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 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

Terminology

Value Sets

• RTPBC Billing Unit
• RTPBC Country Code
• RTPBC Benefit Restriction
• RTPBC Error Code
• RTPBC Event Type
• RTPBC Patient Pay Type
• RTPBC Pharmacy Type
• RTPBC Prescribable Product Code
• RTPBC State and Province Code

Code Systems

Code systems defined for use in the consumer Real-time Prescription Benefit Check (RTPBC) process

The following code systems define consumer-friendly insurance coverage concepts for use in RTPBC responses:

• RTPBC Benefit Restriction
• RTPBC Event Type
• RTPBC Patient Pay Type

Code and identifier systems maintained by other organizations

• NCPDP Provider ID
• NCPDP Reject Code (511-FB)
• NCPDP Pharmacy Type (955-HR)
• Canada Post Province Code