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rpc_coverage_lookup_core_2026

Basic coverage lookup for one RxNorm in one plan (no cost resolution).

Request

{
  "p_plan_id": "38246LA0010001",
  "p_rxnorm": "310004"
}

Response fields

  • plan_year
  • issuer_id
  • state
  • plan_id
  • marketing_name
  • rxnorm
  • drug_tier
  • prior_authorization
  • step_therapy
  • quantity_limit
  • variant_count
  • coverage_varies