Table 1. Diabetes Prevention Recognition Program (DPRP) Process, Adapted from Rx for the National Diabetes Prevention Program (DPP) Action Guide for Community Pharmacists^a .

Phase of Process	Steps in Process
Pre-application	• Read and understand the current DPRP standards. • Complete the organizational capacity assessment tool (strongly recommended). • Address any capacity gaps identified by the assessment. • Review other materials about the National DPP and DPRP on the National DPP’s website, Implement a Lifestyle Change Program (for Professionals).
Application submitted for recognition	• Complete the online DPRP application form.
Pending recognition	Meet the following requirements: • Submit a completed application. • Use a CDC-approved curriculum. • Offer a 12-month lifestyle-change program that includes a minimum of 16 weekly sessions in months 1 to 6 and 6 monthly sessions in months 7 to 12. Agree to: • Start the first session within 6 months of effective date. • Start at least 1 session every 12 months. • Submit required participant data to DPRP every 6 months.
Preliminary recognition	Meet the following requirements: • Submit required data every 6 months. • Start at least 1 session every 12 months. • Continue to meet the pending recognition requirements. • Submit a full 12 months of data on at least 1 completed group of participants. • Have a minimum of 5 participants who attended at least 3 sessions in months 1 to 6 and whose time from first session to last session was at least 9 months. • Provide evaluated data that show that at least 60% of participants attended at least 9 sessions in months 1 to 6 and at least 60% attended at least 3 sessions in months 7 to 12.
Full recognition	Meet the following requirements: • Submit required data every 6 months. • Start at least 1 session every 12 months. • Continue to meet the requirements for pending and preliminary recognition. • Body weight documentation: Participants must have had their body weight documented during at least 80% of sessions.b • Physical activity documentation: Physical activity minutes must have been documented for participants during at least 60% of sessions.b • Weight loss at 12 months: Average weight loss across all participants in 1-year–long program must be a minimum of 5% of starting body weight.b • Participant eligibility: A minimum of 35% of all participants in 1-year–long program must be eligible on the basis of either a blood glucose test indicating prediabetes or a history of gestational diabetes. The rest must be eligible on the basis of a high score on the CDC Prediabetes Screening Test or the American Diabetes Association Type 2 Diabetes Risk Test.b , c

^a Centers for Disease Control and Prevention (3).

^b Evaluation for these requirements based on all participants attending at least 3 sessions during months 1 to 6 and whose time from first session to last session is at least 9 months. At least 5 participants per submission who meet this criterion are required for evaluation.

^c All Medicare Diabetes Prevention Program beneficiaries must have a blood glucose test for eligibility.