This server does not currently have a deployable release on Glama. Follow the repository's setup instructions to install and configure it for your MCP client, including any required credentials and local dependencies.
Model Context Protocol (MCP) server providing unified access to drug formulary data from US ACA marketplace health insurance plans.
Unified drug search across ~15,000 plans from ~735 issuers
Coverage details: tier levels, copays, coinsurance
Restriction info: prior authorization, step therapy, quantity limits
Plan comparison: compare drug coverage across plans
State filtering: filter results by state
Full-text search: fast drug name search with FTS5
Related MCP server: Benefits Agent MCP Server
cd formulary-mcp-server
npm installnpm run download:db# Download issuer index from CMS
npm run download:index
# Download formulary files for all issuers
npm run download:files
# Build SQLite database
npm run build:dbnpm run build
npm start{
"mcpServers": {
"formulary": {
"command": "node",
"args": ["/path/to/formulary-mcp-server/build/index.js"]
}
}
}Single unified tool with multiple methods:
Method | Description | Required Params |
| Search drugs by name |
|
| Get full drug info with coverage |
|
| Get drugs covered by a plan |
|
| Get plan info and tier structure |
|
| Compare drug across plans |
|
| Search plans by state/issuer | - |
| Get PA/ST/QL requirements |
|
| Find drugs in same tier |
|
| Get database statistics | - |
Search for a drug:
{
"method": "search_drug",
"drug_name": "metformin",
"state": "CA",
"limit": 10
}Get drug details:
{
"method": "get_drug_details",
"rxnorm_id": "860975",
"state": "CA"
}Compare coverage:
{
"method": "compare_coverage",
"rxnorm_id": "860975",
"state": "TX",
"limit": 20
}Get plan formulary:
{
"method": "get_plan_formulary",
"plan_id": "12345VA0010001",
"tier": "GENERIC"
}Get restrictions:
{
"method": "get_restrictions",
"rxnorm_id": "860975",
"plan_id": "12345VA0010001"
}{
"method": "search_drug",
"query": "metformin",
"count": 5,
"results": [
{
"rxnorm_id": "860975",
"drug_name": "Metformin Hydrochloride 500 MG Oral Tablet",
"plan_count": 245,
"tiers": ["GENERIC", "PREFERRED-BRAND"]
}
]
}{
"method": "get_drug_details",
"drug": {
"rxnorm_id": "860975",
"drug_name": "Metformin Hydrochloride 500 MG Oral Tablet"
},
"coverage_summary": {
"total_plans": 245,
"plans_with_pa": 12,
"plans_with_st": 5,
"plans_with_ql": 89
},
"coverage": [
{
"plan_id": "12345CA0010001",
"drug_tier": "GENERIC",
"prior_authorization": false,
"step_therapy": false,
"quantity_limit": true,
"marketing_name": "Blue Shield Gold",
"issuer_name": "Blue Shield of California",
"copay_amount": 10.00,
"coinsurance_rate": 0.20
}
]
}Aspect | Coverage |
Plans | ~5,500 ACA marketplace plans |
Issuers | ~150 insurance companies |
Drugs | ~13,000 unique medications |
Templates | ~800 unique formulary templates |
States | 15+ states |
Data | Tier, PA, step therapy, quantity limits |
Data is sourced from the CMS QHP (Qualified Health Plan) Provider & Formulary APIs:
Note: This covers ACA marketplace plans only. Employer-sponsored and Medicare Advantage plans are not included.
MIT
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