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

DrugTierVS

DrugTierVS ValueSet

The drug tier of a particular medication in a health plan. Base set are examples. Each plan may have its own controlled vocabulary.

Defining URL:

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

Version:

1.0.0

Name:

DrugTierVS

Status:

draft

Title:

Drug Tier VS

Definition:

The drug tier of a particular medication in a health plan. Base set are examples. Each plan may have its own controlled vocabulary.

Publisher:

HL7 Pharmacy WG

Source Resource:

XML / JSON / Turtle

Downloads: XML, JSON, Turtle

Expansion

This value set contains 9 concepts

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

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

Code	Display	Definition
generic	Generic	Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier.
preferred-generic	Preferred Generic	Commonly prescribed generic drugs.
non-preferred-generic	Non-preferred Generic	Generic drugs that cost more than drugs in ‘generic’ tier.
specialty	Specialty	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.
brand	Brand	Brand name drugs that cost more than ‘preferred brand’ drugs.
preferred-brand	Preferred Brand	Brand name drugs
non-preferred-brand	Non-preferred Brand	Brand name drugs that cost more than ‘brand’ drugs.
zero-cost-share-preventive	Zero cost-share preventive	Preventive medications and products available at no cost.
medical-service	Medical Service	Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit.

References

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