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
{
"resourceType" : "CodeSystem",
"id" : "usdf-DrugTierCS",
"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-DrugTierCS defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">generic<a name=\"usdf-DrugTierCS-generic\"> </a></td><td>Generic: Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier.</td></tr><tr><td style=\"white-space:nowrap\">preferred-generic<a name=\"usdf-DrugTierCS-preferred-generic\"> </a></td><td>Preferred Generic: Commonly prescribed generic drugs.</td></tr><tr><td style=\"white-space:nowrap\">non-preferred-generic<a name=\"usdf-DrugTierCS-non-preferred-generic\"> </a></td><td>Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier.</td></tr><tr><td style=\"white-space:nowrap\">specialty<a name=\"usdf-DrugTierCS-specialty\"> </a></td><td>Specialty: Drugs used to treat complex conditions like cancer and multiple sclerosis. They can be generic or brand name, and are typically the most expensive drugs on the formulary.</td></tr><tr><td style=\"white-space:nowrap\">brand<a name=\"usdf-DrugTierCS-brand\"> </a></td><td>Brand: Brand name drugs that cost more than ‘preferred brand’ drugs.</td></tr><tr><td style=\"white-space:nowrap\">preferred-brand<a name=\"usdf-DrugTierCS-preferred-brand\"> </a></td><td>Preferred Brand: Brand name drugs</td></tr><tr><td style=\"white-space:nowrap\">non-preferred-brand<a name=\"usdf-DrugTierCS-non-preferred-brand\"> </a></td><td>Non-preferred Brand: Brand name drugs that cost more than ‘brand’ drugs.</td></tr><tr><td style=\"white-space:nowrap\">zero-cost-share-preventative<a name=\"usdf-DrugTierCS-zero-cost-share-preventative\"> </a></td><td>Zero cost-share preventative: Preventive medications and products available at no cost.</td></tr><tr><td style=\"white-space:nowrap\">medical-service<a name=\"usdf-DrugTierCS-medical-service\"> </a></td><td>Medical Service: Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit.</td></tr></table></div>"
},
"url" : "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS",
"version" : "1.0.1",
"name" : "DrugTierCS",
"title" : "Codes for medication drug tiers in health plans",
"status" : "active",
"date" : "2020-12-21T16:49:28+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" : "Codes to represent the drug tier of a particular medication in a health plan. Base set are examples. Each plan may have its own controlled vocabulary.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"content" : "complete",
"count" : 9,
"concept" : [
{
"code" : "generic",
"display" : "Generic: Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier."
},
{
"code" : "preferred-generic",
"display" : "Preferred Generic: Commonly prescribed generic drugs."
},
{
"code" : "non-preferred-generic",
"display" : "Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier."
},
{
"code" : "specialty",
"display" : "Specialty: Drugs used to treat complex conditions like cancer and multiple sclerosis. They can be generic or brand name, and are typically the most expensive drugs on the formulary."
},
{
"code" : "brand",
"display" : "Brand: Brand name drugs that cost more than ‘preferred brand’ drugs."
},
{
"code" : "preferred-brand",
"display" : "Preferred Brand: Brand name drugs"
},
{
"code" : "non-preferred-brand",
"display" : "Non-preferred Brand: Brand name drugs that cost more than ‘brand’ drugs."
},
{
"code" : "zero-cost-share-preventative",
"display" : "Zero cost-share preventative: Preventive medications and products available at no cost."
},
{
"code" : "medical-service",
"display" : "Medical Service: Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit."
}
]
}