Blue Review
A newsletter for contracting institutional and professional providers

July 2020

Avoid National Drug Code (NDC) Billing Mistakes

Submitting claims with the appropriate NDC information may help with claims processing and may help you spend less time troubleshooting a rejected claim line.

When medication comes in a box with multiple vials, you may want to use the NDC on the box (outer packaging) to prevent claim rejections. Not all NDCs on individual vials have manufacturer pricing to support an allowance.

We have resources to assist you with NDC billing on our secure provider portal, Blue Access for ProvidersSM. To register or log on, look for the “National Drug Codes (NDCs): Billing Resources” box on our Provider website.

Also refer to the Related Resources on the Claim Submission page for NDC Billing Guidelines, NDC Billing FAQs and an NDC Billing Update for Medicare Advantage Claims.