DaVinci Payer Data Exchange (PDex) US Drug Formulary | STU2 Ballot
1.2.0 - STU2 Ballot

This page is part of the US Drug Formulary (v1.2.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

CodeSystem: Codes for benefit type of cost

Summary

Defining URL:http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS
Version:1.2.0
Name:BenefitCostTypeCS
Title:Codes for benefit type of cost
Status:Active as of 12/3/21 6:37 PM
Definition:

Types of out of pockets costs associated with the benefit

Publisher:HL7 Pharmacy Working Group
Content:Complete: All the concepts defined by the code system are included in the code system resource
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS defines the following codes:

CodeDisplayDefinition
copay CopayA flat fee the member pays to fill the prescription.
coinsurance CoinsuranceA percentage of the cost to fill the prescription, usually after the deductible has been met.