HEDIS 2015 Final NDC Lists

Notes:  

  • Several NDC lists and medication tables are used for multiple products. The NDC lists reference the medication table names used in the Volume 2 Technical Specifications for Health Plans and the Technical Specifications for Physician Measurement. When a list/table applies to additional products, it is noted below. 
  • Changes that have been made to the medication tables are summarized below in the HEDIS 2015 NDC List Technical Update. Please review all items in this update and incorporate them into your implementation processes.  
  • Other NDC codes that match generic name, strength/dose and route indicated in the posted NDC lists may be mapped for use in HEDIS reporting. Please refer to the general guidelines for Mapping Proprietary or Other Codes section for additional information.


HEDIS 2015 NDC Lists 

 HEDIS 2015 NDC List Technical Update (.pdf)

HEDIS 2015 Lists (.zip)

 Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)  

Table SAA-A: Antipsychotic Medications

Table SAA-A.xls
Annual Monitoring for Patients on Persistent Medications (MPM)  

Table MPM-B: Drugs to Identify Members on Digoxin

Note: This table is also used for:

  • Accountable Care Organizations: Table AMPM-B

 Table MPM-B.xls

Table MPM-C: Drugs to Identify Members on Diuretics

Note: This table is also used for:

  • Accountable Care Organizations: Table AMPM-C
 Table MPM-C.xls
Antibiotic Utilization (ABX)  
Table ABX-A: Antibiotic Medications

Table ABX-A.xls


Table ABX-B: Antibiotic of Concern by NCQA Drug Class

Table ABX-B.xls

Table ABX-C: All Other Antibiotics by NCQA Drug Class

Table ABX-C.xls
Antidepressant Medications Management (AMM)  

Table AMM-C: Antidepressant Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table AAMM-C
 Table AMM-C.xls
Appropriate Treatment for Children with Pharyngitis (CWP)  

Table CWP-C: Antibiotic Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table ACWP-C
 Table CWP-C.xls
 Asthma Medication Ratio (AMR)  
Table AMR-A: Asthma Controller and Reliever Medications Table AMR-A.xls
Avoidance of Antibiotic Treatment for Adults with Acute Bronchitis (AAB)  

Table AAB-D: Antibiotic Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table AAAB-D
 Table AAB-D.xls
Chlamydia Screening in Women (CHL)  

Table CHL-A: Prescriptions to Identify Contraceptives

Note: This table is also used for:

  • Accountable Care Organizations: Table ACHL-A
 Table CHL-A.xls

Table CHL-E: Medication to Identify Exclusions

Note: This table is also used for:

  • Accountable Care Organizations: Table ACHL-D
 Table CHL-E.xls
Comprehensive Diabetes Care (CDC)  

Table CDC-A: Prescriptions to Identify Members with Diabetes

Note: This table is also used for:

  • Accountable Care Organizations: Table ACDC-A
 Table CDC-A.xls

 Table CDC-L: ACE Inhibitors/ARBs

Note: This table is also used for:

  • Accountable Care Organizations: Table ACDC-M
 Table CDC-L.xls
Comprehensive Ischemic Vascular Disease Care (IVD)  

Table IVD-E: Oral Anti--Platelet Therapies

Note: This table is only applicable to the Technical Specifications for Physician Measurement

Table IVD-E.xls
Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)  

Table SSD-D: Antipsychotic Medications

Table SSD-D.xls
Disease Modifying Anti-Rheumatic Drug Therapy (ART)  

Table ART-C: DMARDs

Note: This table is also used for:

  • Accountable Care Organizations: Table AART-D
 Table ART-C.xls
Follow-Up Care for Children Prescribed ADHD Medication (ADD)  

Table ADD-A: ADHD Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table AADD-A
 Table ADD-A.xls
Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)  

Table APM-A: Antipsychotic Medications 

Table APM-A.xls
Osteoporosis Management in Women Who had a Fracture (OMW)  

Table OMW-C: FDA-Approved Osteoporosis Therapies

Note: This table is also used for:

  • Accountable Care Organizations: Table AOMW-D
 Table OMW-C.xls
Persistence of Beta-Blocker Treatment After a Heart Attack (PBH)  

Table PBH-B: Beta-Blocker Medications

 Table PBH-B.xls

Table PBH-D: Medications to Identify Exclusion (History of Asthma)

 Table PBH-D.xls
Pharmacotherapy Management of COPD Exacerbation (PCE)  
Table PCE-C: Systemic Corticosteroids
Table PCE-C.xls

Table PCE-D: Bronchodilators  
Table PCE-D.xls

Potentially Harmful Drug-Disease Interactions in the Elderly (DDE)  

Table DDE-A: Potentially Harmful Drugs-- Rate 1

Note: This table is also used for:

  • Accountable Care Organizations: Table ADDE-C
 Table DDE-A.xls

Table DDE-B: Potentially Harmful Drugs-- Rate 1 and Rate 2

Note: This table is also used for:

  • Accountable Care Organizations: Table ADDE-D
 Table DDE-B.xls

Table DDE-C: Prescriptions to Identify Members with Dementia

Note: This table is also used for:

  • Accountable Care Organizations: Table ADDE-F
 Table DDE-C.xls

Table DDE-D: Potentially Harmful Drugs-- Rate 2

Note: This table is also used for:

  • Accountable Care Organizations: Table ADDE-G
 Table DDE-D.xls

Table DDE-E: Cox-2 Selective NSAIDS and Nonaspirin NSAIDs

Note: This table is also used for:

  • Accountable Care Organizations: Table ADDE-I
 Table DDE-E.xls
Use of Appropriate Medications for People with Asthma (ASM)  

Table ASM-C: Asthma Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table AASM-C
 Table ASM-C.xls

Table ASM-D: Asthma Controller Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table AASM-E
 Table ASM-D.xls
Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP)  

Table APP-A: Antipsychotic Medicine 

 Table APP-A.xls
 Use of High-Risk Medications in the Elderly (DAE)  

Table DAE-A: High-Risk Medications

Note: This table is also used for:

  • Accountable Care Organizations: Table ADAE-A
 Table DAE-A.xls

Table DAE-B: High-Risk Medications with Days Supply Criteria

Note: This table is also used for:

  • Accountable Care Organizations: Table ADAE-B
 Table DAE-B.xls

Table DAE-C: High-Risk Medications with Average Daily Dose Criteria

Note: This table is also used for:

  • Accountable Care Organizations: Table ADAE-C
 Table DAE-C.xls
Use of Multiple Concurrent  Antipsychotics on Children and Adolescents (APC)  

Table APC-A:  Antipsychotic Medications

Table APC-A.xls