "AA", "Patient unknown to the Provider\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["272", "AB", "Patient never under Provider care\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["273", "AC", "Patient no longer under Provider care\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["274", "AD", "Patient has requested refill too soon\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["275", "AE", "Medication never prescribed for the patient\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["276", "AF", "Patient should contact Provider first\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["277", "AG", "Fill/Refill not appropriate\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["278", "AH", "Patient has picked up prescription\n", "CLQ\n", "", "", "", "", ""], ["279", "AJ", "Patient has picked up partial fill of prescription\n", "CLQ\n", "", "", "", "", ""], ["28", "MS", "Missing Information/Clarification\n", "REA\n", "", "\nCode indicating that the prescription order is unclear, incomplete, or illegible\nwith respect to essential information.\n
\n\n", "", "\nThe eRx is missing or unclear on [ADD_TEXT_HERE], Please edit and respond or\ncancel Rx and send a new prescription with the requested information.\n
\n\n", ""], ["280", "AK", "Patient has not picked up prescription, drug returned to stock\n", "CLQ\n", "", "", "", "", ""], ["281", "AL", "Change not appropriate\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["282", "AM", "Patient needs appointment\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["283", "AN", "Prescriber not associated with this practice or location\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["284", "AO", "No attempt will be made to obtain Prior Authorization\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["285", "AP", "Request was or will be responded to by other means (e.g. phone or fax)\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["286", "AQ", "More Medication History Available\n", "CLQ\n", "CODE LIST QUALIFIER\n", "", "", "", ""], ["287", "001", "Sender ID not on file.\n", "ERR\n", "", "", "", "", ""], ["288", "002", "Receiver ID not on file.\n", "ERR\n", "", "", "", "", ""], ["289", "003", "Invalid password for sender.\n", "ERR\n", "", "", "", "", ""], ["29", "MX", "Excessive Duration\n", "REA\n", "", "\nDetects regimens that are longer than the maximal limit of therapy for a drug\nproduct based on the product's common uses.\n
\n\n", "", "", ""], ["290", "004", "Invalid password for receiver\n", "ERR\n", "", "", "", "", ""], ["291", "005", "No password on file for sender.\n", "ERR\n", "", "", "", "", ""], ["292", "006", "No password on file for receiver.\n", "ERR\n", "", "", "", "", ""], ["293", "007", "Internal processing error has occurred.\n", "ERR\n", "", "", "", "", ""], ["294", "008", "Request timed out before response could be received.\n", "ERR\n", "", "", "", "", ""], ["295", "009", "Required segment UIB is missing.\n", "ERR\n", "", "", "", "", ""], ["296", "010", "Required segment UIH is missing.\n", "ERR\n", "", "", "", "", ""], ["297", "011", "Required segment UIT is missing.\n", "ERR\n", "", "", "", "", ""], ["298", "012", "Required segment UIZ is missing.\n", "ERR\n", "", "", "", "", ""], ["299", "013", "Unknown segment has been encountered.\n", "ERR\n", "", "", "", "", ""], ["3", "AR", "Adverse Drug Reaction\n", "REA\n", "", "\nCode indicating an adverse reaction by a patient to a drug.\n
\n\n", "", "\nPatient has an adverse drug reaction to medication/component of medication\nprescribed. To fill as is, send denial to this request with note stating reason\nfill is acceptable. If med should not be filled- Cancel RX and send a\nreplacement.\n
\n\n", ""], ["30", "NA", "Drug Not Available\n", "REA\n", "", "\nIndicates the drug is not currently available from any source.\n
\n\n", "", "", ""], ["300", "014", "Too many UIB segments. CODE DESCRIPTION\n", "ERR\n", "", "", "", "", ""], ["301", "015", "Too many UIH segments.\n", "ERR\n", "", "", "", "", ""], ["302", "016", "Too many UIT segments.\n", "ERR\n", "", "", "", "", ""], ["303", "017", "Too many UIZ segments.\n", "ERR\n", "", "", "", "", ""], ["304", "018", "Password is blank.\n", "ERR\n", "", "", "", "", ""], ["305", "019", "Too many segments.\n", "ERR\n", "", "", "", "", ""], ["306", "020", "Unknown data element encountered.\n", "ERR\n", "", "", "", "", ""], ["307", "021", "Unsupported version in message.\n", "ERR\n", "", "", "", "", ""], ["308", "022", "Unsupported release in message.\n", "ERR\n", "", "", "", "", ""], ["309", "023", "Error found in an unused field.\n", "ERR\n", "", "", "", "", ""], ["31", "NC", "Non-covered Drug Purchase\n", "REA\n", "", "\nCode indicating a cognitive service whereby a patient is counseled, the\npharmacist's recommendation is accepted and a claim is submitted to the processor\nrequesting payment for the professional pharmacy service only, not the drug.\n
\n\n", "", "", ""], ["310", "024", "Message ending problem.\n", "ERR\n", "", "", "", "", ""], ["311", "025", "UIB trace number is invalid.\n", "ERR\n", "", "", "", "", ""], ["312", "026", "UIB initiator reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["313", "027", "UIB control agency is invalid.\n", "ERR\n", "", "", "", "", ""], ["314", "028", "UIB sender identification is invalid.\n", "ERR\n", "", "", "", "", ""], ["315", "029", "UIB date is invalid.\n", "ERR\n", "", "", "", "", ""], ["316", "030", "UIB time is invalid.\n", "ERR\n", "", "", "", "", ""], ["317", "031", "UIB time offset is invalid.\n", "ERR\n", "", "", "", "", ""], ["318", "032", "UIB duplicate flag is invalid.\n", "ERR\n", "", "", "", "", ""], ["319", "033", "UIB test flag is invalid.\n", "ERR\n", "", "", "", "", ""], ["32", "ND", "New Disease/Diagnosis\n", "REA\n", "", "\nCode indicating that a professional pharmacy service has been performed for a\npatient who has a newly diagnosed condition or disease.\n
\n\n", "", "", ""], ["320", "034", "UIH message type is invalid.\n", "ERR\n", "", "", "", "", ""], ["321", "035", "UIH function is invalid.\n", "ERR\n", "", "", "", "", ""], ["322", "036", "UIH association code is invalid.\n", "ERR\n", "", "", "", "", ""], ["323", "037", "UIH prescription number is invalid.\n", "ERR\n", "", "", "", "", ""], ["324", "038", "UIH initiator reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["325", "039", "UIH initiator reference identifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["326", "040", "UIH control agency is invalid.\n", "ERR\n", "", "", "", "", ""], ["327", "041", "UIH responder control reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["328", "042", "REQ message function is invalid.\n", "ERR\n", "", "", "", "", ""], ["329", "043", "REQ reason code is invalid.\n", "ERR\n", "", "", "", "", ""], ["33", "NF", "Non-Formulary Drug\n", "REA\n", "", "\nCode indicating that mandatory formulary enforcement activities have been\nperformed by the pharmacist when the drug is not included on the formulary of the\npatient's pharmacy benefit plan.\n
\n\n", "", "", ""], ["330", "044", "REQ reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["331", "045", "REQ old password is invalid.\n", "ERR\n", "", "", "", "", ""], ["332", "046", "REQ new password is invalid.\n", "ERR\n", "", "", "", "", ""], ["333", "047", "RES response type is invalid.\n", "ERR\n", "", "", "", "", ""], ["334", "048", "RES response code is invalid.\n", "ERR\n", "", "", "", "", ""], ["335", "049", "RES reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["336", "050", "RES free text is invalid.\n", "ERR\n", "", "", "", "", ""], ["337", "051", "STS status code is invalid.\n", "ERR\n", "", "", "", "", ""], ["338", "052", "STS reject code is invalid.\n", "ERR\n", "", "", "", "", ""], ["339", "053", "STS free text is invalid.\n", "ERR\n", "", "", "", "", ""], ["34", "NN", "Unnecessary Drug\n", "REA\n", "", "\nCode indicating that the drug is no longer needed by the patient.\n
\n\n", "", "", ""], ["340", "054", "PVD provider type is invalid.\n", "ERR\n", "", "", "", "", ""], ["341", "055", "PVD reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["342", "056", "PVD reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["343", "057", "PVD agency qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["344", "058", "PVD specialty, coded is invalid.\n", "ERR\n", "", "", "", "", ""], ["345", "059", "PVD prescriber last name is invalid.\n", "ERR\n", "", "", "", "", ""], ["346", "060", "PVD prescriber first name is invalid.\n", "ERR\n", "", "", "", "", ""], ["347", "061", "PVD prescriber middle name is invalid.\n", "ERR\n", "", "", "", "", ""], ["348", "062", "PVD prescriber name suffix is invalid.\n", "ERR\n", "", "", "", "", ""], ["349", "063", "PVD prescriber name prefix is invalid.\n", "ERR\n", "", "", "", "", ""], ["35", "NP", "New Patient Processing\n", "REA\n", "", "\nCode indicating that a pharmacist has performed the initial interview and\nmedication history of a new patient.\n
\n\n", "", "", ""], ["350", "064", "PVD prescriber postal code is invalid.\n", "ERR\n", "", "", "", "", ""], ["351", "065", "PVD clinic name is invalid.\n", "ERR\n", "", "", "", "", ""], ["352", "066", "PVD clinic street is invalid.\n", "ERR\n", "", "", "", "", ""], ["353", "067", "PVD clinic city is invalid.\n", "ERR\n", "", "", "", "", ""], ["354", "068", "PVD clinic country is invalid.\n", "ERR\n", "", "", "", "", ""], ["355", "069", "PVD clinic postal code is invalid.\n", "ERR\n", "", "", "", "", ""], ["356", "070", "PVD clinic place qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["357", "071", "PVD clinic place name is invalid.\n", "ERR\n", "", "", "", "", ""], ["358", "072", "PVD communication reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["359", "073", "PVD communication qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["36", "NR", "Lactation/Nursing Interaction\n", "REA\n", "", "\nCode indicating that the drug is excreted in breast milk and may represent a\ndanger to a nursing infant.\n
\n\n", "", "", ""], ["360", "074", "PVD agent last name is invalid.\n", "ERR\n", "", "", "", "", ""], ["361", "075", "PVD agent first name is invalid.\n", "ERR\n", "", "", "", "", ""], ["362", "076", "PVD agent middle name is invalid.\n", "ERR\n", "", "", "", "", ""], ["363", "077", "PVD agent name suffix is invalid.\n", "ERR\n", "", "", "", "", ""], ["364", "078", "PVD agent name prefix is invalid.\n", "ERR\n", "", "", "", "", ""], ["365", "079", "PTT patient relationship is invalid.\n", "ERR\n", "", "", "", "", ""], ["366", "080", "PTT patient birth date is invalid.\n", "ERR\n", "", "", "", "", ""], ["367", "081", "PTT patient last name is invalid.\n", "ERR\n", "", "", "", "", ""], ["368", "082", "PTT patient first name is invalid.\n", "ERR\n", "", "", "", "", ""], ["369", "083", "PTT patient middle name is invalid.\n", "ERR\n", "", "", "", "", ""], ["37", "NS", "Insufficient Quantity\n", "REA\n", "", "\nCode indicating that the quantity of dosage units prescribed is insufficient.\n
\n\n", "", "", ""], ["370", "084", "PTT patient name suffix is invalid.\n", "ERR\n", "", "", "", "", ""], ["371", "085", "PTT patient name prefix is invalid.\n", "ERR\n", "", "", "", "", ""], ["372", "086", "PTT patient gender is invalid.\n", "ERR\n", "", "", "", "", ""], ["373", "087", "PTT patient reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["374", "088", "PTT patient reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["375", "089", "PTT patient street is invalid.\n", "ERR\n", "", "", "", "", ""], ["376", "090", "PTT patient city is invalid.\n", "ERR\n", "", "", "", "", ""], ["377", "091", "PTT patient country is invalid.\n", "ERR\n", "", "", "", "", ""], ["378", "092", "PTT patient postal code is invalid.\n", "ERR\n", "", "", "", "", ""], ["379", "093", "PTT patient place qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["38", "OH", "Alcohol Conflict\n", "REA\n", "", "\nDetects when a prescribed drug is contraindicated or might conflict with the use\nof alcoholic beverages.\n
\n\n", "", "", ""], ["380", "094", "PTT patient place name is invalid.\n", "ERR\n", "", "", "", "", ""], ["381", "095", "PTT communication reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["382", "096", "PTT communication reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["383", "097", "COO payer reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["384", "098", "COO payer reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["385", "099", "COO payer name is invalid.\n", "ERR\n", "", "", "", "", ""], ["386", "100", "COO service type is invalid.\n", "ERR\n", "", "", "", "", ""], ["387", "101", "COO cardholder reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["388", "102", "COO cardholder reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["389", "103", "COO cardholder name is invalid.\n", "ERR\n", "", "", "", "", ""], ["39", "PA", "Drug-Age\n", "REA\n", "", "\nIndicates age\n
\n\n", "", "", ""], ["390", "104", "COO group reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["391", "105", "COO group name is invalid.\n", "ERR\n", "", "", "", "", ""], ["392", "106", "COO group street is invalid.\n", "ERR\n", "", "", "", "", ""], ["393", "107", "COO group city is invalid.\n", "ERR\n", "", "", "", "", ""], ["394", "108", "COO group country is invalid.\n", "ERR\n", "", "", "", "", ""], ["395", "109", "COO group postal code is invalid.\n", "ERR\n", "", "", "", "", ""], ["396", "110", "COO group place qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["397", "111", "COO group place name is invalid.\n", "ERR\n", "", "", "", "", ""], ["398", "112", "COO datetime qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["399", "113", "COO datetime is invalid.\n", "ERR\n", "", "", "", "", ""], ["4", "AT", "Additive Toxicity\n", "REA\n", "", "\nCode indicating a detection of drugs with similar side effects when used in\ncombination could exhibit a toxic potential greater than either agent by itself.\n
\n\n", "", "", ""], ["40", "PC", "Patient Question/Concern\n", "REA\n", "", "\nCode indicating that a request for information/concern was expressed by the\npatient, with respect to patient care.\n
\n\n", "", "", ""], ["400", "114", "COO datetime format qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["401", "115", "COO insurance type is invalid.\n", "ERR\n", "", "", "", "", ""], ["402", "116", "COO holder street is invalid.\n", "ERR\n", "", "", "", "", ""], ["403", "117", "COO holder city is invalid.\n", "ERR\n", "", "", "", "", ""], ["404", "118", "COO holder country is invalid.\n", "ERR\n", "", "", "", "", ""], ["405", "119", "COO holder postal code is invalid.\n", "ERR\n", "", "", "", "", ""], ["406", "120", "COO holder place qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["407", "121", "COO holder place name is invalid.\n", "ERR\n", "", "", "", "", ""], ["408", "122", "COO holder reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["409", "123", "COO holder reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["41", "PG", "Drug-Pregnancy\n", "REA\n", "", "\nIndicates pregnancy related drug problems. This information is intended to assist\nthe healthcare professional in weighing the therapeutic value of a drug against\npossible adverse effects on the fetus.\n
\n\n", "", "", ""], ["410", "124", "COO response code is invalid.\n", "ERR\n", "", "", "", "", ""], ["411", "125", "DRU drug disposition code is invalid.\n", "ERR\n", "", "", "", "", ""], ["412", "126", "DRU drug name is invalid.\n", "ERR\n", "", "", "", "", ""], ["413", "127", "DRU drug item number is invalid.\n", "ERR\n", "", "", "", "", ""], ["414", "128", "DRU drug agency is invalid.\n", "ERR\n", "", "", "", "", ""], ["415", "129", "DRU drug agency qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["416", "130", "DRU drug strength is invalid.\n", "ERR\n", "", "", "", "", ""], ["417", "131", "DRU drug strength qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["418", "132", "DRU drug reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["419", "133", "DRU drug reference qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["42", "PH", "Preventive Health Care\n", "REA\n", "", "\nCode indicating that the provided professional service was to educate the patient\nregarding measures mitigating possible adverse effects or maximizing the benefits\nof the product(s) dispensed; or measures to optimize health status, prevent\nrecurrence or exacerbation of problems.\n
\n\n", "", "", ""], ["420", "134", "DRU dosage quantity qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["421", "135", "DRU dosage quantity is invalid.\n", "ERR\n", "", "", "", "", ""], ["422", "136", "DRU dosage info qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["423", "137", "DRU dosage info is invalid.\n", "ERR\n", "", "", "", "", ""], ["424", "138", "DRU dosage free text is invalid.\n", "ERR\n", "", "", "", "", ""], ["425", "139", "DRU datetime qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["426", "140", "DRU datetime is invalid.\n", "ERR\n", "", "", "", "", ""], ["427", "141", "DRU datetime format qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["428", "142", "DRU substitution code is invalid.\n", "ERR\n", "", "", "", "", ""], ["429", "143", "DRU refill quantity qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["43", "PN", "Prescriber Consultation\n", "REA\n", "", "\nCode indicating that a prescriber has requested information or a recommendation\nrelated to the care of a patient.\n
\n\n", "", "", ""], ["430", "144", "DRU refill quantity is invalid.\n", "ERR\n", "", "", "", "", ""], ["431", "145", "DRU clinical info qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["432", "146", "DRU clinical info level1 reference is invalid\n", "ERR\n", "", "", "", "", ""], ["433", "147", "DRU clinical info level1 qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["434", "148", "DRU clinical info level2 reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["435", "149", "DRU clinical info level2 qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["436", "150", "DRU prior authorization reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["437", "151", "DRU prior authorization qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["438", "152", "DRU free text is invalid.\n", "ERR\n", "", "", "", "", ""], ["439", "153", "OBS measurement dimension is invalid.\n", "ERR\n", "", "", "", "", ""], ["44", "PP", "Plan Protocol\n", "REA\n", "", "\nCode indicating that a cognitive service whereby a pharmacist, in consultation\nwith the prescriber or using professional judgment, recommends a course of\ntherapy as outlined in the patient's plan and submits a claim for the\nprofessional service provided.\n
\n\n", "", "", ""], ["440", "154", "OBS measurement value is invalid.\n", "ERR\n", "", "", "", "", ""], ["441", "155", "OBS measurement qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["442", "156", "OBS datetime is invalid.\n", "ERR\n", "", "", "", "", ""], ["443", "157", "OBS datetime qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["444", "158", "OBS free text is invalid.\n", "ERR\n", "", "", "", "", ""], ["445", "159", "UIT reference number is invalid.\n", "ERR\n", "", "", "", "", ""], ["446", "160", "UIT segment count is invalid.\n", "ERR\n", "", "", "", "", ""], ["447", "161", "UIZ dial reference is invalid.\n", "ERR\n", "", "", "", "", ""], ["448", "162", "UIZ dial identifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["449", "163", "UIZ control agency is invalid.\n", "ERR\n", "", "", "", "", ""], ["45", "PR", "Prior Adverse Reaction\n", "REA\n", "", "\nCode identifying the patient has had a previous atypical reaction to drugs.\n
\n\n", "", "", ""], ["450", "164", "UIZ responder control ref is invalid.\n", "ERR\n", "", "", "", "", ""], ["451", "165", "UIZ message count is invalid.\n", "ERR\n", "", "", "", "", ""], ["452", "166", "Too many elements in COO segment.\n", "ERR\n", "", "", "", "", ""], ["453", "167", "Too many elements in DRU segment.\n", "ERR\n", "", "", "", "", ""], ["454", "168", "Too many elements in OBS segment.\n", "ERR\n", "", "", "", "", ""], ["455", "169", "Too many elements in PTT segment.\n", "ERR\n", "", "", "", "", ""], ["456", "170", "Too many elements in PVD segment.\n", "ERR\n", "", "", "", "", ""], ["457", "171", "Too many elements in REQ segment.\n", "ERR\n", "", "", "", "", ""], ["458", "172", "Too many elements in RES segment.\n", "ERR\n", "", "", "", "", ""], ["459", "173", "Too many elements in STS segment.\n", "ERR\n", "", "", "", "", ""], ["46", "PS", "Product Selection Opportunity\n", "REA\n", "", "\nCode indicating that an acceptable generic substitute or a therapeutic equivalent\nexists for the drug. This code is intended to support discretionary drug product\nselection activities by pharmacists.\n
\n\n", "", "\nPharmacy is unable to provide this medication. Please approve an option\n below or cancel rx.\nVA Formulary: https://www.domain.ext/formularyadvisor/\n
\n\n", ""], ["460", "174", "Too many elements in UIB segment.\n", "ERR\n", "", "", "", "", ""], ["461", "175", "Too many elements in UIH segment.\n", "ERR\n", "", "", "", "", ""], ["462", "176", "Too many elements in UIT segment.\n", "ERR\n", "", "", "", "", ""], ["463", "177", "Too many elements in UIZ segment.\n", "ERR\n", "", "", "", "", ""], ["464", "178", "Too many COO segments.\n", "ERR\n", "", "", "", "", ""], ["465", "179", "Too many DRU segments.\n", "ERR\n", "", "", "", "", ""], ["466", "180", "Too many OBS segments.\n", "ERR\n", "", "", "", "", ""], ["467", "181", "Too many PTT segments.\n", "ERR\n", "", "", "", "", ""], ["468", "182", "Too many PVD segments.\n", "ERR\n", "", "", "", "", ""], ["469", "183", "Too many REQ segments.\n", "ERR\n", "", "", "", "", ""], ["47", "RE", "Suspected Environmental Risk\n", "REA\n", "", "\nCode indicating that the professional service was provided to obtain information\nfrom the patient regarding suspected environmental factors.\n
\n\n", "", "", ""], ["470", "184", "Too many RES segments.\n", "ERR\n", "", "", "", "", ""], ["471", "185", "Too many STS segments.\n", "ERR\n", "", "", "", "", ""], ["472", "186", "Too many UNA segments.\n", "ERR\n", "", "", "", "", ""], ["473", "187", "Too many COO element repetitions.\n", "ERR\n", "", "", "", "", ""], ["474", "188", "Too many DRU element repetitions.\n", "ERR\n", "", "", "", "", ""], ["475", "189", "Too many OBS element repetitions.\n", "ERR\n", "", "", "", "", ""], ["476", "190", "Too many PTT element repetitions.\n", "ERR\n", "", "", "", "", ""], ["477", "191", "Too many PVD element repetitions.\n", "ERR\n", "", "", "", "", ""], ["478", "192", "Too many REQ element repetitions.\n", "ERR\n", "", "", "", "", ""], ["479", "193", "Too many RES element repetitions.\n", "ERR\n", "", "", "", "", ""], ["48", "RF", "Health Provider Referral\n", "REA\n", "", "\nPatient referred to the pharmacist by another health care provider for disease\nspecific or general purposes.\n
\n\n", "", "", ""], ["480", "194", "Too many STS element repetitions.\n", "ERR\n", "", "", "", "", ""], ["481", "195", "Too many UIB element repetitions.\n", "ERR\n", "", "", "", "", ""], ["482", "196", "Too many UIH element repetitions.\n", "ERR\n", "", "", "", "", ""], ["483", "197", "Too many UIT element repetitions.\n", "ERR\n", "", "", "", "", ""], ["484", "198", "Too many UIZ element repetitions.\n", "ERR\n", "", "", "", "", ""], ["485", "199", "Segment count mismatch in UIT.\n", "ERR\n", "", "", "", "", ""], ["486", "200", "Message missing required REQ segment.\n", "ERR\n", "", "", "", "", ""], ["487", "201", "Message missing required RES segment.\n", "ERR\n", "", "", "", "", ""], ["488", "202", "Message missing required STS segment.\n", "ERR\n", "", "", "", "", ""], ["489", "203", "Message missing required PVD segment.\n", "ERR\n", "", "", "", "", ""], ["49", "SC", "Suboptimal Compliance\n", "REA\n", "", "\nCode indicating that professional service was provided to counsel the patient\nregarding the importance of adherence to the provided instructions and of\nconsistent use of the prescribed product including any ill effects anticipated as\na result of non-compliance.\n
\n\n", "", "", ""], ["490", "204", "Message missing required PTT segment.\n", "ERR\n", "", "", "", "", ""], ["491", "205", "Message missing required COO segment.\n", "ERR\n", "", "", "", "", ""], ["492", "206", "Message missing required DRU segment.\n", "ERR\n", "", "", "", "", ""], ["493", "207", "Message missing required OBS segment.\n", "ERR\n", "", "", "", "", ""], ["494", "208", "Sender no longer active.\n", "ERR\n", "", "", "", "", ""], ["495", "209", "Receiver no longer active.\n", "ERR\n", "", "", "", "", ""], ["496", "210", "Unable to process transaction. Please resubmit.\n", "ERR\n", "", "", "", "", ""], ["497", "211", "DUE Reason For Service Code is invalid.\n", "ERR\n", "", "", "", "", ""], ["498", "212", "DUE Professional Service Code is invalid.\n", "ERR\n", "", "", "", "", ""], ["499", "213", "DUE Result Of Service Code is invalid.\n", "ERR\n", "", "", "", "", ""], ["5", "CD", "Chronic Disease Management\n", "REA\n", "", "\nThe patient is participating in a coordinated health care intervention program.\n
\n\n", "", "", ""], ["50", "SD", "Suboptimal Drug/Indication\n", "REA\n", "", "\nCode indicating incorrect, inappropriate, or less than optimal drug prescribed\nfor the patient's condition.\n
\n\n", "", "", ""], ["500", "214", "DUE Co-Agent ID is invalid.\n", "ERR\n", "", "", "", "", ""], ["501", "215", "DUE Co-Agent ID Qualifier is invalid.\n", "ERR\n", "", "", "", "", ""], ["502", "216", "Drug Coverage Status Code is invalid.\n", "ERR\n", "", "", "", "", ""], ["503", "217", "COO Date/Time/Period Expiration date - of needed history is less than Effective Date (Begin) of needed history\n", "ERR\n", "", "", "", "", ""], ["504", "218", "COO Patient Identifier is invalid\n", "ERR\n", "", "", "", "", ""], ["505", "219", "COO Cannot process Medication History due to value of Condition/Response, coded (Patient Consent Indicator)\n", "ERR\n", "", "", "", "", ""], ["506", "220", "Message is a duplicate\n", "ERR\n", "", "", "", "", ""], ["507", "221", "Needed No Later Than Reason Date/Time Period Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["508", "222", "Needed No Later Than Reason Date/Time/Period is invalid\n", "ERR\n", "", "", "", "", ""], ["509", "223", "Needed No Later Than Reason Date/Time/Period Format Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["51", "SE", "Side Effect\n", "REA\n", "", "\nCode reporting possible major side effects of the prescribed drug.\n
\n\n", "", "", ""], ["510", "224", "DRU Time Zone Identifier is invalid\n", "ERR\n", "", "", "", "", ""], ["511", "225", "DRU Time Zone Difference Quantity is invalid\n", "ERR\n", "", "", "", "", ""], ["512", "226", "Needed No Later Than Reason is invalid\n", "ERR\n", "", "", "", "", ""], ["513", "227", "Message missing required SRC Segment\n", "ERR\n", "", "", "", "", ""], ["514", "228", "SRC Source Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["515", "229", "SRC Source Description is invalid\n", "ERR\n", "", "", "", "", ""], ["516", "230", "SRC Source Reference Number is invalid\n", "ERR\n", "", "", "", "", ""], ["517", "231", "SRC Source Reference Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["518", "232", "SRC Reference Number is invalid\n", "ERR\n", "", "", "", "", ""], ["519", "233", "SRC Fill Number is invalid\n", "ERR\n", "", "", "", "", ""], ["52", "SF", "Suboptimal Dosage Form\n", "REA\n", "", "\nCode indicating incorrect, inappropriate, or less than optimal dosage form for\nthe drug.\n
\n\n", "", "", ""], ["520", "234", "Too many SRC Segments\n", "ERR\n", "", "", "", "", ""], ["521", "235", "Too many SRC element repetitions\n", "ERR\n", "", "", "", "", ""], ["522", "236", "Too many elements in SRC Segment\n", "ERR\n", "", "", "", "", ""], ["523", "237", "SIG Sig Sequence Position Number is invalid\n", "ERR\n", "", "", "", "", ""], ["524", "238", "SIG Multiple Sig Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["525", "239", "SIG SNOMED Version is invalid\n", "ERR\n", "", "", "", "", ""], ["526", "240", "SIG FMT Version is invalid\n", "ERR\n", "", "", "", "", ""], ["527", "241", "SIG Sig Free Text String Indicator is invalid CODE DESCRIPTION\n", "ERR\n", "", "", "", "", ""], ["528", "242", "SIG Sig Free Text is invalid\n", "ERR\n", "", "", "", "", ""], ["529", "243", "SIG Dose Composite Indicator is invalid\n", "ERR\n", "", "", "", "", ""], ["53", "SR", "Suboptimal Regimen\n", "REA\n", "", "\nCode indicating incorrect, inappropriate, or less than optimal dosage regimen\nspecified for the drug in question.\n
\n\n", "", "", ""], ["530", "244", "SIG Dose Delivery Method Text is invalid\n", "ERR\n", "", "", "", "", ""], ["531", "245", "SIG Dose Delivery Method Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["532", "246", "SIG Dose Delivery Method Code is invalid\n", "ERR\n", "", "", "", "", ""], ["533", "247", "SIG Dose Delivery Method Modifier Text is invalid\n", "ERR\n", "", "", "", "", ""], ["534", "248", "SIG Dose Delivery Method Modifier Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["535", "249", "SIG Dose Delivery Method Modifier Code is invalid\n", "ERR\n", "", "", "", "", ""], ["536", "250", "SIG Dose Quantity is invalid\n", "ERR\n", "", "", "", "", ""], ["537", "251", "SIG Dose Form Text is invalid\n", "ERR\n", "", "", "", "", ""], ["538", "252", "SIG Dose Form Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["539", "253", "SIG Dose Form Code is invalid\n", "ERR\n", "", "", "", "", ""], ["54", "SX", "Drug-Gender\n", "REA\n", "", "\nIndicates the therapy is inappropriate or contraindicated in either males or\nfemales.\n
\n\n", "", "\nThe prescribed medication does not align with manufacturer recommendations based\non patient sex assigned at birth. The pharmacy is unable to fill the medication\nas prescribed. Pt may obtain locally at usual cash price.\n
\n\n", ""], ["540", "254", "SIG Dose Range Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["541", "255", "SIG Dosing Basis Numeric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["542", "256", "SIG Dosing Basis Unit of Measure Text is invalid\n", "ERR\n", "", "", "", "", ""], ["543", "257", "SIG Dosing Basis Unit of Measure Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["544", "258", "SIG Dosing Basis Unit of Measure Code is invalid\n", "ERR\n", "", "", "", "", ""], ["545", "259", "SIG Body Metric Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["546", "260", "SIG Body Metric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["547", "261", "SIG Calculated Dose Numeric is invalid\n", "ERR\n", "", "", "", "", ""], ["548", "262", "SIG Calculated Dose Unit of Measure Text is invalid\n", "ERR\n", "", "", "", "", ""], ["549", "263", "SIG Calculated Dose Unit of Measure Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["55", "TD", "Therapeutic\n", "REA\n", "", "\nCode indicating that a simultaneous use of different primary generic chemical\nentities that have the same therapeutic effect was detected.\n
\n\n", "", "\nPt has medication of the same class/indication/drug on file. To fill this Rx,\nsend denial with note stating pt requires both medications or note that\n[DRUG_NAME] should be canceled. If this med should not be filled, Cancel RX and\nsend a replacement.\n
\n\n", ""], ["550", "264", "SIG Calculated Dose Unit of Measure Code is invalid\n", "ERR\n", "", "", "", "", ""], ["551", "265", "SIG Dosing Basis Range Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["552", "266", "SIG Vehicle Name is invalid\n", "ERR\n", "", "", "", "", ""], ["553", "267", "SIG Vehicle Name Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["554", "268", "SIG Vehicle Name Code is invalid\n", "ERR\n", "", "", "", "", ""], ["555", "269", "SIG Vehicle Quantity is invalid\n", "ERR\n", "", "", "", "", ""], ["556", "270", "SIG Vehicle Unit Of Measure Text is invalid\n", "ERR\n", "", "", "", "", ""], ["557", "271", "SIG Vehicle Unit Of Measure Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["558", "272", "SIG Vehicle Unit Of Measure Code is invalid\n", "ERR\n", "", "", "", "", ""], ["559", "273", "SIG Multiple Vehicle Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["56", "TN", "Laboratory Test Needed\n", "REA\n", "", "\nCode indicating that an assessment of the patient suggests that a laboratory test\nis needed to optimally manage a therapy.\n
\n\n", "", "", ""], ["560", "274", "SIG Route of Administration Text is invalid\n", "ERR\n", "", "", "", "", ""], ["561", "275", "SIG Route of Administration Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["562", "276", "SIG Route of Administration Code is invalid\n", "ERR\n", "", "", "", "", ""], ["563", "277", "SIG Multiple Route of Administration Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["564", "278", "SIG Site of Administration Text is invalid\n", "ERR\n", "", "", "", "", ""], ["565", "279", "SIG Site of Administration Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["566", "280", "SIG Site of Administration Code is invalid\n", "ERR\n", "", "", "", "", ""], ["567", "281", "SIG Multiple Administration Timing Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["568", "282", "SIG Administration Timing Text is invalid\n", "ERR\n", "", "", "", "", ""], ["569", "283", "SIG Administration Timing Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["57", "TP", "Payer/Processor\n", "REA\n", "", "\nQuestion Code indicating that a payer or processor requested information related\nto the care of a patient.\n
\n\n", "", "\nPrior to processing this medication/class the pharmacy is required to obtain a\ndiagnosis code. Please edit and respond or Cancel Rx and send a new prescription\nwith the requested information.\n
\n\n", ""], ["570", "284", "SIG Administration Timing Code is invalid\n", "ERR\n", "", "", "", "", ""], ["571", "285", "SIG Multiple Administration Timing Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["572", "286", "SIG Rate of Administration is invalid\n", "ERR\n", "", "", "", "", ""], ["573", "287", "SIG Rate Unit of Measure Text is invalid\n", "ERR\n", "", "", "", "", ""], ["574", "288", "SIG Rate Unit of Measure Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["575", "289", "SIG Rate Unit of Measure Code is invalid\n", "ERR\n", "", "", "", "", ""], ["576", "290", "SIG Time Period Basis Text is invalid\n", "ERR\n", "", "", "", "", ""], ["577", "291", "SIG Time Period Basis Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["578", "292", "SIG Time Period Basis Code is invalid\n", "ERR\n", "", "", "", "", ""], ["579", "293", "SIG Frequency Numeric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["58", "UD", "Duplicate Drug\n", "REA\n", "", "\nCode indicating that multiple prescriptions of the same drug formulation are\npresent in the patient's current medication profile.\n
\n\n", "", "\nPt has multiple prescriptions for the same drug and strength on file. To fulfill\nboth Rx, send one Rx containing total qty/directions etc. To fill only this Rx,\nsend denial with note stating other should be canceled. If med should not be\nfilled, Cancel Rx.\n
\n\n", ""], ["580", "294", "SIG Frequency Units Text is invalid\n", "ERR\n", "", "", "", "", ""], ["581", "295", "SIG Frequency Units Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["582", "296", "SIG Frequency Units Code is invalid\n", "ERR\n", "", "", "", "", ""], ["583", "297", "SIG Variable Frequency Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["584", "298", "Interval Numeric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["585", "299", "SIG Interval Units Text is invalid\n", "ERR\n", "", "", "", "", ""], ["586", "300", "SIG Interval Units Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["587", "301", "SIG Interval Units Code is invalid\n", "ERR\n", "", "", "", "", ""], ["588", "302", "SIG Variable Interval Modifier is invalid\n", "ERR\n", "", "", "", "", ""], ["589", "303", "SIG Duration Numeric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["59", "00", "Not Specified\n", "RES\n", "", "", "", "", ""], ["590", "304", "SIG Duration Text is invalid\n", "ERR\n", "", "", "", "", ""], ["591", "305", "SIG Duration Text Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["592", "306", "SIG Duration Text Code is invalid\n", "ERR\n", "", "", "", "", ""], ["593", "307", "SIG Maximum Dose Restriction Numeric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["594", "308", "SIG Maximum Dose Restriction Units Text is invalid\n", "ERR\n", "", "", "", "", ""], ["595", "309", "SIG Maximum Dose Restriction Code Qualifier is invalid\n", "ERR\n", "", "", "", "", ""], ["596", "310", "SIG Maximum Dose Restriction Units Code is invalid\n", "ERR\n", "", "", "", "", ""], ["597", "311", "SIG Maximum Dose Restriction Variable Numeric Value is invalid\n", "ERR\n", "", "", "", "", ""], ["598", "C48672", "SCHEDULE I SUBSTANCE\n", "NCI\n", "NCIt\n", "\nA category of drugs not considered legitimate for medical use.\n
\n\n", "DEASchedule\n", "", ""], ["599", "C48675", "SCHEDULE II SUBSTANCE\n", "NCI\n", "NCIt\n", "\nA category of drugs considered to have a strong potential for abuse or addiction\nbut that also have legitimate medical use.\n
\n\n", "DEASchedule\n", "", ""], ["6", "CH", "Call Help Desk\n", "REA\n", "", "\nProcessor message to recommend the receiver contact the processor/plan.\n
\n\n", "", "", ""], ["60", "1A", "Filled As Is, False Positive\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and determines the alert is incorrect for that prescription for\nthat patient and fills the prescription as originally written.\n
\n\n", "", "", ""], ["600", "C48676", "SCHEDULE III SUBSTANCE\n", "NCI\n", "NCIt\n", "\nA category of drugs that have less potential for abuse or addiction than\nSchedule I or II drugs and have a useful medical purpose.\n
\n\n", "DEASchedule\n", "", ""], ["601", "C48677", "SCHEDULE IV SUBSTANCE\n", "NCI\n", "NCIt\n", "\nA category of medically useful drugs that have less potential for abuse or\naddiction than those of Schedules I, II, and III.\n
\n\n", "DEASchedule\n", "", ""], ["602", "C48679", "SCHEDULE V SUBSTANCE\n", "NCI\n", "NCIt\n", "\nA category of medically useful drugs that have less potential for abuse or\naddiction than those of Schedules I through IV.\n
\n\n", "DEASchedule\n", "", ""], ["603", "C38046", "UNSPECIFIED\n", "NCI\n", "NCIt\n", "\nNot stated explicitly or in detail.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["604", "C122629", "ACTUATION DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\nactuation.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["605", "C48473", "AMPULE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\nampule.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["606", "C25397", "APPLICATION UNIT\n", "NCI\n", "NCIt\n", "\nA dosing measurement based on the application unit.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["607", "C62412", "APPLICATOR DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a single\napplicator.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["608", "C122630", "AUTO-INJECTOR DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\nauto-injector.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["609", "C48475", "BAR DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a bar.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["61", "1B", "Filled Prescription As Is\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and determines the alert is not relevant for that prescription for\nthat patient and fills the prescription as originally written.\n
\n\n", "", "", ""], ["610", "C102405", "CAPFUL DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing measurement based on the capful unit.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["611", "C64696", "CAPLET DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a caplet.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["612", "C48480", "CAPSULE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\ncapsule.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["613", "C48481", "CARTRIDGE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\ncartridge.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["614", "C49668", "CENTIMETER\n", "NCI\n", "NCIt\n", "\nA basic unit of length in the former CGS version of metric system, equal to one\nhundredth of a meter or approximately 0.393 700 787 inch.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["615", "C48490", "DISK DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a disk.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["616", "C122631", "DROPPERFUL DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\ndropperful.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["617", "C64933", "EACH\n", "NCI\n", "NCIt\n", "\nUsed to refer to every member of a group of people or things, considered\nindividually.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["618", "C53499", "FILM DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a film.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["619", "C48494", "FLUID OUNCE US\n", "NCI\n", "NCIt\n", "\nA traditional unit of liquid volume equal in the US customary system to 1/16\npint, or 1.804 687 cubic inches or 29.573 531 milliliters.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["62", "1C", "Filled, With Different Dose\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and fills the prescription with a different dose than was\noriginally prescribed.\n
\n\n", "", "", ""], ["620", "C48580", "GALLON US\n", "NCI\n", "NCIt\n", "\nThe US unit of liquid volume legally defined as 3785.411784 milliliters (3.785\n411 784 liters), or 231 cubic inches. The US gallon holds 4 liquid quarts; the\ngallon of water gallon weighs approximately 8.33 pounds.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["621", "C48155", "GRAM\n", "NCI\n", "NCIt\n", "\nThe metric unit of mass equal to one thousandth of a kilogram. One gram equals\napproximately 15.432 grains or 0.035 273 966 ounce.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["622", "C69124", "GUM DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a gum.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["623", "C48499", "IMPLANT DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\nimplant.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["624", "C48500", "INCH\n", "NCI\n", "NCIt\n", "\nA traditional unit of length equal to 1/12 of a foot or 2.54 centimeters.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["625", "C124231", "INCH STRIP DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an inch\nribbon of a topical substance.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["626", "C48501", "INHALATION DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\ninhalation.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["627", "C122632", "INJECTION DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\ninjection.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["628", "C62276", "INSERT DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\ninsert.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["629", "C48505", "LITER\n", "NCI\n", "NCIt\n", "\nThe non-SI unit of volume accepted for use with the SI. One liter is equal to\ncubic decimeter, or one thousandth of cubic meter, or 1000 cubic centimeters, or\napproximately 61.023 744 cubic inches.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["63", "1D", "Filled, With Different Directions\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and fills the prescription with different directions than were\noriginally prescribed.\n
\n\n", "", "", ""], ["630", "C122633", "LOLLIPOP DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\nlollipop.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["631", "C48506", "LOZENGE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\nlozenge.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["632", "C48491", "METRIC DROP\n", "NCI\n", "NCIt\n", "\nA unit of volume used in pharmacy and equal to 0.05 milliliter (20 drops/ml).\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["633", "C48152", "MICROGRAM\n", "NCI\n", "NCIt\n", "\nA metric unit of mass equal to one millionth of a gram or one thousandth of a\nmilligram.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["634", "C48512", "MILLIEQUIVALENT\n", "NCI\n", "NCIt\n", "\nA unit of relative amount of a substance equal to one thousandth of an\nequivalent weight.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["635", "C28253", "MILLIGRAM\n", "NCI\n", "NCIt\n", "\nA metric unit of mass equal to one thousandth of a gram or 1000 micrograms. One\nmilligram equals approximately 0.015 432 grain or 35.274 x 10E-6 ounce.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["636", "C28254", "MILLILITER\n", "NCI\n", "NCIt\n", "\nA unit of volume equal to one millionth (10E-6) of a cubic meter, one thousandth\nof a liter, one cubic centimeter, or 0.061023 7 cubic inch. A cubic centimeter\nis the CGS unit of volume.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["637", "C67315", "MILLIUNIT\n", "NCI\n", "NCIt\n", "\nA quantity equivalent to the one thousandth unit (10E-3 unit).\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["638", "C71204", "NEBULE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a nebule.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["639", "C48519", "OUNCE\n", "NCI\n", "NCIt\n", "\nThe traditional unit of mass. The avoirdupois ounce is equal to 1/16 pound, or\n28.349 5 grams, or 0.911 457 troy ounce.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["64", "1E", "Filled, With Different Drug\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and fills the prescription with a different drug than was\noriginally prescribed.\n
\n\n", "", "", ""], ["640", "C48520", "PACKAGE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\npackage.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["641", "C48521", "PACKET DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a packet.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["642", "C65032", "PAD DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a pad.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["643", "C48524", "PATCH DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a patch.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["644", "C48525", "PELLET DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a pellet.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["645", "C122634", "PILL DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a pill.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["646", "C48529", "PINT\n", "NCI\n", "NCIt\n", "\nA United States liquid unit equal to 16 fluid ounces; two pints equal one quart.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["647", "C122635", "PRE-FILLED PEN SYRINGE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in an\npre-filled pen syringe.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["648", "C65060", "PUFF DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a puff.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["649", "C111984", "PUMP DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in one\nactuation of a pumping device.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["65", "1F", "Filled, With Different Quantity\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and fills the prescription with a different quantity than was\noriginally prescribed.\n
\n\n", "", "", ""], ["650", "C48534", "QUART\n", "NCI\n", "NCIt\n", "\nA United States liquid unit equal to 32 fluid ounces; four quarts equal one\ngallon.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["651", "C62609", "RING DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a ring.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["652", "C71324", "SACHET DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a sachet.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["653", "C48536", "SCOOPFUL DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained typically in\na spoon-shaped object.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["654", "C53502", "SPONGE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a sponge.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["655", "C48537", "SPRAY DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a spray.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["656", "C53503", "STICK DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a stick.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["657", "C48538", "STRIP DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a strip.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["658", "C48539", "SUPPOSITORY DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\nsuppository.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["659", "C53504", "SWAB DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a swab.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["66", "1G", "Filled, With Prescriber Approval\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and fills the prescription after consulting with or obtaining\napproval from the prescriber.\n
\n\n", "", "", ""], ["660", "C48540", "SYRINGE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a single\nsyringe.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["661", "C48542", "TABLET DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a tablet.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["662", "C48548", "TROCHE DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a troche.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["663", "C44278", "UNIT\n", "NCI\n", "NCIt\n", "\nA single undivided thing occurring in the composition of something else.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["664", "C48551", "VIAL DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a single\nvial.\n
\n\n", "DoseUnitOfMeasure\n", "", ""], ["665", "C48552", "WAFER DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a wafer.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["666", "C37907", "AGE-MONTHS\n", "NCI\n", "NCIt\n", "\nThe length of a person's life, stated in months since birth.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["667", "C37908", "AGE-YEARS\n", "NCI\n", "NCIt\n", "\nThe length of a person's life, stated in years since birth.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["668", "C49673", "BEATS PER MINUTE\n", "NCI\n", "NCIt\n", "\nThe number of heartbeats measured per minute time.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["669", "C16358", "BODY MASS INDEX\n", "NCI\n", "NCIt\n", "\nAn individual's weight in kilograms divided by the square of the height in\nmeters.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["67", "1H", "Brand-to-Generic Change\n", "RES\n", "", "\nAction whereby a pharmacist dispenses the generic formulation of an originally\nprescribed branded product. Allowed, often mandated, unless the prescriber\nindicates "Do Not Substitute" on the prescription\n
\n\n", "", "", ""], ["670", "C25157", "BODY SURFACE AREA\n", "NCI\n", "NCIt\n", "\nA measure of the 2-dimensional extent of the body surface (i.e., the skin). \nBody surface area (BSA) can be calculated by mathematical formula or from a\nchart that relates height to weight. BSA is often an important factor in\ndosing.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["671", "C81328", "BODY WEIGHT\n", "NCI\n", "NCIt\n", "\nThe weight of a subject.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["672", "C49674", "BREATHS PER MINUTE\n", "NCI\n", "NCIt\n", "\nThe number of breaths (inhalation and exhalation) taken per minute time.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["673", "C25301", "DAY\n", "NCI\n", "NCIt\n", "\nThe time for Earth to make a complete rotation on its axis; ordinarily divided\ninto twenty-four hours, equal to 86 400 seconds. This also refers to a specific\nday.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["674", "C42559", "DEGREE CELSIUS\n", "NCI\n", "NCIt\n", "\nA unit of temperature of the temperature scale designed so that the freezing\npoint of water is 0 degrees and the boiling point is 100 degrees at standard\natmospheric pressure. The current official definition of the Celsius sets 0.01 C\nto be at the triple point of water and a degree to be 1/273.16 of the difference\nin temperature between the triple point of water and absolute zero. One degree\nCelsius represents the same temperature difference as one Kelvin.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["675", "C44277", "DEGREE FAHRENHEIT\n", "NCI\n", "NCIt\n", "\nA unit of temperature of the temperature scale designed so that the freezing\npoint of water is 32 degrees and the boiling point is 212 degrees, placing the\nboiling and melting points of water 180 degrees apart. One degree Fahrenheit is\n5/9ths of a kelvin (or of a degree Celsius), and minus 40 degrees Fahrenheit is\nequal to minus 40 degrees Celsius.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["676", "C25299", "DIASTOLIC BLOOD PRESSURE\n", "NCI\n", "NCIt\n", "\nThe minimum pressure exerted into the systemic arterial circulation during\ncardiac ventricular relaxation and filling.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["677", "C49677", "HEART RATE\n", "NCI\n", "NCIt\n", "\nThe number of heartbeats per unit of time, usually expressed as beats per\nminute.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["678", "C25347", "HEIGHT\n", "NCI\n", "NCIt\n", "\nThe vertical measurement or distance from the base to the top of an object; the\nvertical dimension of extension.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["679", "C28252", "KILOGRAM\n", "NCI\n", "NCIt\n", "\nA basic SI unit of mass. It is defined as the mass of an international prototype\nin the form of a platinum-iridium cylinder kept at Sevres in France. A kilogram\nis equal to 1,000 grams and 2.204 622 6 pounds.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["68", "1J", "Rx-to-OTC Change\n", "RES\n", "", "\nCode indicating a cognitive service. The pharmacist reviews and evaluates a\ntherapeutic issue (alert) fills the prescription with an over-the-counter product\nin lieu of the originally prescribed prescription-only product.\n
\n\n", "", "", ""], ["680", "C49679", "MEAN ARTERIAL PRESSURE\n", "NCI\n", "NCIt\n", "\nThe mean pressure of the blood within the arterial circulation. The arterial\npressure may be directly measured by insertion of an intra-arterial catheter\nconnected to a transducer. The mean arterial pressure (MAP) can be calculated by\nsubsequent analysis of the waveform. MAP can be approximated without an invasive\nprocedure using the following formula: diastolic pressure plus 1/3 of the pulse\npressure, where pulse pressure is systolic pressure - diastolic pressure.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["681", "C49670", "MILLIMETER OF MERCURY\n", "NCI\n", "NCIt\n", "\nA non-SI unit of pressure equal to 133,332 Pa or 1.316E10-3 standard atmosphere.\nUse of this unit is generally deprecated by ISO and IUPAC.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["682", "C29846", "MONTH\n", "NCI\n", "NCIt\n", "\nOne of the 12 divisions of a year as determined by a calendar. It corresponds to\nthe unit of time of approximately to one cycle of the moon's phases, about 30\ndays or 4 weeks.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["683", "C25613", "PERCENTAGE\n", "NCI\n", "NCIt\n", "\nA fraction or ratio with 100 understood as the denominator.\n
\n\n", "StrengthUnitOfMeasure\n", "", ""], ["684", "C48531", "POUND\n", "NCI\n", "NCIt\n", "\nThe traditional unit of mass. By international agreement, one avoirdupois pound\nis equal to exactly 0.453 592 37 kilogram, 16 ounces, or 1.215 28 troy pounds.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["685", "C49676", "PULSE RATE\n", "NCI\n", "NCIt\n", "\nThe rate of the pulse as observed in an artery, expressed as beats per minute.\nIt can be measured at several anatomical sites, including the wrist, neck,\ntemple, groin, behind the knees, or on top of the foot.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["686", "C49678", "RESPIRATORY RATE\n", "NCI\n", "NCIt\n", "\nThe rate of breathing (inhalation and exhalation) measured within in a unit\ntime, usually expressed as breaths per minute.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["687", "C87054", "SAGITTAL ABDOMINAL DIAMETER\n", "NCI\n", "NCIt\n", "\nA standard measure of visceral obesity, or abdominal fat, which is measured from\nthe patient's back to upper abdomen between the bottom of the rib cage and the\ntop of the pelvic area. This measurement may be taken with the patient standing\nor in the supine position.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["688", "C42569", "SQUARE METER\n", "NCI\n", "NCIt\n", "\nA SI unit of area measurement equal to a square whose sides are one meter long.\nSquare meter is equal to 10,000 square centimeters; 0.01 are; 1.196 square\nyards; 10.76 square feet; 1550 square inches.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["689", "C25298", "SYSTOLIC BLOOD PRESSURE\n", "NCI\n", "NCIt\n", "\nThe maximum pressure exerted into the systemic arterial circulation during the\ncontraction of the left ventricle of the heart.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["69", "1K", "Filled with Different Dosage Form\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert) and fills the prescription with a different dosage form than was\noriginally prescribed.\n
\n\n", "", "", ""], ["690", "C25206", "TEMPERATURE\n", "NCI\n", "NCIt\n", "\nA measure of the average kinetic energy of a system of particles. Temperature\nmay be quantified, in the context of thermodynamics, as the potential of one\nsystem to transfer thermal energy to another system until both systems reach a\nstate of thermal equilibrium.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["691", "C29848", "YEAR\n", "NCI\n", "NCIt\n", "\nA period of time that it takes for Earth to make a complete revolution around\nthe sun, approximately 365 days; a specific one year period.\n
\n\n", "MeasurementUnitCode\n", "", ""], ["692", "C54564", "BLISTER DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a\nblister.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["693", "C48504", "KIT DOSING UNIT\n", "NCI\n", "NCIt\n", "\nA dosing unit equal to the amount of active ingredient(s) contained in a kit.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["694", "C120263", "LANCET\n", "NCI\n", "NCIt\n", "\nA small, sharp, needle-like instrument that is used to puncture the skin.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["695", "C120216", "PEN NEEDLE\n", "NCI\n", "NCIt\n", "\nA single use, hollow needle embedded in a plastic hub, which is then attached to\na preloaded syringe (pen) to facilitate the delivery of medication.\n
\n\n", "QuantityUnitOfMeasure\n", "", ""], ["696", "C78746", "21 DAY TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA drug pack that contains a 21 day supply of tablets, composed of a mixture of\nactive and/or inert ingredient(s) that are pressed or compacted into a solid\nround, square or oval shaped form.\n
\n\n", "StrengthForm\n", "", ""], ["697", "C78747", "28 DAY TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA drug pack that contains a 28 day supply of tablets, composed of a mixture of\nactive and/or inert ingredient(s) that are pressed or compacted into a solid\nround, square or oval shaped form.\n
\n\n", "StrengthForm\n", "", ""], ["698", "C107670", "ADJUSTABLE DOSE PRE-FILLED PEN SYRINGE\n", "NCI\n", "NCIt\n", "\nA syringe with a measured dose of medication that has an apparatus that enables\nthe user to specify the amount of the medication to deliver in an injection.\n
\n\n", "StrengthForm\n", "", ""], ["699", "C64886", "ADULT SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suppository intended for administration to adults.\n
\n\n", "StrengthForm\n", "", ""], ["7", "CS", "Patient Complaint/Symptom\n", "REA\n", "", "\nCode indicating that in the course of assessment or discussion with the patient,\nthe pharmacist identified an actual or potential problem when the patient\npresented to the pharmacist complaints or symptoms suggestive of illness\nrequesting evaluation and treatment.\n
\n\n", "", "", ""], ["70", "2A", "Prescription Not Filled\n", "RES\n", "", "\nCode indicating a cognitive service. The pharmacist reviews and evaluates a\ntherapeutic issue (alert) and determines that the prescription should not be\nfilled as written.\n
\n\n", "", "", ""], ["700", "C42887", "AEROSOL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nContents packaged under pressure that are released upon activation of an\nappropriate valve system.\n
\n\n", "StrengthForm\n", "", ""], ["701", "C42888", "AEROSOL FOAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA foam that is packaged under pressure and released upon activation of an\nappropriate valve system.\n
\n\n", "StrengthForm\n", "", ""], ["702", "C68935", "AEROSOL MIST DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA mist that is packaged under pressure and released upon activation of an\nappropriate valve system.\n
\n\n", "StrengthForm\n", "", ""], ["703", "C69030", "AEROSOL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA homogenous solution comingled with a propellant and packaged under pressure.\nUpon activation of an appropriate valve system, the liquid is expelled into the\nair, the propellant is vaporized and the ingredients are dispersed.\n
\n\n", "StrengthForm\n", "", ""], ["704", "C42889", "AEROSOL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray that is packaged under pressure and released upon activation of an\nappropriate valve system.\n
\n\n", "StrengthForm\n", "", ""], ["705", "C60897", "AUGMENTED CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream that is modified to enhance the release of active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["706", "C91136", "AUGMENTED GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel that is modified to enhance the release of active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["707", "C60957", "AUGMENTED LOTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA lotion that is modified to enhance the release of active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["708", "C60984", "AUGMENTED OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn ointment that is modified to enhance the release of active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["709", "C91227", "AUTO-INJECTOR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nActive and/or inert ingredient(s) in a device that is automated to deliver a\ndesignated dose.\n
\n\n", "StrengthForm\n", "", ""], ["71", "2B", "Not Filled, Directions Clarified\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert), consults with the prescriber or using professional judgment, does\nnot fill the prescription and counsels the patient as to the prescriber's\ninstructions.\n
\n\n", "", "", ""], ["710", "C69012", "BANDAGE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of single or multilayered strips of permeable material.\n
\n\n", "StrengthForm\n", "", ""], ["711", "C68950", "BAR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid in a singular unit that is rectangular or oval in shape.\n
\n\n", "StrengthForm\n", "", ""], ["712", "C91137", "BAR SOAP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a bar composed of active and/or inert ingredient(s) in\nan anionic surfactant, for cleansing.\n
\n\n", "StrengthForm\n", "", ""], ["713", "C42890", "BEAD DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a small sphere.\n
\n\n", "StrengthForm\n", "", ""], ["714", "C64875", "BITING CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to be bitten to release the active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["715", "C42891", "BLOCK DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid in the shape of a square or rectangle.\n
\n\n", "StrengthForm\n", "", ""], ["716", "C64874", "BUCCAL CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule intended for administration between the cheek and gum of the oral\ncavity. The active and/or inert ingredient(s) are usually absorbed through the\noral mucosa.\n
\n\n", "StrengthForm\n", "", ""], ["717", "C91138", "BUCCAL FILM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA thin layer of water soluble or insoluble polymer intended to coat the inner\nsurface of the cheek.\n
\n\n", "StrengthForm\n", "", ""], ["718", "C42755", "BUCCAL TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet intended for administration between the cheek and gum of the oral\ncavity. The active and/or inert ingredient(s) are usually absorbed through the\noral mucosa.\n
\n\n", "StrengthForm\n", "", ""], ["719", "C64878", "CACHET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of dry powdered active and/or inert ingredient(s) covered by an\nedible shell. The shell consists of two concave pieces of wafer made of flour\nand water.\n
\n\n", "StrengthForm\n", "", ""], ["72", "3A", "Recommendation Accepted\n", "RES\n", "", "\nCode indicating a cognitive service. The pharmacist reviews and evaluates a\ntherapeutic issue (alert), recommends a more appropriate product or regimen then\ndispenses the alternative after consultation with the prescriber.\n
\n\n", "", "", ""], ["720", "C68951", "CAKE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active ingredient(s), excipients (usually electrolytes and\nbulking agents), and a solvent system which are lyophilized to yield a\ncompressed solid with uniform ingredient distribution. The resulting lyophilized\ncake maintains its structure and stability over an extended period of time, and\nis intended for reconstitution prior to administration.\n
\n\n", "StrengthForm\n", "", ""], ["721", "C64880", "CANDY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid with a sweet taste and intended for oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["722", "C25158", "CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid contained within either a hard or soft soluble shell, usually prepared\nfrom gelatin.\n
\n\n", "StrengthForm\n", "", ""], ["723", "C68943", "CAPSULE 12 HOUR SUSTAINED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to release active and/or inert ingredient(s) slowly so as to\nachieve a constant circulating concentration of the ingredient over a 12 hour\ntime interval.\n
\n\n", "StrengthForm\n", "", ""], ["724", "C68944", "CAPSULE 24 HOUR SUSTAINED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to release active and/or inert ingredient(s) slowly so as to\nachieve a constant circulating concentration of the ingredient over a 24 hour\ntime interval.\n
\n\n", "StrengthForm\n", "", ""], ["725", "C45414", "CEMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA base composed of bonding agents intermingled with active and/or inert\ningredient(s), which rapidly hardens into a firm mass upon application.\n
\n\n", "StrengthForm\n", "", ""], ["726", "C42892", "CHEWABLE BAR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA bar designed to be chewed to release active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["727", "C64876", "CHEWABLE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to be chewed to release the active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["728", "C42893", "CHEWABLE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that must be chewed to release the active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["729", "C42894", "CHEWING GUM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of synthetic, polymerized polysaccharide and flavorings,\nintended to be chewed to release active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["73", "3B", "Recommendation Not Accepted\n", "RES\n", "", "\nCode indicating a cognitive service. The pharmacist reviews and evaluates a\ntherapeutic issue (alert), recommends a more appropriate product or regimen but\nthe prescriber does not concur.\n
\n\n", "", "", ""], ["730", "C42678", "CIGARETTE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active and/or inert ingredient(s) wrapped in a paper\ncylinder whereby one end is burned. The ingredient is released in a smoke form,\nwhich is inhaled.\n
\n\n", "StrengthForm\n", "", ""], ["731", "C60884", "CLOTH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed active and/or inert ingredient(s) in a woven absorbent\nmaterial.\n
\n\n", "StrengthForm\n", "", ""], ["732", "C42895", "COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule that contains an additional outer layer over the capsule shell.\n
\n\n", "StrengthForm\n", "", ""], ["733", "C42896", "COATED PELLET IN CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed of small globular masses covered with an outer shell.\n
\n\n", "StrengthForm\n", "", ""], ["734", "C42897", "COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet whose outer shell is covered with a substance.\n
\n\n", "StrengthForm\n", "", ""], ["735", "C69002", "COMPRESSED SUGAR COATED CAPLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that has been compacted into capsule shape and covered in sugar.\n
\n\n", "StrengthForm\n", "", ""], ["736", "C60891", "CONCENTRATED DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of active and/or inert ingredient(s) with\nincreased strength in a reduced volume, which is usually diluted prior to\nadministration.\n
\n\n", "StrengthForm\n", "", ""], ["737", "C42899", "CONCENTRATED INJECTABLE SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA concentrate which is usually diluted prior to administration by injection.\n
\n\n", "StrengthForm\n", "", ""], ["738", "C69001", "CONCENTRATED ORAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA concentrate that usually requires dilution prior to oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["739", "C42898", "CONCENTRATED SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA concentrate which is usually diluted prior to administration and exists as a\nsolution in its final form.\n
\n\n", "StrengthForm\n", "", ""], ["74", "3C", "Discontinued Drug\n", "RES\n", "", "\nCognitive service involving the pharmacist's review of drug therapy that results\nin the removal of a medication from the therapeutic regimen.\n
\n\n", "", "", ""], ["740", "C42900", "CONE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid with a shape bounded by a circular base converging upon a single vertex.\n
\n\n", "StrengthForm\n", "", ""], ["741", "C42731", "CONTROLLED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension designed to release active and/or\ninert ingredient(s) at a controlled rate.\n
\n\n", "StrengthForm\n", "", ""], ["742", "C69024", "CONTROLLED RELEASE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to release active and/or inert ingredient(s) at a controlled\nrate.\n
\n\n", "StrengthForm\n", "", ""], ["743", "C69026", "CONTROLLED RELEASE LIQUID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension designed to release active and/or inert ingredient(s)\nat a controlled rate.\n
\n\n", "StrengthForm\n", "", ""], ["744", "C69025", "CONTROLLED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet designed to release active and/or inert ingredient(s) at a controlled\nrate.\n
\n\n", "StrengthForm\n", "", ""], ["745", "C28944", "CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of an emulsion of lipids, hydrocarbons, waxes, or polyols\nin water.\n
\n\n", "StrengthForm\n", "", ""], ["746", "C42901", "CRYSTAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid that consists of naturally produced angular solids composed of singular,\nrepeating units that are systematically arranged in an evenly spaced lattice.\n
\n\n", "StrengthForm\n", "", ""], ["747", "C64881", "CUBE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid in the shape of a three dimensional square.\n
\n\n", "StrengthForm\n", "", ""], ["748", "C45415", "CULTURE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution, suspension or semi-solid composed of media conducive to microbial\ngrowth.\n
\n\n", "StrengthForm\n", "", ""], ["749", "C68949", "DEGRADABLE CONTROLLED RELEASE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to dissolve after releasing the active and/or inert\ningredient(s) at a controlled rate.\n
\n\n", "StrengthForm\n", "", ""], ["75", "3D", "Regimen Changed\n", "RES\n", "", "\nThe pharmacist reviews and evaluates a therapeutic issue (alert), recommends a\nmore appropriate regimen then dispenses the recommended medication(s) after\nconsultation with the prescriber.\n
\n\n", "", "", ""], ["750", "C42730", "DELAYED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension that has been coated with a\nsubstance that is designed to impede the immediate release of the active and/or\ninert ingredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["751", "C42902", "DELAYED RELEASE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a substance that is designed to impede the immediate\nrelease of the active and/or inert ingredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["752", "C42903", "DELAYED RELEASE GRANULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of small particles or grains and have been coated with a\nsubstance that is designed to impede the immediate release of the active and/or\ninert ingredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["753", "C42997", "DELAYED RELEASE PARTICLE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of individual fragments have been coated with a substance that\nis designed to impede the immediate release of the active and/or inert\ningredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["754", "C42904", "DELAYED RELEASE PELLET IN CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed of active and/or inert ingredient(s) small, spherical\nstructures that have been coated with a substance that is designed to impede the\nimmediate release of the active and/or inert ingredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["755", "C42905", "DELAYED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that has been coated with a substance that is designed to impede the\nimmediate release of the active and/or inert ingredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["756", "C69059", "DENTAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn substance intended for use on the teeth or gingiva in the oral cavity.\n
\n\n", "StrengthForm\n", "", ""], ["757", "C68954", "DENTAL CONE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid bounded by a circular base converging upon a single vertex and intended\nfor administration to the teeth and gingiva in the oral cavity.\n
\n\n", "StrengthForm\n", "", ""], ["758", "C45413", "DENTAL LINER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA resinous film-forming agent dissolved in a solvent or a calcium hydroxide\nsuspension within a synthetic resin solution, which rapidly hardens into a firm\nmass upon administration.\n
\n\n", "StrengthForm\n", "", ""], ["759", "C42906", "DENTIFRICE GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for use in the oral cavity to clean the teeth and maintain oral\nhygiene.\n
\n\n", "StrengthForm\n", "", ""], ["76", "3E", "Therapy Changed\n", "RES\n", "", "\nThe pharmacist reviews and evaluates a therapeutic issue (alert), recommends a\nmore appropriate product or regimen then dispenses the alternative after\nconsultation with the prescriber.\n
\n\n", "", "", ""], ["760", "C42907", "DENTIFRICE PASTE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA paste of mild abrasives, detergents, flavoring agents, binders, fluoride, and\nother active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["761", "C42908", "DENTIFRICE POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder composed of a mild abrasives, detergents, flavoring agents, binders,\nfluoride, and other active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["762", "C42740", "DIFFUSION CONTROLLED EXTENDED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension covered with an outer permeable\npolymeric membrane designed to release active and/or inert ingredient(s) at a\ncontrolled, prolonged rate so as to reduce dosing frequency. Water permeates\nthrough the membrane to the core to dissolve the ingredient(s) which\nsubsequently exit the membrane at a rate determined by their solubility and the\nthickness and porosity of the membrane.\n
\n\n", "StrengthForm\n", "", ""], ["763", "C43525", "DISC DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA flat, circular shaped form composed of a solid or powder that contains active\nand/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["764", "C69071", "DISINTEGRATING TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that dissolves or melts quickly (usually within a matter of seconds)\nwhen it comes into contact with a liquid.\n
\n\n", "StrengthForm\n", "", ""], ["765", "C42756", "DISPENSING TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of a large amount of active and/or inert ingredient(s) that\ncan be used in compounding prescriptions to ensure accurate quantity of\ningredient within the final, compounded form.\n
\n\n", "StrengthForm\n", "", ""], ["766", "C42741", "DISSOLUTION CONTROLLED EXTENDED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension composed of active and/or inert\ningredient(s) covered with or contained within a polymeric matrix such that\ndissolution is determined by the solubility rate of the given polymer. It is\ndesigned to release ingredients at a controlled, prolonged rate so as to reduce\ndosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["767", "C42679", "DOUCHE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for use as a vaginal irrigant.\n
\n\n", "StrengthForm\n", "", ""], ["768", "C69033", "DOUCHE POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder which may be mixed with a liquid, intended for administration as a\nvaginal irrigant.\n
\n\n", "StrengthForm\n", "", ""], ["769", "C69032", "DOUCHE SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for use as a vaginal irrigant.\n
\n\n", "StrengthForm\n", "", ""], ["77", "3F", "Therapy Changed\n", "RES\n", "", "\nThe pharmacist reviews and evaluates a therapeutic issue (alert), recommends a\nmore appropriate product or regimen acknowledging that a cost increase will be\nincurred, then dispenses the alternative after consultation with the prescriber.\n
\n\n", "", "", ""], ["770", "C42763", "DRESSING DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration in or on a wound.\n
\n\n", "StrengthForm\n", "", ""], ["771", "C29012", "DROP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration in a drop-wise fashion.\n
\n\n", "StrengthForm\n", "", ""], ["772", "C60992", "DROP SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration in a drop-wise fashion.\n
\n\n", "StrengthForm\n", "", ""], ["773", "C60995", "DROP SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for administration in a drop-wise fashion.\n
\n\n", "StrengthForm\n", "", ""], ["774", "C68997", "DROP SUSPENSION FINAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension prepared immediately prior to dispensing or administration in a\ndrop-wise fashion.\n
\n\n", "StrengthForm\n", "", ""], ["775", "C64883", "DUSTING POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended to be dusted over the outer surface of the body.\n
\n\n", "StrengthForm\n", "", ""], ["776", "C42909", "EFFERVESCENT GRANULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA granule composed of active and/or inert ingredient(s), and a mixture of acids\nand sodium bicarbonate, which release carbon dioxide when dissolved in water.\n
\n\n", "StrengthForm\n", "", ""], ["777", "C64884", "EFFERVESCENT POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder composed of active and/or inert ingredient(s), and a mixture of acids\nand sodium bicarbonate, which release carbon dioxide when dissolved in water.\n
\n\n", "StrengthForm\n", "", ""], ["778", "C42910", "EFFERVESCENT TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of active and/or inert ingredient(s), and a mixture of acids\nand sodium bicarbonate, which release carbon dioxide when dissolved in water.\n
\n\n", "StrengthForm\n", "", ""], ["779", "C42911", "ELECTRICALLY CONTROLLED EXTENDED RELEASE PATCH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA patch that composed of active and/or inert ingredient(s) whose release is\ncontrolled by electronic impulses that release ingredients at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["78", "3G", "Drug Therapy Unchanged\n", "RES\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates a therapeutic\nissue (alert), consults with the prescriber or uses professional judgment and\nsubsequently fills the prescription as originally written.\n
\n\n", "", "", ""], ["780", "C42912", "ELIXIR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution composed of a clear, sweetened hydroalcoholic liquid in which active\nand/or inert ingredient(s) are dissolved.\n
\n\n", "StrengthForm\n", "", ""], ["781", "C42913", "EMULSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of at least two immiscible liquids, one of which is\ndispersed as droplets within the other liquid, and stabilized with one or more\nemulsifying agents.\n
\n\n", "StrengthForm\n", "", ""], ["782", "C42914", "EMULSION FOR INJECTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn emulsion intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["783", "C42915", "ENEMA DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended for administration into the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["784", "C64885", "ENEMA POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder that is suspended in liquid prior to administration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["785", "C64871", "ENEMA TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that is suspended in liquid prior to administration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["786", "C68945", "ENTERIC COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a substance that is designed to delay the release of\nactive and/or inert ingredient(s) until the capsule passes into the intestines.\n
\n\n", "StrengthForm\n", "", ""], ["787", "C42758", "ENTERIC COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet covered with a substance that is designed to delay the release of\nactive and/or inert ingredient(s) until the tablet passes into the intestines.\n
\n\n", "StrengthForm\n", "", ""], ["788", "C42742", "EROSION CONTROLLED EXTENDED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension in which active and/or inert\ningredient(s) release is controlled by the erosion rate of a carrier matrix,\nwhich is designed to release ingredients at a controlled, prolonged rate so as\nto reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["789", "C42713", "EXTENDED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension designed to release active and/or\ninert ingredient(s) at a controlled, prolonged rate so as to reduce dosing\nfrequency.\n
\n\n", "StrengthForm\n", "", ""], ["79", "3H", "Follow-Up/Report\n", "RES\n", "", "\nCode indicating that additional follow through by the pharmacist is required\n
\n\n", "", "", ""], ["790", "C43451", "EXTENDED RELEASE BEAD IMPLANT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a small sphere intended to be embedded securely in the\nbody and designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["791", "C42916", "EXTENDED RELEASE CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["792", "C42917", "EXTENDED RELEASE COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a thin layer of substance and is designed to release\nactive and/or inert ingredient(s) at a controlled, prolonged rate so as to\nreduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["793", "C42918", "EXTENDED RELEASE COATED PELLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA pellet covered with a thin layer of substance that is designed to release\nactive and/or inert ingredient(s) at a controlled, prolonged rate so as to\nreduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["794", "C42919", "EXTENDED RELEASE CORE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or liquid core composed of active and/or inert ingredient(s) enclosed by\na polymer coated shell. It is designed to release active and/or inert\ningredient(s) at a controlled, prolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["795", "C91140", "EXTENDED RELEASE ENTERIC COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn extended release capsule covered with a substance that is designed to delay\nthe release of active and/or inert ingredient(s) until the capsule passes into\nthe intestines.\n
\n\n", "StrengthForm\n", "", ""], ["796", "C91141", "EXTENDED RELEASE ENTERIC COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA extended release tablet covered with a substance that is designed to delay the\nrelease of active and/or inert ingredient(s) until the tablet passes into the\nintestines.\n
\n\n", "StrengthForm\n", "", ""], ["797", "C60926", "EXTENDED RELEASE FIBER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a slender, elongated thread that is designed to release\nactive and/or inert ingredient(s) at a controlled, prolonged rate so as to\nreduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["798", "C42920", "EXTENDED RELEASE FILM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA film that is designed to release active and/or inert ingredient(s) at a\ncontrolled, prolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["799", "C42928", "EXTENDED RELEASE FILM COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a thin layer of water soluble or insoluble polymer and is\ndesigned to release active and/or inert ingredient(s) at a controlled, prolonged\nrate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["8", "DA", "Drug-Allergy\n", "REA\n", "", "\nIndicates that an adverse immune event may occur due to the patient's previously\ndemonstrated heightened allergic response to the drug product in question.\n
\n\n", "", "\nPt has a listed allergy to medication/component of medication prescribed\n[DRUG_NAME]. Please advise: To fill as is, send denial to this request with\nnote stating reason fill is acceptable. If med should not be filled, Cancel Rx\nand send replacement.\n
\n\n", ""], ["80", "3J", "Patient Referral\n", "RES\n", "", "\nCode indicating the referral of a patient to another health care provider\nfollowing evaluation by the pharmacist.\n
\n\n", "", "", ""], ["800", "C60929", "EXTENDED RELEASE DOSAGE FORM FOR SUSPENSION\n", "NCI\n", "NCIt\n", "\nA substance that forms a suspension upon reconstitution and designed to release\nactive and/or inert ingredient(s) at a controlled, prolonged rate so as to\nreduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["801", "C42935", "EXTENDED RELEASE GEL FORMING SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution that becomes gelatinous upon administration and is designed to\nrelease active and/or inert ingredient(s) at a controlled, prolonged rate so as\nto reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["802", "C69067", "EXTENDED RELEASE GRANULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a small particle or grain designed to release active\nand/or inert ingredient(s) at a controlled, prolonged rate so as to reduce\ndosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["803", "C42921", "EXTENDED RELEASE GRANULE FOR SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA granule intended for administration as a suspension and designed to release\nactive and/or inert ingredient(s) at a controlled, prolonged rate so as to\nreduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["804", "C42922", "EXTENDED RELEASE INSERT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn insert designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["805", "C60934", "EXTENDED RELEASE LIQUID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension that is designed to release active and/or inert\ningredient(s) at a controlled, prolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["806", "C42923", "EXTENDED RELEASE PATCH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA patch designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["807", "C42924", "EXTENDED RELEASE SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suppository that is designed to release active and/or inert ingredient(s) at a\ncontrolled, prolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["808", "C42925", "EXTENDED RELEASE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension that is designed to release active and/or inert ingredient(s) at a\ncontrolled, prolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["809", "C42927", "EXTENDED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["81", "3K", "Instructions Understood\n", "RES\n", "", "\nIndicator used to convey that the patient affirmed understanding of the\ninstructions provided by the pharmacist regarding the use and handling of the\nmedication dispensed.\n
\n\n", "", "", ""], ["810", "C42929", "EXTRACT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA distillate composed of active and/or inert ingredient(s) extracted from plant\nor animal matter, and represented in concentrated form.\n
\n\n", "StrengthForm\n", "", ""], ["811", "C42932", "FILM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA thin layer of water soluble or insoluble polymer intended to coat the site of\nadministration.\n
\n\n", "StrengthForm\n", "", ""], ["812", "C42930", "FILM COATED EXTENDED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet covered with a thin layer of water soluble or insoluble polymer and is\ndesigned to release active and/or inert ingredient(s) at a controlled, prolonged\nrate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["813", "C42931", "FILM COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet covered with a thin layer of water soluble or insoluble polymer.\n
\n\n", "StrengthForm\n", "", ""], ["814", "C68982", "FLAKE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active and/or inert ingredient(s) that resembles small, thin\nchips.\n
\n\n", "StrengthForm\n", "", ""], ["815", "C68991", "FLUID EXTRACT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension distillate composed of active and/or inert\ningredient(s) extracted from plant or animal matter and alcohol as the solvent\nand/or preservative. Fluid extract is prepared by percolation and subsequent\nevaporation such that the ingredient in each milliliter of the fluid extract is\nequivalent to 1 gram of the dried plant or animal derived matter.\n
\n\n", "StrengthForm\n", "", ""], ["816", "C64898", "FOAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn aerated solution or suspension.\n
\n\n", "StrengthForm\n", "", ""], ["817", "C64899", "FOAM BATH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension that produces dense bubbles when combined with water.\n
\n\n", "StrengthForm\n", "", ""], ["818", "C60927", "DOSAGE FORM FOR SOLUTION\n", "NCI\n", "NCIt\n", "\nA substance intended for administration as a solution.\n
\n\n", "StrengthForm\n", "", ""], ["819", "C60928", "DOSAGE FORM FOR SUSPENSION\n", "NCI\n", "NCIt\n", "\nA substance intended for administration as a suspension.\n
\n\n", "StrengthForm\n", "", ""], ["82", "3M", "Compliance Aid Provided\n", "RES\n", "", "\nCognitive service whereby the pharmacist supplies a product that assists the\npatient in complying with instructions for taking medications.\n
\n\n", "", "", ""], ["820", "C68966", "FROZEN PREMIX INTRAVENOUS PIGGYBACK SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution that is reconstituted from a frozen pre-mixed form intended for\nintravenous administration simultaneously with an established compatible\nmaintenance infusion drug by a mutual intravenous access.\n
\n\n", "StrengthForm\n", "", ""], ["821", "C78748", "GARGLE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension taken orally and moved around the back of the throat by\ntilting the head back and forcing air from the lungs through the solution.\nUnless specifically directed, the solution is expelled and not swallowed.\n
\n\n", "StrengthForm\n", "", ""], ["822", "C42933", "GAS DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn elastic aeriform fluid in which the molecules are separated from one another\nand have freedom of movement.\n
\n\n", "StrengthForm\n", "", ""], ["823", "C42934", "GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a solid, three dimensional, cross linked matrix of\npolymers within a liquid, yielding a jelly-like material unable to flow at\nsteady state.\n
\n\n", "StrengthForm\n", "", ""], ["824", "C60994", "GEL FORMING DROP SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration in a drop-wise fashion; it becomes\ngelatinous upon administration.\n
\n\n", "StrengthForm\n", "", ""], ["825", "C68973", "GEL FORMING SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution that becomes a gelatinous liquid after administration.\n
\n\n", "StrengthForm\n", "", ""], ["826", "C42936", "GELATIN COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a thin layer of gelatin.\n
\n\n", "StrengthForm\n", "", ""], ["827", "C64872", "GELATIN COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet covered with a layer of gelatin.\n
\n\n", "StrengthForm\n", "", ""], ["828", "C48193", "GENERATOR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn apparatus that converts solutions, suspensions or solids, composed of active\nand/or inert ingredient(s) into a vapor or gas by heat or chemical reaction.\n
\n\n", "StrengthForm\n", "", ""], ["829", "C42937", "GLOBULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of sucrose, lactose or other polysaccharides formed into small\nglobular pellets impregnated with active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["83", "3N", "Medication Administered\n", "RES\n", "", "\nCognitive service whereby the pharmacist performs a patient care activity by\npersonally administering the medication.\n
\n\n", "", "", ""], ["830", "C45416", "GRAFT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a piece of skin or other tissue intended for implantation\ninto or on the body.\n
\n\n", "StrengthForm\n", "", ""], ["831", "C42938", "GRANULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of small particles or grains.\n
\n\n", "StrengthForm\n", "", ""], ["832", "C69066", "GRANULE FOR RECONSTITUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a small particle or grain mixed with a liquid to form a\nsolution or suspension before administration.\n
\n\n", "StrengthForm\n", "", ""], ["833", "C42939", "GRANULE FOR SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA granule intended for administration as a solution.\n
\n\n", "StrengthForm\n", "", ""], ["834", "C42940", "GRANULE FOR SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA granule intended for administration as a suspension.\n
\n\n", "StrengthForm\n", "", ""], ["835", "C42941", "GUM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a sticky, mucilaginous polysaccharide.\n
\n\n", "StrengthForm\n", "", ""], ["836", "C64904", "HARD CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a rigid outer shell.\n
\n\n", "StrengthForm\n", "", ""], ["837", "C64882", "HOMEOPATHIC GLOBULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of sucrose, lactose, or other polysaccharides formed into small\nglobular pellets of uniform size which can be classified as homeopathic.\n
\n\n", "StrengthForm\n", "", ""], ["838", "C42752", "HYPODERMIC TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet dissolved in solvent and intended for administration by hypodermic\ninjection.\n
\n\n", "StrengthForm\n", "", ""], ["839", "C42669", "IMMEDIATE RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension that is designed to release its\nactive and/or inert ingredient(s) upon administration with no enhanced, delayed\nor extended release effect.\n
\n\n", "StrengthForm\n", "", ""], ["84", "4A", "Prescribed w/ acknowledgements\n", "RES\n", "", "\nPhysician is prescribing this medication with knowledge of the potential\nconflict.\n
\n\n", "", "", ""], ["840", "C42942", "IMPLANT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid intended for insertion securely within the body.\n
\n\n", "StrengthForm\n", "", ""], ["841", "C42943", "IMPLANTABLE PELLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA pellet intended for insertion securely within the body.\n
\n\n", "StrengthForm\n", "", ""], ["842", "C42944", "INHALANT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nVaporized active and/or inert ingredient(s) intended for administration by\ninhalation.\n
\n\n", "StrengthForm\n", "", ""], ["843", "C91142", "INHALANT POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nPowdered medication inhaled as a measured dose.\n
\n\n", "StrengthForm\n", "", ""], ["844", "C91143", "INHALANT SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nLiquid medication intended to be inhaled.\n
\n\n", "StrengthForm\n", "", ""], ["845", "C64879", "INHALER CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed of powders intended for oral inhalation. This dose form may\nalso refer to capsules that are intended for use in inhalers.\n
\n\n", "StrengthForm\n", "", ""], ["846", "C42946", "INJECTABLE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["847", "C42926", "INJECTABLE EXTENDED RELEASE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for injection that is designed to release active and/or\ninert ingredient(s) at a controlled, prolonged rate so as to reduce dosing\nfrequency.\n
\n\n", "StrengthForm\n", "", ""], ["848", "C42950", "INJECTABLE LIPID COMPLEX DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance composed of complexed active and/or inert ingredient(s) with natural\nor synthetic lipids that is intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["849", "C42951", "INJECTABLE LIPOSOMAL SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension composed of active and/or inert ingredient(s) encapsulated in\nliposomes and intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["85", "00", "No intervention\n", "PSC\n", "", "", "", "", ""], ["850", "C69037", "INJECTABLE LYOPHILIZED POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA freeze dried powder intended for injection following reconstitution with a\nsuitable solvent.\n
\n\n", "StrengthForm\n", "", ""], ["851", "C42945", "INJECTABLE SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["852", "C42988", "INJECTABLE SONICATED SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for injection and is sonicated while a gas is bubbled\nthrough the suspension resulting in the creation of microspheres by the solid\nparticles.\n
\n\n", "StrengthForm\n", "", ""], ["853", "C42995", "INJECTABLE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["854", "C60933", "INSERT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid intended for administration within the body.\n
\n\n", "StrengthForm\n", "", ""], ["855", "C78793", "INTERNAL POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for use within the body.\n
\n\n", "StrengthForm\n", "", ""], ["856", "C68971", "INTRAPERITONEAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration into the intraperitoneal cavity.\n
\n\n", "StrengthForm\n", "", ""], ["857", "C47915", "INTRAUTERINE DEVICE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid intended for placement within the uterine cavity where active and/or\ninert ingredient(s) are released from an apparatus at a controlled rate.\n
\n\n", "StrengthForm\n", "", ""], ["858", "C68967", "INTRAVENOUS PIGGYBACK SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for intravenous administration simultaneously with an\nestablished compatible maintenance infusion drug by a mutual intravenous access.\n
\n\n", "StrengthForm\n", "", ""], ["859", "C68965", "INTRAVENOUS SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution composed of a homogenous liquid that contains active and/or inert\ningredient(s) dissolved in a suitable solvent or mixture of mutually miscible\nsolvents.\n
\n\n", "StrengthForm\n", "", ""], ["86", "AS", "Patient assessment\n", "PSC\n", "", "\nCode indicating that an initial evaluation of a patient or complaint/symptom for\nthe purpose of developing a therapeutic plan.\n
\n\n", "", "", ""], ["860", "C42947", "IRRIGANT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension used to bathe or flush open wounds or body cavities.\n
\n\n", "StrengthForm\n", "", ""], ["861", "C42948", "JELLY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of suspensions of active and/or inert ingredient(s) in any\ntype of highly viscous material, including gelatin or gel. The structural matrix\nof the jelly contains high levels of liquid.\n
\n\n", "StrengthForm\n", "", ""], ["862", "C47916", "KIT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA collection of unrelated materials that are used together to orchestrate dosage\nadministration.\n
\n\n", "StrengthForm\n", "", ""], ["863", "C42949", "LINIMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid with viscosity similar to that of a lotion, which is intended for\ntopical use and must be rubbed into the site of administration to release the\nactive and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["864", "C60931", "LIPOSOMAL INJECTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance composed of active and/or inert ingredient(s) encapsulated in\nliposomes and intended for injection.\n
\n\n", "StrengthForm\n", "", ""], ["865", "C42952", "LIPSTICK DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid with a waxy consistency in the shape of a stick and\nintended for use on the lips.\n
\n\n", "StrengthForm\n", "", ""], ["866", "C42953", "LIQUID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance in the fluid state of matter having no fixed shape but a fixed\nvolume.\n
\n\n", "StrengthForm\n", "", ""], ["867", "C42954", "LIQUID FILLED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed of liquid covered with an outer shell, which is usually\nprepared from gelatin.\n
\n\n", "StrengthForm\n", "", ""], ["868", "C68953", "LIQUID SOAP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of an anionic surfactant used for cleansing.\n
\n\n", "StrengthForm\n", "", ""], ["869", "C69068", "LOLLIPOP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a sugared, medicated candy mounted to a stick, which can be\nheld while sucking or chewing on the candy.\n
\n\n", "StrengthForm\n", "", ""], ["87", "CC", "Coordination of care\n", "PSC\n", "", "\nCase management activities of a pharmacist related to the care being delivered by\nmultiple providers.\n
\n\n", "", "", ""], ["870", "C29167", "LOTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of an oil in water emulsion, with lower viscosity than\ncream or gel.\n
\n\n", "StrengthForm\n", "", ""], ["871", "C60958", "LOTION SHAMPOO DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA lotion composed of anionic surfactant intended for administration to the hair\nor scalp.\n
\n\n", "StrengthForm\n", "", ""], ["872", "C42955", "LOZENGE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active and/or inert ingredient(s), sweeteners, other\nflavorings and mucilage, intended for oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["873", "C42956", "LYOPHILIZED POWDER FOR EXTENDED RELEASE INJECTABLE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA freeze dried powder intended for injection following reconstitution with a\nsuitable solvent to form a suspension that is designed to release active and/or\ninert ingredient(s) at a controlled, prolonged rate so as to reduce dosing\nfrequency.\n
\n\n", "StrengthForm\n", "", ""], ["874", "C42959", "LYOPHILIZED POWDER FOR INJECTABLE LIPOSOMAL SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA freeze dried powder composed of active and/or inert ingredient(s) encapsulated\nin liposomes and intended for injection following reconstitution with a suitable\nsolvent to form a suspension.\n
\n\n", "StrengthForm\n", "", ""], ["875", "C42957", "LYOPHILIZED POWDER FOR INJECTABLE SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA freeze dried powder intended for injection following reconstitution with a\nsuitable solvent to form a solution.\n
\n\n", "StrengthForm\n", "", ""], ["876", "C42958", "LYOPHILIZED POWDER FOR INJECTABLE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA freeze dried powder intended for injection following reconstitution with a\nsuitable solvent to form a suspension.\n
\n\n", "StrengthForm\n", "", ""], ["877", "C68988", "MEDICATED ADHESIVE PATCH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of an impermeable occlusive backing, a formulation matrix in\nwhich the active and/or inert ingredient(s) are dissolved or dispersed and an\nadhesive layer. It is intended for external application.\n
\n\n", "StrengthForm\n", "", ""], ["878", "C91144", "MEDICATED BAR SOAP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid in the shape of a bar composed of active and inert ingredient(s) in an\nanionic surfactant, for cleansing.\n
\n\n", "StrengthForm\n", "", ""], ["879", "C68958", "MEDICATED FILM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA film composed of active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["88", "DE", "Dosing evaluation/determination\n", "PSC\n", "", "\nCognitive service whereby the pharmacist reviews and evaluates the\nappropriateness of a prescribed medication's dose, interval, frequency and/or\nformulation.\n
\n\n", "", "", ""], ["880", "C91145", "MEDICATED LIQUID SOAP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA liquid composed of active and inert ingredient(s) in an anionic surfactant,\nfor cleansing.\n
\n\n", "StrengthForm\n", "", ""], ["881", "C68957", "MEDICATED PAD DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active and/or inert ingredient(s) in a soft, non-adhesive\nand absorbent piece of fabric or other material.\n
\n\n", "StrengthForm\n", "", ""], ["882", "C91146", "MEDICATED SHAMPOO DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of active and inert ingredient(s) in an\nanionic surfactant and intended for administration to the hair and/or scalp.\n
\n\n", "StrengthForm\n", "", ""], ["883", "C68952", "MEDICATED SOAP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance composed of active and/or inert ingredient(s) in an anionic\nsurfactant, for cleansing.\n
\n\n", "StrengthForm\n", "", ""], ["884", "C64901", "MEDICATED SPONGE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a porous, interlacing, absorbent, usually shape retaining\nmaterial that contains active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["885", "C68955", "MEDICATED SWAB DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of active and/or inert ingredient(s) on a small piece of\nabsorbent material attached to one end of a stick.\n
\n\n", "StrengthForm\n", "", ""], ["886", "C91147", "MEDICATED TAPE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA fabric or a narrow extruded synthetic material usually with an adhesive on one\nor both sides, impregnated with active and inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["887", "C64877", "MEMBRANE COATED CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule covered with a semipermeable film.\n
\n\n", "StrengthForm\n", "", ""], ["888", "C64873", "MEMBRANE COATED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet covered with a semipermeable film.\n
\n\n", "StrengthForm\n", "", ""], ["889", "C42960", "METERED AEROSOL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn aerosol contained in a device with valves that permits the release of a\nspecified quantity of active and/or inert ingredient(s) upon activation.\n
\n\n", "StrengthForm\n", "", ""], ["89", "VDP", "Dosage evaluated\n", "PSC\n", "", "\nCode indicating that dosage has been evaluated with respect to risk for the\npatient.\n
\n\n", "", "", ""], ["890", "C91148", "METERED DOSE INHALER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA liquid medication delivered as a mist to be inhaled as a measured dose\n
\n\n", "StrengthForm\n", "", ""], ["891", "C60930", "METERED GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel contained in a device with valves that permits the release of a uniform\ndose of gel that composed of active and/or inert ingredient(s) upon activation.\n
\n\n", "StrengthForm\n", "", ""], ["892", "C42961", "METERED POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder contained in a device with valves that permits the dispensing of active\nand/or inert ingredient(s) upon activation.\n
\n\n", "StrengthForm\n", "", ""], ["893", "C42962", "METERED SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray contained in a device with valves that permits the dispensing of a\nspecified quantity of active and/or inert ingredient(s) upon activation.\n
\n\n", "StrengthForm\n", "", ""], ["894", "C64888", "MICRO ENEMA DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension present in a small volume or mass, intended for\nadministration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["895", "C42712", "MODIFIED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid, semi-solid, solution or suspension exhibiting an altered inherent rate\nof release of active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["896", "C29269", "MOUTHWASH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended for oral administration, for its deodorizing\nor antiseptic effects in the oral cavity. Usually, the mouthwash is swished\naround the mouth and expelled.\n
\n\n", "StrengthForm\n", "", ""], ["897", "C91149", "MUCOSAL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray intended for administration to the mucosa.\n
\n\n", "StrengthForm\n", "", ""], ["898", "C91150", "MUCOUS MEMBRANE TOPICAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration to the surface of the mucosa membranes.\n
\n\n", "StrengthForm\n", "", ""], ["899", "C42963", "MULTILAYERED EXTENDED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of active and/or inert ingredient(s) that have been compressed\ninto multiple layers and is designed to release active and/or inert\ningredient(s) at a controlled, prolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["9", "DC", "Drug-Disease (Inferred)\n", "REA\n", "", "\nIndicates that the use of the drug may be inappropriate in light of a specific\nmedical condition that the patient has. The existence of the specific medical\ncondition is inferred from drugs in the patient's medication history.\n
\n\n", "", "", ""], ["90", "VFE", "Formulary enforcement\n", "PSC\n", "", "\nCode indicating that activities including interventions with prescribers and\npatients related to the enforcement of a pharmacy benefit plan formulary have\noccurred. Comment: Use this code for cross-licensed brand products or generic to\nbrand interchange.\n
\n\n", "", "", ""], ["900", "C42964", "MULTILAYERED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet composed of active and/or inert ingredient(s) that have been compressed\nto form a tablet that contains multiple layers.\n
\n\n", "StrengthForm\n", "", ""], ["901", "C69064", "NASAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration in the nares.\n
\n\n", "StrengthForm\n", "", ""], ["902", "C91151", "NASAL CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration to the mucosa of the nose.\n
\n\n", "StrengthForm\n", "", ""], ["903", "C91152", "NASAL GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for administration to the mucosa of the nose.\n
\n\n", "StrengthForm\n", "", ""], ["904", "C91153", "NASAL INHALANT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn inhalant intended for administration through the nose.\n
\n\n", "StrengthForm\n", "", ""], ["905", "C91154", "NASAL INHALER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA medication delivered as a mist to be inhaled through the nose as a measured\ndose\n
\n\n", "StrengthForm\n", "", ""], ["906", "C91155", "NASAL OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn ointment intended for administration to the mucosa of the nose.\n
\n\n", "StrengthForm\n", "", ""], ["907", "C91156", "NASAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration to the mucosa of the nose.\n
\n\n", "StrengthForm\n", "", ""], ["908", "C91157", "NASAL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray intended for administration to the mucosa of the nose.\n
\n\n", "StrengthForm\n", "", ""], ["909", "C91158", "NASAL SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for administration to the mucosa of the nose.\n
\n\n", "StrengthForm\n", "", ""], ["91", "GP", "Generic product selection\n", "PSC\n", "", "\nThe selection of a chemically and therapeutically identical product to that\nspecified by the prescriber for the purpose of achieving cost savings for the\npayer.\n
\n\n", "", "", ""], ["910", "C68941", "NON-AEROSOL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray composed of active and/or inert ingredient(s) that are expelled from a\ndelivery device without the use of a propellant.\n
\n\n", "StrengthForm\n", "", ""], ["911", "C69017", "NON-MEDICATED SWAB DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a small piece of absorbent material that does not contain\nactive ingredient(s), attached to one end of a small stick.\n
\n\n", "StrengthForm\n", "", ""], ["912", "C48624", "DOSAGE FORM NOT APPLICABLE\n", "NCI\n", "NCIt\n", "\nAn indication that the dosage form is not relevant or appropriate.\n
\n\n", "StrengthForm\n", "", ""], ["913", "C69031", "OCULAR SYSTEM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA system that is placed in the eye, usually under the lower eyelid, from which\nthe active and/or inert ingredient(s) diffuses through a membrane at a\ncontrolled rate.\n
\n\n", "StrengthForm\n", "", ""], ["914", "C42965", "OIL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension that is hydrophobic, soluble in organic solvents, and\nliquid at ambient temperature.\n
\n\n", "StrengthForm\n", "", ""], ["915", "C42966", "OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid, viscous in texture, that may be composed of a variety of bases\nincluding hydrocarbons, emulsifiers or vegetable oils, and mixed with active\nand/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["916", "C69039", "OPHTHALMIC DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration in or around the eye.\n
\n\n", "StrengthForm\n", "", ""], ["917", "C91159", "OPHTHALMIC CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration in or around the eye.\n
\n\n", "StrengthForm\n", "", ""], ["918", "C91160", "OPHTHALMIC GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for administration in or around the eye.\n
\n\n", "StrengthForm\n", "", ""], ["919", "C91161", "OPHTHALMIC IRRIGATION SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for irrigation of the eye.\n
\n\n", "StrengthForm\n", "", ""], ["92", "MA", "Medication administration\n", "PSC\n", "", "\nCode indicating an action of supplying a medication to a patient through any of\nseveral routes-oral, topical, intravenous, intramuscular, intranasal, etc.\n
\n\n", "", "", ""], ["920", "C69038", "OPHTHALMIC LIQUID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended for administration in the eye.\n
\n\n", "StrengthForm\n", "", ""], ["921", "C91162", "OPHTHALMIC OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA ointment intended for administration in or around the eye.\n
\n\n", "StrengthForm\n", "", ""], ["922", "C91163", "OPHTHALMIC SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration in or around the eye.\n
\n\n", "StrengthForm\n", "", ""], ["923", "C91164", "OPHTHALMIC SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for administration in or around the eye.\n
\n\n", "StrengthForm\n", "", ""], ["924", "C42744", "ORAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["925", "C91165", "ORAL CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["926", "C91166", "ORAL CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["927", "C91167", "ORAL FOAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA foam intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["928", "C91168", "ORAL GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["929", "C91169", "ORAL OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn ointment intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["93", "MB", "Overriding benefit\n", "PSC\n", "", "\nBenefits of the prescribed medication outweigh the risks.\n
\n\n", "", "", ""], ["930", "C91170", "ORAL PASTE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA paste intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["931", "C91171", "ORAL POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["932", "C68981", "ORAL RECONSTITUTED SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension composed of active and/or inert ingredient(s) that requires\nreconstitution and is intended oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["933", "C68996", "ORAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["934", "C91172", "ORAL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray intended for administration into the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["935", "C91173", "ORAL STRIP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA strip intended for administration through the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["936", "C68992", "ORAL SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["937", "C68993", "ORAL SUSPENSION FINAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension composed of a suspension that has been prepared immediately prior\nto dispensing or oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["938", "C43243", "ORAL TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet intended for oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["939", "C61006", "ORALLY DISINTEGRATING DELAYED RELEASE TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet that disintegrates rapidly, usually within a matter of seconds, when\nplaced upon the tongue but is also designed to impede the immediate release of\nthe active and/or inert ingredient(s) after administration.\n
\n\n", "StrengthForm\n", "", ""], ["94", "MP", "Patient will be monitored\n", "PSC\n", "", "\nPrescriber is aware of the risk and will be monitoring the patient.\n
\n\n", "", "", ""], ["940", "C42999", "ORALLY DISINTEGRATING TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet which disintegrates and dissolves quickly (usually within a matter of\nseconds) in the mouth. Additional water to complete dissolution is not\nnecessary.\n
\n\n", "StrengthForm\n", "", ""], ["941", "C69008", "OSMOTIC LASER DRILLED TABLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA tablet with a semi-permeable membrane composed of active and/or inert\ningredient(s) and an osmotic agent with a laser drilled central core. Upon\ningestion, water permeates the core and the ingredient is dissolved and\nreleased.\n
\n\n", "StrengthForm\n", "", ""], ["942", "C42760", "OSMOTIC PUMP EXTENDED RELEASE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency, based on osmotic pressure\nbetween the inside of the dosage form and the external environment.\n
\n\n", "StrengthForm\n", "", ""], ["943", "C69040", "OTIC DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration either on the outer ear or into the\nauditory canal.\n
\n\n", "StrengthForm\n", "", ""], ["944", "C91174", "OTIC CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration either on the outer ear or into the auditory\ncanal.\n
\n\n", "StrengthForm\n", "", ""], ["945", "C91175", "OTIC OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn ointment intended for administration either on the outer ear or into the\nauditory canal.\n
\n\n", "StrengthForm\n", "", ""], ["946", "C91176", "OTIC SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution intended for administration either on the outer ear or into the\nauditory canal.\n
\n\n", "StrengthForm\n", "", ""], ["947", "C91177", "OTIC SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension intended for administration either on the outer ear or into the\nauditory canal.\n
\n\n", "StrengthForm\n", "", ""], ["948", "C62653", "PACK DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA number of individual items packaged as a unit.\n
\n\n", "StrengthForm\n", "", ""], ["949", "C47887", "PACKING DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a material that contains active and/or inert ingredient(s)\nwhich is intended to be placed in a cavity or depression within the body.\n
\n\n", "StrengthForm\n", "", ""], ["95", "M0", "Prescriber consulted\n", "PSC\n", "", "\nCode indicating prescriber communication related to collection of information or\nclarification of a specific limited problem.\n
\n\n", "", "", ""], ["950", "C69016", "PAD DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a soft, non-adhesive and absorbent piece of fabric or other\nmaterial.\n
\n\n", "StrengthForm\n", "", ""], ["951", "C42746", "PARENTERAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration by injection.\n
\n\n", "StrengthForm\n", "", ""], ["952", "C42967", "PASTE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a large proportion of solids and finely dispersed\nactive and/or inert ingredient(s) in a fat-based vehicle.\n
\n\n", "StrengthForm\n", "", ""], ["953", "C60985", "PASTILLE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid or semi-solid composed of a lozenge, that contains active and/or inert\ningredient(s) that dissolves when sucked in the mouth.\n
\n\n", "StrengthForm\n", "", ""], ["954", "C42968", "PATCH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of an impermeable occlusive backing and a formulation matrix in\nwhich the active and/or inert ingredient(s) are dissolved or dispersed; possibly\nincludes an adhesive layer.\n
\n\n", "StrengthForm\n", "", ""], ["955", "C69042", "PEDIATRIC LIQUID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended for use in children.\n
\n\n", "StrengthForm\n", "", ""], ["956", "C64887", "PEDIATRIC SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suppository intended for administration to children.\n
\n\n", "StrengthForm\n", "", ""], ["957", "C42969", "PELLET DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a small granular or compressed mass that contains highly\npurified active and/or inert ingredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["958", "C42636", "PHARMACEUTICAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nThe form in which active and/or inert ingredient(s) are physically presented.\n
\n\n", "StrengthForm\n", "", ""], ["959", "C25394", "PILL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a small, round object composed of active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["96", "MR", "Medication review\n", "PSC\n", "", "\nCode indicating comprehensive review and evaluation of a patient's entire\nmedication regimen.\n
\n\n", "", "", ""], ["960", "C42970", "PLASTER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a soft, smooth mass with relatively thick consistency\nand strong adhesiveness that becomes solid when dry.\n
\n\n", "StrengthForm\n", "", ""], ["961", "C42736", "POLYMERIC MICROSPHERE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nPolymeric microspheres composed of biocompatible polymer that contains active\nand/or inert ingredient(s) designed for release at a controlled rate.\n
\n\n", "StrengthForm\n", "", ""], ["962", "C47913", "POULTICE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a soft, moist mass that is made by wetting an absorbent\nsolid substance.\n
\n\n", "StrengthForm\n", "", ""], ["963", "C42972", "POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed of a mixture of dry, finely divided active and/or inert\ningredient(s).\n
\n\n", "StrengthForm\n", "", ""], ["964", "C42971", "POWDER AEROSOL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder composed of active and/or inert ingredient(s) and packaged under\npressure. Ingredients are released upon activation of an appropriate valve\nsystem.\n
\n\n", "StrengthForm\n", "", ""], ["965", "C42977", "POWDER FOR INJECTABLE EXTENDED RELEASE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for injection following reconstitution to form a suspension\nthat is designed to release active and/or inert ingredient(s) at a controlled,\nprolonged rate so as to reduce dosing frequency.\n
\n\n", "StrengthForm\n", "", ""], ["966", "C42974", "POWDER FOR INJECTABLE SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for injection following reconstitution to form a solution.\n
\n\n", "StrengthForm\n", "", ""], ["967", "C42976", "POWDER FOR INJECTABLE SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for injection following reconstitution to form a suspension.\n
\n\n", "StrengthForm\n", "", ""], ["968", "C69069", "POWDER FOR INJECTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for injection following reconstitution to form a solution or\nsuspension.\n
\n\n", "StrengthForm\n", "", ""], ["969", "C64907", "POWDER FOR ORAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder that yields a solution intended for oral administration following\nreconstitution.\n
\n\n", "StrengthForm\n", "", ""], ["97", "PA", "Previous patient tolerance\n", "PSC\n", "", "\nPatient has taken medication previously without issue.\n
\n\n", "", "", ""], ["970", "C64908", "POWDER FOR ORAL SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder that yields a suspension intended for oral administration following\nreconstitution.\n
\n\n", "StrengthForm\n", "", ""], ["971", "C69070", "POWDER FOR RECONSTITUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder mixed with a liquid to form a solution or suspension before\nadministration.\n
\n\n", "StrengthForm\n", "", ""], ["972", "C42973", "POWDER FOR SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder that yields a solution following reconstitution with an appropriate\nliquid.\n
\n\n", "StrengthForm\n", "", ""], ["973", "C42975", "POWDER FOR SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder that forms a suspension when reconstituted with a liquid solution.\n
\n\n", "StrengthForm\n", "", ""], ["974", "C91139", "POWDER INHALER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nPowder intended for oral inhalation.\n
\n\n", "StrengthForm\n", "", ""], ["975", "C68983", "POWDER LIKE NON-EFFERVESCENT GRANULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA granule composed of a mixture of small (powder like), dry particles or grains,\nwhich does not have the ability to release gas upon contact with water.\n
\n\n", "StrengthForm\n", "", ""], ["976", "C91179", "PREFILLED APPLICATOR DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nActive and/or inert ingredients in an applicator delivered as a single measured\ndose.\n
\n\n", "StrengthForm\n", "", ""], ["977", "C97717", "PRE-FILLED PEN SYRINGE\n", "NCI\n", "NCIt\n", "\nA syringe that lacks a conventional plunger, resembles a writing pen, and is\ndesigned to dispense a pre-loaded dose of a drug. It may be designed to deliver\na single dose or be designed for repeated use.\n
\n\n", "StrengthForm\n", "", ""], ["978", "C91180", "PREFILLED SYRINGE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended to be injected in a syringe, cartridge or pen.\n
\n\n", "StrengthForm\n", "", ""], ["979", "C68972", "PUDDING DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid, having a relatively thick consistency, intended for oral\nadministration to facilitate ease of swallowing.\n
\n\n", "StrengthForm\n", "", ""], ["98", "PE", "Patient education/instruction\n", "PSC\n", "", "\nCode indicating verbal and/or written communication by a pharmacist to enhance\nthe patient's knowledge about the condition under treatment or to develop skills\nand competencies related to its management.\n
\n\n", "", "", ""], ["980", "C68984", "RECONSTITUTED ORAL DROP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance that requires reconstitution with a suitable solvent and is intended\nfor oral administration in a drop-wise fashion.\n
\n\n", "StrengthForm\n", "", ""], ["981", "C68985", "RECONSTITUTED ORAL SOLUTION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution that requires reconstitution with a suitable solvent, and is intended\nfor oral administration.\n
\n\n", "StrengthForm\n", "", ""], ["982", "C69046", "RECTAL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance intended for administration in or around the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["983", "C69045", "RECTAL CREAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA cream intended for administration in or around the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["984", "C91181", "RECTAL FOAM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA foam intended for administration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["985", "C91182", "RECTAL GEL DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA gel intended for administration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["986", "C69047", "RECTAL OINTMENT DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn ointment intended for administration in or around the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["987", "C91183", "RECTAL POWDER DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA powder intended for administration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["988", "C91184", "RECTAL SPRAY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA spray intended for administration to the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["989", "C68989", "RECTAL SUPPOSITORY DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suppository intended for administration within the rectum.\n
\n\n", "StrengthForm\n", "", ""], ["99", "PH", "Patient medication history\n", "PSC\n", "", "\nCode indicating the establishment of a medication history database on a patient\nto serve as the foundation for the ongoing maintenance of a medication profile.\n
\n\n", "", "", ""], ["990", "C42978", "RESIN GUM DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a mixture of gum and a plant based hydrocarbon.\n
\n\n", "StrengthForm\n", "", ""], ["991", "C60988", "RING DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solid composed active and/or inert ingredient(s) of in the shape of a hoop.\n
\n\n", "StrengthForm\n", "", ""], ["992", "C42979", "RINSE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension intended for irrigation purposes.\n
\n\n", "StrengthForm\n", "", ""], ["993", "C42980", "SALVE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA semi-solid composed of a thick, fat or wax-based ointment or cerate with a\nconsistency somewhere between an ointment and a plaster.\n
\n\n", "StrengthForm\n", "", ""], ["994", "C45244", "SEMISOLID DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA substance with properties of both a solid and a liquid in terms of viscosity\nand rigidity. Semi-solids include, but are not limited to, ointments, creams,\npastes and gels.\n
\n\n", "StrengthForm\n", "", ""], ["995", "C42981", "SHAMPOO DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA solution or suspension composed of an anionic surfactant and intended for\nadministration to the hair and/or scalp.\n
\n\n", "StrengthForm\n", "", ""], ["996", "C42982", "SHAMPOO SUSPENSION DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA suspension composed of anionic surfactant and intended for administration to\nthe hair and/or scalp.\n
\n\n", "StrengthForm\n", "", ""], ["997", "C28276", "SKIN PATCH DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA patch intended for administration to the skin.\n
\n\n", "StrengthForm\n", "", ""], ["998", "C42983", "SOAP DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nAn anionic surfactant for cleansing.\n
\n\n", "StrengthForm\n", "", ""], ["999", "C64909", "SOFT CAPSULE DOSAGE FORM\n", "NCI\n", "NCIt\n", "\nA capsule composed of active and/or inert ingredient(s) covered with a soft\nouter shell, which is usually prepared from gelatin.\n
\n\n", "StrengthForm\n", "", ""]]}