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Pharmacy Solutions
SecurityWhat pharmacy benefit plans am I able to check?
Today, we have access to pharmacy benefit data for Medicare Part C and D…
Pharmacy Solutions
What commercial pharmacy benefit plans am I able to check?
The X12 270/271 medical eligibility request may return limited pharmacy benefits if available. Please…
How do I find a member’s plan id to check pharmacy benefit information?
To use the pharmacy formulary endpoint with a Medicare member, the plan number is…
What is a formulary?
A formulary is a list of drugs covered under a plan, with details about…
What is a tier?
A tier is a level of coverage. If a patient has a three-tier plan,…
Using the Pharmacy Plans API, is it possible to distinguish Medicare Part C from Part D?
You can distinguish Medicare Parts C and D by the Plan Number: Hxxxx =…
What is Medicare Part C & D?
Medicare part C includes Medicare Advantage plans. These are plans that group medical and…
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