Aetna

Aetna Drug Formulary FHIR API

FHIR R4 compliant Drug Formulary API providing standardized access to plan formulary data including covered drugs, tiers, cost-sharing requirements, and prior authorization requirements. Implements the DaVinci PDEX Formulary Implementation Guide. Enables members and third-party applications to compare drug coverage across health plans.

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Documentation

📖
Documentation
https://www.aetna.com/individuals-families/member-rights-resources/member-data-access.html

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API entry from apis.yml

apis.yml Raw ↑ 
aid: aetna-drug-formulary-fhir-api
name: Aetna Drug Formulary FHIR API
description: FHIR R4 compliant Drug Formulary API providing standardized access to plan formulary data
  including covered drugs, tiers, cost-sharing requirements, and prior authorization requirements. Implements
  the DaVinci PDEX Formulary Implementation Guide. Enables members and third-party applications to compare
  drug coverage across health plans.
tags:
- FHIR
- Drug Formulary
- Pharmacy
- Medications
- CMS Mandate
properties:
- type: Documentation
  url: https://www.aetna.com/individuals-families/member-rights-resources/member-data-access.html