10 Ophthalmic 11 Oral 12 Other / Misc 13 Otic 14 Perfusion 15 Rectal 16 Sublingual 17 Topical 18 Transdermal 19 Translingual 20 Urethral 21 Vaginal 22 Enteral 00 Not Specified Drug Unit Lookup Report the code that defines the unit of Units of PC 77 of Table - char[3] measure for drug dispensed. EXAMPLE: All 80% A1 Measure Measure Text EA = Each Code Description EA Each F2 International Units GM Grams ML Milliliters MG Milligram MEQ Milliequivalent MM Millimeter UG Microgram UU Unit Report the last name of the subscriber. Used to validate Unique Member ID. Last name should exclude all punctuation, Subscriber including hyphens and apostrophes, and Name Last Last name of PC 78 Last Text be reported in case. Name should be All 98% B Subscriber Subscriber Name contracted where punctuation is removed, do not report spaces. EXAMPLE: O'Brien becomes OBRIEN; becomes CARLTONSMYTHE
10 Ophthalmic 11 Oral 12 Other / Misc 13 Otic 14 Perfusion 15 Rectal 16 Sublingual 17 Topical 18 Transdermal 19 Translingual 20 Urethral 21 Vaginal 22 Enteral 00 Not Specified PC 77 Drug Unit of Measure Lookup Table - Text char[3] Units of Measure Report the code that defines the unit of measure for drug dispensed. EXAMPLE: EA = Each All 80% A1 Code Description EA Each F2 International Units GM Grams ML Milliliters MG Milligram MEQ Milliequivalent MM Millimeter UG Microgram UU Unit PC 78 Subscriber Last Name Text Name Last Subscriber Last name of Subscriber Report the last name of the subscriber. Used to validate Unique Member ID. Last name should exclude all punctuation, including hyphens and apostrophes, and be reported in case. Name should be contracted where punctuation is removed, do not report spaces. EXAMPLE: O'Brien becomes OBRIEN; becomes CARLTONSMYTHE All 98% B
v5-apcd-pharmacy-claim-file-submission-guide-FINAL.docx