HL7.FHIR.US.DAVINCI-DRUG-FORMULARY\Codes for qualifier of copay amount

This page is part of the US Drug Formulary (v1.0.1: STU 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 qualifier of copay amount

Summary

Defining URL:

http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS

Version:

1.0.1

Name:

CopayOptionCS

Title:

Codes for qualifier of copay amount

Status:

Active as of 2020-12-21T16:49:28+00:00

Definition:

Codes for qualifier of copay amount

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:

CopayOptionVS

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

Code	Display
after-deductible	After Deductible: The consumer first pays the deductible, and after the deductible is met, the consumer is responsible only for the copay (this indicates that this benefit is subject to the deductible).
before-deductible	Before Deductible: The consumer first pays the copay, and any net remaining allowed charges accrue to the deductible (this indicates that this benefit is subject to the deductible).
no-charge	No Charge: No cost sharing is charged (this indicates that this benefit is not subject to the deductible).
no-charge-after-deductible	No Charge After Deductible: The consumer first pays the deductible, and after the deductible is met, no copayment is charged (this indicates that this benefit is subject to the deductible).