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

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

CoinsuranceOptionVS

CoinsuranceOptionVS ValueSet

Qualifier for coinsurance rate

Defining URL:

http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/usdf-CoinsuranceOptionVS

Version:

1.0.0

Name:

CoinsuranceOptionVS

Status:

draft

Title:

Coinsurance Option VS

Definition:

Qualifier for coinsurance rate

Publisher:

HL7 Pharmacy WG

Source Resource:

XML / JSON / Turtle

Downloads: XML, JSON, Turtle

Expansion

This value set contains 3 concepts

Expansion based on http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS version 1.0.0

All codes from system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CoinsuranceOptionCS

Code	Display	Definition
after-deductible	After Deductible	The consumer first pays the deductible, and afterthe deductible is met, the consumer pays the coinsurance portion of allowed charges (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 thedeductible is met, no coinsurance is charged (this indicates that this benefit is subject to the deductible)

References

This value set is used by the following logical models, profiles and extensions:

Drug Tier Definition