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

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: Codes for benefit type of cost - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "usdf-BenefitCostTypeCS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">copay<a name=\"usdf-BenefitCostTypeCS-copay\"> </a></td><td>Copay</td><td>A flat fee the member pays to fill the prescription.</td></tr><tr><td style=\"white-space:nowrap\">coinsurance<a name=\"usdf-BenefitCostTypeCS-coinsurance\"> </a></td><td>Coinsurance</td><td>A percentage of the cost to fill the prescription, usually after the deductible has been met.</td></tr></table></div>"
  },
  "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",
  "date" : "2021-12-03T18:37:11+00:00",
  "publisher" : "HL7 Pharmacy Working Group",
  "contact" : [
    {
      "name" : "HL7 Pharmacy Working Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication"
        },
        {
          "system" : "email",
          "value" : "pharmacy@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Types of out of pockets costs associated with the benefit",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 2,
  "concept" : [
    {
      "code" : "copay",
      "display" : "Copay",
      "definition" : "A flat fee the member pays to fill the prescription."
    },
    {
      "code" : "coinsurance",
      "display" : "Coinsurance",
      "definition" : "A percentage of the cost to fill the prescription, usually after the deductible has been met."
    }
  ]
}