Prescriber Segment

Field #

Field Name

Possible Value or Explanation of Field

466-EZ

Prescriber ID Qualifier

Indicates by qualifier which prescriber ID to transmit; located on the Micellaneous tab of the Insurance Plan File (F5) under "Prescriber ID to Transmit"

411-DB

Prescriber ID

Indicates the prescriber ID automatically chosen based on the qualifier above, obtained from the information in the Prescriber File (F2) depending on what was selected

427-DR

Prescriber Last Name

Prescriber's last name; located in the Prescriber File (F2)

364-2J

Prescriber First Name

Prescriber's first name; located in the Prescriber File (F2)

365-2K

Prescriber Address

Prescriber's address, combines address lines 1 and 2; located in the Prescriber File (F2)

366-2M

Prescriber City

Prescriber's city; located in the Prescriber File (F2)

367-2N

Prescriber State

Prescriber's state; located in the Prescriber File (F2)

368-2P

Prescriber Zip Code

Prescriber's zip code; located in the Prescriber File (F2)

498-PM

Prescriber Phone Number

Prescriber's phone number; located in the Prescriber File (F2)

467-1E

Prescriber Location Code

Field will most likely be phased out in next NCPDP version. Located on the prescriber screen.

468-2E

Primary Physician ID Qualifier

Indicates by qualifier which prescriber ID to transmit if submitting a primary/referring prescriber; located on the Micellaneous tab of the Insurance Plan File (F5) under "Prescriber ID to Transmit"

421-DL

Primary Physician ID

Indicates the prescriber ID automatically chosen based on the qualifier above if submitting a primary/referring prescriber, obtained from the information in the Prescriber File (F2) depending on what was selected

470-4E

Primary Physician Last Name

Prescriber's last name if submitting a primary/referring prescriber located in the Prescriber File (F2); however, the actual prescriber needs to be entered into the Ref. Physician field on the main processing screen for this field to populate.

469-H5

Primary Physician Location Code

Field will most likely be phased out in next NCPDP version. Located on the prescriber screen.