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

CopayOptionVS

CopayOptionVS ValueSet

Qualifier of copay amount

Defining URL:

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

Version:

1.0.0

Name:

CopayOptionVS

Status:

draft

Title:

Copay Option VS

Definition:

Qualifier of copay amount

Publisher:

HL7 Pharmacy WG

Source Resource:

XML / JSON / Turtle

Downloads: XML, JSON, Turtle

Expansion

This value set contains 4 concepts

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

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

Code	Display	Definition
after-deductible	After Deductible	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).
before-deductible	Before Deductible	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).
no-charge	No Charge	No cost sharing is charged (this indicates that this benefit is not subject tothe deductible).
no-charge-after-deductible	No Charge After Deductible	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).

References

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

Drug Tier Definition