Medical Terminologies MCP

by io.github.SidneyBissoli

Overview Discussions Admin

RxNorm Drug Ingredients

rxnorm_ingredients

Read-onlyIdempotent

Get active ingredients for a drug by RxCUI.

Use this tool to:

Find the active ingredients in a medication
Check for single vs. multiple ingredient products
Identify the generic components of brand drugs

Returns ingredient RxCUIs and names.

Input Schema

TableJSON Schema

Name	Required	Description	Default
`rxcui`	Yes	RxCUI of the drug

Output Schema

TableJSON Schema

Name	Required	Description
`rxcui`	Yes
`provenance`	Yes	Provenance block (contract v1.1): source, URL, data vintage, extraction instant, origin diagnostics, citation, license
`attribution`	Yes	Canonical source URLs of this response (attribution list)
`ingredients`	Yes

Schema Changelog

Changes observed during successful MCP inspections.

Changed3 schema fields changedSep 29, 2026

addedInput schema / properties / rxcui / anyOf

Added value: +[
+  {
+    "pattern": "^\\d+$",
+    "type": "string"
+  },
+  {
+    "maximum": 9007199254740991,
+    "minimum": 0,
+    "type": "integer"
+  }
+]

removedInput schema / properties / rxcui / pattern
```
Removed value: -"^\\d+$"
```
removedInput schema / properties / rxcui / type
```
Removed value: -"string"
```

Changed3 schema fields changedSep 27, 2026

changedOutput schema / properties / provenance / description

Previous value: -"Provenance block (contract v1.0): source, URL, data vintage, extraction instant, citation, license"New value: +"Provenance block (contract v1.1): source, URL, data vintage, extraction instant, origin diagnostics, citation, license"

addedOutput schema / properties / provenance / properties / retrieval

Added value: +{
+  "anyOf": [
+    {
+      "additionalProperties": false,
+      "properties": {
+        "anomalies": {
+          "description": "Anomalias superadas até o sucesso, somadas por classe, em ordem fixa; [] se nenhuma",
+          "items": {
+            "additionalProperties": false,
+            "properties": {
+              "count": {
+                "description": "Ocorrências desta classe na chamada",
+                "maximum": 9007199254740991,
+                "minimum": 1,
+                "type": "integer"
+              },
+              "kind": {
+                "description": "Classe da anomalia (vocabulário fechado do contrato)",
+                "enum": [
+                  "timeout",
+                  "network",
+                  "http_4xx",
+                  "http_5xx",
+                  "rate_limited",
+                  "malformed_body"
+                ],
+                "type": "string"
+              }
+            },
+            "required": [
+              "kind",
+              "count"
+            ],
+            "type": "object"
+          },
+          "type": "array"
+        },
+        "attempts": {
+          "description": "Tentativas somadas, incluindo as repetidas (>= requests)",
+          "maximum": 9007199254740991,
+          "minimum": 1,
+          "type": "integer"
+        },
+        "requests": {
+          "description": "Idas distintas à origem que compõem esta resposta (fatias, páginas)",
+          "maximum": 9007199254740991,
+          "minimum": 1,
+          "type": "integer"
+        },
+        "unstable": {
+          "description": "true se houve repetição (attempts > requests) ou alguma anomalia",
+          "type": "boolean"
+        }
+      },
+      "required": [
+        "requests",
+        "attempts",
+        "anomalies",
+        "unstable"
+      ],
+      "type": "object"
+    },
+    {
+      "type": "null"
+    }
+  ],
+  "description": "Origin diagnostics of THIS source in this call (contract v1.1): requests made to the upstream, attempts summed across retries, anomalies worked around (kind + count); unstable=true when any anomaly happened. null when nothing was measured (bundled dataset, or response served entirely from cache)"
+}

changedOutput schema / properties / provenance / required

Previous value: -[
-  "source",
-  "source_url",
-  "data_vintage",
-  "retrieved_at",
-  "citation",
-  "license"
-]New value: +[
+  "source",
+  "source_url",
+  "data_vintage",
+  "retrieved_at",
+  "retrieval",
+  "citation",
+  "license"
+]

Changed1 schema field changedSep 11, 2026
- addedInput schema / additionalProperties
```
Added value: +false
```
First observedSep 6, 2026

TDQS

A4.1/5.0

Behavior4/5

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

Annotations already declare readOnlyHint=true, openWorldHint=true, idempotentHint=true, and destructiveHint=false, covering safety and side-effect profile. The description adds that it returns ingredient RxCUIs and names, which is useful output context, though it doesn't describe error behavior or rate limits.

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 description is short and front-loaded with the core action, followed by a bulleted list of use cases. There is no wasted text, though the bullet points could be slightly more compact.

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?

With one required parameter, 100% schema coverage, and a declared output schema, the description provides enough context to invoke the tool correctly. It could mention sibling alternatives for broader use-case routing, but it is largely complete.

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%, so the schema fully documents the single 'rxcui' parameter with its type and pattern. The description does not add any syntax or format details beyond what the schema provides, so baseline 3 is appropriate.

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

Purpose5/5

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

The description states a specific verb and resource: 'Get active ingredients for a drug by RxCUI.' It distinguishes the tool from sibling rxnorm_concept and rxnorm_search by focusing on ingredient-level lookup, and the bullet list clarifies the exact use cases.

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

Usage Guidelines4/5

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

The 'Use this tool to' bullet list provides clear context for when to call it: finding active ingredients, checking single vs. multiple ingredients, and identifying generic components of brand drugs. It does not explicitly name when not to use it or mention the alternative tools in the rxnorm family.

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

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