DaVinci Payer Data Exchange (PDex) US Drug Formulary
1.1.0 - STU 1.1

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## CodeSystem: Codes for qualifier of copay amount

Summary

Defining URL: | http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS
Version: | 1.1.0
Name: | CopayOptionCS
Title: | Codes for qualifier of copay amount
Status: | Active as of 2021-10-15T15:46:55+00:00
Definition: | Codes for qualifier of copay amount
Publisher: | HL7 Pharmacy Working Group
Content: | Complete: All the concepts defined by the code system are included in the code system resource
Source Resource: | XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

- CopayOptionVS

This code system http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-CopayOptionCS defines the following codes:

Code | Display | Definition
after-deductible | After Deductible | The consumer first pays the deductible, and after the deductible is met, the consumer is responsible only for the copay (this indicates that this benefit is subject to the deductible).
before-deductible | Before Deductible | The consumer first pays the copay, and any net remaining allowed charges accrue to the deductible (this indicates that this benefit is subject to the deductible).
no-charge | No Charge | No cost sharing is charged (this indicates that this benefit is not subject to the deductible).
no-charge-after-deductible | No Charge After Deductible | The consumer first pays the deductible, and after the deductible is met, no copayment is charged (this indicates that this benefit is subject to the deductible).
charge | Charge | The consumer always pays just the copay and the issuer pays the remainder of allowed charges (this indicates that this benefit is not subject to the deductible).
not-applicable | Not Applicable | Deductible is not applicable: Zero-deductible cost sharing represented by a co-pay value of 'Not applicable' and co-insurance value of 'No charge'.