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

Table of Contents

..0 Table of Contents
...1 IG Home Page
...2 Use Cases
...3 Information Content and FHIR Resources
...4 Business Rules
...5 Submission Method
...6 Error Handling
...7 Security
...8 Consumer vs Provider RTPBC
...9 Profiles and Extensions
...10 Terminology
...11 Capability Statements
...12 Examples
...13 Downloads
...14 Artifacts Summary
....14.1 RtpbcRequesterCapabilityStatement
....14.2 RtpbcResponderCapabilityStatement
....14.3 RtpbcRequestMessageDefinition
....14.4 RtpbcResponseMessageDefinition
....14.5 RtpbcRequestClaim
....14.6 RtpbcResponseClaimResponse
....14.7 RtpbcPatient
....14.8 RtpbcCoverage
....14.9 RtpbcMedicationRequest
....14.10 RtpbcPharmacy
....14.11 RtpbcRequestMessageHeader
....14.12 RtpbcResponseMessageHeader
....14.13 RtpbcRequestBundle
....14.14 RtpbcResponseBundle
....14.15 RtpbcIsAlternativeExtension
....14.16 RtpbcBenefitRestrictionExtension
....14.17 RtpbcPrescribableProductCodeValueSet
....14.18 RtbpcBillingUnitValueSet
....14.19 RtpbcErrorCodeValueSet
....14.20 RtbpcEventTypeValueSet
....14.21 RtpbcCountryCodeValueSet
....14.22 RtbpcBenefitRestrictionValueSet
....14.23 RtbpcPatientPayTypeValueSet
....14.24 RtbpcPharmacyTypeValueSet
....14.25 RtbpcStateAndProvinceCodeValueSet
....14.26 RtpbcBenefitRestrictionCodeSystem
....14.27 RtpbcEventTypeCodeSystem
....14.28 RtpbcPatientPayTypeCodeSystem
....14.29 RtpbcNamingSystemCanadaPostProvinceCode
....14.30 RtpbcNamingSystemNcpdpPharmacyType
....14.31 RtpbcNamingSystemNcpdpId
....14.32 RtpbcNamingSystemNcpdpRejectCode
....14.33 Example RTPBC Request (Claim)
....14.34 RTPBC Request to a Pricing Source
....14.35 Example RTPBC Response
....14.36 Example RTPBC Response - not covered
....14.37 RTPBC Response from a pricing source
....14.38 Example RTPBC Patient
....14.39 Example RTPBC Coverage
....14.40 Example RTPBC MedicationRequest
....14.41 Example RTPBC Pharmacy Organization - Hometown Drug
....14.42 Example RTPBC Pharmacy Organization - My Mail Service Pharmacy
....14.43 Example RTPBC Request MessageHeader
....14.44 Example RTPBC Response MessageHeader
....14.45 Example RTPBC Request Bundle
....14.46 RTPBC Request Bundle submitted to a pricing source
....14.47 Example RTPBC Response Bundle
....14.48 RTPBC Response Bundle returned by a pricing source
....14.49 Example US Core Practitioner as used in RTPBC