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.