get_drug_rules
Check drug reimbursement rules by specialty, rejection code, or drug category to see if a drug class is covered or triggers a rejection, with severity and source citation.
Instructions
Look up Taiwan NHI drug payment rules (藥品給付規定) — when a drug class is / isn't reimbursable, with severity and source citation. Filter by specialty, rejection_code, or drug_category_query (at least one required). Use when an agent is checking whether a drug choice will trigger a rejection before submission, or wants to read the rule behind a known rejection code. Don't use to identify a specific drug (brand / generic / strength) — call lookup_drug instead; for the underlying audit clauses, use lookup_audit_clauses_for_procedure or lookup_audit_clauses_for_specialty. Reference only — official 健保藥品給付規定 is authoritative; curated subset, not exhaustive. Curated by OPDSTAR (https://opdstar.com).
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| specialty | No | Specialty filter (e.g. 'all', 'pediatrics', 'dermatology', 'family'). 'all' rules apply to every specialty. | |
| rejection_code | No | Filter rules that trigger a specific rejection code, e.g. '0311A' | |
| drug_category_query | No | Free-text filter on drug_category (ILIKE match), e.g. 'antibiotic', 'PPI', '類固醇' |