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

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DrugTierCS

{
  "resourceType" : "CodeSystem",
  "id" : "usdf-DrugTierCS",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<p><b>DrugTierCS CodeSystem</b></p>\n<p>The drug tier of a particular medication in a health plan.  Base set are examples.  Each plan may have its own controlled vocabulary.</p>\n</div>"
  },
  "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS",
  "version" : "1.0.0",
  "name" : "DrugTierCS",
  "title" : "Drug Tier CS",
  "status" : "draft",
  "date" : "2020-01-17T00:00:00+00:00",
  "publisher" : "HL7 Pharmacy WG",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/"
        }
      ]
    }
  ],
  "description" : "The drug tier of a particular medication in a health plan.  Base set are examples.  Each plan may have its own controlled vocabulary.",
  "caseSensitive" : true,
  "content" : "complete",
  "count" : 9,
  "concept" : [
    {
      "code" : "generic",
      "display" : "Generic",
      "definition" : "Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier."
    },
    {
      "code" : "preferred-generic",
      "display" : "Preferred Generic",
      "definition" : "Commonly prescribed generic drugs."
    },
    {
      "code" : "non-preferred-generic",
      "display" : "Non-preferred Generic",
      "definition" : "Generic drugs that cost more than drugs in ‘generic’ tier."
    },
    {
      "code" : "specialty",
      "display" : "Specialty",
      "definition" : "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",
      "definition" : "Brand name drugs that cost more than ‘preferred brand’ drugs."
    },
    {
      "code" : "preferred-brand",
      "display" : "Preferred Brand",
      "definition" : "Brand name drugs"
    },
    {
      "code" : "non-preferred-brand",
      "display" : "Non-preferred Brand",
      "definition" : "Brand name drugs that cost more than ‘brand’ drugs."
    },
    {
      "code" : "zero-cost-share-preventive",
      "display" : "Zero cost-share preventive",
      "definition" : "Preventive medications and products available at no cost."
    },
    {
      "code" : "medical-service",
      "display" : "Medical Service",
      "definition" : "Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit."
    }
  ]
}