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Provider Update - How to Submit National Drug Codes (NDC)

Date: 12/05/18

Arizona Complete Health-Complete Care Plan has noticed a significant increase in provider claims denying for missing or invalid National Drug Code (NDC). In accordance to the Federal Deficit Reduction Act of 2005, all claims containing procedure codes for physician-administered drugs in an outpatient clinical setting must be billed with an NDC.

Providers receiving the following claim denial: EXN5–NDC Missing/Invalid should thoroughly review this communication as a means to prevent further denials.

Provider Update - How to Submit National Drug Codes (NDC) (PDF)