Sub-Field: 50.6845

Parent File	Name	Number	Package
VA PRODUCT(#50.68)	COPAY TIER	50.6845	National Drug File

Details

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	COPAY TIER LEVEL	0;1	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `AUG 04, 2016` HELP-PROMPT: `Type a number between 0 and 999, 0 decimal digits.` DESCRIPTION: `This field is used to indicate the co-pay tier level for the VA Product for the effective date and end date defined. The tier is used to determine the charge rate for a copayment. It should be a numeric value between 1` `and 999 with 0 decimal digits. Examples of a copay tier level are:` `Tier 0 = Excluded and exempt products with no copayment` `Tier 1 = Preferred Generic Medications` `Tier 2 = Non-Preferred Generic Medications` `Tier 3 = Brand name Medications` AUDIT: `YES, ALWAYS` CROSS-REFERENCE: `50.6845^B` `1)= S ^PSNDF(50.68,DA(1),10,"B",$E(X,1,30),DA)=""` `2)= K ^PSNDF(50.68,DA(1),10,"B",$E(X,1,30),DA)`
1	COPAY EFFECTIVE DATE	0;2	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:X<1 X` LAST EDITED: `AUG 04, 2016` HELP-PROMPT: `Enter the copay effective date for the copay tier level for the VA Product.` DESCRIPTION: `This field is contains the copay effective date for the copay tier level for the VA product being defined.` AUDIT: `YES, ALWAYS`
2	COPAY END DATE	0;3	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `AUG 04, 2016` HELP-PROMPT: `Enter the copay end date for the copay tier level for the VA Product.` DESCRIPTION: `This field is the copay end date for the copay tier level for the VA Product.` AUDIT: `YES, ALWAYS`

.01

COPAY TIER LEVEL

0;1

NUMBER

************************REQUIRED FIELD************************

INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: AUG 04, 2016
HELP-PROMPT: Type a number between 0 and 999, 0 decimal digits.
DESCRIPTION: This field is used to indicate the co-pay tier level for the VA Product for the effective date and end date defined. The tier is used to determine the charge rate for a copayment. It should be a numeric value between 1
and 999 with 0 decimal digits. Examples of a copay tier level are:
Tier 0 = Excluded and exempt products with no copayment
Tier 1 = Preferred Generic Medications
Tier 2 = Non-Preferred Generic Medications
Tier 3 = Brand name Medications
AUDIT: YES, ALWAYS
CROSS-REFERENCE: 50.6845^B
1)= S ^PSNDF(50.68,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^PSNDF(50.68,DA(1),10,"B",$E(X,1,30),DA)

COPAY EFFECTIVE DATE

0;2

DATE

INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: AUG 04, 2016
HELP-PROMPT: Enter the copay effective date for the copay tier level for the VA Product.
DESCRIPTION:
This field is contains the copay effective date for the copay tier level for the VA product being defined.
AUDIT: YES, ALWAYS

COPAY END DATE

0;3

DATE

INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 04, 2016
HELP-PROMPT: Enter the copay end date for the copay tier level for the VA Product.
DESCRIPTION:
This field is the copay end date for the copay tier level for the VA Product.
AUDIT: YES, ALWAYS

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Package: National Drug File

VA PRODUCT(#50.68)-->50.6845

Sub-Field: 50.6845

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