June Release - 6/03/2019
This release of RxNorm is consistent with the 2019AA 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_05_02 |
| Gold Standard Drug Database | GS | GS_2019_05_06 |
| Multum MediSource Lexicon | MMSL | MMSL_2019_05_01 |
| Micromedex RED BOOK | MMX | MMX_2019_05_06 |
| FDA Structured Product Labels | MTHSPL | MTHSPL_2019_05_24 |
| FDB MedKnowledge (formerly NDDF Plus) | NDDF | NDDF_2019_05_01 |
| RxNorm normalized names and codes | RXNORM | RXNORM_19AA_190603F |
| Veterans Health Administration National Drug File | VANDF | VANDF_2019_04_30 |
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_2019_03_21 |
| Medical Subject Headings (MeSH) | MSH | MSH2019_2019_01_07 |
| 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
Dose Form "Oral Tablet with Sensor" Deleted
The “Oral Tablet with Sensor” dose form has been deleted starting with the June 2019 release. Products with sensors will be represented with a new "Sensor" Qualitative Distinction modifier moving forward. Existing concepts impacted by this change have the same RXCUIs but new strings; they are listed below with the ingredient aripiprazole.
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.
A new “Evening Dosing” QD differentiates certain methylphenidate products. A new “Sensor” QD is also included to identify sensor containing drug products.
Here are the concepts with new QDs in the June 2019 release:
| RXCUI | TTY | String |
|---|---|---|
| 2168866 | SCD | Evening Dosing 24 HR Methylphenidate Hydrochloride 20 MG Extended Release Oral Capsule |
| 2168867 | SBD | Evening Dosing 24 HR Methylphenidate Hydrochloride 20 MG Extended Release Oral Capsule [Jornay] |
| 2168868 | SCD | Evening Dosing 24 HR Methylphenidate Hydrochloride 40 MG Extended Release Oral Capsule |
| 2168869 | SBD | Evening Dosing 24 HR Methylphenidate Hydrochloride 40 MG Extended Release Oral Capsule [Jornay] |
| 2168857 | SCD | Evening Dosing 24 HR Methylphenidate Hydrochloride 60 MG Extended Release Oral Capsule |
| 2168859 | SBD | Evening Dosing 24 HR Methylphenidate Hydrochloride 60 MG Extended Release Oral Capsule [Jornay] |
| 2168861 | SCD | Evening Dosing 24 HR Methylphenidate Hydrochloride 80 MG Extended Release Oral Capsule |
| 2168863 | SBD | Evening Dosing 24 HR Methylphenidate Hydrochloride 80 MG Extended Release Oral Capsule [Jornay] |
| 2168864 | SCD | Evening Dosing 24 HR Methylphenidate Hydrochloride 100 MG Extended Release Oral Capsule |
| 2168865 | SBD | Evening Dosing 24 HR Methylphenidate Hydrochloride 100 MG Extended Release Oral Capsule [Jornay] |
| 2166796 | SCD | Sensor 200 ACTUAT Albuterol 0.09 MG/ACTUAT Dry Powder Inhaler |
| 2166797 | SBD | Sensor 200 ACTUAT Albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir] |
| 1998456 | SCD | Sensor aripiprazole 2 MG Oral Tablet |
| 1998457 | SBD | Sensor aripiprazole 2 MG Oral Tablet [Abilify] |
| 1998462 | SCD | Sensor aripiprazole 5 MG Oral Tablet |
| 1998463 | SBD | Sensor aripiprazole 5 MG Oral Tablet [Abilify] |
| 1998451 | SCD | Sensor aripiprazole 10 MG Oral Tablet |
| 1998453 | SBD | Sensor aripiprazole 10 MG Oral Tablet [Abilify] |
| 1998454 | SCD | Sensor aripiprazole 15 MG Oral Tablet |
| 1998455 | SBD | Sensor aripiprazole 15 MG Oral Tablet [Abilify] |
| 1998458 | SCD | Sensor aripiprazole 20 MG Oral Tablet |
| 1998459 | SBD | Sensor aripiprazole 20 MG Oral Tablet [Abilify] |
| 1998460 | SCD | Sensor aripiprazole 30 MG Oral Tablet |
| 1998461 | SBD | Sensor aripiprazole 30 MG Oral Tablet [Abilify] |
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 June release contains the following new attribute value (ATV) to match the QD strings found in the SCD and SBD normalized names:
- Evening Dosing
- Sensor
Data Counts
| Term Type or Attribute | Number |
|---|---|
| Active GPCKs | 392 |
| Active BPCKs | 488 |
| Active SCDs | 18414 |
| Active SBDs | 10352 |
| Active RXNORM MINs | 3817 |
| Active RXNORM INs | 12271 |
| Active RXNORM PINs | 2856 |
| Active RXNORM BNs | 5889 |
| Active RXNORM DFs | 117 |
| Obsolete GPCKs | 192 |
| Obsolete BPCKs | 164 |
| Obsolete SCDs | 16666 |
| Obsolete SBDs | 10931 |
| Obsolete RXNORM MINs | 0 |
| Obsolete RXNORM INs | 0 |
| Obsolete RXNORM PINs | 0 |
| Obsolete RXNORM BNs | 6218 |
| Obsolete RXNORM DFs | 61 |
| Editor-suppressed SCDs | 1765 |
| Editor-suppressed SBDs | 1457 |
| SAB=RXNORM NDCs | 255236 |
| Distinct SAB=RXNORM NDCs | 255236 |
Last Reviewed: June 3, 2019