HEDIS 2016 Final NDC Lists

The HEDIS  National Drug Code (NDC) Lists are used for multiple products and includes medication lists referenced in the Volume 2 Technical Specifications for Health Plans and Physician Measurement.

HEDIS® 2016 NDC Lists

HEDIS 2016 NDC List Technical Update (pdf)

Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)

Table SAA-A: Antipsychotic Medications (.xls)

Annual Monitoring for Patients on Persistent Medications (MPM)

Table MPM-B: Drugs to Identify Members on Digoxin (.xls)

Accountable Care Organizations: Table AMPM-B 

Table MPM-C: Drugs to Identify Members on Diuretics (.xls)

Accountable Care Organizations: Table AMPM-C 

Antibiotic Utilization (ABX)

Table ABX-A: Antibiotic Medications (.xls)

Table ABX-B: Antibiotic of Concern by NCQA Drug Class (.xls)

Table ABX-C: All Other Antibiotics by NCQA Drug Class (.xls)

Antidepressant Medications Management (AMM)

Table AMM-C: Antidepressant Medications (.xls)

Accountable Care Organizations: Table AMM-C. 

Appropriate Treatment for Children with Pharyngitis (CWP)

Table CWP-C: Antibiotic Medications (.xls)

Accountable Care Organizations: Table ACWP-C 

Asthma Medication Ratio (AMR)

Table AMR-A: Asthma Controller and Reliever Medications (.xls)

Avoidance of Antibiotic Treatment for Adults with Acute Bronchitis (AAB)

Table AAB-D: Antibiotic Medications (.xls)

Accountable Care Organizations: Table AAAB-D 

Chlamydia Screening in Women (CHL)

Table CHL-A: Prescriptions to Identify Contraceptives (.xls)

Accountable Care Organizations: Table ACHL-A 

Table CHL-E: Medication to Identify Exclusions (.xls)

Accountable Care Organizations: Table ACHL-D 

Comprehensive Diabetes Care (CDC)

Table CDC-A: Prescriptions to Identify Members with Diabetes (.xls)

Accountable Care Organizations: Table ACDC-A 

Table CDC-L: ACE Inhibitors/ARBs  (.xls)

Accountable Care Organizations: Table ACDC-M 

Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD)

Table SSD-D: Antipsychotic Medications (.xls)

Disease Modifying Anti-Rheumatic Drug Therapy (ART)

Table ART-C: DMARDs (.xls)

Accountable Care Organizations: Table AART-D 

Follow-Up Care for Children Prescribed ADHD Medication (ADD)

Table ADD-A: ADHD Medications (.xls)

Accountable Care Organizations: Table ADD-A 

Medication Management for People With Asthma (MMA)

Table MMA-A: Asthma Medications (.xls)

Table MMA-B: Asthma Controller Medications (.xls)

Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)

Table APM-A: Antipsychotic Medications (.xls)

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

Table PSA-A: 5-ARIs (.xls)

Osteoporosis Management in Women Who had a Fracture (OMW)

Table OMW-C: Osteoporosis Therapies (.xls)

Accountable Care Organizations: Table AOMW-D 

Persistence of Beta-Blocker Treatment After a Heart Attack (PBH)

Table PBH-B: Beta-Blocker Medications (.xls)

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

Pharmacotherapy Management of COPD Exacerbation (PCE)

Table PCE-C: Systemic Corticosteroids (.xls)

Table PCE-D: Bronchodilators (.xls)

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

Table DDE-A: Potentially Harmful Drugs—Rate 1 (.xls)

Accountable Care Organizations: Table ADDE-C. 

Table DDE-B: Potentially Harmful Drugs—Rate 1 and Rate 2 (.xls)

Accountable Care Organizations: Table ADDE-D 

Table DDE-C: Prescriptions to Identify Members With Dementia (.xls)

Accountable Care Organizations: Table ADDE 

Table DDE-D: Potentially Harmful Drugs—Rate 2 

Accountable Care Organizations: Table ADDE-G 

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

Accountable Care Organizations: Table ADDE-I 

Statin Therapy for Patients With Cardiovascular Disease (SPC)

Table SPC-A: Medications to Identify Exclusions (.xls)

Table SPC-B: High and Moderate-Intensity Statin Medications (.xls)

Statin Therapy for Patients With Diabetes (SPD)

Table SPD-A: High, Moderate and Low-Intensity Statin Prescriptions (.xls)

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

Table APP-A: Antipsychotic Medications (.xls)

Use of High-Risk Medications in the Elderly (DAE)

Table DAE-A: High-Risk Medications (.xls)

Accountable Care Organizations: Table ADAE-A 

Table DAE-B: High-Risk Medications with Days Supply Criteria (.xls)

Accountable Care Organizations: Table ADAE-B 

Table DAE-C: High-Risk Medications with Average Daily Dose Criteria (.xls)

Accountable Care Organizations: Table ADAE-C 

Use of Multiple Concurrent Antipsychotics in Children and Adolescents (APC)

Table APC-A: Antipsychotic Medications 

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