Stedi maintains this guide based on public documentation from Walgreens. Contact Walgreens for official EDI specifications. To report any errors in this guide, please contact us.

X12 850 Purchase Orders for Direct Store Delivery (DSD)

X12 Release 4010

—

Delimiters

~ Segment
* Element
> Component

EDI samples

None included

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ISA

Interchange Control Header

RequiredMax use 1

—

Example

ISA-01

I01

Authorization Information Qualifier

Required

Identifier (ID)

—

00: No Authorization Information Present (No Meaningful Information in I02)

ISA-02

I02

Authorization Information

Required

String (AN)

Min 10Max 10

—

ISA-03

I03

Security Information Qualifier

Required

Identifier (ID)

—

00: No Security Information Present (No Meaningful Information in I04)

ISA-04

I04

Security Information

Required

String (AN)

Min 10Max 10

—

ISA-05

I05

Interchange ID Qualifier

Required

Identifier (ID)

Min 2Max 2

—

Codes

01: Duns (Dun & Bradstreet)
02: SCAC (Standard Carrier Alpha Code)
03: FMC (Federal Maritime Commission)
04: IATA (International Air Transport Association)
08: UCC EDI Communications ID (Comm ID)
09: X.121 (CCITT)
10: Department of Defense (DoD) Activity Address Code
11: DEA (Drug Enforcement Administration)
12: Phone (Telephone Companies)
13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
14: Duns Plus Suffix
15: Petroleum Accountants Society of Canada Company Code
16: Duns Number With 4-Character Suffix
17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
18: Association of American Railroads (AAR) Standard Distribution Code
19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
20: Health Industry Number (HIN)
21: Integrated Postsecondary Education Data System, or (IPEDS)
22: Federal Interagency Commission on Education, or FICE
23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
26: Statistics of Canada List of Postsecondary Institutions
27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
30: U.S. Federal Tax Identification Number
31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
32: U.S. Federal Employer Identification Number (FEIN)
33: National Association of Insurance Commissioners Company Code (NAIC)
34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
35: Statistics Canada Canadian College Student Information System Institution Codes
36: Statistics Canada University Student Information System Institution Codes
37: Society of Property Information Compilers and Analysts
AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
NR: National Retail Merchants Association (NRMA) - Assigned
SN: Standard Address Number
ZZ: Mutually Defined

ISA-06

I06

Interchange Sender ID

Required

String (AN)

Min 15Max 15

—

ISA-07

I05

Interchange ID Qualifier

Required

Identifier (ID)

Min 2Max 2

—

Codes

01: Duns (Dun & Bradstreet)
02: SCAC (Standard Carrier Alpha Code)
03: FMC (Federal Maritime Commission)
04: IATA (International Air Transport Association)
08: UCC EDI Communications ID (Comm ID)
09: X.121 (CCITT)
10: Department of Defense (DoD) Activity Address Code
11: DEA (Drug Enforcement Administration)
12: Phone (Telephone Companies)
13: UCS Code (The UCS Code is a Code Used for UCS Transmissions; it includes the Area Code and Telephone Number of a Modem; it Does Not Include Punctuation, Blanks or Access Code)
14: Duns Plus Suffix
15: Petroleum Accountants Society of Canada Company Code
16: Duns Number With 4-Character Suffix
17: American Bankers Association (ABA) Transit Routing Number (Including Check Digit, 9 Digit)
18: Association of American Railroads (AAR) Standard Distribution Code
19: EDI Council of Australia (EDICA) Communications ID Number (COMM ID)
20: Health Industry Number (HIN)
21: Integrated Postsecondary Education Data System, or (IPEDS)
22: Federal Interagency Commission on Education, or FICE
23: National Center for Education Statistics Common Core of Data 12-Digit Number for Pre-K-Grade 12 Institutes, or NCES
24: The College Board's Admission Testing Program 4-Digit Code of Postsecondary Institutes, or ATP
25: American College Testing Program 4-Digit Code of Postsecondary Institutions, or ACT
26: Statistics of Canada List of Postsecondary Institutions
27: Carrier Identification Number as assigned by Health Care Financing Administration (HCFA)
28: Fiscal Intermediary Identification Number as assigned by Health Care Financing Administration (HCFA)
29: Medicare Provider and Supplier Identification Number as assigned by Health Care Financing Administration (HCFA)
30: U.S. Federal Tax Identification Number
31: Jurisdiction Identification Number Plus 4 as assigned by the International Association of Industrial Accident Boards and Commissions (IAIABC)
32: U.S. Federal Employer Identification Number (FEIN)
33: National Association of Insurance Commissioners Company Code (NAIC)
34: Medicaid Provider and Supplier Identification Number as assigned by individual State Medicaid Agencies in conjunction with Health Care Financing Administration (HCFA)
35: Statistics Canada Canadian College Student Information System Institution Codes
36: Statistics Canada University Student Information System Institution Codes
37: Society of Property Information Compilers and Analysts
AM: Association Mexicana del Codigo de Producto (AMECOP) Communication ID
NR: National Retail Merchants Association (NRMA) - Assigned
SN: Standard Address Number
ZZ: Mutually Defined

ISA-08

I07

Interchange Receiver ID

Required

String (AN)

Min 15Max 15

—

ISA-09

I08

Interchange Date

Required

Date (DT)

YYMMDD format

—

ISA-10

I09

Interchange Time

Required

Time (TM)

HHMM format

—

ISA-11

I10

Interchange Control Standards Identifier

Required

Identifier (ID)

—

U: U.S. EDI Community of ASC X12, TDCC, and UCS

ISA-12

I11

Interchange Control Version Number

Required

Identifier (ID)

—

00401: Draft Standards for Trial Use Approved for Publication by ASC X12 Procedures Review Board through October 1997

ISA-13

I12

Interchange Control Number

Required

Numeric (N0)

Min 9Max 9

—

ISA-14

I13

Acknowledgment Requested

Required

Identifier (ID)

Min 1Max 1

—

0: No Acknowledgment Requested
1: Interchange Acknowledgment Requested

ISA-15

I14

Usage Indicator

Required

Identifier (ID)

Min 1Max 1

—

I: Information
P: Production Data
T: Test Data

ISA-16

I15

Component Element Separator

Required

String (AN)

Min 1Max 1

—

>: Component Element Separator

Functional Group Header

RequiredMax use 1

—

Example

GS-01

479

Functional Identifier Code

Required

Identifier (ID)

—

PO: Purchase Order (850)

GS-02

142

Application Sender's Code

Required

String (AN)

Min 2Max 15

—

GS-03

124

Application Receiver's Code

Required

String (AN)

Min 2Max 15

—

GS-04

373

Date

Required

Date (DT)

CCYYMMDD format

—

GS-05

337

Time

Required

Time (TM)

HHMM, HHMMSS, HHMMSSD, or HHMMSSDD format

—

GS-06

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

GS-07

455

Responsible Agency Code

Required

Identifier (ID)

Min 1Max 2

—

T: Transportation Data Coordinating Committee (TDCC)
X: Accredited Standards Committee X12

GS-08

480

Version / Release / Industry Identifier Code

Required

String (AN)

—

004010: Draft Standards Approved for Publication by ASC X12 Procedures Review Board through October 1997

Heading

010

Heading > ST

Transaction Set Header

RequiredMax use 1

—

Example

ST-01

143

Transaction Set Identifier Code

Required

Identifier (ID)

—

850: Purchase Order

ST-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

BEG

020

Heading > BEG

Beginning Segment for Purchase Order

RequiredMax use 1

—

Example

BEG-01

353

Transaction Set Purpose Code

Required

Identifier (ID)

—

00: Original
22: Information Copy
—

BEG-02

Purchase Order Type Code

Required

Identifier (ID)

—

IN: Information Copy
—
PR: Promotion
—
SA: Stand-alone Order

BEG-03

324

Purchase Order Number

Required

String (AN)

Min 1Max 22

—

Usage notes

—

BEG-05

373

Date

Required

Date (DT)

CCYYMMDD format

—

REF

050

Heading > REF

Reference Identification

RequiredMax use >1

—

Usage notes

—

Example

REF-01

128

Reference Identification Qualifier

Required

Identifier (ID)

—

CT: Contract Number
—
D1: Drug Enforcement Administration Order Blank Number
—
PD: Promotion/Deal Number
—
VR: Vendor ID Number

REF-02

127

Reference Identification

Required

String (AN)

Min 1Max 30

—

Usage notes

—

ITD

130

Heading > ITD

Terms of Sale/Deferred Terms of Sale

OptionalMax use >1

—

Usage notes

—

Example

ITD-01

336

Terms Type Code

Optional

Identifier (ID)

—

01: Basic
02: End of Month (EOM)
05: Discount Not Applicable
12: 10 Days After End of Month (10 EOM)

ITD-02

333

Terms Basis Date Code

Optional

Identifier (ID)

—

1: Ship Date
2: Delivery Date
3: Invoice Date
15: Receipt of Goods

ITD-03

338

Terms Discount Percent

Optional

Decimal number (R)

Min 1Max 6

—

Usage notes

—

ITD-05

351

Terms Discount Days Due

Optional

Numeric (N0)

Min 1Max 3

—

ITD-07

386

Terms Net Days

Optional

Numeric (N0)

Min 1Max 3

—

ITD-12

352

Description

Optional

String (AN)

Min 1Max 80

—

DTM

150

Heading > DTM

Date/Time Reference

RequiredMax use 4

—

Usage notes

—

Example

DTM-01

374

Date/Time Qualifier

Required

Identifier (ID)

—

002: Delivery Requested
—
074: Requested for Delivery (Prior to and Including)
—

DTM-02

373

Date

Required

Date (DT)

CCYYMMDD format

—

N1 Loop Bill To and Ship To

OptionalMax 1

—

Usage notes

—

Variants (all may be used)

N1 Loop Others

310

Heading > N1 Loop Bill To and Ship To > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

Usage notes

—

BS: Bill and Ship To

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Required

Identifier (ID)

—

PI: Payor Identification

N1-04

Identification Code

Required

String (AN)

Min 2Max 80

—

Usage notes

—

N1 Loop Bill To and Ship To end

N1 Loop Others

RequiredMax 1

—

Variants (all may be used)

N1 Loop Bill To and Ship To

310

Heading > N1 Loop Others > N1

Name

RequiredMax use 1

—

Example

N1-01

Entity Identifier Code

Required

Identifier (ID)

—

Usage notes

—

BY: Buying Party (Purchaser)
—
ST: Ship To
SU: Supplier/Manufacturer
—

N1-02

Name

Optional

String (AN)

Min 1Max 60

—

N1-03

Identification Code Qualifier

Required

Identifier (ID)

—

9: D-U-N-S+4, D-U-N-S Number with Four Character Suffix
—
11: Drug Enforcement Administration (DEA)
—
92: Assigned by Buyer or Buyer's Agent
—

N1-04

Identification Code

Required

String (AN)

Min 2Max 80

—

Usage notes

—

330

Heading > N1 Loop Others > N3

Address Information

OptionalMax use 1

—

Example

N3-01

166

Address Information

Required

String (AN)

Min 1Max 55

—

N3-02

166

Address Information

Optional

String (AN)

Min 1Max 55

—

340

Heading > N1 Loop Others > N4

Geographic Location

OptionalMax use 1

—

Example

N4-01

City Name

Required

String (AN)

Min 2Max 30

—

N4-02

156

State or Province Code

Required

Identifier (ID)

Min 2Max 2

—

N4-03

116

Postal Code

Required

Identifier (ID)

Min 3Max 15

—

N4-04

Country Code

Optional

Identifier (ID)

Min 2Max 3

—

N1 Loop Others end

Heading end

Detail

PO1 Loop

RequiredMax 100000

PO1

010

Detail > PO1 Loop > PO1

Baseline Item Data

RequiredMax use 1

—

Usage notes

—

Example

If either Product/Service ID Qualifier (PO1-08) or Product/Service ID (PO1-09) is present, then the other is required

If either Product/Service ID Qualifier (PO1-10) or Product/Service ID (PO1-11) is present, then the other is required

If either Product/Service ID Qualifier (PO1-12) or Product/Service ID (PO1-13) is present, then the other is required

PO1-01

350

Assigned Identification

Required

String (AN)

Min 1Max 20

—

Usage notes

—

PO1-02

330

Quantity Ordered

Required

Decimal number (R)

Min 1Max 15

—

PO1-03

355

Unit or Basis for Measurement Code

Required

Identifier (ID)

—

EA: Each
—

PO1-04

212

Unit Price

Required

Decimal number (R)

Min 1Max 15

—

Usage notes

—

PO1-05

639

Basis of Unit Price Code

Optional

Identifier (ID)

—

Usage notes

—

CT: Contract
PE: Price per Each
—

PO1-06

235

Product/Service ID Qualifier

Required

Identifier (ID)

—

Usage notes

—

EN: European Article Number (EAN) (2-5-5-1)
UA: U.P.C./EAN Case Code (2-5-5)
—
UI: U.P.C. Consumer Package Code (1-5-5)
UK: U.P.C./EAN Shipping Container Code (1-2-5-5-1)
UP: U.P.C. Consumer Package Code (1-5-5-1)
VN: Vendor's (Seller's) Item Number
—

PO1-07

234

Product/Service ID

Required

String (AN)

Min 1Max 48

—

Usage notes

—

PO1-08

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

Usage notes

—

IN: Buyer's Item Number

PO1-09

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

PO1-10

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

Usage notes

—

ND: National Drug Code (NDC)

PO1-11

234

Product/Service ID

Optional

String (AN)

Min 1Max 48

—

Usage notes

—

PO1-12

235

Product/Service ID Qualifier

Optional

Identifier (ID)

—

Usage notes

—

KK: Special Material Identification Code

PO1-13

234

Product/Service ID

Optional

String (AN)

—

Usage notes

—

PFL: Partial Fill

PO1 Loop end

Detail end

Summary

CTT Loop

RequiredMax 1

CTT

010

Summary > CTT Loop > CTT

Transaction Totals

RequiredMax use 1

—

Usage notes

—

Example

CTT-01

354

Number of Line Items

Required

Numeric (N0)

Min 1Max 6

—

CTT Loop end

030

Summary > SE

Transaction Set Trailer

RequiredMax use 1

—

Example

SE-01

Number of Included Segments

Required

Numeric (N0)

Min 1Max 10

—

SE-02

329

Transaction Set Control Number

Required

Numeric (N)

Min 4Max 9

—

Summary end

Functional Group Trailer

RequiredMax use 1

—

Example

GE-01

Number of Transaction Sets Included

Required

Numeric (N0)

Min 1Max 6

—

GE-02

Group Control Number

Required

Numeric (N0)

Min 1Max 9

—

IEA

Interchange Control Trailer

RequiredMax use 1

—

Example

IEA-01

I16

Number of Included Functional Groups

Required

Numeric (N0)

Min 1Max 5

—

IEA-02

I12

Interchange Control Number

Required

Numeric (N0)

Min 9Max 9

—

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