InsFormularyService:getListOfCoveredDrugs

Class: InsFormularyService

Method: getListOfCoveredDrugs

How It Works

1. Goes to FormularyDrug__c to get list of drugs covered under health plan.

2. Uses TradeName__c and GenericName__c for brand name and generic drugs, respectively.

3. Output coveredDrugs provides list of formulary drugs and corresponding details, including tier and drug details (quantity, refill limit, etc.).

Remote Options

Input JSON

This service does not use an input JSON.

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
		}
	}, {
		...
	}]
}