DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.1.0 - STU 3 (ci-build) United States of America flag

DaVinci Payer Data Exchange (PDex) US Drug Formulary, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pdex-formulary/ and changes regularly. See the Directory of published versions

Example Basic: FormularyItem-D3001-1000091

Page standards status: Informative

Generated Narrative: Basic

ResourceBasic "FormularyItem-D3001-1000091" Updated"2021-08-22 18:36:03+0000"

Profile: Formulary Item

Formulary Reference: InsurancePlan/FormularyD3001 "Sample Medicare Advantage Part D Formulary D3001"

Availability Status: active

Pharmacy Benefit Type: 1 month in network mail order (Codes for pharmacy benefit types#1-month-in-mail)

Drug Tier ID: Generic (Codes for medication drug tiers in health plans#generic)

Availability Period: 2021-01-01 --> 2021-12-31

Pharmacy Benefit Type: 3 month in network mail order (Codes for pharmacy benefit types#3-month-in-mail)

Prior Authorization: false

Step Therapy Limit: true

Step Therapy Limit New Starts Only: true

Quantity Limit: true

code: Formulary Item (Codes for insurance item type#formulary-item)

subject: MedicationKnowledge/FormularyDrug-1000091