Matching QHP Formulary: per-plan information on a Formulary Drug should be 1..*

XMLWordPrintableJSON

    • Type: Change Request
    • Resolution: Considered for Future Use
    • Priority: Medium
    • US Da Vinci Drug Formulary (FHIR)
    • 1.0.1
    • Pharmacy
    • Formulary Drug
    • Profiles [deprecated]

      Ref:  https://chat.fhir.org/#narrow/stream/179166-implementers/topic/US.20Drug.20Formulary

      In the QHP formulary upon which the PDex Formulary was (supposed to be) modeled, the per-plan info on each drug is 1..*.   

      For example:

      {
              "rxnorm_id": "209459",
              "drug_name": "Acetaminophen 500 MG Oral Tablet [Tylenol]",
              "plans": [
                  {
                      "plan_id_type": "HIOS-PLAN-ID",
                      "plan_id": "12345XX9876543",
                      "drug_tier": "GENERIC",
                      "prior_authorization": false,
                      "step_therapy": false,
                      "quantity_limit": false
                  },
                  {
                      "plan_id_type": "HIOS-PLAN-ID",
                      "plan_id": "12345XX9876546",
                      "drug_tier": "GENERIC",
                      "prior_authorization": false,
                      "step_therapy": false,
                      "quantity_limit": false
                  }
              ]
          },
      

      In the current formulary, only one association with plan/tier/prior-auth/step-therapy/quantity-limit is allowed.

            Assignee:
            Unassigned
            Reporter:
            saul_kravitz
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: