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

ValueSet: Benefit type of cost

Summary

Defining URL:http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/BenefitCostTypeVS
Version:1.2.0
Name:BenefitCostTypeVS
Title:Benefit type of cost
Status:Active as of 12/3/21 6:37 PM
Definition:

Benefit type of cost

Publisher:HL7 Pharmacy Working Group
Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

 

Expansion

This value set contains 2 concepts

Expansion based on Codes for benefit type of cost v1.2.0 (CodeSystem)

All codes in this table are from the system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS

CodeDisplayDefinition
copayCopayA flat fee the member pays to fill the prescription.
coinsuranceCoinsuranceA percentage of the cost to fill the prescription, usually after the deductible has been met.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code