DaVinci Payer Data Exchange (PDex) US Drug Formulary
1.1.0 - STU 1.1

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## : Formulary Drug cmsip9 - JSON Representation

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    {
      "resourceType" : "MedicationKnowledge",
      "id" : "cmsip9",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Drug Tier ID</b>: <span title=\"Codes: {http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS generic}\">Generic</span></p><p><b>Prior Authorization</b>: false</p><p><b>Step Therapy Limit</b>: true</p><p><b>Quantity Limit</b>: true</p><p><b>Plan ID</b>: 40308VA0240008</p><p><b>code</b>: <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1000091}\">doxepin hydrochloride 50 MG/ML Topical Cream</span></p></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS",
                "code" : "generic",
                "display" : "Generic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension",
          "valueBoolean" : false
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension",
          "valueBoolean" : true
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanID-extension",
          "valueString" : "40308VA0240008"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "1000091",
            "display" : "doxepin hydrochloride 50 MG/ML Topical Cream"
          }
        ]
      }
    }