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

: FormularyD3004t - JSON Representation

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{
  "resourceType" : "InsurancePlan",
  "id" : "FormularyD3004t",
  "meta" : {
    "lastUpdated" : "2021-08-04T18:36:03.000+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: InsurancePlan FormularyD3004t</b></p><a name=\"FormularyD3004t\"> </a><a name=\"hcFormularyD3004t\"> </a><a name=\"FormularyD3004t-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-08-04 18:36:03+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-usdf-Formulary.html\">Formulary</a></p></div><p><b>identifier</b>: D3004t</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode DRUGPOL}\">drug policy</span></p><p><b>name</b>: Sample Medicare Advantage Part D Formulary D3004t</p><p><b>period</b>: 2021-01-01 --&gt; 2021-12-31</p></div>"
  },
  "identifier" : [
    {
      "value" : "D3004t"
    }
  ],
  "status" : "active",
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "DRUGPOL"
        }
      ]
    }
  ],
  "name" : "Sample Medicare Advantage Part D Formulary D3004t",
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-12-31"
  }
}