DaVinci Payer Data Exchange (PDex) US Drug Formulary STU 1

This page is part of the US Drug Formulary (v1.0.0: STU 1) 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

Example: CoveragePlanV3004t

Generated Narrative with Details

id: CoveragePlanV3004t

meta:

identifier: 40308VA0240008

status: current

mode: snapshot

title: BluePreferred PPO HSA Silver $3,000

date: Jun 12, 2015 12:00:00 AM

Entries

-Item
*Generated Summary: id: cmsip9; doxepin HCl 5 % Topical Cream