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InsFormularyService:getListOfCoveredDrugs
Use this service to get a list of brand name or generic drugs in a formulary that are part of a health plan.
Method: getListOfCoveredDrugs
How It Works
-
Goes to
FormularyDrug__cto get list of drugs covered under health plan. -
Uses
TradeName__candGenericName__cfor brand name and generic drugs, respectively. -
Output
coveredDrugsprovides list of formulary drugs and corresponding details, including tier and drug details (quantity, refill limit, etc.).
Remote Options
Option |
Description |
|---|---|
|
Required. Search for drugs in formulary by
|
|
Optional. Name or |
|
Optional. Date that drugs and formulary drugs are still in effect. |
Output JSON
The service returns an array of covered drugs and attributes (refill limit, quantity per refill, etc.), drug providers, and drug plan tiers (i.e., copay).
{
coveredDrugs: [{
"Id": "",
"Name": "Sample Formulary - 0023-6142",
"FillLimitForm__c": "12 Hrs Patch",
"HasPriorAuthorization__c": true / false,
"HasStepTherapy__c": true / false,
"LimitFrequency__c": "Plan Year",
"MaxFillAllowed__c": 1,
"QuantityPerRefill__c": 10,
"DrugId__c": "a4b1I0000004UDaQAM",
"DrugId__r": {
"Id": "a4b1I0000004UDaQAM",
"Name": "Some Drug Number",
"TradeName__c": "RAPAFLO",
"GenericName__c": "silodosin"
},
"FormularyId__c": "a4X1I000001CagBUAS",
"FormularyId__r": {
"Id": "a4X1I000001CagBUAS",
"Name": "Australian Pharmaceutical Formulary",
"LineOfBusiness__c": "Group Dental",
"ApprovedDate__c": "2018-08-08"
},
"FormularyTierId__c": "a4W1I0000006q2cUAA",
"FormularyTierId__r": {
"Id": "a4W1I0000006q2cUAA",
"Name": "Tier 1",
"CoPayPercent__c": 1.2345
}
}, {
...
}]
}
