Basis of Cost Determination
The value submitted in the "Basis of Cost Determination" field (423-DN) indicates the methodology the price submitted in the "Ingredient Cost Submitted" field (409-D9) was calculated. The system accepts the values below. Other submitted values will reject with NCPDP error code “DN” (“M/I Basis of Cost Determination”).
| Value | Definition | Note |
|---|---|---|
|
00 |
Default |
Will default to Direct. |
|
01 |
AWP (Average Wholesale Price) |
|
|
03 |
Direct |
|
|
08 |
340B / Disproportionate Share Pricing / Public Health Service |
For Public Health Service pharmacies only. Refer to the 340B Resources for more information. |
| 09 | Other | For claims with drugs purchased from a central purchasing entity or a warehouse. |