This page is part of the US Drug Formulary (v2.0.0: STU 2) based on FHIR 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
PayerInsurancePlans may have any number of types found in the http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS
CodeSystem. Each PayerInsurancePlan conformant to this IG will have ane or more memberPlan extensions that references a Formulary. From the PayerInsurancePlan memberPlan extension(s), it is possible to retrieve the Formulary resource(s).
GET [base]/InsurancePlan?type=http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS|
InsurancePlan with drug coverage can be search for with a `coverage.type` of `http://terminology.hl7.org/CodeSystem/v3-ActCode|DRUGPOL`.
GET [base]/InsurancePlan?coverage-type=http://terminology.hl7.org/CodeSystem/v3-ActCode|DRUGPOL
Formulary can be search for with a type of `http://terminology.hl7.org/CodeSystem/v3-ActCode|DRUGPOL`.
GET [base]/InsurancePlan?type=http://terminology.hl7.org/CodeSystem/v3-ActCode|DRUGPOL
To find an Formulary for a with id 'D1002':
GET [base]/InsurancePlan?type=http://terminology.hl7.org/CodeSystem/v3-ActCode|DRUGPOL&identifier=D1002
To find all PayerInsurancePlans that include a coverage with a specific formulary by id 'FormularyD1002':
GET [base]/InsurancePlan?formulary-coverage=InsurancePlan/FormularyD1002
To find all PayerInsurancePlans with a coverage area Location by id 'StateOfCTLocation':
GET [base]/InsurancePlan?coverage-area=Location/StateOfCTLocation
To find all FormularyItems and their respective FormularyDrugs in a Formulary with the id of 'FormularyD1002':
GET [base]/Basic?code=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS|formulary-item&formulary=InsurancePlan/FormularyD1002&_include=Basic:subject
To find all FormularyItems and their respective FormularyDrugs in a Formulary with the id of 'FormularyD1002' and a drug-tier of 'generic':
GET [base]/Basic?code=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS|formulary-item&formulary=InsurancePlan/FormularyD1002&drug-tier=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS|generic&_include=Basic:subject
To find all FormularyItems and their respective FormularyDrugs in a Formulary with the id of 'FormularyD1002' and a pharmacy-benefit-type of '3-month-in-mail':
GET [base]/Basic?code=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS|formulary-item&formulary=InsurancePlan/FormularyD1002&pharmacy-benefit-type=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PharmacyBenefitTypeCS|3-month-in-mail&_include=Basic:subject
To find all FormularyItems and their respective FormularyDrugs in a Formulary with the id of 'FormularyD1002' and a drug name of 'doxepin hydrochloride':
GET [base]/Basic?code=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS|formulary-item&formulary=InsurancePlan/FormularyD1002&subject:MedicationKnowledge.drug-name=doxepin%20hydrochloride&_include=Basic:subject
To find all FormularyItems and their respective FormularyDrugs in a Formulary with the id of 'FormularyD1002' and a drug with the RxNorm code of '1000091':
GET [base]/Basic?code=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS|formulary-item&formulary=InsurancePlan/FormularyD1002&subject:MedicationKnowledge.code=http://www.nlm.nih.gov/research/umls/rxnorm|1000091&_include=Basic:subject
To find all FormularyItems and the Formulary resources that include them for the drug with the RxNorm code of '1000091':
GET [base]/Basic?code=http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-InsuranceItemTypeCS|formulary-item&subject:MedicationKnowledge.code=http://www.nlm.nih.gov/research/umls/rxnorm|1000091&_include=Basic:formulary