Health Formulary Coverage Lookup
health_formulary_coverage_lookupMedicare Part D drug coverage from CMS monthly formulary files, current and next plan year: for a drug (name or RxCUI), in one plan, across a state's plans or over every formulary: coverage per strength, cost-share tier, prior authorization, step therapy, quantity limit, IRA negotiated-price flag, 30-day retail/mail cost, plan premium and deductible. Includes the CMS release date. Price: $0.003 in USDC per successful call, paid with x402 (Base, Solana or Arc); failed calls are not charged.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| drug | Yes | Drug name (generic or brand, e.g. atorvastatin, Eliquis) or an RxCUI | |
| plan | No | Optional plan id CONTRACT-PLAN[-SEGMENT], e.g. H0028-007 or S4802-075 | |
| year | No | Plan (contract) year, e.g. 2026 or 2027. Default: the current year if loaded, else the newest | |
| limit | No | Max plans in a state listing, 1-100 (default 20) | |
| state | No | Optional 2-letter state: list the plans sold there with this drug's coverage |
Output Schema
| Name | Required | Description | Default |
|---|---|---|---|
No arguments | |||