DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.1 - STU 2 United States of America flag

This page is part of the US Drug Formulary (v2.0.1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: FormularyD3002 - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "InsurancePlan",
  "id" : "FormularyD3002",
  "meta" : {
    "lastUpdated" : "2021-05-22T18:36:03.000+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><b>Generated Narrative: InsurancePlan</b><a name=\"FormularyD3002\"> </a></p><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\">Resource InsurancePlan &quot;FormularyD3002&quot; Updated &quot;2021-05-22 18:36:03+0000&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-usdf-Formulary.html\">Formulary</a></p></div><p><b>identifier</b>: id:\u00a0D3002</p><p><b>status</b>: active</p><p><b>type</b>: drug policy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html\">ActCode</a>#DRUGPOL)</span></p><p><b>name</b>: Sample Medicare Advantage Part D Formulary D3002</p><p><b>period</b>: 2021-01-01 --&gt; 2021-12-31</p></div>"
  },
  "identifier" : [
    {
      "value" : "D3002"
    }
  ],
  "status" : "active",
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "DRUGPOL"
        }
      ]
    }
  ],
  "name" : "Sample Medicare Advantage Part D Formulary D3002",
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-12-31"
  }
}