Pharmacy Spreadsheet Usage Information Purpose: MedAssets requires each vendor, selling products under a MedAssets’ agreement, to supply complete usage information for all line items purchased by MedAssets members. This document details the reporting standards for usage item data. Please forward this document to the director of your MIS Department. Note: We are able to accept any version of Excel, as well as any spreadsheets saved as a comma delimited file (“.CSV”). For any questions, please contact: MedAssets Quality Assurance Department Email: MedAssetsQualityAssurance@medassets.com . . . . . REPORTING INTRODUCTION TO VENDOR . . . . To better support our members, we require all of our vendors to provide MedAssets with complete, accurate, timely and consistent reporting of member purchases. Please read the information contained in the following pages very carefully, as it will help to guide you through the process of reporting your monthly sales data. There are three primary factors involved in meeting “Reporting Compliance”: Format: These files will be imported. We have standardized the format and layout. o Please include all columns, in the designated order, even if they do not apply and do not include additional ones. Data: We are requesting specific information in order to track line item detail efficiently. o If you are uncertain of how a certain field should be populated due to the nature of your business, please do not hesitate to contact the MedAssets Quality Assurance Department. o For fields in which no data is available/does not apply, please just leave it blank. Also, it is not necessary to insert place-holders. o Facility Identification o Product Identification o Invoice Information o Sales Information o Contract Identification o Vendor Identification Time: Monthly reports by the 15th of the following month. o Any concerns about this requirement should be addressed with your MedAssets contract negotiator. o Please note that this does not affect your administrative fee payment schedule. “True Up” Reports ”True Up” reports are required when your payment and reporting schedules differ. This report should be in the same format as your monthly file, but only include any adjustments that impact that payment period. Spreadsheet Format Each row will be a new item. There can be up to 65,535 items. Item Layout (Summary): Column A-N Name Used to Determine the Facility **See pages 3-5 for details** A Facility Name B Facility Address 1 C Facility Address 2 D Facility City E Facility State F Facility Zip Code G Facility HIN Number H Facility DEA Number I Wholesaler’s Name & Address **For Wholesaler Use Only** J Wholesaler’s DEA Number **For Wholesaler Use Only** K Manufacturer’s Code **For Wholesaler Use Only** L-N Leave Blank Spreadsheet Format Item Layout (Summary Continued): Column Name 1 O-AL Line Item Information **See pages 5-8 for details** O MedAssets’ Contract Number P Product Type Code Q Full Product Code R Invoice Date S Invoice Number T Quantity Shipped U Wholesaler Acquisition Cost **For Wholesaler Use Only** V Contract Price W Extended Amount X Manufacturer Name and Address Y Direct/Indirect Z Unit of Measure AA MedAssets’ Administrative Fee AB Wholesaler Name **For Manufacturer Use Only** AC Wholesaler Code **For Manufacturer Use Only** AD Manufacturer Internal Contract Number AE Wholesaler Internal Contract Number **For Wholesaler Use Only** AF Credit Flag AG Contract/Non-Contract/Other AH Price Before Mark-up **For Wholesaler Use Only** AI Internal Facility Account Number AJ Internal Item Number **For Wholesaler Use Only** AK Rebate Amount AL Facility GLN 2 Columns A-N Facility Identification Detail Purpose: To identify the facility The usage is entered based on each facility (ship-to location). Having as much facility information as possible assists us in identifying the correct facility. Column A Name: Facility Name Usage: Mandatory Field Maximum: 50 Field Type: character Description: The name of the facility using the product. Column B Name: Facility Address 1 Usage: Mandatory Field Maximum: 50 Field Type: character Description: The main street address of the facility. P.O. Box information is unacceptable. Column C Name: Facility Address 2 Usage: Mandatory Field Maximum: 50 Field Type: character Description: An additional address line for the facility’s location, if applicable. Column D Name: Facility City Usage: Mandatory Field Maximum: 50 Field Type: character Description: The name of the city where the facility is located. Column E Name: Facility State Usage: Mandatory Field Maximum: 2 Field Type: character Description: The abbreviation of the state where the facility is located. Column F Name: Facility Zip Code Usage: Mandatory Field Maximum: 10 Field Type: character Description: The zip code of the facility’s location. 3 Columns A-N Facility Identification Detail (Continued) Column G Name: Facility HIN Number Usage: Optional Field Maximum: 10 Field Type: character Description: The facility’s Health Industry Number if it’s available. This number can be found in your MedAssets Membership List which is updated on a monthly basis and either sent to your company Supplier Connect. (contact your MedAssets contract negotiator for details). Have questions concerning our Membership? Can’t find a facility on your Membership List? You can contact our Membership Department at membership@medassets.com . Column H Name: Facility DEA Number Usage: Optional Field Maximum: 10 Field Type: character Description: The facility’s Drug Enforcement Agency number if it’s available. This number can also be found in your MedAssets Membership List (see column G Description for details). Column I Name: Wholesaler’s Name and Address Usage: Mandatory **For Wholesaler Use ONLY** Field Maximum: 50 Field Type: character Description: Please put your company name here. Column J Name: Wholesaler’s DEA Number Usage: Optional **For Wholesaler Use ONLY** Field Maximum: 10 Field Type: character Description: Please enter your Drug Enforcement Agency Number if it’s available. Column K Name: Manufacturer’s Code Usage: Mandatory **For Wholesaler Use ONLY** Field Maximum: 15 Field Type: character Description: A Manufacturer code used for cross-referencing would be helpful. It may be the LIC code, DEA number, or even a unique vendor number. Columns L-N Name: Leave Blank Usage: Mandatory Field Maximum: 0 Field Type: blank 4 Columns O-AL Line Item Information Purpose: Record of a facility’s purchases. The line item detailed information allows us to keep a history for each facility on their purchases from the vendor. Column O Name: MedAssets Contract Number Usage: Mandatory Field Maximum: 7 Field Type: character Description: This is the assigned MedAssets contract number. If the contract number is not available to you, please contact your MedAssets contract negotiator. Column P Name: Product Type Code Usage: Mandatory Field Maximum: 1 Field Type: numeric Description: This is a code that identifies what type of item number will be used in column Q. Please use "0" for UPC, "3" for NDC, or "8" for HRI. Column Q Name: Full Product Code Usage: Mandatory Field Maximum: 15 Field Type: character Description: The specified (full) product code. This could either be the Universal Product Codes (UPCs), National Drug Code (NDC), or Health Related Item (HRI). For NDC numbers, please use the following convention: Labeler Code: Five numeric characters Product Code: Four characters (can be alphanumeric) Package Code: Two characters (can be alphanumeric) ColumnR Name: Invoice Date Usage: Mandatory Field Maximum: 8 Field Type: date, formatted as ‘YYYYMMDD’ Description: Indirect sales: The date of the invoice, as assigned by the Wholesaler. Direct Sales: The date of invoice, as assigned by your company. 5 Columns O-AL Line Item Information (Continued) Column S Name: Invoice Number Usage: Mandatory Field Maximum: 20 Field Type: character Description: Indirect Sales: The invoice number as assigned by the Wholesaler. Direct Sales: The invoice number as assigned by your company. Column T Name: Quantity Shipped Usage: Mandatory Field Maximum: 10 Field Type: numeric Description: The number of units, defined in terms of the specific product. Column U Name: Wholesaler Acquisition Cost Usage: Mandatory **For Wholesaler Use ONLY** Field Maximum: 15 with 3 decimal places (include “.” & “-“ when applicable) Field Type: numeric Description: This is the published current cost to the Wholesaler on the invoice date of sale to the facility. ColumnV Name: Contract Price Usage: Mandatory Field Maximum: 15 with 3 decimal places (include “.” & “-“ when applicable) Field Type: numeric Description: The bid price to the facility on the Invoice date of sale to the facility. Column W Name: Extended Amount Usage: Mandatory Field Maximum: 15 with 2 decimal places (include “.” & “-“ when applicable) Field Type: numeric Description: This is the total amount purchased for this item. It is calculated by multiplying ‘Quantity Purchased’ with ‘Contract Price’ ColumnX Name: Manufacturer Name and Address Usage: Mandatory Field Maximum: 100 Field Type: character Description: This is the name of the Manufacturer and their address. 6 Columns O-AL Line Item Information (Continued) ColumnY Name: Direct/Indirect Usage: Mandatory Field Maximum: 1 Field Type: character Description: Enter “D” if the item was sold directly to the facility from the Manufacturer. Enter “I” if it was sold indirectly, through a Wholesaler Column Z Name: Unit of Measure Usage: Mandatory Field Maximum: 2 Field Type: character Description: This is the unit of measure description in which the item was purchased. Please note the list of possible units of measure in Appendix A (page 9). ColumnAA Name: MedAssets Administrative Fees Usage: Mandatory Field Maximum: 13 with 2 decimal places (include “.” & “-“ when applicable) Field Type: numeric Description: The administrative fee paid to MedAssets . This is usually calculated by multiplying the Extended Amount with the percentage agreed upon in your contract with MedAssets. This should be a dollar amount, not a percentage. ColumnAB Name: Wholesaler Name Usage: Mandatory **For Manufacturer Use ONLY, if the sale is indirect** Field Maximum: 50 Field Type: character Description: If the item is sold through a Wholesaler (Column Y would be ‘I’ for Indirect), the Wholesaler name must be provided. ColumnAC Name: Wholesaler Code Usage: Mandatory **For Manufacturer Use ONLY, if the sale is indirect** Field Maximum: 50 Field Type: character Description: If the item is sold through a wholesaler, (Column Y would be ‘I’ for Indirect), the Wholesaler code must be provided. It may be the LIC code or DEA number, or even a unique vendor number. ColumnAD Name: Manufacturer’s Internal Contract Number Usage: Mandatory Field Maximum: 50 Field Type: character Description: This is the code that the manufacturer uses internally to identify the contract between their company and MedAssets. Manufacturers: if you use the same number that you typed in Column O, please enter it here as well. 7 Columns O-AL Line Item Information (Continued) ColumnAE Name: Wholesaler Internal Contract Number Usage: Mandatory **For Wholesaler Use ONLY** Field Maximum: 20 Field Type: character Description: This is the number you assign internally to identify the contract between your company and MedAssets. If you use the same number that you typed in Column O, please enter it here as well. ColumnAF Name: Credit Flag Usage: Mandatory **If sale reported is a credit** Field Maximum: 2 Field Type: character Description: Only fill this column if the sale is a credit (please use “CR” to denote this). If the sale is not a credit, you can simply leave it blank. (Basically, if the "Extended Amount" in column W is less than zero, this column should be filled in.) ColumnAG Name: Contract/Non-Contract/Other Usage: Mandatory Field Maximum: 1 Field Type: character Description: This column should be marked “C”, "N" or "O" respectively, to identify if the item purchased was covered on the manufacturer’s contract with MedAssets, not on any contract, or on some other contract besides the one between the manufacturer and MedAssets. ColumnAH Name: Price Before Mark-up Usage: Mandatory **For Wholesaler Use ONLY** Field Maximum: 9 with 3 decimal places (include “.” & “-“ when applicable) Description: This is the price of the item before mark-up or discount. ColumnAI Name: Internal Facility Account Number Usage: Mandatory Field Maximum: 20 Field Type: character Description: This is the vendor assigned “Member Account Number”. 8 Field Type: numeric Columns O-AL Line Item Information (Continued) ColumnAJ Name: Internal Item Number Usage: Mandatory **For Wholesaler Use ONLY** Field Maximum: 20 Field Type: character Description: The “Internal Item Number” is used to identify items sold through a wholesaler when it differs from the Manufacturer’s item number. ColumnAK Name: Rebate Amount Usage: Mandatory **Rebate Contracts Only** Field Maximum: 13 with 2 decimal places (include “.” & “-“ when applicable) Field Type: numeric Description: The rebate amount to be paid. This should be a dollar amount, not a percentage. ColumnAL Name: Facility GLN Usage: Mandatory Field Maximum: 13 Field Type: character Description: The facility’s Global Locator Number. The GLN is a 13 digit number assigned by GS1, to uniquely identify any legal, functional or physical entity. This number can also be found in your MedAssets Membership List. 9 Unit of Measure Code Values 01 ACTUAL POUNDS 03 SECONDS 04 SMALL SPRAY 10 GROUP 12 PACKET 15 STICK 59 PARTS PER MILLION 60 PERCENT WEIGHT 61 PARTS PER BILLION 77 MIL AB BULK PACK AS ASSORTMENT AY ASSEMBLY BA BALE BC BUCKET BD BUNDLE BG BAG BH BRUSH BI BAR BJ BAND BK BOOK BM BOLT BN BULK BO BOTTLE BR BARREL BS BASKET BT BELT BU BUSHEL BX BOX BY BRITISH THERMAL UNIT (BTU) C3 CENTILITER C4 CARLOAD C6 CELL C8 CUBIC DECIMETER CA CASE CC CUBIC CENTIMETER CD CARAT CE CENTIGRADE, CELSIUS CF CUBIC FEET CG CARD CH CONTAINER CI CUBIC INCHES CJ CONE CK CONNECTOR CL CYLINDER CM CENTIMETER 10 CN CAN CO CUBIC METERS (NET) CP CRATE CQ CARTRIDGE CR CUBIC METER CS CASSETTE CT CARTON CU CUP CV COVER CW HUNDRED POUNDS (CWT) CX COIL CY CUBIC YARD CZ COMBO DA DAYS DC DISK (DISC) DD DEGREE DE DEAL DF DRAM DG DECIGRAM DI DISPENSER DJ DECAGRAM DL DECILITER DM DECIMETER DO DOLLARS, U.S. DP DOZEN PAIR DR DRUM DS DISPLAY DZ DOZEN E5 INCHES, FRACTION-ACTUAL E9 ENGLISH, (FEET, INCHES) EA EACH ED INCHES, DECIMAL-NOMINAL EF INCHES, FRACTION-NOMINAL EM INCHES, DECIMAL-MINIMUM EP ELEVEN PACK EV ENVELOPE EX FEET, INCHES AND FRACTION EY FEET, INCHES AND DECIMAL EZ FEET AND DECIMAL FA FAHRENHEIT FO FLUID OUNCE FP POUNDS PER SQ. FT. FT FOOT GA GALLON GG GREAT GROSS (DOZEN GROSS) GH HALF GALLON GI IMPERIAL GALLONS GL GRAMS PER LITER GR GRAM GS GROSS HC HUNDRED COUNT HD HALF DOZEN 11 HI HUNDRED SHEETS HJ HORSEPOWER HK HUNDRED KILOGRAMS HR HOURS HT HALF HOUR HU HUNDRED HZ HERTZ IC COUNTS PER INCH IM IMPRESSIONS IN INCH IT COUNTS PER CENTIMETER JO JOINT JR JAR JU JUG KA CAKE KE KEG KG KILOGRAM KH KILOWATT HOUR KT KIT KV KELVIN LA POUNDS PER CUBIC INCH LB POUND LE LITE LH LABOR HOURS LJ LARGE SPRAY LK LINK LN LENGTH LO LOT LP LIQUID POUNDS LR LAYER(S) LS LUMP SUM LT LITER M1 MILLIGRAMS PER LITER M3 MAT M5 MICROCURIE MC MICROGRAM ME MILLIGRAM MH MICRONS MI METRIC MJ MINUTES MK MILLIGRAMS PER SQ. INCH ML MILLILITER MM MILLIMETER MO MONTHS MP METRIC TON MR METER MS SQUARE MILLIMETER MU MILLICURIE MX MIXED NB BARGE NC CAR NL LOAD 12 NT TRAILER OA PANEL OP TWO PACK OT OVERTIME HOURS P1 PERCENT P3 THREE PACK P4 FOUR PACK P5 FIVE PACK P6 SIX PACK P7 SEVEN PACK P8 EIGHT PACK P9 NINE PACK PA PAIL PC PIECE PD PAD PF PALLET (LIFT) PG POUND GROSS PH PACK (PAK) PK PACKAGE PP PLATE PR PAIR PS POUNDS PER SQ. INCH PT PINT PV HALF PINT PX PINT, IMPERIAL Q1 QUARTER (TIME) QT QUART QU QUART, IMPERIAL RA RACK RD ROD RE REEL RG RING RL ROLL RM REAM RO ROUND RU RUN S2 SECONDS (TIME) SC SQUARE CENTIMETER SE SECTION SF SQUARE FOOT SG SEGMENT SH SHEET SI SQUARE INCH SJ SACK SL SLEEVE SM SQUARE METER SO SPOOL SP SHELF PACKAGE SR STRIP ST SET SV SKID SW SKEIN 13 SX SHIPMENT SY SQUARE YARD TB TUBE TC TRUCKLOAD TE TOTE TH THOUSAND TK TANK TP TEN PACK TW THOUSAND SHEETS TY TRAY UN UNIT VI VIAL VT VOLTAGE WH WHEEL WK WEEK WR WRAP WT WATTAGE YD YARD YR YEARS Data Element 355 Code Values, Ver. 003. Rel. 010 HIBCC Convention for Electronic Data Interchange, 14