Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
F.20 NoRx File
This file contains records identifying those enrollees with no current 4Rx information stored in
CMS files. A Detail Record Type containing a value of “NRX” in positions 1 – 3 of the file
layout indicates that this record requests the organization to send CMS 4Rx information for the
Beneficiary.
The NoRx File is in the same format as the 4Rx Notification File and contains records
identifying those enrollees who do not currently have 4Rx information stored in CMS. The only
distinction between the two files is that the NoRx file detail record shows blanks, or no
information, in fields such as REC TYPE, DATE OF BIRTH, RX BIN, etc.
The following records are included in this file:
Header Record
Detail Record
Trailer Record
F.20.1 Header Record
Note: A “Critical Field” must contain a value. A “Not Critical Field” may contain a value or all
spaces.
Field Size Position Form
at
Valid
Values
File ID Name 8 1-8 X(8) “CMSNRX
0H”
Sending Entity 8 9-16 X(8) “MBD “
(MBD + 5
spaces)
File Creation
Date
8 17-24 X(8) YYYYMM
DD
Description
Critical Field
This field is always set to the value "CMSNRX0H."
This code allows recognition of the record as the
Header Record of a NoRx File.
Critical Field
This field is always set to the value “MBD “. The
value specifically is “MBD” followed by five spaces.
Critical Field
The date on which the NoRx file was created by
CMS. This value is formulated as YYYYMMDD.
File Control
Number
9 25-33 X(9) Spaces No meaningful values are supplied in this field. This
field is set to SPACES and is not referenced for
meaningful information.
Filler 717 34-750 X(71
7
)
Total Length = 750
Spaces
No meaningful values are supplied in this field. This
field is set to SPACES and is not referenced for
meaningful information.
December 28, 2012 F-102 NoRx File