DaVinci Payer Data Exchange (PDex) US Drug Formulary
1.0.1 - STU 1.0.1

This page is part of the US Drug Formulary (v1.0.1: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

Extension: DrugTierDefinition - Mappings

Mappings for the usdf-DrugTierDefinition-extension extension.

Mappings for RIM Mapping (http://hl7.org/v3)

DrugTierDefinition
Extension
   idn/a
   extension
   extension (drugTierID)
      idn/a
      urlN/A
      value[x]N/A
   extension (mailOrder)
      idn/a
      urlN/A
      value[x]N/A
   extension (costSharing)
      idn/a
      extension
      extension (pharmacyType)
         idn/a
         urlN/A
         value[x]N/A
      extension (copayAmount)
         idn/a
         urlN/A
         value[x]N/A
      extension (copayOption)
         idn/a
         urlN/A
         value[x]N/A
      extension (coinsuranceRate)
         idn/a
         urlN/A
         value[x]N/A
      extension (coinsuranceOption)
         idn/a
         urlN/A
         value[x]N/A
      urlN/A
   urlN/A