Blue Button 2.0 Implementation Guide

Pharmacy service type code

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Raw xml


<CodeSystem xmlns="https://bluebutton.cms.gov/assets/ig">
  <id value="phrmcy-srvc-type-cd"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url value="https://bluebutton.cms.gov/assets/ig/CodeSystem-phrmcy-srvc-type-cd"/>
  <identifier>
    <value value="https://bluebutton.cms.gov/assets/ig/CodeSystem-phrmcy-srvc-type-cd.html"/>
  </identifier>
  <version value="1.1.1"/>
  <name value="Pharmacy service type code"/>
  <title value="Pharmacy service type code"/>
  <status value="active"/>
  <date value="2018-11-27T15:56:35+00:00"/>
  <publisher value="CMS Blue Button 2.0 Team"/>
  <description
               value="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 value="true"/>
  <valueSet value="https://bluebutton.cms.gov/assets/ig/ValueSet-phrmcy-srvc-type-cd"/>
  <hierarchyMeaning value="is-a"/>
  <content value="complete"/>
  <concept>
    <code value="01"/>
    <display value="Community/retail pharmacy"/>
    <definition value="Community/retail pharmacy"/>
  </concept>
  <concept>
    <code value="02"/>
    <display value="Compounding pharmacy"/>
    <definition value="Compounding pharmacy"/>
  </concept>
  <concept>
    <code value="03"/>
    <display value="Home infusion therapy provider"/>
    <definition value="Home infusion therapy provider"/>
  </concept>
  <concept>
    <code value="04"/>
    <display value="Institutional pharmacy"/>
    <definition value="Institutional pharmacy"/>
  </concept>
  <concept>
    <code value="05"/>
    <display value="Long-term care pharmacy"/>
    <definition value="Long-term care pharmacy"/>
  </concept>
  <concept>
    <code value="06"/>
    <display value="Mail order pharmacy"/>
    <definition value="Mail order pharmacy"/>
  </concept>
  <concept>
    <code value="07"/>
    <display value="Managed care organization (MCO) pharmacy"/>
    <definition value="Managed care organization (MCO) pharmacy"/>
  </concept>
  <concept>
    <code value="08"/>
    <display value="Specialty care pharmacy"/>
    <definition value="Specialty care pharmacy"/>
  </concept>
  <concept>
    <code value="99"/>
    <display value="Other"/>
    <definition value="Other"/>
  </concept>
  <concept>
    <code value="Null"/>
    <display value="Pharmacy is not in any other category above"/>
    <definition value="Pharmacy is not in any other category above"/>
  </concept>
</CodeSystem>