HEDIS 2017 Final NDC Lists

HEDIS 2017 NDC List Technical Update

Adherence to Antipsychotic Medications for Individuals With Schizophrenia (SAA)

Table SAA-A: Antipsychotic Medications

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-C: Drugs to Identify Members on Diuretics 

Note: This table is also used for:

• Accountable Care Organizations: Table AMPM-C.

Antibiotic Utilization (ABX)

Table ABX-A: Antibiotic Medications

Table ABX-B: Antibiotic of Concern by NCQA Drug Class

Table ABX-C: All Other Antibiotics by NCQA Drug Class

Antidepressant Medications Management (AMM)

Table AMM-C : Antidepressant Medications

Note: This table is also used for:

• Accountable Care Organizations: Table AMM-C.

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.

Asthma Medication Ratio (AMR)

Table AMR-A: Asthma Controller and Reliever Medications

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.

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-E: Medication to Identify Exclusions

Note: This table is also used for:

• Accountable Care Organizations: Table ACHL-D.

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-L: ACE Inhibitors/ARBs.

Note: This table is also used for:

• 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.

Disease Modifying Anti-Rheumatic Drug Therapy (ART)

Table ART-C: DMARDs

Note: This table is also used for:

• Accountable Care Organizations: Table AART-D.

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.

Medication Management for People With Asthma (MMA)

Table MMA-A: Asthma Medications

Table MMA-B: Asthma Controller Medications

Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM)

Table APM-A: Antipsychotic Medications

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

Table PSA-A: 5-ARIs

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.

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

Table PBH-B: Beta-Blocker Medications

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

Pharmacotherapy Management of COPD Exacerbation (PCE)

Table PCE-C: Systemic Corticosteroids

Table PCE-D: Bronchodilators

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-B: Potentially Harmful Drugs—Rate 1 and Rate 2

Note: This table is also used for:

• Accountable Care Organizations: Table ADDE-D.

Table DDE-C: Prescriptions to Identify Members With Dementia

Note: This table is also used for:

• Accountable Care Organizations: Table ADDE-F.

Table DDE-D: Potentially Harmful Drugs—Rate 2

Note: This table is also used for:

• Accountable Care Organizations: Table ADDE-G.

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

Note: This table is also used for:

• Accountable Care Organizations: Table ADDE-I.

Statin Therapy for Patients With Cardiovascular Disease (SPC)

Table SPC-A: Medications to Identify Exclusions

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

Statin Therapy for Patients With Diabetes (SPD)

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

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

Table APP-A: Antipsychotic Medications

Use of Imaging Studies for Low Back Pain (LBP)

Table LBP-A: Corticosteroid Medications

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-B: High-Risk Medications with Days Supply Criteria

Note: This table is also used for:

• Accountable Care Organizations: Table ADAE-B.

Table DAE-C: High-Risk Medications with Average Daily Dose Criteria

Note: This table is also used for:

• Accountable Care Organizations: Table ADAE-C.

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

Table APC-A: Antipsychotic Medications

HEDIS^® is a registered trademark of the National Committee for Quality Assurance (NCQA).