|
Name |
Type |
Discontinued? |
|
1 |
AUTH_ID |
NUMERIC |
No |
|
|
|
The unique identifier (.1 item) for the authorization record. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
3 |
UM_APRV_RESTR_C_NAME |
VARCHAR |
No |
|
|
|
Restrictions that apply for the current medication item. |
May contain organization-specific values: Yes |
Category Entries: |
Prior Authorization |
Quantity Limit |
Step Therapy |
Tier |
Off Formulary |
No Formulary Found |
|
|
4 |
UM_APRV_RESTR_DEC_C_NAME |
VARCHAR |
No |
|
|
|
Restrictions decisions that apply for the current medication item. |
May contain organization-specific values: No |
Category Entries: |
Met |
Not Met |
Exception |
Approved |
Denied |
|
|