description: The Formulary provides general information about a formulary and acts as an organizing construct that associated FormularyItem resources point to. The Formulary combined with its associated FormularyItem and FormularyDrug resources represent a formulary list that includes the set of drugs covered and the requirements and limitations of the coverage.
package_name: hl7.fhir.us.davinci-drug-formulary
derivation: constraint
name: Formulary
type: InsurancePlan
elements:
  meta:
    elements:
      lastUpdated: {index: 0}
    required: [lastUpdated]
  identifier: {mustSupport: true, index: 1}
  status: {mustSupport: true, index: 2}
  type:
    short: Plan type
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: DRUGPOL, system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'}
    index: 3
  name: {mustSupport: true, index: 4}
  period: {mustSupport: true, index: 5}
  plan:
    short: Optional non-cost related plan information indicating pharmacy network types and drug tiers available in the formulary
    index: 6
    elements:
      type:
        pattern:
          type: CodeableConcept
          value:
            coding:
            - {code: drug, system: 'http://hl7.org/fhir/us/davinci-drug-formulary/CodeSystem/usdf-PlanTypeCS'}
        index: 7
      specificCost:
        short: Pharmacy network type specific cost
        index: 8
        elements:
          category:
            binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/PharmacyTypeVS'}
            index: 9
          benefit:
            short: Drug tier benefit
            index: 10
            elements:
              type:
                binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/davinci-drug-formulary/ValueSet/DrugTierVS'}
                index: 11
    required: [type]
package_version: 1.2.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-drug-formulary/StructureDefinition/usdf-Formulary
base: http://hl7.org/fhir/StructureDefinition/InsurancePlan
version: 1.2.0
required: [status, identifier, type]