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DrugCoveragesApi.md

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vericred_client.DrugCoveragesApi

All URIs are relative to https://api.vericred.com/

Method HTTP request Description
get_drug_coverages GET /drug_packages/{ndc_package_code}/coverages Search for DrugCoverages

get_drug_coverages

DrugCoverageResponse get_drug_coverages(ndc_package_code, audience, state_code)

Search for DrugCoverages

Drug Coverages are the specific tier level, quantity limit, prior authorization and step therapy for a given Drug/Plan combination. This endpoint returns all DrugCoverages for a given Drug. #### Tiers Possible values for tier: | Tier | Description | | ------------------------ | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | generic | Unbranded drugs, with the same active ingredients as their brand-name equivalents, and generally available at a lower cost. | | preferred_brand | Brand-name drugs included on the health plan's formulary. Generally more expensive than generics, and less expensive than non-preferred drugs. | | non_preferred_brand | Brand-name drugs not included on the health plan's formulary. These generally have a higher coinsurance. | | specialty | Used to treat complex conditions like cancer. May require special handling or monitoring. May be generic or brand-name. Generally the most expensive drugs covered by a plan. | | not_covered | Specifically excluded from the health plan. | | not_listed | Neither included nor excluded from the health plan. Most plans provide some default level of coverage for unlisted drugs. |

Example

from __future__ import print_statement
import time
import vericred_client
from vericred_client.rest import ApiException
from pprint import pprint

# Configure API key authorization: Vericred-Api-Key
vericred_client.configuration.api_key['Vericred-Api-Key'] = 'YOUR_API_KEY'
# Uncomment below to setup prefix (e.g. Bearer) for API key, if needed
# vericred_client.configuration.api_key_prefix['Vericred-Api-Key'] = 'Bearer'

# create an instance of the API class
api_instance = vericred_client.DrugCoveragesApi()
ndc_package_code = '07777-3105-01' # str | NDC package code
audience = 'individual' # str | Plan Audience (individual or small_group)
state_code = 'CA' # str | Two-character state code

try: 
    # Search for DrugCoverages
    api_response = api_instance.get_drug_coverages(ndc_package_code, audience, state_code)
    pprint(api_response)
except ApiException as e:
    print("Exception when calling DrugCoveragesApi->get_drug_coverages: %s\n" % e)

Parameters

Name Type Description Notes
ndc_package_code str NDC package code
audience str Plan Audience (individual or small_group)
state_code str Two-character state code

Return type

DrugCoverageResponse

Authorization

Vericred-Api-Key

HTTP request headers

  • Content-Type: Not defined
  • Accept: Not defined

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