HEDIS 2017 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 in the HEDIS 2017 NDC List Technical Update. Please review all items in this update and incorporate them into your implementation processes.
  • Other NDC codes that are not included in the HEDIS lists may be mapped for use in HEDIS reporting if its generic name, strength/dose and route match those of an NDC code in the HEDIS list. Please refer to the general guidelines for Mapping Proprietary or Other Codes section in the publications for additional information.


HEDIS 2017 NDC LISTS


HEDIS 2017 NDC List Technical Update (.pdf)


HEDIS 2017 NDC 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 AMM-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


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


Medication Management for People With Asthma (MMA)

 


Table MMA-A: Asthma Medications

Table MMA-A.xls


Table MMA-B: Asthma Controller Medications

Table MMA-B.xls


Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)

 

Table APM-A: Antipsychotic Medications

Table APM-A.xls


Non-Recommended PSA-Based Screening in Older Men (PSA)

 

Table PSA-A: 5-ARIs

Table PSA-A.xls


Osteoporosis Management in Women Who had a Fracture (OMW)

 

Table OMW-C: 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


Statin Therapy for Patients With Cardiovascular Disease (SPC)

 


Table SPC-A: Medications to Identify Exclusions

Table SPC-A.xls


Table SPC-B: High and Moderate-Intensity Statin Medications

Table SPC-B.xls


Statin Therapy for Patients With Diabetes (SPD)

 


Table SPD-A: High, Moderate and Low-Intensity Statin Prescriptions

Table SPD-A.xls


Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (APP)

 

Table APP-A: Antipsychotic Medications

Table APP-A.xls


Use of Imaging Studies for Low Back Pain (LBP)

 

Table LBP-A: Corticosteroid Medications

Table LBP-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 in Children and Adolescents (APC)

 

Table APC-A: Antipsychotic Medications

Table APC-A.xls