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

Publication Build: This will be filled in by the publication tooling

## Example MedicationKnowledge: Formulary Drug cmsip9

Generated Narrative

Drug Tier ID: Generic

Prior Authorization: false

Step Therapy Limit: true

Quantity Limit: true

Plan ID: 40308VA0240008

code: doxepin hydrochloride 50 MG/ML Topical Cream

### Notes:

Field | Value
code.coding[0].code | #1000091
code.coding[0].system | "http://www.nlm.nih.gov/research/umls/rxnorm"
code.coding[0].display | "doxepin hydrochloride 50 MG/ML Topical Cream"
extension[0].url | "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-DrugTierID-extension"
extension[0].valueCodeableConcept.coding[0].code | #generic
extension[0].valueCodeableConcept.coding[0].system | "http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-DrugTierCS"
extension[0].valueCodeableConcept.coding[0].display | "Generic"
extension[1].url | "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PriorAuthorization-extension"
extension[1].valueBoolean | "false"
extension[2].url | "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-StepTherapyLimit-extension"
extension[2].valueBoolean | "true"
extension[3].url | "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-QuantityLimit-extension"
extension[3].valueBoolean | "true"
extension[4].url | "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-PlanID-extension"
extension[4].valueString | "40308VA0240008"
resourceType | "MedicationKnowledge"
meta.profile[0] | "http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-FormularyDrug"
id | "cmsip9"