DrugTierCS

Codes for medication drug tiers in health plans

activeDa Vinci Drug Formulary2.1.0complete11 concepts

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.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS-TEMPORARY-TRIAL-USE
ID
usdf-DrugTierCS-TEMPORARY-TRIAL-USE
Version
2.1.0
Publisher
HL7 International / Pharmacy
Case Sensitive
Yes

Concepts (11)

CodeDisplayDefinition
genericGenericCommonly prescribed generic drugs that cost more than drugs in the 'preferred generic' tier.
preferredPreferredCommonly prescribed drugs that are preferred by the plan.
non-preferredNon-preferredCommonly prescribed drugs that cost more than drugs in the 'preferred' tier.
preferred-genericPreferred GenericCommonly prescribed generic drugs.
non-preferred-genericNon-preferred GenericGeneric drugs that cost more than drugs in ‘generic’ tier.
specialtySpecialtyDrugs 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.
brandBrandBrand name drugs that cost more than ‘preferred brand’ drugs.
preferred-brandPreferred BrandBrand name drugs
non-preferred-brandNon-preferred BrandBrand name drugs that cost more than ‘brand’ drugs.
zero-cost-share-preventativeZero cost-share preventativePreventive medications and products available at no cost.
medical-serviceMedical ServiceDrugs that must be administered by a clinician or in a facility and may be covered under a medical benefit.