Blue Button 2.0 Implementation Guide

Pharmacy service type code

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{
  "resourceType" : "CodeSystem",
  "id" : "phrmcy-srvc-type-cd",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns="http://www.w3.org/1999/xhtml"><h2>Pharmacy service type code</h2><div><p>The type of pharmacy used. This variable indicates the type of pharmacy that dispensed the prescription, as recorded on the PDE. CMS requires Part D plans to maintain pharmacy networks that are sufficient to ensure access to Medicare beneficiaries – including retail, home infusion, and long-term care pharmacies. Plan sponsors have contracts with pharmacies to provide “in-network” services. Source: https://bluebutton.cms.gov/resources/variables/phrmcy<em>srvc</em>type_cd</p>
</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-phrmcy-srvc-type-cd defines the following codes:</p><table class="codes"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>01<a name="phrmcy-srvc-type-cd-01"> </a></td><td>Community/retail pharmacy</td><td>Community/retail pharmacy</td></tr><tr><td>02<a name="phrmcy-srvc-type-cd-02"> </a></td><td>Compounding pharmacy</td><td>Compounding pharmacy</td></tr><tr><td>03<a name="phrmcy-srvc-type-cd-03"> </a></td><td>Home infusion therapy provider</td><td>Home infusion therapy provider</td></tr><tr><td>04<a name="phrmcy-srvc-type-cd-04"> </a></td><td>Institutional pharmacy</td><td>Institutional pharmacy</td></tr><tr><td>05<a name="phrmcy-srvc-type-cd-05"> </a></td><td>Long-term care pharmacy</td><td>Long-term care pharmacy</td></tr><tr><td>06<a name="phrmcy-srvc-type-cd-06"> </a></td><td>Mail order pharmacy</td><td>Mail order pharmacy</td></tr><tr><td>07<a name="phrmcy-srvc-type-cd-07"> </a></td><td>Managed care organization (MCO) pharmacy</td><td>Managed care organization (MCO) pharmacy</td></tr><tr><td>08<a name="phrmcy-srvc-type-cd-08"> </a></td><td>Specialty care pharmacy</td><td>Specialty care pharmacy</td></tr><tr><td>99<a name="phrmcy-srvc-type-cd-99"> </a></td><td>Other</td><td>Other</td></tr><tr><td>Null<a name="phrmcy-srvc-type-cd-Null"> </a></td><td>Pharmacy is not in any other category above</td><td>Pharmacy is not in any other category above</td></tr></table></div>"
  },
  "url" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-phrmcy-srvc-type-cd",
  "identifier" : {
    "value" : "https://bluebutton.cms.gov/assets/ig/CodeSystem-phrmcy-srvc-type-cd.html"
  },
  "version" : "1.1.1",
  "name" : "Pharmacy service type code",
  "title" : "Pharmacy service type code",
  "status" : "active",
  "date" : "2018-11-27T15:56:35+00:00",
  "publisher" : "CMS Blue Button 2.0 Team",
  "description" : "The type of pharmacy used. This variable indicates the type of pharmacy that dispensed the prescription, as recorded on the PDE. CMS requires Part D plans to maintain pharmacy networks that are sufficient to ensure access to Medicare beneficiaries – including retail, home infusion, and long-term care pharmacies. Plan sponsors have contracts with pharmacies to provide “in-network” services. Source: https://bluebutton.cms.gov/resources/variables/phrmcy_srvc_type_cd",
  "caseSensitive" : true,
  "valueSet" : "https://bluebutton.cms.gov/assets/ig/ValueSet-phrmcy-srvc-type-cd",
  "hierarchyMeaning" : "is-a",
  "content" : "complete",
  "concept" : [
    {
      "code" : "01",
      "display" : "Community/retail pharmacy",
      "definition" : "Community/retail pharmacy"
    },
    {
      "code" : "02",
      "display" : "Compounding pharmacy",
      "definition" : "Compounding pharmacy"
    },
    {
      "code" : "03",
      "display" : "Home infusion therapy provider",
      "definition" : "Home infusion therapy provider"
    },
    {
      "code" : "04",
      "display" : "Institutional pharmacy",
      "definition" : "Institutional pharmacy"
    },
    {
      "code" : "05",
      "display" : "Long-term care pharmacy",
      "definition" : "Long-term care pharmacy"
    },
    {
      "code" : "06",
      "display" : "Mail order pharmacy",
      "definition" : "Mail order pharmacy"
    },
    {
      "code" : "07",
      "display" : "Managed care organization (MCO) pharmacy",
      "definition" : "Managed care organization (MCO) pharmacy"
    },
    {
      "code" : "08",
      "display" : "Specialty care pharmacy",
      "definition" : "Specialty care pharmacy"
    },
    {
      "code" : "99",
      "display" : "Other",
      "definition" : "Other"
    },
    {
      "code" : "Null",
      "display" : "Pharmacy is not in any other category above",
      "definition" : "Pharmacy is not in any other category above"
    }
  ]
}