DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU2.1 United States of America flag

This page is part of the US Drug Formulary (v2.1.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

CodeSystem: Codes for benefit type of cost

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE Version: 2.1.0
Standards status: Trial-use Computable Name: BenefitCostTypeCS
Other Identifiers: OID:2.25.74595174031514506193398850787025340071.16.1

Types of out of pockets costs associated with the benefit

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

Generated Narrative: CodeSystem usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE

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

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