DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU 3 (ci-build) United States of America flag

DaVinci Payer Data Exchange (PDex) US Drug Formulary, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pdex-formulary/ and changes regularly. See the Directory of published versions

CodeSystem: Codes for pharmacy benefit types

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE Version: 2.1.0
Standards status: Trial-use Computable Name: PharmacyBenefitTypeCS

Codes for pharmacy benefit types. Each payer will have its own controlled vocabulary.

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

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

CodeDisplayDefinition
1-month-in-retail 1 month in network retail 1 Month Supply via in-network retail pharmacy.
1-month-out-retail 1 month out of network retail 1 Month Supply via out-of-network retail pharmacy.
1-month-in-mail 1 month in network mail order 1 Month Supply via in-network mail order pharmacy.
1-month-out-mail 1 month out of network mail order 1 Month Supply via out-of-network mail order pharmacy.
3-month-in-retail 3 month in network retail 3 Month Supply via in-network retail pharmacy.
3-month-out-retail 3 month out of network retail 3 Month Supply via out-of-network retail pharmacy.
3-month-in-mail 3 month in network mail order 3 Month Supply via in-network mail order pharmacy.
3-month-out-mail 3 month out of network mail order 3 Month Supply via out-of-network mail order pharmacy.