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. For a full list of available versions, see the Directory of published versions

Terminology

Value Sets

• RTPBC Billing Unit
• RTPBC Country Code
• RTPBC Benefit Restriction
• RTPBC Error Code
• RTPBC Event Type
• RTPBC Patient Pay Type
• RTPBC Pharmacy Type
• RTPBC Prescribable Product Code
• RTPBC State and Province Code

Code Systems

Code systems defined for use in the consumer Real-time Prescription Benefit Check (RTPBC) process

The following code systems define consumer-friendly insurance coverage concepts for use in RTPBC responses:

• RTPBC Benefit Restriction
• RTPBC Event Type
• RTPBC Patient Pay Type

Naming Systems

Code and identifier systems maintained by other organizations

• NCPDP Provider ID
• NCPDP Reject Code (511-FB)
• NCPDP Pharmacy Type (955-HR)
• Canada Post Province Code