Formulary

your central resource for accessing formulary and coverage data on the surescripts network formulary services provide medication coverage details cost and tier insights payer preferred alternatives data to support prescribing decisions documentation 💊 formulary https //docs surescripts com/formulary/guide provides bulk, plan level coverage data for local storage and lookup ⚡ on demand formulary https //docs surescripts com/on demand formulary/guide provides real time coverage, cost, and alternatives via request/response ⬇️ formulary download https //docs surescripts com/formulary download/guide access bulk formulary data files for offline use and system ingestion 🏷️ formulary ids and eligibility fields https //docs surescripts com/formulary ids eligibility fields/guide understand how formulary identifiers are used across eligibility and formulary workflows how it works (high level) request formulary data receive payer specific coverage details use formulary ids to align across eligibility and benefit workflows key resources ⚙️ access workbench (staging) https //staging sso surescripts net/account/login get connected to your testing environment and key implementation tools ❓ message search (staging) https //staging support surescripts net/messages/home search for, troubleshoot, and review on demand formulary transactions ✅ certification tester https //staging configuration surescripts net/certification/learning resources the self driving certification built by surescripts to support ncpdp standards 💬 support # open a ticket to troubleshoot the issue 🛠️ formulary insights https //staging configuration surescripts net/formulary insights/home validate, troubleshoot, and visualize formulary data standards information formulary data is aligned with ncpdp standards for coverage, benefit, and alternative medication information use official ncpdp guides for full implementation details surescripts documentation highlights how those standards are applied within the network official standards documentation and ncpdp membership information are available at ncpdp org https //ncpdp org you’ll see ncpdp referenced in milestone names, descriptions, and acceptance criteria these references indicate which industry standard the milestone supports , not a full list of technical requirements always use the official ncpdp implementation guides for detailed specifications eligibility transactions are based on the asc x12n 270 health care eligibility benefit inquiry and 271 health care eligibility benefit response standards, which support real time exchanges of patient eligibility and benefit information use official x12 implementation guides for complete transaction requirements and technical specifications surescripts documentation highlights how the x12 standards are implemented within the surescripts network official standards documentation and licensing information are available at https //x12 org/ https //x12 org/