Pharmacy

Records the ZIP code of the pharmacy location or delivery address where a medication was dispensed. Used in pharmacy claims and PBM systems to support geographic analysis of drug utilization, identify network pharmacy locations, and comply with state-level pharmacy reporting and regulatory requirements.

The amount paid to a pharmacy for the professional services associated with filling a prescription, separate from the ingredient cost of the drug, compensating the pharmacy for pharmacist time, overhead, drug utilization review, patient counseling, and dispensing activities. Dispensing fees are negotiated in pharmacy network contracts and vary by pharmacy type with specialty pharmacies typically receiving higher fees reflecting enhanced clinical services.

Captures the fixed patient cost-sharing amount applied to a clinical document transaction, such as a visit summary or diagnostic report tied to a billable encounter. Used in healthcare billing systems to record patient financial responsibility at the document level and support explanation of benefits reconciliation.

Records the patient cost-sharing liability assessed for a specific medication dose, particularly in specialty drug or infusion therapy billing. Used in pharmacy and medical claims processing to capture per-dose patient responsibility, support member cost transparency, and reconcile drug administration charges.

Unique number used to track, bill and manage therapeutic compound or medication. Usually internal number to trace inventory control and drug utilization with the pharmacy settings.

A binary flag indicating whether a drug record is currently active within a formulary, drug master file, or clinical database. Used in pharmacy benefit management and clinical decision support systems to filter eligible medications, suppress inactive drugs from dispensing workflows, and maintain formulary accuracy.

Describes the current lifecycle state of a drug within a pharmacy or clinical system, such as active, inactive, discontinued, or pending approval. Used in formulary management and drug master files to control prescribing eligibility, dispensing permissions, and integration with clinical decision support rules.

In pharmacy management, "drug address" refers to the specific, designated storage location (aisle, shelf, bin) where a medication is stored, often used in automated systems.

Records the financial modification applied to a drug claim transaction, such as a price correction, formulary rebate, or utilization management adjustment. Used in pharmacy claims adjudication and PBM financial reconciliation to reflect net drug cost after contractual, regulatory, or clinical adjustments are applied.

Incase of outpatient pharmacy its the date of prescription filled. It could mean the date when patient was admitted incase of inpatient pharmacy. Drug filled date is the best bet.

Represents the time elapsed since a drug product was first approved, introduced to market, or added to a formulary. Used in pharmacy analytics and formulary management to assess drug lifecycle stage, evaluate generic availability timelines, and support utilization strategy decisions around branded versus generic alternatives.

Specifies the maximum reimbursable amount a payer will pay for a specific drug under contract or formulary terms. Used in pharmacy claims adjudication to establish the payment ceiling for ingredient cost reimbursement, calculate member cost-sharing obligations, and support network pharmacy contract compliance.

Monetary value associated with a drug transaction within provider billing and pharmacy adjudication systems. Captured in claims, EHR charge capture, and PBM remittance data. Used in cost analytics, formulary management reporting, and downstream financial reconciliation integrations.

Indicates the regulatory or formulary authorization state of a drug, such as FDA-approved, prior authorization required, non-formulary, or under review. Used in pharmacy benefit management and clinical systems to enforce coverage policies, trigger prior authorization workflows, and guide prescriber decision-making at point of care.

Identifies the individual, committee, or regulatory body that granted authorization for a drug's use within a formulary, clinical protocol, or payer coverage policy. Used in pharmacy and utilization management systems to maintain approval audit trails, support compliance reviews, and document accountability for drug coverage decisions.

Records the time at which a drug or medication order arrived at the dispensing pharmacy, hospital unit, or infusion center. Used in medication management and pharmacy operations systems to measure turnaround times, monitor adherence to administration schedules, and support regulatory reporting on medication delivery timelines.

Captures the calendar date on which a medication was received at the dispensing location, patient's address, or clinical care setting. Used in specialty pharmacy and mail-order operations to confirm delivery, trigger patient outreach for therapy initiation, and support adherence monitoring and chain-of-custody documentation.

Contains the clinical evaluation narrative or structured findings related to a patient's drug therapy, including therapeutic appropriateness, efficacy, and safety concerns. Used in medication therapy management programs and pharmacist clinical documentation to support drug regimen reviews, care coordination, and patient-specific treatment optimization.

Records the total charge submitted by a pharmacy or provider for a drug claim prior to adjudication or payer negotiation. Used in pharmacy claims processing to establish the starting point for adjudication calculations, compare against allowed amounts, and support drug cost trend analysis across payer and pharmacy data.

The date a pharmaceutical compound was first approved, synthesized, or introduced into a healthcare formulary or drug master file. Stored in pharmacy drug databases and PBM formulary systems to support drug lifecycle tracking, formulary audits, and regulatory compliance reporting.