|
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 |
|
|
