Dispense PharmaService Codes Final

Value Set

http://pharmacyeclaims.ca/FHIR/ValueSet/dispense-pharma-service

Code System

http://pharmacyeclaims.ca/FHIR/CodeSystem/dispense-pharma-service

This value set identifies the various service codes that are used within the Claim. This code set will only expand if and when there are additional fiscal details to be shared.

Code	Display	Definition	CPHA Value for Mapping
Proffee	Professional Fee	Pharmacist's fee for professional and technical activities associated with providing the prescribed medication and service	Professional Fee D.68.03
DrugCost	Drug Cost	Total cost of ingredient(s) in prescription dispensed, or total value of supplies issued	Drug Cost/Product Value D.66.03
Upcharge	Cost Upcharge	The agreed upcharge on the cost of dispensed product calculated as a specific amount	Cost Upcharge D.67.03
CompoundCharge	Compounding Charge	Amount payable for compounding the prescription	Compounding Charge D.70.03
CompoundTime	Compounding Time	The time in minutes required to compound the prescription	Compounding Time D.71.03
SSF	Special Services Fee(s)	Refers to special services consistent with contractual agreements between provider and plan administrators	Special Services Fee(s) D.72.03
QCProffee	Quebec Professional Fee	Only applicable to claims in Quebec	No mapping - new
QCRefPrice	Quebec Reference Price	Only applicable to claims in Quebec	No mapping - new
QCRetailDispense	Quebec Retail + Dispense	Only applicable to claims in Quebec	No mapping - new
EligibleAmtProvincial		Eligible amount for the provincial plan conveyed in the request message for some plans	Special Services code (now deprecated for dispense)