DaVinci Payer Data Exchange (PDex) US Drug Formulary STU 1

This page is part of the US Drug Formulary (v1.0.0: 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

CopayOptionCS


<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="usdf-CopayOptionCS"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
<p><b>CopayOptionCS CodeSystem</b></p>
<p>Qualifier of copay amount</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS"/>
  <version value="1.0.0"/>
  <name value="CopayOptionCS"/>
  <title value="Copay Option CS"/>
  <status value="draft"/>
  <date value="2020-01-17T00:00:00+00:00"/>
  <publisher value="HL7 Pharmacy WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/medication/"/>
    </telecom>
  </contact>
  <description value="Qualifier of copay amount"/>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="4"/>
  <concept>
    <code value="after-deductible"/>
    <display value="After Deductible"/>
    <definition
                value="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)."/>
  </concept>
  <concept>
    <code value="before-deductible"/>
    <display value="Before Deductible"/>
    <definition
                value="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)."/>
  </concept>
  <concept>
    <code value="no-charge"/>
    <display value="No Charge"/>
    <definition
                value="No cost sharing is charged (this indicates that this benefit is not subject tothe deductible)."/>
  </concept>
  <concept>
    <code value="no-charge-after-deductible"/>
    <display value="No Charge After Deductible"/>
    <definition
                value="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)."/>
  </concept>
</CodeSystem>