Pharmacy staff must submit correct information on all prescription claims, including National Provider Identification (NPI) numbers for pharmacy and prescriber, National Drug Code (NDC), drug quantity, and days supply.  Inaccurate information runs the risk of an audit exception and causes erroneous data on reports.  Noncompliant pharmacies may be referred to the Texas HHS Inspector General (IG).  The table below contains identification numbers and values used for VDP claims processing.

Field Description

NCPDP Processor ID (BIN)

61ØØ84

Processor Control Number (PCN)

  • DRTXPROD: For Medicaid, CSHCN, and HTW (and CHIP*)
  • DRTXPRODKH: For KHC

Group Number

  • MEDICAID
  • CHIP *
  • KHC
  • CSHCN

Cardholder ID

Program-specific Texas Cardholder ID Number

Provider ID

10-digit Pharmacy NPI

Prescriber ID

10-digit Prescriber NPI

Product Code     11-digit NDC

* See transaction-specific notes in NCPDP Transactions section.