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Type:
Change Request
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Resolution: Not Persuasive with Modification
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Priority:
Medium
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US CARIN Real-time Pharmacy Benefit Check (RTPBC) (FHIR)
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Pharmacy
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Consumer vs provider RTPBC [deprecated]
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Frank McKinney / Daniel Zhang : 12-0-0
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Clarification
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Non-substantive
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0.1.0
Some payers consider this important information to get patients on more clinically appropriate alternatives. It can include safety alerts based on a patient’s medication profile or allergies.
Instead of removing items from the standard, it would be better to leave it to the application to decide whether and how they want to display the information.
Existing Wording:
Response > Alternative medication > Drug utilization review (DUR) is in NCPDP, but not in this FHIR IG.
Proposed Wording:
Include DUR in the Response.
- is voted on by
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BALLOT-12163 Negative - Christopher Schaut : 2020-Feb-RX BENEFITCHECK R1
- Balloted
- relates to
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FHIR-26503 Some plans only cover a 30 day retail supply, followed by mail-order only…
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- Resolved - change required
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FHIR-26501 [restricted opioid prescriber] might be important for them to know as well…
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- Resolved - change required
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FHIR-26507 To have an option to return what is paid by the PBM would be helpful…
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- Triaged
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FHIR-26501 [restricted opioid prescriber] might be important for them to know as well…
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- Resolved - change required
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