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Publication Request

Publication Request

1. Published Name of the Standard for which request is being made

Consumer Real-Time Pharmacy Benefit Check

2. Standards Material/Document

STU

3. Date of Request

Jun 22, 2020

4. Use Period

Two years

5. Reason for extension, timeline, and actions

6. Original Publication Date

7. End date of the current STU period

Jun 22, 2022

8. Length of the requested extension

9. Review Process

10. HL7 Work Group making this request and date

Pharmacy Work Group - June 22, 2020

10a. Requesting WG Date

Jun 22, 2020

11. URL of approval minutes

https://confluence.hl7.org/pages/viewpage.action?pageId=86968720

12. HL7 Product Management Group

FHIR Management Group

12a. Management Group Date of Approval

Jul 08, 2020

13. URL of approval minutes

https://confluence.hl7.org/pages/viewpage.action?pageId=86972097

14. Is the artifact ready for final publication?

Yes

15. If not ready, please describe remaining steps.

package-list.json needs to be updated with final publish info

16. Tool name used to produce the machine processable artifacts in the IG

FHIR IG Publisher

17. The name of the “IG artifact” within the context of the above mentioned tool.

Consumer Real-Time Pharmacy Benefit Check (carin-rtpbc.xml)

18. Balloted Name of the standard for which request is being made

Consumer Real-Time Pharmacy Benefit Check

19. Requested name for published standard

Consumer Real-Time Pharmacy Benefit Check

20. If CMET, list IDs balloted

21. Project Insight Number

1543

22. Document Realm

U.S. Realm Specific

23. Ballot cycle in which the document was successfully balloted

2020-Feb

24. Results of that ballot (following reconciliation activities):

24. Results of that ballot (following reconciliation activities):

(not needed for errata, STU extension, or unballoted STU update)

25. Affirmative

44

26. Negative

17

27. Abstentions

73

28. Not Returned

28

29. Total in ballot pool

162

30. Date on which final document/standards material was supplied to HQ

Jun 22, 2020

31. URL of publication material/ SVN repository

https://github.com/HL7/carin-rtpbc

32. Publishing Facilitator

Melva Peters

33. Special Publication Instructions

34. URL of ballot reconciliation document

http://www.hl7.org/documentcenter/public/ballots/2020FEB/reconciliation/recon_fhir_ig_rx_benefitcheck_r1_d1_2020feb.xls

35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?

Yes

36. Substantive Changes Since Last Ballot?

No

37. Product Brief Reviewed By

Pharmacy Work Group

38. Date Product Brief Reviewed

Jun 22, 2020

39. Has the Product Brief changed?

Product Brief

Product Brief

40. Family

FHIR

41. Section

Implementation Guides

42. Topic

Financial Management Pharmacy

43. Please Describe the Topic

44. Product Type

Implementation Guide

45. Parent standard

FHIR

46. Parent Standard Status

Active

47. Update/replace standard

48. Common name/search keyword

RTPBC

49. Description

Using RTPBC, a patient can learn how their medications will be covered at the pharmacy, including out of pocket costs and any coverage restrictions or requirements that might apply.

Targets

Targets

These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:

50. Stakeholders

Payors, Other (specify in text box below)

51. Vendors

EHR, PHR, Health Care IT, Other (please specify)

52. Providers

N/A

53. Benefits

Enables a patient to learn how their medications will be covered at the pharmacy, including out of pocket costs and any coverage restrictions or requirements that might apply. Enables a patient to learn of pharmacy options and potential medication alternatives for their prescription.

54. Implementations/Case Studies

Consumer Applications / Payers / Medication Pricing Sources. This use case enables a patient using a consumer application to retrieve (a) prescription cost, coverage, alternative pharmacy and alternative medication information from their insurer and (b) prescription cash pricing and discount information from a medication pricing source.

55. Development Background

This Implementation Guide was developed with the sponsorship of the CARIN Alliance, and in cooperation with the National Council for Prescription Drug Programs (NCPDP).