July Release - 7/06/2020
This full release of RxNorm is consistent with the 2020AA 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_2020_06_01 |
| Gold Standard Drug Database | GS | GS_2020_06_11 |
| Multum MediSource Lexicon | MMSL | MMSL_2020_06_01 |
| Micromedex RED BOOK | MMX | MMX_2020_06_01 |
| FDA Structured Product Labels | MTHSPL | MTHSPL_2020_06_26 |
| FDB MedKnowledge (formerly NDDF Plus) | NDDF | NDDF_2020_06_10 |
| RxNorm normalized names and codes | RXNORM | RXNORM_20AA_200706F |
| Veterans Health Administration National Drug File | VANDF | VANDF_2020_05_31 |
The following sources have not been updated since the previous RxNorm release:
| Source Name | SAB | Version |
|---|---|---|
| Anatomical Therapeutic Chemical Classification System | ATC | ATC_2020 |
| Vaccines Administered | CVX | CVX_2020_05_11 |
| Medical Subject Headings (MeSH) | MSH | MSH2020_2020_01_15 |
| CMS Formulary Reference File | MTHCMSFRF | MTHCMSFRF_2014 |
| US Edition of SNOMED CT (drug information) | SNOMEDCT_US | SNOMEDCT_US_2020_01_31 |
| USP Compendial Nomenclature | USP | USP_2020_02_06 |
*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
New NHRIC Attribute in RXNSAT.RRF for MTHSPL
National Health Related Item Code (NHRIC) values are now identified separately from National Drug Code (NDC) values for the FDA Structured Product Labeling (MTHSPL) data source in the RxNorm data set. The attribute name (ATN) in the RXNSAT.RRF file is NHRIC where the source abbreviation (SAB) is MTHSPL. This change is for SAB=MTHSPL only. Note that an ATN=NHRIC for SAB=RXNORM will not exist. Approximately 640 values are impacted in the RXNSAT.RRF file.
New Dose Form
The July 2020 release includes the new dose form: Powder for Pyelocalyceal Solution.
Here are the new prescribable drug names with the new dose form Powder for Pyelocalyceal Solution.
RXCUI TTY STRING
2375818 SCD mitomycin 40 MG Powder for Pyelocalyceal Solution
2375823 SBD mitomycin 40 MG Powder for Pyelocalyceal Solution [Jelmyto]
Representing Multi-Ingredient Biological Products
For multi-ingredient biological products, the suffix will be added to each active ingredient. An ingredient with a suffix will be a precise ingredient (PIN) to its appropriate base ingredient (IN) atom.
Here are the new prescribable drug names for combination biological products:
RXCUI TTY STRING
2119714 SCD 5 ML hyaluronidase-oysk 2000 UNT/ML / trastuzumab-oysk 120 MG/ML Injection
2119719 SBD 5 ML hyaluronidase-oysk 2000 UNT/ML / trastuzumab-oysk 120 MG/ML Injection [Herceptin Hylecta]
2375136 SCD 15 ML daratumumab-fihj 120 MG/ML / hyaluronidase-fihj 2000 UNT/ML Injection
2375141 SBD 15 ML daratumumab-fihj 120 MG/ML / hyaluronidase-fihj 2000 UNT/ML Injection [Darzalex Faspro]
Continued Reduction in Active National Drug Codes (NDCs)
RxNorm continues to improve the quality of NDC data by identifying NDCs that are no longer active. Users will likely see a reduction in approximately 1,125 live NDCs in the July release. The SUPPRESS value for these NDCs in the RXNSAT.RRF file will change from SUPPRESS = ‘N’ to SUPPRESS = ‘Y’ compared to last month’s release.
Notice of Upcoming Data Changes
As a courtesy to users, this section provides advance notice of possible upcoming RxNorm data changes. More information about each change will be provided or repeated in the future. Please note that planned data changes and timelines may change if issues arise.
- Basis of Strength (BoSS) attributes will change in late 2020/early 2021
- Several of the BoSS attributes will change from being present on the SCDC to the SCD
- New RxNorm Terminology Term Types (TTYs) will be added in late 2020/early 2021
- RxNorm will add three new TTYs:
- Semantic Clinical Drug Form Precise (SCDFP)
- Semantic Clinical Dose Form Group Precise (SCDGP)
- Semantic Branded Drug Form Precise (SBDFP)
Data Counts
| Term Type or Attribute | Number |
|---|---|
| Active GPCKs | 424 |
| Active BPCKs | 510 |
| Active SCDs | 16657 |
| Active SBDs | 9541 |
| Active RXNORM MINs | 3724 |
| Active RXNORM INs | 12756 |
| Active RXNORM PINs | 2995 |
| Active RXNORM BNs | 5261 |
| Active RXNORM DFs | 122 |
| Obsolete GPCKs | 230 |
| Obsolete BPCKs | 199 |
| Obsolete SCDs | 18198 |
| Obsolete SBDs | 11587 |
| Obsolete RXNORM MINs | 0 |
| Obsolete RXNORM INs | 0 |
| Obsolete RXNORM PINs | 0 |
| Obsolete RXNORM BNs | 6649 |
| Obsolete RXNORM DFs | 62 |
| Editor-suppressed SCDs | 1758 |
| Editor-suppressed SBDs | 1463 |
| SAB=RXNORM NDCs | 228486 |
| Distinct SAB=RXNORM NDCs | 228486 |
Last Reviewed: July 6, 2020