This page is part of the US Drug Formulary (v2.1.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
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Generated Narrative: InsurancePlan FormularyD3004t
Last updated: 2021-08-04 18:36:03+0000
Profile: Formulary
identifier: D3004t
status: Active
type: drug policy
name: Sample Medicare Advantage Part D Formulary D3004t
period: 2021-01-01 --> 2021-12-31