FHIR Chat · Not Covered Drugs · Da Vinci PDex Drug Formulary

Stream: Da Vinci PDex Drug Formulary

Topic: Not Covered Drugs

Courtney Bland (Feb 05 2021 at 20:16):

What is the recommended approach to dealing with drugs that appear on the formulary list with a status of not covered? If someone searches for that drug using the formulary profile, what should the response indicate to he third party app? Does it get handled with an operation outcome message? Would it be excluded from the Formulary references that appear on the Coverage profile response?

Saul Kravitz (Feb 08 2021 at 17:32):

Hi @Courtney Bland
If you search for a drug by name or RxNorm ID in the formulary, you would not find the drug.
The search would return a bundle with zero entries. So, if I search for papaya within our reference implementation, I get this:
https://davinci-drug-formulary-ri.logicahealth.org/fhir/MedicationKnowledge?DrugName:contains=papaya

{
  "resourceType": "Bundle",
  "id": "11e48c8f-95d9-4d1e-93b9-7b4ecb756309",
  "meta": {
    "lastUpdated": "2021-02-08T17:30:41.954+00:00"
  },
  "type": "searchset",
  "total": 0,
  "link": [
    {
      "relation": "self",
      "url": "https://davinci-drug-formulary-ri.logicahealth.org/fhir/MedicationKnowledge?DrugName%3Acontains=papaya"
    }
  ]
}

The list of drugs in the CoveragePlan(List) resource is a list of references, not RxNorm or DrugNames.

Courtney Bland (Feb 12 2021 at 14:17):

Saul Kravitz said:

Hi Courtney Bland
If you search for a drug by name or RxNorm ID in the formulary, you would not find the drug.
The search would return a bundle with zero entries. So, if I search for papaya within our reference implementation, I get this:
https://davinci-drug-formulary-ri.logicahealth.org/fhir/MedicationKnowledge?DrugName:contains=papaya
{
  "resourceType": "Bundle",
  "id": "11e48c8f-95d9-4d1e-93b9-7b4ecb756309",
  "meta": {
    "lastUpdated": "2021-02-08T17:30:41.954+00:00"
  },
  "type": "searchset",
  "total": 0,
  "link": [
    {
      "relation": "self",
      "url": "https://davinci-drug-formulary-ri.logicahealth.org/fhir/MedicationKnowledge?DrugName%3Acontains=papaya"
    }
  ]
}
The list of drugs in the CoveragePlan(List) resource is a list of references, not RxNorm or DrugNames.

Thank you for your help.