{ "resourceType" : "CodeSystem", "id" : "usdf-DrugTierCS-TEMPORARY-TRIAL-USE", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: CodeSystem usdf-DrugTierCS-TEMPORARY-TRIAL-USE

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

CodeDisplayDefinition
generic GenericCommonly prescribed generic drugs that cost more than drugs in the 'preferred generic' tier.
preferred PreferredCommonly prescribed drugs that are preferred by the plan.
non-preferred Non-preferredCommonly prescribed drugs that cost more than drugs in the 'preferred' tier.
preferred-generic Preferred GenericCommonly prescribed generic drugs.
non-preferred-generic Non-preferred GenericGeneric drugs that cost more than drugs in ‘generic’ tier.
specialty SpecialtyDrugs used to treat complex conditions like cancer and multiple sclerosis. They can be generic or brand name, and are typically the most expensive drugs on the formulary.
brand BrandBrand name drugs that cost more than ‘preferred brand’ drugs.
preferred-brand Preferred BrandBrand name drugs
non-preferred-brand Non-preferred BrandBrand name drugs that cost more than ‘brand’ drugs.
zero-cost-share-preventative Zero cost-share preventativePreventive medications and products available at no cost.
medical-service Medical ServiceDrugs that must be administered by a clinician or in a facility and may be covered under a medical benefit.
" }, "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "phx" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "trial-use", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/fhir/us/davinci-drug-formulary/ImplementationGuide/hl7.fhir.us.davinci-drug-formulary" }] } }], "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE", "identifier" : [{ "system" : "urn:ietf:rfc:3986", "value" : "urn:oid:2.25.74595174031514506193398850787025340071.16.3" }], "version" : "2.1.0", "name" : "DrugTierCS", "title" : "Codes for medication drug tiers in health plans", "status" : "active", "experimental" : false, "date" : "2026-05-21T13:01:52+00:00", "publisher" : "HL7 International / Pharmacy", "contact" : [{ "name" : "HL7 International / Pharmacy", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/medication" }, { "system" : "email", "value" : "pharmacy@lists.HL7.org" }] }], "description" : "Codes to represent the drug tier of a particular medication in a health plan. Base set are examples. Each plan may have its own controlled vocabulary.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "US" }] }], "caseSensitive" : true, "content" : "complete", "count" : 11, "concept" : [{ "code" : "generic", "display" : "Generic", "definition" : "Commonly prescribed generic drugs that cost more than drugs in the 'preferred generic' tier." }, { "code" : "preferred", "display" : "Preferred", "definition" : "Commonly prescribed drugs that are preferred by the plan." }, { "code" : "non-preferred", "display" : "Non-preferred", "definition" : "Commonly prescribed drugs that cost more than drugs in the 'preferred' tier." }, { "code" : "preferred-generic", "display" : "Preferred Generic", "definition" : "Commonly prescribed generic drugs." }, { "code" : "non-preferred-generic", "display" : "Non-preferred Generic", "definition" : "Generic drugs that cost more than drugs in ‘generic’ tier." }, { "code" : "specialty", "display" : "Specialty", "definition" : "Drugs used to treat complex conditions like cancer and multiple sclerosis. They can be generic or brand name, and are typically the most expensive drugs on the formulary." }, { "code" : "brand", "display" : "Brand", "definition" : "Brand name drugs that cost more than ‘preferred brand’ drugs." }, { "code" : "preferred-brand", "display" : "Preferred Brand", "definition" : "Brand name drugs" }, { "code" : "non-preferred-brand", "display" : "Non-preferred Brand", "definition" : "Brand name drugs that cost more than ‘brand’ drugs." }, { "code" : "zero-cost-share-preventative", "display" : "Zero cost-share preventative", "definition" : "Preventive medications and products available at no cost." }, { "code" : "medical-service", "display" : "Medical Service", "definition" : "Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit." }] }