DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.1 - STU 2 United States of America flag

This page is part of the US Drug Formulary (v2.0.1: STU 2) 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 pharmacy benefit types

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE Version: 2.0.1
Standards status: Trial-use Computable Name: PharmacyBenefitTypeCS

Codes for pharmacy benefit types. Each payer will have its own controlled vocabulary.

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

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

CodeDisplayDefinition
1-month-in-retail 1 month in network retail1 Month Supply via in-network retail pharmacy.
1-month-out-retail 1 month out of network retail1 Month Supply via out-of-network retail pharmacy.
1-month-in-mail 1 month in network mail order1 Month Supply via in-network mail order pharmacy.
1-month-out-mail 1 month out of network mail order1 Month Supply via out-of-network mail order pharmacy.
3-month-in-retail 3 month in network retail3 Month Supply via in-network retail pharmacy.
3-month-out-retail 3 month out of network retail3 Month Supply via out-of-network retail pharmacy.
3-month-in-mail 3 month in network mail order3 Month Supply via in-network mail order pharmacy.
3-month-out-mail 3 month out of network mail order3 Month Supply via out-of-network mail order pharmacy.