RXA_PREFERRED_PROD

Description: |
An alternate product suggested by the plan in response to the adjudication attempt. Adjudication records are used by Ambulatory Pharmacy during prescription copay adjudication.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
RECORD_ID | 1 |
CONTACT_DATE_REAL | 2 |
LINE | 3 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | RECORD_ID | NUMERIC | No |
The unique identifier for the adjudication record.
2 | CONTACT_DATE_REAL | FLOAT | No |
A unique, internal contact date in decimal format. The integer portion of the number indicates the date of the contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc.
3 | LINE | INTEGER | No |
The line number for the information associated with this contact. Multiple pieces of information can be associated with this contact.
4 | CONTACT_DATE | DATETIME | No |
The date of this contact in calendar format.
5 | CM_CT_OWNER_ID | VARCHAR | No |
The Community ID (CID) of the instance that owns this contact. This is only populated if you use IntraConnect.
6 | PREFERRED_PROD | VARCHAR | No |
Alternate product recommended by the plan.
7 | PREFERRED_PROD_INCT | NUMERIC | No |
Amount of pharmacy incentive available for substitution of the formulary alternative (554-AS).
8 | PREF_PROD_COPAY | NUMERIC | No |
The estimated Patient Pay Amount (505-F5) for the formulary alternative.
9 | PREF_PROD_DESC | VARCHAR | No |
Free text message (556-AU).
10 | I_PREF_PROD_QUAL_ID | NUMERIC | No |
Code qualifying the type of product ID submitted in Formulary Alternative ID (553-AR).
11 | I_PREF_PROD_QUAL_ID_EXT_CODE_LST_NAME | VARCHAR | No |
The name of the list value.
12 | I_FORM_ALT_EFF_DATE | DATETIME | No |
The future date the Formulary Alternative returned in Formulary Alternative ID (553-AR) and/or Formulary Alternative Description (556-AU) will be covered as part of the member's plan formulary.
13 | I_FORM_ALT_TIER_ID | NUMERIC | No |
Patient cost share tier applied to the formulary alternative product (D42-PV).
14 | I_FORM_ALT_TIER_ID_EXT_CODE_LST_NAME | VARCHAR | No |
The name of the list value.
15 | I_FORM_ALT_REASN_ID | NUMERIC | No |
Reason for formulary alternative option(s) (D43-PZ).
16 | I_FORM_ALT_REASN_ID_EXT_CODE_LST_NAME | VARCHAR | No |
The name of the list value.