NewCrop LLC V7 Formulary2 Services Demo
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Quick start steps:
1) Review the Formulary2 Services
2) Enter your Username and Credentials and press
Save Credentials
3) Press Go get it! for both AllFormularyDetailPlans and AllConsolidatedFormularyPlans
and review the lists
4) Enter required information for FormularyCoverage and press Go get it!
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Click the above link to see the Service Description (in WSDL format) and a list
of the Web Methods with their respective SOAP implementation details.
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| PartnerName:
Name:
Password:
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Results: (displayed after you press the Go get it!
button)
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The following web method arguments and returns are common to the next
two methods listed on this page:
HealthPlan ID:
HealthplanSummaryID from Summary list
HealthplanDetailID from Detail list
Eligibility Guid returned from GetPBMEligibility in Patient
Web Services
HealthPlan Type ID: Origin of the HealthplanID:
S for Summary List
D for Detail List
R for Patient Eligibility List
EligibilityIndex:
0 = using HealthPlanSummaryID for HealthplanDetailID
0 based index = using results from GetPBMEligibility in
Patient Web Services - pass the 0-based index of the desired plan returned from
the web service
Drug Concept Type:
F = FirstDataBank (FDB)
G = United States Government List (FDA) - National
Drug Codes (NDCs)
Drug Concept: Either a FirstDataBank or FDA Drug
Concept Code
Drug Concept List: A comma separated list of either FirstDataBank
or FDA Drug Concept Codes
The FirstDataBank Drug Concept Codes (Drug IDs) are obtained from the NewCrop Drug
Web Services
Examples: 228042,186458
The FDA Drug Concept Codes(NDCs) are 11 digits (NCPDP format compliant).
Examples: 00071052740,00069421030
Important note: On rare occasions, a manufacturer or distributor uses
the same first nine digits to indicate two distinct drug products. This is a detrimental
limitation which may lead to serious flaws in the implementation of systems.
Because of this, NewCrop does not support 9 digit NDCs.
A general comment on NDC usage: There are typically many NDCs that map to
a single drug concept - i.e. product/generic name, dosage form, strength, unit
of measure and route. When passing a list of NDCs, try to limit the list to
a single NDC per drug concept.
For example: When searching for Lasix 20, 40, and 80 mg, send 3 representative NDCs
out of the approximate list of 14 possible NDCs.
Return Array:
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Name
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Datatype
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Usage Notes
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| DrugConcept
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varchar 11
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Returned unmodified from the original request
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| FormularyStatus
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varchar 2
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See table below
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| FormularyMessage
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varchar 200
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Specific message associated with a given drug that should be displayed to the
end user. Note: this field is rarely used and contains an empty string (not
a NULL) when the field does not have a value.
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FormularyStatus
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Description
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Explanation
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| 10
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Unlisted Drug
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| 15
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Not Reimbursed
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The plan does not pay for this drug. The individual will need to pay for it if desired.
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| 20
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Non Formulary
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Specified by the plan as not on the formulary or on the formulary at a higher co-pay
level. This may or may not be reimbursable.
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| 30
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Prior Authorization
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Reimbursement will be allowed only when the claim has been submitted to plan officials
by a physician for review prior to the issuance of a prescription.
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| 50
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On Formulary
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Authorized for reimbursement
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| 51
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Preferred Level 1
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Favored over all other drugs in the same therapeutic category. The higher the Level,
the more preferred the drug.
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| 52
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Preferred Level 2
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See above
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| 53
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Preferred Level 3
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See above
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| 54
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Preferred Level 4
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See above
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| 55
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Preferred Level 5
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See above
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| ..
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..
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| Up to 99
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Preferred Level 49
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Note: we have not seen any Preferred Levels above 3, but our standard
supports up to 49.
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