Domain
Pharmacy
NDC codes, dispensing, PBM, RxNorm and formulary management
1,993 pharmacy terms
The date on which a drug formulation became active, approved, or clinically available within the formulary or pharmacy system. Used to track the effective start of a formulation's lifecycle, supporting formulary management, regulatory compliance, and historical dispensing record analysis.
The blood oxygen level for a drug preparation type. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for formulation management and reporting.
The monetary amount reimbursed or paid for a specific drug formulation within a pharmacy claim or financial transaction. Used in pharmacy billing, claims adjudication, and drug expenditure reporting to track actual payment values against contracted rates and formulary pricing.
The date on which payment was issued or processed for a drug formulation claim or financial transaction. Used in pharmacy billing and claims reconciliation workflows to track reimbursement timing, identify payment delays, and support accounts receivable reporting in pharmacy data systems.
Reference to the superior or parent record in a hierarchical drug preparation type structure within pharmacy or PBM drug master systems. Used to navigate multi-level drug classification hierarchies, inherit formulary attributes, and support rollup reporting across drug groupings in healthcare data warehouses.
Numeric ratio value representing the concentration or composition of an ingredient within a specific drug preparation type, stored in pharmacy, compounding, or drug reference database systems. Used in drug master file validation, compounding calculations, and clinical decision support rules across EHR and PBM platforms.
Defined time span during which a specific drug preparation type is active, approved, or reimbursable within pharmacy, PBM, or formulary management systems. Used to enforce date-range-based eligibility rules, manage formulary lifecycle, and support effective-dated drug master record queries in healthcare data pipelines.
Telephone contact number associated with a specific drug preparation type in pharmacy, compounding, or manufacturer reference systems. Used to facilitate direct outreach regarding drug availability, compounding inquiries, or formulary updates within PBM and pharmacy benefit administration workflows and drug master data records.
The benefit plan or coverage tier associated with a drug formulation in pharmacy and formulary management systems. Determines reimbursement eligibility, member cost-sharing levels, and dispensing authorization rules applied to the formulation within a specific insurance or pharmacy benefit structure.
The insurance policy identifier linked to coverage of a specific drug formulation in pharmacy claims and benefit management systems. Used to validate member eligibility, apply formulary rules, and process reimbursement for the formulation under the appropriate benefit plan and coverage terms.
The standardized display name selected for a drug formulation in pharmacy and clinical data systems, used when multiple naming conventions exist. Ensures consistent identification of the formulation across formulary management, medication ordering, dispensing records, and patient-facing clinical documentation.
The cost value assigned to a drug formulation in pharmacy pricing and formulary management systems, reflecting acquisition cost, wholesale price, or contracted rate. Used in pharmacy billing, drug expenditure analysis, formulary tier placement decisions, and member cost-sharing calculations.
A flag designating whether a drug formulation is the primary or preferred option within a formulary tier, therapeutic class, or drug group. Used in pharmacy benefit management to drive formulary decision support, prescribing guidance, and claims adjudication rules when multiple equivalent formulations exist.
Importance or preference ranking assigned to a drug preparation type within pharmacy, PBM, or formulary management systems. Used to determine preferred drug selection during claims adjudication, formulary substitution logic, and prior authorization workflows where multiple formulation options exist in the drug master reference data.
The heart rate value for a drug preparation type. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for formulation management and reporting.
Count or volume measure associated with a specific drug preparation type in pharmacy dispensing, PBM claims, or drug master systems. Used to define standard dispensing units, apply quantity limits during claims adjudication, and validate prescription fill data against formulary or benefit design rules in healthcare data pipelines.
Identifies the racial or ethnic classification associated with a specific drug formulation record, used in pharmacy and clinical systems to support population-specific drug safety studies, clinical trial eligibility, and disparities research tied to medication response and outcomes.
Captures the unit price or reimbursement rate assigned to a specific drug preparation type in pharmacy, PBM, or claims processing systems. Used in adjudication engines, drug pricing tables, and cost-sharing calculations to determine patient liability, plan payments, and formulary tier-based pricing for compounded or specialty drug formulations.
Captures the assessed quality, efficacy, or safety rating assigned to a specific drug formulation in pharmacy management systems. Used to evaluate bioequivalence, therapeutic substitution decisions, and formulary placement based on standardized pharmaceutical rating criteria such as FDA therapeutic equivalence codes.
Records the proportional relationship between active and inactive ingredients within a drug formulation, used in pharmacy compounding, pharmaceutical manufacturing records, and clinical drug databases to define concentration, mixture composition, or ingredient balance for dispensing and preparation accuracy.