Skip to content

DrugCoveragesApi.md

Latest commit

 

History

History
69 lines (45 loc) · 3.69 KB

DrugCoveragesApi.md

File metadata and controls

69 lines (45 loc) · 3.69 KB

VericredClient::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

# load the gem
require 'vericred_client'
# setup authorization
VericredClient.configure do |config|
  # Configure API key authorization: Vericred-Api-Key
  config.api_key['Vericred-Api-Key'] = 'YOUR API KEY'
  # Uncomment the following line to set a prefix for the API key, e.g. 'Bearer' (defaults to nil)
  #config.api_key_prefix['Vericred-Api-Key'] = 'Bearer'
end

api_instance = VericredClient::DrugCoveragesApi.new

ndc_package_code = "07777-3105-01" # String | NDC package code

audience = "individual" # String | Plan Audience (individual or small_group)

state_code = "CA" # String | Two-character state code


begin
  #Search for DrugCoverages
  result = api_instance.get_drug_coverages(ndc_package_code, audience, state_code)
  p result
rescue VericredClient::ApiError => e
  puts "Exception when calling DrugCoveragesApi->get_drug_coverages: #{e}"
end

Parameters

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

Return type

DrugCoverageResponse

Authorization

Vericred-Api-Key

HTTP request headers

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