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
| Page standards status: Informative |
Language: en
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
Value Currency 105 United States dollar adjudication
category: Coupon discount amount
Amounts
Value Currency -20 United States dollar adjudication
category: Total patient responsibility
Amounts
Value Currency 85 United 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
Value Currency 50 United States dollar adjudication
category: Coupon discount amount
Amounts
Value Currency -10 United States dollar adjudication
category: Total patient responsibility
Amounts
Value Currency 40 United States dollar