Fill Request fields

Fill Request Message

Field	Type	CharacterLimit	Required/Optional	Notes
MessageId	String	1015	R	Unique id in partner system
OrderNumber	String	25	R	Order Number value in the partner system
Pharmacy	Object		R
Patient	Object		R
Prescriptions	Object		R	Array – 1 or more prescriptions
Shipping	Object		R
CustomData	KeyValue		O	Array – 1 or more Key Values pairs

Pharmacy

Field	Type	CharacterLimit	Required/Optional	Notes
Name	String	100	R	Name of the originating pharmacy
NPI	String	10	R	NPI value for the originating pharmacy
Address	Object		R

Patient

Field	Type	CharacterLimit	Required/Optional	Notes
Id	String	25	R
AccountNumber	String	25	O
FirstName	String	50	R
LastName	String	50	R
preferredLanguage	String	3	R	Only Valid list of ISO-3digit language codes are accepted: ENG English SPA Spanish RUS Russian SOM Somali ARA Arabic ZHO Chinese(Simplified) VIE VietnameseFAS Farsi FRA FrenchDEU GermanHMN Hmong KOR Korean RON Romanian SWA Swahili MYA Burmese NEP Nepali AMH Amharic PST Pashto

Prescription

Field	Type	CharacterLimit	Required/Optional	Notes
RxNumber	String	20	R
Drug	Object		R
Quantity	Decimal	9,3	R	Quantity of the drug to dispense with a decimalin the thousandth’s position.
VialLabel	Object		R
Refill	Object		R
Prescriber	Object		R
Pharmacist	Object		R
dispenseDrugName	String	50	R	The name of the drug being dispensed.
writtenDrugName	String	50	R	The name of the drug prescribed by the provider.
WrittenDate	Date		R	Written date of the prescription
DispensedDate	Date		R	Prescription’s expiration date
ExpirationDate	Date		R
UnitPrice	Decimal	8,2	R
CopayAmount	Decimal	8,2	O
CustomData	KeyValue		O	Array – 1 or more Key Values pairs

Address (for Pharmacy Object)

Field	Type	CharacterLimit	Required/Optional	Notes
Address1	String	50	R
Address2	String	50	O
City	String	50	R
Phone	String	15	R	Format NNNNNNNNNN
State	String	2	R	US State Abbreviation Code
Zip	String	9	R	Format NNNNN, NNNNNNNNN

Shipping

Field	Type	CharacterLimit	Required/Optional	Notes
ShippingCode	String	50	R
SignatureRequired	Boolean		O
saturdayDelivery	Boolean		O	Saturday Delivery is an option for certain shipping codes depending on the carrier. To have an order delivered on a Saturday, select the correct Shipping Code from list of shipping codes and then set this flag to true.
Address	Object (Address)		R	This is the address for the patient and where the order will be delivered unless there is an address specified in the hold address then the order will bedelivered to the hold address
DeliveryInstructions	String	35	O	Optional carrier delivery instructions to be printed on the shipping label.
HoldAddress	Object (Address)		O	Optional “hold location” address where the orderwill be delivered to instead of the patient address listed in the shipping address.
NotificationEmail	String	100	O	Optional email address to receive delivery updates from the carrier. If an email address is provided, it needs to be a valid email address with an ‘@’ and a‘.’. Required when specifying a HoldAddress.

Address (for shipping/hold address)

Field	Type	CharacterLimit	Required/Optional	Notes
Address1	String	50	R
Address2	String	50	O
City	String	50	R
Phone	String	15	R	Format NNNNNNNNNN
State	String	2	R	US State Abbreviation Code
Zip	String	9	R	Format NNNNN, NNNNNNNNN
Name	String	100	R	For business address shipments. (E.g. John Smith c/o WellDyneRx).
ClinicId	String	36	O

Drug

Field	Type	CharacterLimit	Required/Optional	Notes
Ndc	String	11	R	Format NNNNNNNNNNN
Manufacturer	String	50	O
Name	String	50	R
UnitOfMeasure	String	10	R

Refill

Field	Type	CharacterLimit	Required/Optional	Notes
FillNumber	Int	999	R
NextRefillDate	Date		R	Prescription’s next available refill date
RefillsPrescribed	Int	999	R	The total number of refills prescribed.
RefillsDispensed	Int	999	R	The inclusive number of refills dispensed. If it is a new Rx, this will be 0 the first time HealthDyneRx receives that Rx. The 2nd fill will be the 1st refill, so this value would be 1
FillNumber	Int	999	R	The exclusive number of refills remaining. The total number of refills on a prescription should equal the sum of RefillsDispensed and RefillsRemaining

Prescriber

Field	Type	CharacterLimit	Required/Optional	Notes
DeaNumber	String	9	O	The DEA Number for the prescription’s prescriber
FirstName	String	50	R
LastName	String	50	R

Pharmacist

Field	Type	CharacterLimit	Required/Optional	Notes
initials	String	50	R	The initials or signature for the pharmacist that approved the prescription. Doctor John Doe Smith would have the initials JDS
FirstName	String	50	R
LastName	String	50	R

VialLabel

Field	Type	CharacterLimit	Required/Optional	Notes
sig	String	500	R	Prescription usage. Also commonly referred to as the Sig or Signature. This must be populated in English language
AdditionalSig	String	500	O	Prescription usage in translated language. This must be populated in language other than English.
Braille	Boolean		O
LargePrint	Boolean		O
AudioLabel	Boolean		O

Updated 9 days ago