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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
Use Cases
Our comprehensive formulary data powers mission critical functionality.
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