CARIN Consumer Realtime Pharmacy Benefit Check

CARIN Consumer Realtime Pharmacy Benefit Check - Local Development build (v0.1.00-DRAFT). See the Directory of published versions

Defining URL:

http://hl7.org/fhir/us/carin/ValueSet/rtpbc-coverage-determination

Version:

0.1.00-DRAFT

Name:

CarinRtbpcCoverageDeterminationValueSet

Definition:

This value set contains coverage levels that may apply to a prescription product.

Publisher:

CARIN Alliance

Source Resource:

This value set is not used

This value set contains coverage levels that may apply to a prescription product.

This value set contains 6 concepts

Expansion based on http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-determination version 0.1.00-DRAFT

Code	Display	Definition
covered	Covered
prior-auth	Covered with restriction: Prior authorization required	Covered with restriction: Prior authorization required
step-therapy	Covered with restriction: Step therapy applies	Covered with restriction: Step therapy applies
quantity-limit	Covered with restriction: Quantity limits apply	Covered with restriction: Quantity limits apply
other-restriction	Covered with restriction: Other restriction applies	Covered with restriction: Other restriction applies
not-covered	Not covered	Not covered