caseSensitivecompositionalcontentcopyrightdatedescriptionexperimentalhierarchyMeaningjurisdiction
jurisdiction[0]namepublisher- Values Differ
purposestatustitleurlversion- Values Differ
versionNeeded| Error | CodeSystem.version | Values for version differ: '1.0.0' vs '2.0.0' |
| Information | CodeSystem.publisher | Values for publisher differ: 'HL7 International - Pharmacy' vs 'HL7 International / Pharmacy' |
| Name | Value | Comments | |
|---|---|---|---|
| caseSensitive | false | ||
| compositional | |||
| content | complete | ||
| copyright | |||
| date | 2020-05-23T00:00:00-05:00 | ||
| description | This code system defines a set of benefit restrictions that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process. | ||
| experimental | false | ||
| hierarchyMeaning | |||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| name | RtpbcBenefitRestrictionCodeSystem | ||
| publisher | HL7 International - Pharmacy | HL7 International / Pharmacy |
|
| purpose | |||
| status | active | ||
| title | RTPBC Benefit Restriction Code System | ||
| url | http://hl7.org/fhir/us/carin-rtpbc/CodeSystem/rtpbc-benefit-restriction | ||
| version | 1.0.0 | 2.0.0 |
|
| versionNeeded | |||
| Code | Display | Comments | |
|---|---|---|---|
| covered | Covered | ||
| prior-auth | Prior authorization required | ||
| step-therapy | Step therapy applies | ||
| quantity-limit | Quantity limit applies | ||
| pharmacy-restriction | Pharmacy restriction applies | ||
| other-restriction | Other restriction applies | ||
| not-covered | Not covered | ||
| additional-fills-not-covered | Additional fills not covered |
| |
| fill-too-soon | Fill too soon |
| |
| days-supply-limitation | Days supply limitation for product/service |
| |
| route-not-covered | Route of administration not covered |
| |