coverage-rights

get_drug_playbook

Read-onlyIdempotent

Curated medication background, common denial patterns, preparation considerations, and available historical California review outcomes for covered GLP-1 and IBD drugs. Accepts a brand or generic name. Confirm current labeling, the actual benefit channel and plan criteria; the guide does not establish current coverage, an exception entitlement, an individual outcome, or an applicable deadline.

Tool call template

Replace each placeholder with a value matching the input schema. Only required parameters are included; add optional parameters as needed.

{
  "id": 1,
  "jsonrpc": "2.0",
  "method": "tools/call",
  "params": {
    "arguments": {
      "drug": "<drug>"
    },
    "name": "get_drug_playbook"
  }
}

Input Schema

Name	Required	Description	Default
`drug`	Yes	Brand or generic drug name, e.g. 'Zepbound', 'ustekinumab'

Output Schema

Name	Required	Description
`note`	No
`page`	No	Existing free information page when a matching record is available.
`_note`	Yes
`brand`	No
`error`	No	Lookup error text when _coverage.status is not_found or unsupported.
`covered`	No
`generic`	No
`_coverage`	Yes
`appeal_angles`	No
`step_therapy_note`	No
`appeal_rights_hint`	No
`published_outcomes`	No
`common_denial_patterns`	No
`fda_approved_indications`	No

Schema Changelog

Changes observed during successful MCP inspections.

Changed20 schema fields changedNov 10, 2026

changedInput schema / $schema

Previous value: -"http://json-schema.org/draft-07/schema#"New value: +"https://json-schema.org/draft/2020-12/schema"

removedInput schema / additionalProperties
```
Removed value: -false
```

changedOutput schema / $schema

Previous value: -"http://json-schema.org/draft-07/schema#"New value: +"https://json-schema.org/draft/2020-12/schema"

changedOutput schema / additionalProperties
```
Previous value: -trueNew value: +{}
```

changedOutput schema / properties / _coverage / properties / content_reviewed_at / anyOf

Previous value: -[
-  {
-    "format": "date",
-    "type": "string"
-  },
-  {
-    "type": "null"
-  }
-]New value: +[
+  {
+    "format": "date",
+    "pattern": "^(?:(?:\\d\\d[2468][048]|\\d\\d[13579][26]|\\d\\d0[48]|[02468][048]00|[13579][26]00)-02-29|\\d{4}-(?:(?:0[13578]|1[02])-(?:0[1-9]|[12]\\d|3[01])|(?:0[469]|11)-(?:0[1-9]|[12]\\d|30)|(?:02)-(?:0[1-9]|1\\d|2[0-8])))$",
+    "type": "string"
+  },
+  {
+    "type": "null"
+  }
+]

removedOutput schema / properties / _coverage / properties / continuation / properties / url / $ref
```
Removed value: -"#/properties/_coverage/properties/sources/items/properties/url"
```
addedOutput schema / properties / _coverage / properties / continuation / properties / url / format
```
Added value: +"uri"
```
addedOutput schema / properties / _coverage / properties / continuation / properties / url / type
```
Added value: +"string"
```
changedOutput schema / properties / _coverage / properties / sources / items / additionalProperties
```
Previous value: -trueNew value: +{}
```

removedOutput schema / properties / appeal_angles / $ref

Removed value: -"#/properties/_coverage/properties/limitations"

addedOutput schema / properties / appeal_angles / items
```
Added value: +{
+  "type": "string"
+}
```
addedOutput schema / properties / appeal_angles / type
```
Added value: +"array"
```
changedOutput schema / properties / covered / items / additionalProperties
```
Previous value: -trueNew value: +{}
```
removedOutput schema / properties / fda_approved_indications / $ref
```
Removed value: -"#/properties/_coverage/properties/limitations"
```
addedOutput schema / properties / fda_approved_indications / items
```
Added value: +{
+  "type": "string"
+}
```
addedOutput schema / properties / fda_approved_indications / type
```
Added value: +"array"
```

removedOutput schema / properties / page / $ref

Removed value: -"#/properties/_coverage/properties/sources/items/properties/url"

addedOutput schema / properties / page / format
```
Added value: +"uri"
```
addedOutput schema / properties / page / type
```
Added value: +"string"
```

changedOutput schema / properties / published_outcomes / anyOf

Previous value: -[
-  {
-    "additionalProperties": false,
-    "properties": {
-      "decisions": {
-        "minimum": 0,
-        "type": "integer"
-      },
-      "overturn_rate_pct": {
-        "anyOf": [
-          {
-            "maximum": 100,
-            "minimum": 0,
-            "type": "number"
-          },
-          {
-            "type": "null"
-          }
-        ]
-      },
-      "overturned": {
-        "$ref": "#/properties/published_outcomes/anyOf/0/properties/decisions"
-      },
-      "source": {
-        "type": "string"
-      },
-      "source_url": {
-        "$ref": "#/properties/_coverage/properties/sources/items/properties/url"
-      }
-    },
-    "required": [
-      "decisions",
-      "overturned",
-      "overturn_rate_pct",
-      "source",
-      "source_url"
-    ],
-    "type": "object"
-  },
-  {
-    "type": "null"
-  }
-]New value: +[
+  {
+    "additionalProperties": false,
+    "properties": {
+      "decisions": {
+        "maximum": 9007199254740991,
+        "minimum": 0,
+        "type": "integer"
+      },
+      "overturn_rate_pct": {
+        "anyOf": [
+          {
+            "maximum": 100,
+            "minimum": 0,
+            "type": "number"
+          },
+          {
+            "type": "null"
+          }
+        ]
+      },
+      "overturned": {
+        "maximum": 9007199254740991,
+        "minimum": 0,
+        "type": "integer"
+      },
+      "source": {
+        "type": "string"
+      },
+      "source_url": {
+        "format": "uri",
+        "type": "string"
+      }
+    },
+    "required": [
+      "decisions",
+      "overturned",
+      "overturn_rate_pct",
+      "source",
+      "source_url"
+    ],
+    "type": "object"
+  },
+  {
+    "type": "null"
+  }
+]

Changed1 schema field changedNov 4, 2026

changedOutput schema / (root)

Previous value: -nullNew value: +{
+  "$schema": "http://json-schema.org/draft-07/schema#",
+  "additionalProperties": true,
+  "properties": {
+    "_coverage": {
+      "additionalProperties": false,
+      "properties": {
+        "applicability": {
+          "additionalProperties": false,
+          "properties": {
+            "jurisdiction": {
+              "type": "string"
+            },
+            "personal_deadline_calculated": {
+              "const": false,
+              "type": "boolean"
+            },
+            "scope": {
+              "type": "string"
+            }
+          },
+          "required": [
+            "jurisdiction",
+            "scope",
+            "personal_deadline_calculated"
+          ],
+          "type": "object"
+        },
+        "content_reviewed_at": {
+          "anyOf": [
+            {
+              "format": "date",
+              "type": "string"
+            },
+            {
+              "type": "null"
+            }
+          ],
+          "description": "YYYY-MM-DD only when this specific content has an existing review date; null means no response-wide review date is asserted."
+        },
+        "continuation": {
+          "additionalProperties": false,
+          "properties": {
+            "label": {
+              "type": "string"
+            },
+            "url": {
+              "$ref": "#/properties/_coverage/properties/sources/items/properties/url"
+            }
+          },
+          "required": [
+            "label",
+            "url"
+          ],
+          "type": "object"
+        },
+        "limitations": {
+          "items": {
+            "type": "string"
+          },
+          "type": "array"
+        },
+        "schema_version": {
+          "const": "1.0",
+          "type": "string"
+        },
+        "sources": {
+          "items": {
+            "additionalProperties": true,
+            "properties": {
+              "label": {
+                "type": "string"
+              },
+              "role": {
+                "enum": [
+                  "primary_source",
+                  "publisher_data",
+                  "curated_guidance",
+                  "methodology"
+                ],
+                "type": "string"
+              },
+              "url": {
+                "format": "uri",
+                "type": "string"
+              }
+            },
+            "required": [
+              "label",
+              "url",
+              "role"
+            ],
+            "type": "object"
+          },
+          "type": "array"
+        },
+        "status": {
+          "enum": [
+            "ok",
+            "no_matches",
+            "not_found",
+            "needs_context",
+            "unsupported"
+          ],
+          "type": "string"
+        },
+        "summary": {
+          "type": "string"
+        },
+        "tool": {
+          "type": "string"
+        }
+      },
+      "required": [
+        "schema_version",
+        "tool",
+        "content_reviewed_at",
+        "status",
+        "summary",
+        "applicability",
+        "sources",
+        "continuation",
+        "limitations"
+      ],
+      "type": "object"
+    },
+    "_note": {
+      "type": "string"
+    },
+    "appeal_angles": {
+      "$ref": "#/properties/_coverage/properties/limitations"
+    },
+    "appeal_rights_hint": {
+      "type": "string"
+    },
+    "brand": {
+      "type": "string"
+    },
+    "common_denial_patterns": {
+      "items": {
+        "additionalProperties": false,
+        "properties": {
+          "detail": {
+            "type": "string"
+          },
+          "pattern": {
+            "type": "string"
+          }
+        },
+        "required": [
+          "pattern",
+          "detail"
+        ],
+        "type": "object"
+      },
+      "type": "array"
+    },
+    "covered": {
+      "items": {
+        "additionalProperties": true,
+        "properties": {
+          "brand": {
+            "type": "string"
+          },
+          "generic": {
+            "type": "string"
+          },
+          "slug": {
+            "type": "string"
+          }
+        },
+        "required": [
+          "slug",
+          "brand",
+          "generic"
+        ],
+        "type": "object"
+      },
+      "type": "array"
+    },
+    "error": {
+      "description": "Lookup error text when _coverage.status is not_found or unsupported.",
+      "type": "string"
+    },
+    "fda_approved_indications": {
+      "$ref": "#/properties/_coverage/properties/limitations"
+    },
+    "generic": {
+      "type": "string"
+    },
+    "note": {
+      "type": "string"
+    },
+    "page": {
+      "$ref": "#/properties/_coverage/properties/sources/items/properties/url",
+      "description": "Existing free information page when a matching record is available."
+    },
+    "published_outcomes": {
+      "anyOf": [
+        {
+          "additionalProperties": false,
+          "properties": {
+            "decisions": {
+              "minimum": 0,
+              "type": "integer"
+            },
+            "overturn_rate_pct": {
+              "anyOf": [
+                {
+                  "maximum": 100,
+                  "minimum": 0,
+                  "type": "number"
+                },
+                {
+                  "type": "null"
+                }
+              ]
+            },
+            "overturned": {
+              "$ref": "#/properties/published_outcomes/anyOf/0/properties/decisions"
+            },
+            "source": {
+              "type": "string"
+            },
+            "source_url": {
+              "$ref": "#/properties/_coverage/properties/sources/items/properties/url"
+            }
+          },
+          "required": [
+            "decisions",
+            "overturned",
+            "overturn_rate_pct",
+            "source",
+            "source_url"
+          ],
+          "type": "object"
+        },
+        {
+          "type": "null"
+        }
+      ]
+    },
+    "step_therapy_note": {
+      "type": "string"
+    }
+  },
+  "required": [
+    "_note",
+    "_coverage"
+  ],
+  "type": "object"
+}

AddedJul 30, 2026

TDQS

A3.7/5.0

Behavior4/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Annotations already declare readOnly, idempotent, non-destructive, and closed-world, so the safety profile is covered. The description adds real behavioral context beyond that: results are curated/historical (California-specific review outcomes) and explicitly non-authoritative on current coverage or deadlines, which sets correct expectations about freshness and applicability.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness4/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The content scope is front-loaded in the first sentence, and the disclaimer sentence is dense but purposeful, preventing misuse of the output as a coverage determination. The long negation list is slightly repetitive but each clause guards against a distinct misreading.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness4/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

For a one-parameter lookup with an output schema (so return values need no explanation) and full annotation coverage, the description supplies scope, input forms, and authoritative limits. The main remaining gap is explicit guidance on when to reach for this versus the outcome-oriented sibling tools.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema description coverage is 100% and the single parameter's description already gives examples of both a brand ('Zepbound') and a generic ('ustekinumab'). The sentence 'Accepts a brand or generic name' restates rather than extends that, so the baseline of 3 applies.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose4/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description names a specific resource and its contents: medication background, denial patterns, preparation considerations, and historical California review outcomes, scoped to GLP-1 and IBD drugs. An agent can tell what it returns without opening the schema, though it never contrasts itself with siblings like get_condition_outcomes or get_treatment_outcomes.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines3/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

Usage is implied by the content list ('common denial patterns', 'preparation considerations'), and the closing sentence clarifies what the tool does not establish (current coverage, exception entitlements, individual outcomes, deadlines). There is no explicit when-to-use or when-to-prefer-a-sibling statement, so routing still requires inference.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

All coverage-rights tools Inspect

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