Clover Health fhir-r4-formulary-api API
The fhir-r4-formulary-api API from Clover Health — 5 operation(s) for fhir-r4-formulary-api.
OpenAPI Specification
openapi: 3.0.3
info:
title: FHIR fhir-r4-formulary-api API
version: 1.0.0
description: Formulary and Provider Directory API
tags:
- name: fhir-r4-formulary-api
paths:
/formulary/api/List:
get:
operationId: list_formulary
description: This interaction searches a set of resources based on some filter criteria.
summary: This interaction searches a set of resources based on some filter criteria.
parameters:
- in: query
name: _count
schema:
type: integer
maximum: 10000
minimum: 1
default: 20
title: ' count'
description: Maximum number of results to be returned
- in: query
name: _offset
schema:
type: integer
minimum: 0
default: 0
title: ' offset'
description: Number of results to be offset
- in: query
name: _profile
schema:
type: string
title: ' profile'
minLength: 1
description: An URL of profile in structured definition
- in: query
name: identifier
schema:
type: string
minLength: 1
description: CoveragePlan identifier. It can be in the type of CloverHealth's identifier (E.g. 001, 002) or the plan ID (E.g. H5141)
- in: query
name: item
schema:
type: string
minLength: 1
description: The identifier of the associated FormularyDrug (also known as MedicationKnowledge) under the CoveragePlan
- in: query
name: status
schema:
enum:
- current
- retired
- entered-in-error
type: string
minLength: 1
description: '* `current` - current
* `retired` - retired
* `entered-in-error` - entered-in-error'
tags:
- fhir-r4-formulary-api
security:
- cookieAuth: []
- basicAuth: []
- {}
responses:
'200':
content:
application/fhir+json:
schema:
$ref: '#/components/schemas/FormularyListResponse'
examples:
JSONExample:
value:
resourceType: Bundle
id: 14f5b0a7-2d8b-43fb-a46e-b6c7d92aa59e
meta:
lastUpdated: '2021-05-27T03:30:14.877Z'
type: searchset
total: 1
link:
- relation: self
url: https://public-api.cloverhealth.com/formulary/api/List
entry:
- fullUrl: https://public-api.cloverhealth.com/formulary/api/List/a1bf521c-7fe0-5329-b1bb-8858a52cd807
search:
mode: match
resource:
resourceType: List
id: a1bf521c-7fe0-5329-b1bb-8858a52cd807
meta:
lastUpdated: '2021-05-18T10:18:01.162981+00:00'
profile:
- http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan
identifier:
- system: https://www.cloverhealth.com/plans
value: '001'
- system: https://www.cloverhealth.com/plans
value: '002'
- value: H5141
status: current
mode: snapshot
title: H5141
date: '2021-05-18T10:18:01.162981+00:00'
extension:
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: preferred-brand
display: 'Preferred Brand: Brand name drugs'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: specialty
display: 'Specialty: Drugs used to treat complex conditions like cancer and multiple sclerosis.They can be generic or brand name, and are typically the most expensive drugs on the formulary.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: non-preferred-generic
display: 'Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: generic
display: 'Generic: Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: non-preferred-brand
display: 'Non-preferred Brand: Brand name drugs that cost more than ‘brand’ drugs.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Network-extension
valueString: Not Applicable
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-SummaryURL-extension
valueString: https://cdn.cloverhealth.com/filer_public/d0/b6/d0b6294a-2e6b-4504-b9d4-bf65a4753210/76207_nj_eng_ch_nj_cy21_5t_gs_core_april_21.pdf
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanIDType-extension
valueString: HIOS-PLAN-ID
entry:
- item:
reference: MedicationKnowledge/000212621243033
- item:
reference: MedicationKnowledge/000212621923056
summary: JSON Example
description: '
ListBundle
Contains a collection of resources
- Rule: total only when a search or history
- Rule: entry.search only when a search
- Rule: entry.request mandatory for batch/transaction/history, otherwise prohibited
- Rule: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
- Rule: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
- Rule: A document must have an identifier with a system and a value
- Rule: A document must have a date
- Rule: A document must have a Composition as the first resource
- Rule: A message must have a MessageHeader as the first resource Elements defined in Ancestors: id, meta, implicitRules, language
'
application/fhir+xml:
schema:
$ref: '#/components/schemas/FormularyListResponse'
examples:
XMLExample:
value: "\n<?xml version='1.0' encoding='UTF-8'?>\n<Bundle xmlns=\"http://hl7.org/fhir\">\n <id value=\"901d94d9-cbcf-4e11-abc9-4c7b88370987\"/>\n <meta>\n <lastUpdated value=\"2021-05-27T03:29:00.024Z\"/>\n </meta>\n <type value=\"searchset\"/>\n <total value=\"1\"/>\n <link>\n <relation value=\"self\"/>\n <url value=\"https://public-api.cloverhealth.com/formulary/api/List\"/>\n </link>\n <entry>\n <fullUrl value=\"https://public-api.cloverhealth.com/formulary/api/List/a1bf521c-7fe0-5329-b1bb-8858a52cd807\"/>\n <resource>\n <List xmlns=\"http://hl7.org/fhir\">\n <id value=\"a1bf521c-7fe0-5329-b1bb-8858a52cd807\"/>\n <meta>\n <lastUpdated value=\"2021-05-18T10:18:01.162981+00:00\"/>\n <profile value=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan\"/>\n </meta>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"preferred-brand\"/>\n <display value=\"Preferred Brand: Brand name drugs\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"specialty\"/>\n <display value=\"Specialty: Drugs used to treat complex conditions like cancer and multiple sclerosis.They can be generic or brand name, and are typically the most expensive drugs on the formulary.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"non-preferred-generic\"/>\n <display value=\"Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"generic\"/>\n <display value=\"Generic: Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"non-preferred-brand\"/>\n <display value=\"Non-preferred Brand: Brand name drugs that cost more than ‘brand’ drugs.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Network-extension\">\n <valueString value=\"Not Applicable\"/>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-SummaryURL-extension\">\n <valueString value=\"https://cdn.cloverhealth.com/filer_public/d0/b6/d0b6294a-2e6b-4504-b9d4-bf65a4753210/76207_nj_eng_ch_nj_cy21_5t_gs_core_april_21.pdf\"/>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanIDType-extension\">\n <valueString value=\"HIOS-PLAN-ID\"/>\n </extension>\n <identifier>\n <system value=\"https://www.cloverhealth.com/plans\"/>\n <value value=\"001\"/>\n </identifier>\n <identifier>\n <system value=\"https://www.cloverhealth.com/plans\"/>\n <value value=\"002\"/>\n </identifier>\n <identifier>\n <value value=\"H5141\"/>\n </identifier>\n <status value=\"current\"/>\n <mode value=\"snapshot\"/>\n <title value=\"H5141\"/>\n <date value=\"2021-05-18T10:18:01.162981+00:00\"/>\n <entry>\n <item>\n <reference value=\"MedicationKnowledge/000212621243033\"/>\n </item>\n </entry>\n <entry>\n <item>\n <reference value=\"MedicationKnowledge/000212621923056\"/>\n </item>\n </entry>\n </List>\n </resource>\n <search>\n <mode value=\"match\"/>\n </search>\n </entry>\n</Bundle>\n"
summary: XML Example
description: '
ListBundle
Contains a collection of resources
- Rule: total only when a search or history
- Rule: entry.search only when a search
- Rule: entry.request mandatory for batch/transaction/history, otherwise prohibited
- Rule: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
- Rule: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
- Rule: A document must have an identifier with a system and a value
- Rule: A document must have a date
- Rule: A document must have a Composition as the first resource
- Rule: A message must have a MessageHeader as the first resource Elements defined in Ancestors: id, meta, implicitRules, language
'
description: ''
/formulary/api/List/{id}:
get:
operationId: list_formulary_item
description: The read interaction accesses the current contents of a resource.
summary: The read interaction accesses the current contents of a resource.
parameters:
- in: path
name: id
schema:
type: string
required: true
tags:
- fhir-r4-formulary-api
security:
- cookieAuth: []
- basicAuth: []
- {}
responses:
'200':
content:
application/fhir+json:
schema:
$ref: '#/components/schemas/FormularyListItemResponse'
examples:
JSONExample:
value:
resourceType: List
id: a1bf521c-7fe0-5329-b1bb-8858a52cd807
meta:
lastUpdated: '2021-05-18T10:18:01.162981+00:00'
profile:
- http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan
identifier:
- system: https://www.cloverhealth.com/plans
value: '001'
- system: https://www.cloverhealth.com/plans
value: '002'
- value: H5141
status: current
mode: snapshot
title: H5141
date: '2021-05-18T10:18:01.162981+00:00'
extension:
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: preferred-generic
display: 'Preferred Generic: Commonly prescribed generic drugs.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: non-preferred-generic
display: 'Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension
extension:
- url: drugTierID
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: non-preferred-brand
display: 'Non-preferred Brand: Brand name drugs that cost more than ‘brand’ drugs.'
- url: mailOrder
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Network-extension
valueString: Not Applicable
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-SummaryURL-extension
valueString: https://cdn.cloverhealth.com/filer_public/d0/b6/d0b6294a-2e6b-4504-b9d4-bf65a4753210/76207_nj_eng_ch_nj_cy21_5t_gs_core_april_21.pdf
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanIDType-extension
valueString: HIOS-PLAN-ID
entry:
- item:
reference: MedicationKnowledge/000212621000001
- item:
reference: MedicationKnowledge/000212621000048
summary: JSON Example
description: '
List
A list is a curated collection of resources
- Rule: A list can only have an emptyReason if it is empty
- Rule: The deleted flag can only be used if the mode of the list is "changes"
- Rule: An entry date can only be used if the mode of the list is "working" Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
'
application/fhir+xml:
schema:
$ref: '#/components/schemas/FormularyListItemResponse'
examples:
XMLExample:
value: "<?xml version='1.0' encoding='UTF-8'?>\n<List xmlns=\"http://hl7.org/fhir\">\n <id value=\"a1bf521c-7fe0-5329-b1bb-8858a52cd807\"/>\n <meta>\n <lastUpdated value=\"2021-05-18T10:18:01.162981+00:00\"/>\n <profile value=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-CoveragePlan\"/>\n </meta>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"preferred-generic\"/>\n <display value=\"Preferred Generic: Commonly prescribed generic drugs.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"non-preferred-generic\"/>\n <display value=\"Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierDefinition-extension\">\n <extension url=\"drugTierID\">\n <valueCodeableConcept>\n <coding>\n <system value=\"http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS\"/>\n <code value=\"non-preferred-brand\"/>\n <display value=\"Non-preferred Brand: Brand name drugs that cost more than ‘brand’ drugs.\"/>\n </coding>\n </valueCodeableConcept>\n </extension>\n <extension url=\"mailOrder\">\n <valueBoolean value=\"true\"/>\n </extension>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Network-extension\">\n <valueString value=\"Not Applicable\"/>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-SummaryURL-extension\">\n <valueString value=\"https://cdn.cloverhealth.com/filer_public/d0/b6/d0b6294a-2e6b-4504-b9d4-bf65a4753210/76207_nj_eng_ch_nj_cy21_5t_gs_core_april_21.pdf\"/>\n </extension>\n <extension url=\"http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanIDType-extension\">\n <valueString value=\"HIOS-PLAN-ID\"/>\n </extension>\n <identifier>\n <system value=\"https://www.cloverhealth.com/plans\"/>\n <value value=\"001\"/>\n </identifier>\n <identifier>\n <system value=\"https://www.cloverhealth.com/plans\"/>\n <value value=\"002\"/>\n </identifier>\n <identifier>\n <value value=\"H5141\"/>\n </identifier>\n <status value=\"current\"/>\n <mode value=\"snapshot\"/>\n <title value=\"H5141\"/>\n <date value=\"2021-05-18T10:18:01.162981+00:00\"/>\n <entry>\n <item>\n <reference value=\"MedicationKnowledge/000212621000001\"/>\n </item>\n </entry>\n <entry>\n <item>\n <reference value=\"MedicationKnowledge/000212621000048\"/>\n </item>\n </entry>\n</List>"
summary: XML Example
description: '
List
A list is a curated collection of resources
- Rule: A list can only have an emptyReason if it is empty
- Rule: The deleted flag can only be used if the mode of the list is "changes"
- Rule: An entry date can only be used if the mode of the list is "working" Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
'
description: ''
/formulary/api/MedicationKnowledge:
get:
operationId: search_medication_knowledge
description: This interaction searches a set of resources based on some filter criteria.
summary: This interaction searches a set of resources based on some filter criteria.
parameters:
- in: query
name: DrugName
schema:
type: string
minLength: 1
description: Name of the drug
- in: query
name: DrugPlan
schema:
type: string
minLength: 1
description: Plan of the drug
- in: query
name: DrugTier
schema:
type: string
minLength: 1
description: Drug tier of the drug
- in: query
name: _count
schema:
type: integer
maximum: 10000
minimum: 1
default: 20
title: ' count'
description: Maximum number of results to be returned
- in: query
name: _offset
schema:
type: integer
minimum: 0
default: 0
title: ' offset'
description: Number of results to be offset
- in: query
name: _profile
schema:
type: string
title: ' profile'
minLength: 1
description: An URL of profile in structured definition
- in: query
name: code
schema:
type: string
minLength: 1
description: Rx code of the drug
tags:
- fhir-r4-formulary-api
security:
- cookieAuth: []
- basicAuth: []
- {}
responses:
'200':
content:
application/fhir+json:
schema:
$ref: '#/components/schemas/FormularyMedicationKnowledgeResponse'
examples:
JSONExample:
value:
resourceType: Bundle
id: 2f6e91d0-60ea-41b6-96cb-354ec38697ad
meta:
lastUpdated: '2021-05-27T12:10:37.416+08:00'
type: searchset
total: 2
link:
- relation: self
url: https://public-api.cloverhealth.com/formulary/api/MedicationKnowledge
entry:
- fullUrl: https://public-api.cloverhealth.com/formulary/api/MedicationKnowledge/000211871000001
resource:
resourceType: MedicationKnowledge
id: 000211871000001
meta:
profile:
- http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug
text:
status: generated
div: '<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Drug Tier ID</b>:<span title="Codes: {http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS preferred-generic}">Preferred Generic: Commonly prescribed generic drugs.</span></p><p><b>Prior Authorization</b>: false</p><p><b>Step Therapy Limit</b>: false</p><p><b>Quantity Limit</b>: true</p><p><b>Plan ID</b>: H5141</p><p><b>code</b>:<span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1000001}">OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 40-5-25 MG</span></p></div>'
extension:
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
code: preferred-generic
display: 'Preferred Generic: Commonly prescribed generic drugs.'
- system: https://www.cloverhealth.com/members/formulary/DrugTierLevel
code: Tier 1
display: Preferred Generic drugs
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension
valueBoolean: false
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension
valueBoolean: false
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension
valueBoolean: true
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanID-extension
valueString: H5141
- url: https://www.cloverhealth.com/members/formulary
valueString: 00021187
code:
coding:
- system: http://www.nlm.nih.gov/research/umls/rxnorm
code: '1000001'
display: OLMESARTAN-AMLODIPINE-HYDROCHLOROTHIAZIDE TAB 40-5-25 MG
search:
mode: match
- fullUrl: https://public-api.cloverhealth.com/formulary/api/MedicationKnowledge/000211871000048
resource:
resourceType: MedicationKnowledge
id: 000211871000048
meta:
profile:
- http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug
text:
status: generated
div: '<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>Drug Tier ID</b>:<span title="Codes: {http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS non-preferred-generic}">Non-preferred Generic: Generic drugs that cost more than drugs in ‘generic’ tier.</span></p><p><b>Prior Authorization</b>: false</p><p><b>Step Therapy Limit</b>: false</p><p><b>Quantity Limit</b>: false</p><p><b>Plan ID</b>: H8010</p><p><b>code</b>:<span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1000048}">DOXEPIN HCL CAP 10 MG</span></p></div>'
extension:
- url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension
valueCodeableConcept:
coding:
- system: http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS
# --- truncated at 32 KB (83 KB total) ---
# Full source: https://raw.githubusercontent.com/api-evangelist/clover-health/refs/heads/main/openapi/clover-health-fhir-r4-formulary-api-api-openapi.yml