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CoverMyMeds · NCPDP D.0 — Prior Authorization Request Only

Implementation notes for feeding the NCPDP-D0-P4 transaction to CoverMyMeds.

Envelope defaults

{
  "versionId": "NCPDP D.0",
  "gsCode": "RX",
  "usageIndicator": "P"
}

Required fields

  • AM14/AM14.498-PA — PA type + supporting-info counter drives the CoverMyMeds question set

Fixed values

  • HDR.103 = P4 — Standalone PA request