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Eligibility Verification (E1) Transaction

Pharmacies submit the National Council for Prescription Drug Programs (NCPDP) Eligibility Verification (E1) Transaction from its point-of-sale claim system. Pharmacy providers should contact their software company to discuss E1 submission issues and to ensure the “Additional Message Information” field (526-FQ) is returned for all responses.

Refer to the System Requirements section to learn more about the NCPDP standards for pharmacy claim transactions.

Refer to the E1 Transaction: Accepted Response to review the list of the expanded messages returned on the eligibility verification transaction.