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10.24.2025 Requirements for Pharmacy Data in Supplemental Sources What data elements must be present in a supplemental source that contains pharmacy data?

The following data elements must be present for pharmacy data:

  • Generic name (or brand name).
  • Strength/dose.
  • Route.
  • Dispensed or shipped date (i.e., the date when the medication was dispensed or shipped).

Medical record documentation that an individual was prescribed a medication, or that lists current/active medications, does not meet criteria. The dispensed date is required. For mailed prescriptions, the shipped date is considered the dispensed date.  

This applies to the following Programs and Years:
HEDIS MY 2025, 2026