DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU2.1 US

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

ValueSet: Pharmacy benefit types

Official URL: http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/PharmacyBenefitTypeVS Version: 2.1.0
Standards status: Trial-use Computable Name: PharmacyBenefitTypeVS
Other Identifiers: OID:2.25.74595174031514506193398850787025340071.48.7

Pharmacy benefit types. Each payer will have its own controlled vocabulary.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Codes for pharmacy benefit types v2.1.0 (CodeSystem)

This value set contains 8 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  1-month-in-retail1 month in network retail1 Month Supply via in-network retail pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  1-month-out-retail1 month out of network retail1 Month Supply via out-of-network retail pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  1-month-in-mail1 month in network mail order1 Month Supply via in-network mail order pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  1-month-out-mail1 month out of network mail order1 Month Supply via out-of-network mail order pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  3-month-in-retail3 month in network retail3 Month Supply via in-network retail pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  3-month-out-retail3 month out of network retail3 Month Supply via out-of-network retail pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  3-month-in-mail3 month in network mail order3 Month Supply via in-network mail order pharmacy.
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS-TEMPORARY-TRIAL-USE  3-month-out-mail3 month out of network mail order3 Month Supply via out-of-network mail order pharmacy.

Description of the above table(s).