Pharmacy
Class DrugCoverageStatus

This class is used to convey information regarding whether and how a prescribed medication is covered under a payer's formulary. This class is only used for prescribed drugs which are expected to be paid for by a third party such as an insurance company. This class is not used when a patient is paying for medications out of pocket.

Attributes
«CS» Code drugCoverageCode drugCoverageCode

"Code identifying the coverage status of the prescribed drug." - NCPDP Script (Field 7885, Data Dictionary 201104). Possible values include: Approved, Differential Co-Pay, Non Formulary, Not Reimbursed, Preferred, Prior Authorization Required, Signed Prescription, Step Therapy Required, Unknown.


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameDrugCoverageStatus
Name Expression
NamespacePharmacy
Owned Template Signature
OwnerPharmacy
Owning Template Parameter
PackagePharmacy
Qualified NameFHIM::Pharmacy::DrugCoverageStatus
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 drugCoverageCode
Public «CS» Code drugCoverageCode

"Code identifying the coverage status of the prescribed drug." - NCPDP Script (Field 7885, Data Dictionary 201104). Possible values include: Approved, Differential Co-Pay, Non Formulary, Not Reimbursed, Preferred, Prior Authorization Required, Signed Prescription, Step Therapy Required, Unknown.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassDrugCoverageStatus
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamedrugCoverageCode
Name Expression
NamespaceDrugCoverageStatus
Opposite
OwnerDrugCoverageStatus
Owning Association
Owning Template Parameter
Qualified NameFHIM::Pharmacy::DrugCoverageStatus::drugCoverageCode
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic