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Plan Design & Rate Data
Includes 50+ SBC plan data elements, and allows cross referencing for provider and drug search. Match formularies to plan designs to determine copay and coinsurance for covered drugs. Or, match networks to plan design to determine provider/plan name participation.
Provider-network Data & Formulary Data
Provides details on which doctors and facilities participate in which networks. Search for providers by name, search providers for networks, search providers for plans or search networks by carrier. .
Provides details on which drugs are covered by which plans and at what tier level, along with restrictions. Search for drugs by name, search formularies for drugs, search drugs for formularies or search formularies by carrier.