August 27, 2013 07:57 ET

NCPDP Releases Medicare Part D Prescription Drug Coordination of Benefits (COB) Process White Paper

Provides Guidance on COB Process and Electronic Transactions, as Well as Tracking Out of Pocket Dollars and Costs

SCOTTSDALE, AZ--(Marketwired - Aug 27, 2013) - The National Council for Prescription Drug Programs (NCPDP) today announced the availability of its "Overview of the Medicare Part D Prescription Drug Coordination of Benefits (COB) Process," which is based on CMS guidance and provides detailed discussion and recommendations related to the coordination of benefits process. The white paper also includes real world accounts of some of the pitfalls encountered in the COB process that have resulted in inaccurate coordination of benefits that can impact Medicare Part D beneficiaries and supplemental payers.

The white paper is intended for Part D Sponsors, State Pharmaceutical Assistance Programs (SPAPs), Prescription Benefit Managers (PBMs), Medicaid agencies, payers offering a supplemental benefit to Medicare beneficiaries, providers that dispense medications to Medicare beneficiaries, pharmacy software vendors, AIDS Drug Assistance Programs (ADAPs), and others that support the coordination of Part D benefits.

The white paper provides a comprehensive explanation of the complex COB process, including:

  • Basic terminology (acronyms and definitions of key terms);
  • Stakeholders involved in the COB process;
  • Overview of Medicare requirements for Part D enrollees; and
  • Detailed steps to successfully coordinate COB at the point of sale.

Download NCPDP's "Overview of the Medicare Part D Prescription Drug Coordination of Benefits (COB) Process" at

Founded in 1977, NCPDP is a not-for-profit, ANSI-accredited, Standards Development Organization with over 1,600 members representing virtually every sector of the pharmacy services industry. Our diverse membership provides leadership and healthcare business solutions through education and standards, created using the consensus building process. NCPDP has been named in federal legislation, including HIPAA, MMA, and HITECH. NCPDP members have created standards such as the Telecommunication Standard and Batch Standard, the SCRIPT Standard for e-Prescribing, the Manufacturers Rebate Standard and more to improve communication within the pharmacy industry. Our data products include dataQ®, a robust database of information on more than 76,000 pharmacies, and HCIdea®, a database of continually updated information on more than 2.3 million prescribers. NCPDP's RxReconn® is a legislative tracking product for real-time monitoring of pharmacy-related state and national legislative and regulatory activity. For more information about NCPDP Standards, Data Services, Products, Educational Programs and Work Group meetings, go online at or call (480) 477-1000.

Contact Information

    Janet Cabibbo
    Amendola Communications for NCPDP
    480-664-8412 ext. 15
    Email Contact