April Release - 4/01/2019
This release of RxNorm is consistent with the 2018AB UMLS Metathesaurus release. For additional information about RxNorm releases, including scripts for loading the RxNorm data into Oracle and MySQL databases, read the RxNorm Technical Documentation.
Sources
The following sources with version names in bold have been updated since the previous RxNorm release:
| Source Name | SAB | Version |
|---|---|---|
| DrugBank | DRUGBANK | DRUGBANK5.0_2019_02_28 |
| Gold Standard Drug Database | GS | GS_2019_03_05 |
| Multum MediSource Lexicon | MMSL | MMSL_2019_03_01 |
| Micromedex RED BOOK | MMX | MMX_2019_03_04 |
| FDA Structured Product Labels | MTHSPL | MTHSPL_2019_03_22 |
| FDB MedKnowledge (formerly NDDF Plus) | NDDF | NDDF_2019_02_27 |
| RxNorm normalized names and codes | RXNORM | RXNORM_18AB_190401F |
| Veterans Health Administration National Drug File | VANDF | VANDF_2019_03_01 |
The following sources have not been updated since the previous RxNorm release:
| Source Name | SAB | Version |
|---|---|---|
| Anatomical Therapeutic Chemical Classification System | ATC | ATC_2019 |
| Vaccines Administered | CVX | CVX_2018_10_18 |
| Medical Subject Headings (MeSH) | MSH | MSH2019_2018_07_31 |
| CMS Formulary Reference File | MTHCMSFRF | MTHCMSFRF_2014 |
| US Edition of SNOMED CT (drug information) | SNOMEDCT_US | SNOMEDCT_US_2019_01_31 |
| USP Compendial Nomenclature | USP | USP_2018_12_10 |
*Reminder: As of October 2017, Medi-Span data will not be included in the RxNorm or UMLS releases. If you have questions about Medi-Span, please contact: medispan-support@wolterskluwer.com.
Data Changes
Qualitative Distinction
Qualitative Distinction modifiers allow flexibility in the RxNorm model to create new RXCUIs as needed. See the RxNorm Technical Documentation for more information about Qualitative Distinctions (QDs), which were first released in the August 2016 monthly release.
Here are the new concepts with QDs in the April 2019 release:
| RXCUI | TTY | String |
|---|---|---|
| 2119559 | SCD | 20/80 Release 24 HR Methylphenidate Hydrochloride 25 MG Extended Release Oral Capsule |
| 2119561 | SBD | 20/80 Release 24 HR Methylphenidate Hydrochloride 25 MG Extended Release Oral Capsule [Adhansia] |
| 2119563 | SCD | 20/80 Release 24 HR Methylphenidate Hydrochloride 35 MG Extended Release Oral Capsule |
| 2119565 | SBD | 20/80 Release 24 HR Methylphenidate Hydrochloride 35 MG Extended Release Oral Capsule [Adhansia] |
| 2119567 | SCD | 20/80 Release 24 HR Methylphenidate Hydrochloride 45 MG Extended Release Oral Capsule |
| 2119569 | SBD | 20/80 Release 24 HR Methylphenidate Hydrochloride 45 MG Extended Release Oral Capsule [Adhansia] |
| 2119571 | SCD | 20/80 Release 24 HR Methylphenidate Hydrochloride 55 MG Extended Release Oral Capsule |
| 2119573 | SBD | 20/80 Release 24 HR Methylphenidate Hydrochloride 55 MG Extended Release Oral Capsule [Adhansia] |
| 2119577 | SCD | 20/80 Release 24 HR Methylphenidate Hydrochloride 70 MG Extended Release Oral Capsule |
| 2119579 | SBD | 20/80 Release 24 HR Methylphenidate Hydrochloride 70 MG Extended Release Oral Capsule [Adhansia] |
| 2119574 | SCD | 20/80 Release 24 HR Methylphenidate Hydrochloride 85 MG Extended Release Oral Capsule |
| 2119575 | SBD | 20/80 Release 24 HR Methylphenidate Hydrochloride 85 MG Extended Release Oral Capsule [Adhansia] |
For each SCD or SBD with a QD, there is an associated attribute in RXNSAT with the attribute name (ATN) of 'RXN_QUALITATIVE_DISTINCTION'. The April release contains the following new attribute value (ATV) to match the QD strings found in the SCD and SBD normalized names:
- 20/80 Release
REMINDER: Eliminating Two Weekly Releases
RxNorm will be eliminating 2 weekly releases beginning in 2019. The May 1, 2019 and October 30, 2019 weekly releases will not be created this year. The two eliminated weekly releases will immediately precede the full May and November monthly releases moving forward. Please note that there will now be 50 RxNorm weekly releases instead of 52.
Data Counts
| Term Type or Attribute | Number |
|---|---|
| Active GPCKs | 381 |
| Active BPCKs | 478 |
| Active SCDs | 18328 |
| Active SBDs | 10337 |
| Active RXNORM MINs | 3818 |
| Active RXNORM INs | 12208 |
| Active RXNORM PINs | 2845 |
| Active RXNORM BNs | 5893 |
| Active RXNORM DFs | 117 |
| Obsolete GPCKs | 187 |
| Obsolete BPCKs | 161 |
| Obsolete SCDs | 16679 |
| Obsolete SBDs | 10979 |
| Obsolete RXNORM MINs | 0 |
| Obsolete RXNORM INs | 0 |
| Obsolete RXNORM PINs | 0 |
| Obsolete RXNORM BNs | 6274 |
| Obsolete RXNORM DFs | 61 |
| Editor-suppressed SCDs | 1747 |
| Editor-suppressed SBDs | 1454 |
| SAB=RXNORM NDCs | 254120 |
| Distinct SAB=RXNORM NDCs | 254120 |
Last Reviewed: April 1, 2019