How do I report a compound drug to the PMP Clearinghouse?

If using the universal claim form, click the Compound checkbox in the Drug Information section of the page, complete the required fields for the first drug ingredient, then click Add New to add additional drug ingredients.

1. DSP07 (Product ID Qualifier) - Enter '06' to indicate Compound
2. DSP08 (Product ID) - Enter the NDC number as eleven "9"s (99999999999) > CDI fields will be required
3. DSP09 (Quantity Dispensed) - For compounds show the first quantity in CDI04
4. CDI (Compound Drug Ingredient) Fields- If more than one ingredient is for a prescription monitoring program reporting drug, then this would be incremented by one for each compound ingredient being reported. 
   • CDI01 (Compound Drug Ingredient Sequence Number) - First reportable ingredient is 1; each additional reportable ingredient is incremented by 1.
   • CDI02 (Product ID Qualifier) - Enter '01' to indicate NDC
   • CDI03 (Product ID) - Enter NDC for ingredient being reported including leading zeros without punctuation
   • CDI04 (Compound Ingredient Quantity) - Metric decimal quantity of the ingredient identified in CDI03.
   • CDI05 (Compound Drug Dosage Units Code) - Identifies the unit of measure for the quantity dispensed in CDI04. ('01' Each (used to report as package); '02' Milliliters (ml) (for liters, adjust to the decimal milliliter equivalent); '03' Grams (gm) (for milligrams, adjust to the decimal gram equivalent)

All dispensers are encouraged to visit Pharmacist & Dispensing Prescribers Information to learn more about dispensation reporting requirements, dispensing activities exemptions and dispensing reporting waivers.