New Zealand Gazette – 2001 – No. 44

Page 1008

✨ Pharmaceutical Claims Technical Specifications

Programmer Note

Markups, Container fee and Professional fees may differ by each pharmacy contract and by Hospital and Community specific contracts. Therefore Pharmacy Software should allow parameters to be set for the Markups and Fees Specific to Both Hospital and community.

Pharmac Note

If the schedule updates can differentiate between Hospital and Community drugs the Pharmacy software should be able to apply the correct Markups and fees when generating the claim file.

79 CBS Subsidy

To be used for those items listed as CBS in the Pharmaceutical Schedule.
To be submitted stating the calculated Schedule Subsidy value, ie, remove wholesale and retail markups for the quantity in [CBS Packsize].

Note
As this is submitted less all markups, this value may be less than the pharmacist sees on the suppliers' invoice.

80 CBS Packsize

To be used for those items listed as CBS in the Pharmaceutical Schedule.
Needs to express the pack size that the [CBS Subsidy] value relates to.
Must be specified in [Pack Units of Measure].

81 Funder

The code to identify whom the funding body is for this claim.
The [Funder] should default to HFA (also refers to the Ministry of Health).
Appropriate codes are:

Funder Code

MMI

HIH

Royal Sun Alliance RSA

New Zealand Insurance NZI

Farmers Mutual Group FMG

At Work AWK

Health Funding Authority (refers to the Ministry of Health) HFA

Funder	Code
	MMI
	HIH
Royal Sun Alliance	RSA
New Zealand Insurance	NZI
Farmers Mutual Group	FMG
At Work	AWK
Health Funding Authority (refers to the Ministry of Health)	HFA

VUW Te Waharoa — NZ Gazette 2001, No 44

Gazette.govt.nz — NZ Gazette 2001, No 44

The General Assembly Library (on the right) was completed in 1899 and survived the 1907 fire. Now the oldest remaining original Parliament building, still used as the Parliamentary Library.

✨ LLM interpretation of page content

🏥 Pharmaceutical Claims Transaction Technical Specifications (continued from previous page)

Domain🏥 Health & Social Welfare
KeywordsPharmaceutical Claims, Order Type, Wastage Quantity, Claim Amount, Prescription, Practitioner’s supply order, Bulk supply order, Wholesale supply order, CBS Subsidy, CBS Packsize, Funder, Markups, Fees, Hospital, Community

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