Consumer Real-Time Pharmacy Benefit Check
1.0.0 - STU1

This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Examples

Full Request

Request submitted as a Bundle containing a Claim and supporting resources.

Processor: Patient’s insurer

Bundled RTPBC request to an insurer

Processor: Medication Pricing Source

Bundled RTPBC request to a medication pricing source

Full Response

Response returned as a Bundle containing a ClaimResponse and supporting resources.
Processor: Patient’s insurer

Bundled RTPBC response from an insurer

Processor: Medication Pricing Source
Bundled RTPBC response from a medication pricing source

Individual Resources


Type Name
Claim RTPBC Claim resource submitted to an insurer
Claim RTPBC Claim resource submitted to a pricing source
ClaimResponse RTPBC ClaimResponse resource returned by an insurer
ClaimResponse RTPBC ClaimResponse resource returned by a pricing source
ClaimResponse RTPBC ClaimResponse resource - drug is not covered
Coverage RTPBC Coverage resource
MedicationRequest RTPBC MedicationRequest resource
MessageHeader RTPBC request MessageHeader
MessageHeader RTPBC response MessageHeader
Organization RTPBC Organization resource - Hometown Drug
Organization RTPBC Organization resource - My Mail Service Pharmacy
Patient RTPBC Patient resource
Practitioner US Core Practitioner (prescriber) resource