diff --git a/package.json b/package.json
index 82aee2b..b15462c 100644
--- a/package.json
+++ b/package.json
@@ -29,7 +29,8 @@
     "@types/fhir": "^0.0.35",
     "@types/glob": "^8.1.0",
     "axios": "^1.2.1",
-    "body-parser": "^1.19.0",
+    "body-parser": "^1.20.2",
+    "body-parser-xml": "^2.0.5",
     "conventional-changelog-cli": "^2.0.34",
     "cors": "^2.8.5",
     "dotenv": "^16.3.1",
@@ -50,6 +51,7 @@
     "winston-daily-rotate-file": "^4.2.1"
   },
   "devDependencies": {
+    "@types/body-parser-xml": "^2.0.5",
     "@types/chai": "^4.3.4",
     "@types/cors": "^2.8.12",
     "@types/express": "^4.17.14",
diff --git a/src/fhir/models.ts b/src/fhir/models.ts
index 566f5e2..c5615be 100644
--- a/src/fhir/models.ts
+++ b/src/fhir/models.ts
@@ -34,6 +34,7 @@ export interface RemsCase extends Document {
   case_number: string;
   auth_number: string;
   status: string;
+  dispenseStatus: string;
   drugName: string;
   drugCode: string;
   patientFirstName: string;
@@ -91,6 +92,7 @@ const remsCaseCollectionSchema = new Schema<RemsCase>({
   case_number: { type: String },
   auth_number: { type: String },
   status: { type: String },
+  dispenseStatus: { type: String },
   drugName: { type: String },
   patientFirstName: { type: String },
   patientLastName: { type: String },
diff --git a/src/hooks/hookResources.ts b/src/hooks/hookResources.ts
index 89aa268..4d435a4 100644
--- a/src/hooks/hookResources.ts
+++ b/src/hooks/hookResources.ts
@@ -9,11 +9,7 @@ import {
   BundleEntry
 } from 'fhir/r4';
 import Card, { Link, Suggestion, Action } from '../cards/Card';
-import {
-  HookPrefetch,
-  TypedRequestBody,
-  TypedResponseBody
-} from '../rems-cds-hooks/resources/HookTypes';
+import { HookPrefetch, TypedRequestBody } from '../rems-cds-hooks/resources/HookTypes';
 import config from '../config';
 import {
   RemsCase,
@@ -28,7 +24,7 @@ import { ServicePrefetch } from '../rems-cds-hooks/resources/CdsService';
 import { hydrate } from '../rems-cds-hooks/prefetch/PrefetchHydrator';
 
 type HandleCallback = (
-  res: TypedResponseBody,
+  res: any,
   hydratedPrefetch: HookPrefetch | undefined,
   contextRequest: FhirResource | undefined,
   patient: FhirResource | undefined
@@ -360,7 +356,7 @@ const getErrorCard = (
 
 // handles order-sign and order-select currently
 export const handleCardOrder = async (
-  res: TypedResponseBody,
+  res: any,
   hydratedPrefetch: HookPrefetch | undefined,
   contextRequest: FhirResource | undefined,
   resource: FhirResource | undefined
@@ -485,7 +481,7 @@ const getSuggestions = (
 // make sure code here is applicable to all supported hooks.
 export async function handleCard(
   req: TypedRequestBody,
-  res: TypedResponseBody,
+  res: any,
   hydratedPrefetch: HookPrefetch,
   contextRequest: FhirResource | undefined,
   callback: HandleCallback
@@ -517,7 +513,7 @@ export async function handleCard(
 // handles all hooks, any supported hook should pass through this function
 export function handleHook(
   req: TypedRequestBody,
-  res: TypedResponseBody,
+  res: any,
   hookPrefetch: ServicePrefetch,
   contextRequest: FhirResource | undefined,
   callback: HandleCallback
@@ -732,7 +728,7 @@ const getSuggestionOrEmptyArray =
 
 // handles patient-view and encounter-start currently
 export const handleCardEncounter = async (
-  res: TypedResponseBody,
+  res: any,
   hookPrefetch: HookPrefetch | undefined,
   _contextRequest: FhirResource | undefined,
   resource: FhirResource | undefined
diff --git a/src/hooks/rems.encounterstart.ts b/src/hooks/rems.encounterstart.ts
index 8b56250..ca11070 100644
--- a/src/hooks/rems.encounterstart.ts
+++ b/src/hooks/rems.encounterstart.ts
@@ -1,8 +1,4 @@
-import {
-  EncounterStartHook,
-  SupportedHooks,
-  TypedResponseBody
-} from '../rems-cds-hooks/resources/HookTypes';
+import { EncounterStartHook, SupportedHooks } from '../rems-cds-hooks/resources/HookTypes';
 import { ServicePrefetch, CdsService } from '../rems-cds-hooks/resources/CdsService';
 import { handleCardEncounter, handleHook } from './hookResources';
 
@@ -24,7 +20,7 @@ const definition: CdsService = {
   prefetch: hookPrefetch
 };
 
-const handler = (req: TypedRequestBody, res: TypedResponseBody) => {
+const handler = (req: TypedRequestBody, res: any) => {
   console.log('REMS encounter-start hook');
   const contextRequest = undefined;
   handleHook(req, res, hookPrefetch, contextRequest, handleCardEncounter);
diff --git a/src/hooks/rems.orderselect.ts b/src/hooks/rems.orderselect.ts
index 6ba60e9..b3b2c63 100644
--- a/src/hooks/rems.orderselect.ts
+++ b/src/hooks/rems.orderselect.ts
@@ -1,8 +1,4 @@
-import {
-  SupportedHooks,
-  TypedResponseBody,
-  OrderSelectHook
-} from '../rems-cds-hooks/resources/HookTypes';
+import { SupportedHooks, OrderSelectHook } from '../rems-cds-hooks/resources/HookTypes';
 import { ServicePrefetch, CdsService } from '../rems-cds-hooks/resources/CdsService';
 import { handleCardOrder, handleHook } from './hookResources';
 
@@ -22,7 +18,7 @@ const definition: CdsService = {
   prefetch: hookPrefetch
 };
 
-const handler = (req: TypedRequestBody, res: TypedResponseBody) => {
+const handler = (req: TypedRequestBody, res: any) => {
   console.log('REMS order-select hook');
   const context = req.body.context;
   const selection = context.selections?.[0];
diff --git a/src/hooks/rems.ordersign.ts b/src/hooks/rems.ordersign.ts
index d15798a..3e0fedc 100644
--- a/src/hooks/rems.ordersign.ts
+++ b/src/hooks/rems.ordersign.ts
@@ -1,8 +1,4 @@
-import {
-  OrderSignHook,
-  SupportedHooks,
-  TypedResponseBody
-} from '../rems-cds-hooks/resources/HookTypes';
+import { OrderSignHook, SupportedHooks } from '../rems-cds-hooks/resources/HookTypes';
 import { ServicePrefetch, CdsService } from '../rems-cds-hooks/resources/CdsService';
 import { handleCardOrder, handleHook } from './hookResources';
 
@@ -22,7 +18,7 @@ const definition: CdsService = {
   prefetch: hookPrefetch
 };
 
-const handler = (req: TypedRequestBody, res: TypedResponseBody) => {
+const handler = (req: TypedRequestBody, res: any) => {
   console.log('REMS order-sign hook');
   const contextRequest = req.body.context.draftOrders?.entry?.[0]?.resource;
   handleHook(req, res, hookPrefetch, contextRequest, handleCardOrder);
diff --git a/src/hooks/rems.patientview.ts b/src/hooks/rems.patientview.ts
index a3e9a6d..007e3ee 100644
--- a/src/hooks/rems.patientview.ts
+++ b/src/hooks/rems.patientview.ts
@@ -1,8 +1,4 @@
-import {
-  PatientViewHook,
-  SupportedHooks,
-  TypedResponseBody
-} from '../rems-cds-hooks/resources/HookTypes';
+import { PatientViewHook, SupportedHooks } from '../rems-cds-hooks/resources/HookTypes';
 import { ServicePrefetch, CdsService } from '../rems-cds-hooks/resources/CdsService';
 import { handleCardEncounter, handleHook } from './hookResources';
 
@@ -24,7 +20,7 @@ const definition: CdsService = {
   prefetch: hookPrefetch
 };
 
-const handler = (req: TypedRequestBody, res: TypedResponseBody) => {
+const handler = (req: TypedRequestBody, res: any) => {
   console.log('REMS patient-view hook');
   const contextRequest = undefined;
   handleHook(req, res, hookPrefetch, contextRequest, handleCardEncounter);
diff --git a/src/lib/etasu.ts b/src/lib/etasu.ts
index a397c2a..a65f57d 100644
--- a/src/lib/etasu.ts
+++ b/src/lib/etasu.ts
@@ -226,11 +226,13 @@ const createMetRequirementAndNewCase = async (
 
   // create new rems request and add the created metReq to it
   let remsRequestCompletedStatus = 'Approved';
+  const dispenseStatusDefault = 'Pending';
   const remsRequest: Pick<
     RemsCase,
     | 'case_number'
     | 'auth_number'
     | 'status'
+    | 'dispenseStatus'
     | 'drugName'
     | 'drugCode'
     | 'patientFirstName'
@@ -241,6 +243,7 @@ const createMetRequirementAndNewCase = async (
     case_number: case_number,
     auth_number: '',
     status: remsRequestCompletedStatus,
+    dispenseStatus: dispenseStatusDefault,
     drugName: drug?.name,
     drugCode: drug?.code,
     patientFirstName: patientFirstName,
diff --git a/src/ncpdp/script.ts b/src/ncpdp/script.ts
new file mode 100644
index 0000000..df4c210
--- /dev/null
+++ b/src/ncpdp/script.ts
@@ -0,0 +1,40 @@
+import { Router, Request } from 'express';
+import { remsCaseCollection } from '../fhir/models';
+const router = Router();
+
+router.post('/ncpdp/script', async (req: Request) => {
+  try {
+    const requestBody = req.body;
+    if (requestBody.message?.body?.rxfill) {
+      // call to handle rxfill
+      handleRxFill(requestBody);
+    } else {
+      // do nothing for now
+    }
+  } catch (error) {
+    console.log(error);
+    throw error;
+  }
+});
+
+const handleRxFill = async (bundle: any) => {
+  const rxfill = bundle.message?.body?.rxfill;
+
+  const fillStatus = rxfill?.fillstatus?.dispensed?.note;
+  const patient = rxfill?.patient;
+  const code = rxfill?.medicationprescribed?.drugcoded?.drugdbcode?.code;
+
+  await remsCaseCollection.findOneAndUpdate(
+    {
+      patientFirstName: patient?.humanpatient?.name?.firstname,
+      patientLastName: patient?.humanpatient?.name?.lastname,
+      patientDOB: patient?.humanpatient?.dateofbirth?.date,
+      drugCode: code
+    },
+    { dispenseStatus: fillStatus },
+    { new: true }
+  );
+  return fillStatus;
+};
+
+export default router;
diff --git a/src/server.ts b/src/server.ts
index b9c816f..a2e2f8f 100644
--- a/src/server.ts
+++ b/src/server.ts
@@ -9,9 +9,11 @@ import patientViewService from './hooks/rems.patientview';
 import encounterStartService from './hooks/rems.encounterstart';
 import { Server } from '@projecttacoma/node-fhir-server-core';
 import Etasu from './lib/etasu';
+import Ncpdp from './ncpdp/script';
 import env from 'env-var';
 import https from 'https';
 import fs from 'fs';
+import bodyParserXml from 'body-parser-xml';
 
 const logger = container.get('application');
 
@@ -26,6 +28,7 @@ const initialize = (config: any) => {
     .setProfileRoutes()
     .registerCdsHooks(config.server)
     .configureEtasuEndpoints()
+    .configureNCPDPEndpoints()
     .setErrorRoutes();
 };
 
@@ -116,6 +119,22 @@ class REMSServer extends Server {
     return this;
   }
 
+  configureNCPDPEndpoints() {
+    bodyParserXml(bodyParser);
+    this.app.use(
+      bodyParser.xml({
+        limit: '1MB',
+        xmlParseOptions: {
+          normalize: true,
+          normalizeTags: true,
+          explicitArray: false
+        }
+      })
+    );
+    this.app.use('/', Ncpdp);
+    return this;
+  }
+
   /**
    * @method listen
    * @description Start listening on the configured port