rpc_coverage_lookup_cost_2026

Coverage lookup including cost sharing and cost resolution details.

Request

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

Response fields

• plan_year
• issuer_id
• state
• plan_id
• marketing_name
• rxnorm
• drug_tier
• drug_tier_norm
• prior_authorization
• step_therapy
• quantity_limit
• variant_count
• coverage_varies
• copay_status
• pharmacy_type
• copay_amount
• copay_opt
• coinsurance_rate
• coinsurance_opt
• has_cost_row
• cost_resolution

Notes

cost_resolution explains how cost values were derived when multiple rows/variants exist.