{
  "description": "This code system defines a set of coverage outcomes that may apply to a prescription product and pharmacy combination evaluated in the Real-time Pharmacy Benefit Check (RTPBC) process.",
  "_filename": "CodeSystem-carin-rtpbc-coverage-summary-code-system.json",
  "package_name": "hl7.fhir.us.carin-rtpbc",
  "date": "2019-12-08T05:00:00+00:00",
  "meta": {
    "lastUpdated": "2019-12-08T05:00:00.000+00:00"
  },
  "publisher": "CARIN Alliance",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "content": "complete",
  "name": "CarinRtpbcCoverageSummaryCodeSystem",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "CARIN RTPBC Coverage Summary Code System",
  "package_version": "0.1.0",
  "status": "active",
  "id": "ab4fe2c9-f269-4351-b7dc-390f9186eee6",
  "kind": null,
  "url": "http://hl7.org/fhir/us/carin/CodeSystem/rtpbc-coverage-summary",
  "concept": [ {
    "code": "covered",
    "display": "Covered",
    "definition": "Covered"
  }, {
    "code": "prior-auth",
    "display": "Prior authorization required",
    "definition": "Covered with restriction: Prior authorization required"
  }, {
    "code": "step-therapy",
    "display": "Step therapy applies",
    "definition": "Covered with restriction: Step therapy applies"
  }, {
    "code": "quantity-limit",
    "display": "Quantity limits apply",
    "definition": "Covered with restriction: Quantity limits apply"
  }, {
    "code": "pharmacy-restriction",
    "display": "Pharmacy restriction applies",
    "definition": "Pharmacy restriction applies"
  }, {
    "code": "other-restriction",
    "display": "Other restriction applies",
    "definition": "Covered with restriction: Other restriction applies"
  }, {
    "code": "not-covered",
    "display": "Not covered",
    "definition": "Not covered"
  } ],
  "caseSensitive": false,
  "version": "0.1.0"
}