MA-PD and PDP Formulary API (906)

What’s included

We provide details on which drugs are covered by which plans and at what tier level. This dataset allows health insurtech companies to provide “shop-by-drug” functionality. Match formularies to plan designs to determine copay and coinsurance for
covered drugs.

Delivery Option: REST API

• Search for drugs by name
(free endpoint)
• Search formularies for drug (s)
• Search drugs for formularies
• Search formularies by carrier
• Coverage
• Tier levels
• Restrictions (step therapy, quantity
limits, prior authorizations)

Pricing based on number of producers in agency

Contact us for details.