DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.1 - STU 2 United States of America flag

This page is part of the US Drug Formulary (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

ValueSet: Pharmacy benefit types

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/PharmacyBenefitTypeVS Version: 2.0.1
Standards status: Trial-use Computable Name: PharmacyBenefitTypeVS

Pharmacy benefit types. Each payer will have its own controlled vocabulary.

References

Logical Definition (CLD)

 

Expansion

Expansion based on codesystem Codes for pharmacy benefit types v2.0.1 (CodeSystem)

This value set contains 8 concepts

CodeSystemDisplayDefinition
  1-month-in-retailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE1 month in network retail

1 Month Supply via in-network retail pharmacy.

  1-month-out-retailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE1 month out of network retail

1 Month Supply via out-of-network retail pharmacy.

  1-month-in-mailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE1 month in network mail order

1 Month Supply via in-network mail order pharmacy.

  1-month-out-mailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE1 month out of network mail order

1 Month Supply via out-of-network mail order pharmacy.

  3-month-in-retailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE3 month in network retail

3 Month Supply via in-network retail pharmacy.

  3-month-out-retailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE3 month out of network retail

3 Month Supply via out-of-network retail pharmacy.

  3-month-in-mailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE3 month in network mail order

3 Month Supply via in-network mail order pharmacy.

  3-month-out-mailhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE3 month out of network mail order

3 Month Supply via out-of-network mail order pharmacy.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code