Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0-ballot - STU 2 Ballot United States of America flag

Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

Example ClaimResponse: rtpbc-claim-response-price-source

Page standards status: Informative

identifier: rtpbc-response-price-source

status: Active

type: Pharmacy

use: Predetermination

patient: ?rref?

created: 2025-11-15 13:10:13-0500

insurer: ?rref?

request: Identifier: rtpbc-01

outcome: Processing Complete

disposition: Processed successfully

item

itemSequence: 1

noteNumber: 1

adjudication

category: Full product cash price

Amounts

-ValueCurrency
*105United States dollar

adjudication

category: Coupon discount amount

Amounts

-ValueCurrency
*-20United States dollar

adjudication

category: Total patient responsibility

Amounts

-ValueCurrency
*85United States dollar

addItem

RTPBC isAlternative Extension: true

itemSequence: 1

productOrService: fluoxetine 10 MG Oral Capsule [Prozac]

quantity: 60 {Each}

adjudication

category: Full product cash price

Amounts

-ValueCurrency
*50United States dollar

adjudication

category: Coupon discount amount

Amounts

-ValueCurrency
*-10United States dollar

adjudication

category: Total patient responsibility

Amounts

-ValueCurrency
*40United States dollar