Stream: Da Vinci PDex Drug Formulary
Topic: RxNorm and Utilization Management (UM)
Bapi Behera (Mar 12 2020 at 15:19):
The 3 UM attributes defined in the FormularyDrug profile
- PriorAuthorization
- StepTherapy
- QuantityLimit
is linked to the RxNorm Code.
But in General, the UM is defined in a Specific NDC level. The RxCUI does not have the UM elements defined in the system. How to define the UM values into RxNorm code level?
Saul Kravitz (Mar 25 2020 at 15:14):
The IG follows the definitions in https://github.com/CMSgov/QHP-provider-formulary-APIs wherever possible, including those for both the Utilization Management information and the use of RxNorm Codes.
If that doesn't work, I suggest creating an issue against the IG in jira.hl7.org for consideration for STU2.
Bapi Behera (Mar 26 2020 at 17:37):
Saul Kravitz said:
The IG follows the definitions in https://github.com/CMSgov/QHP-provider-formulary-APIs wherever possible, including those for both the Utilization Management information and the use of RxNorm Codes.
If that doesn't work, I suggest creating an issue against the IG in jira.hl7.org for consideration for STU2.
Thank you Saul
Saul Kravitz (Mar 26 2020 at 19:34):
@Bapi Behera you can see existing Jira issues, all of them resolved during ballot resolution here -- https://jira.hl7.org/issues/?filter=12336
Last updated: Apr 12 2022 at 19:14 UTC
