Formulary Data
With prescription drugs costs accounting for 20% of U.S. Healthcare spending, understanding how your health plan covers your prescription drugs and finding drugs at the lowest possible tier level is critical.
Speak to an ExpertFormularies
Comprehensive formulary coverage across the carriers and states in the fully insured markets
Fully Insured Group
Under 65 Individual
Medicare Advantage PD
Use Cases
Our comprehensive formulary data powers mission critical functionality.
Shop-by-Drug
Finding a health plan that supports your prescription drugs at the lowest possible cost can provide for significant healthcare savings. Vericred’s formulary data powers “shop-by-drug” on exchanges, WBEs, and broker quoting solutions.
Benefits Administration
Why send employees to the carrier website when you can deliver your own drug search capability based on Vericred’s formulary data?
Drug Search
Digital health app developers leverage Vericred’s formulary data to enable drug search, helping individuals understand plan coverage and costs.
The Details
Key Elements
- Drug tiers
- Restrictions (step therapy, quantity limits, prior auth)
- Drugs mapped at the formulary, HIOS Plan, and Contract ID levels
- Weekly refresh cycle
File Formats
- csv
- json
View Documentation
