This page is part of the US Drug Formulary (v0.1.0: STU 1 Draft) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
*** CoveragePlan Example #1 (Reference to MedicationKnowledge) ***
id: covplanV2001
Plan Name: Sample Gold Health Plan
Drug Product: (Generated Detail from id - formularydrugV1001): Acetaminophen 325 MG / Oxycodone Hydrochloride 5 MG Oral Tablet [Percocet]
Status: current
Drug Tier ID: Brand
Mail order: false
Pharmacy type: 1-MONTH-IN-RETAIL
Copay Amount: 20.0
Copay option: AFTER-DEDUCTIBLE
Coinsurance rate: 0.20
Coinsurance option: AFTER-DEDUCTIBLE