CodeSystem-usdf-DrugTierCS-TEMPORARY-TRIAL-USE

Sourcehl7.fhir.us.Davinci-drug-formulary#2.0.0:DaVinci Payer Data Exchange (PDex) US Drug Formulary (v4.0.1)
resourceTypeCodeSystem
idusdf-DrugTierCS-TEMPORARY-TRIAL-USE
canonicalhttp://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE
version2.0.0
statusactive
publisherHL7 Pharmacy Working Group
nameDrugTierCS
titleCodes for medication drug tiers in health plans
date2022-08-25T13:09:53+00:00
descriptionCodes 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.
jurisdictionsus
caseSensitivetrue
contentcomplete
Usages

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

Code Display Definition
generic Generic Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier.
preferred-generic Preferred Generic Commonly prescribed generic drugs.
non-preferred-generic Non-preferred Generic Generic drugs that cost more than drugs in ‘generic’ tier.
specialty Specialty 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.
brand Brand Brand name drugs that cost more than ‘preferred brand’ drugs.
preferred-brand Preferred Brand Brand name drugs
non-preferred-brand Non-preferred Brand Brand name drugs that cost more than ‘brand’ drugs.
zero-cost-share-preventative Zero cost-share preventative Preventive medications and products available at no cost.
medical-service Medical Service Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit.

Produced 08 Sep 2023