DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.0 - STU 2 US

This page is part of the US Drug Formulary (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

CodeSystem: Codes for benefit type of cost

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE Version: 2.0.0
Active as of 2022-08-25 Computable Name: BenefitCostTypeCS

Types of out of pockets costs associated with the benefit

This Code system is referenced in the content logical definition of the following value sets:

This code system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-BenefitCostTypeCS-TEMPORARY-TRIAL-USE defines the following codes:

CodeDisplayDefinition
copay CopayA flat fee the member pays to fill the prescription.
coinsurance CoinsuranceA percentage of the cost to fill the prescription, usually after the deductible has been met.