DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.1 - STU 2
DaVinci Payer Data Exchange (PDex) US Drug Formulary
2.0.1 - STU 2
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. For a full list of available versions, see the Directory of published versions
| Page standards status: Informative |
Resource Basic "FormularyItem-D1002-284520" Updated "2021-08-22 18:36:03+0000"
Profile: Formulary Item
Formulary Reference: InsurancePlan/FormularyD1002 "Sample Medicare Advantage Part D Formulary D1002"
Availability Status: active
Pharmacy Benefit Type: 3 month out of network retail (Codes for pharmacy benefit types#3-month-out-retail)
Drug Tier ID: Brand (Codes for medication drug tiers in health plans#brand)
Availability Period: 2021-01-01 --> 2021-12-31
Prior Authorization: false
Step Therapy Limit: false
Quantity Limit: false
code: Formulary Item (Codes for insurance item type#formulary-item)
IG © 2022+ HL7 International / Pharmacy. Package hl7.fhir.us.davinci-drug-formulary#2.0.1 based on FHIR 4.0.1. Generated 2023-12-01
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change