COVID-19 Vaccine Administration: Real-Time NCPDP D.0 Pharmacy Claims Submission Reminders

Originally published December 31, 2020
Updated on January 6, 2021

As announced in the COVID-19 Vaccine Administration: Real-Time NCPDP D.0 Pharmacy Claims Can Be Submitted article, pharmacy providers may begin submitting claims in accordance with published instruction.

Now that Real-Time NCPDP D.0 claims submission has begun, Medi-Cal would like to remind pharmacy providers of the following:

If these instructions are not followed, pharmacy providers should anticipate claim rejection or possibly incorrect payment amounts.

For further information, refer to the COVID-19 Vaccine Administration article series regarding California’s COVID-19 vaccination plan, and the Department of Health Care Services (DHCS) delivery support.