Compound Segment

Field #

Field Name

Possible Value or Explanation of Field

450-EF

Dosage Form Code

01- Capsule, 02- Ointment, 03-Cream, 04- Suppository, 05- Powder, 06- Emulsion, 07-Liquid, 10- Tablet, 11- Solution, 12- Suspension, 13- Lotion, 14- Shampoo, 15- Elixir, 16- Syrup, 17- Lozenge, 18- Enema; located on the compound tab of the main processing screen

451-EG

Dispensing Unit Form

1 Each - Being one or individual, 2 Grams - A metric unit of mass equal to one thousandth of a kilogram, 3 Milliliters - A metric measure of volume equal to one thousandth of a liter; located on the compound tab of the main processing screen

452-EH

Route of Admin (5.1 only)

No longer used in D.Ø

447-EC

Ingredient Count

Automatically calculates the amount of ingredients that were entered into the compound segment; located on the compound tab of the main processing screen

488-RE

Product ID Qualifier 1

01- Universal Product Code (UPC), 02- Health Related Item (HRI), 03- National Drug Code (NDC), 04- Health Industry Business Communications Council (HIBCC), 11- National pharmaceutical Product Interface Code (NAPPI), 12- Global Trade Identification Number (GTIN), 15- First DataBank Formulation ID (GCN), 28- First DataBank Medication Name ID (FDB Med name ID), 29- First DataBank Routed Medication ID (FDB Routed Med IT), 30- First DataBank Routed Dosage Form ID (FDB Routed Dosage Form Med ID), 31- First DataBank Medication ID (FDB Med ID), 32- First DataBank Clinical Formulation ID Sequence Number (GCN_SEQ_NO), 33- First DataBank Ingredient List ID (HICL_SEQ_NO), 99- Other; located on the compound tab of the main processing screen

489-TE

Product ID 1

Product ID of the ingredient based on the qualifier above; located on the compound tab of the main processing screen

448-ED

Quantity 1

Quantity of the ingredient; located on the compound tab of the main processing screen

449-EE

Cost 1

Cost of the ingredient; located on the compound tab of the main processing screen

490-UE

Basis of Cost 1

The basis of cost for the ingredient; located on the compound tab of the main processing screen

362-2G

Ingredient Modifier Code Count 1

Automatically calculated based on how many modifiers were entered

363-2H

Ingredient Modifier Codes 1

The Centers for Medicare and Medicaid Services (CMS) maintains this code set. The complete

code set is available at http://www.cms.hhs.gov/hcpcsreleasecodesets/anhcpcs/list.as p