Resources

Plans

The Plans resource allows for the retrieval of Plan information. One or more plans may be returned based on the given filters. Note that a plan may be ending (see the EndDate field), and it may also be slated to start in the future (see the EffectiveDate field).


Plans Search (using filter criteria)

Plans Search (using filter criteria)

Request URL

GET Formulary/v1/Plans

URI Parameters

Name	Description	Type	Required / Optional
Name	The name contained within the Plan Name	string	Optional
ControllerId	The id of the Controller of the Plan	integer	Optional
MCOId	The id of the Managed Care Organization	integer	Optional
PlanId	The Id of the Plan	integer	Optional
PayerId	The id of the Payer of the Plan	integer	Optional
PBMId	The id of the PBM of the Plan	integer	Optional
RxBin	The RxBin that matches the Plan. Can be used in conjunction with RxPCN and RxGroup	string	Optional
RxPCN	The RxPCN that matches the Plan. Can be used in conjunction with RxBin and RxGroup	string	Optional
RxGroup	The RxGroup that matches the Plan. Can be used in conjunction with RxBin and RxPCN	string	Optional
MedicareContractId	The CMSContractId that is assigned to the Plan. Should be used in conjunction with CMSPlanId	string	Optional
MedicarePlanId	The CMSPlanId that is assigned to the Plan. Should be used in conjunction with CMSContractId	integer	Optional
BenefitDesignId	The BenefitDesignId of the Plan	integer	Optional
ChannelId	The ChannelId of the Plan	Collection of integer	Optional
PlanTypeId	The PlanTypeId of the Plan	integer	Optional
StateId	The US State where the Plan is serviced	string	Optional
CBSAId	The CBSA Id (Core Based Statistical Area) where the Plan is serviced	integer	Optional
TerritoryId	The Territory Id where the Plan is covered	integer	Optional
FormularyId	The FormularyId of the Plan.	integer	Optional
LivesTypeId	The Id to override the types of lives to show, 1 = Medical plans, 4 = Pharmacy plans (default:4)	integer	Optional
MedicalGroupId	The MedicalGroupId of the Plan.	integer	Optional

Resource Description of Response Object

PlansResponse

Name	Description	Type	Required / Optional
Plans		Collection of Plan	Optional

{
  "Plans": [
    {
      "PlanId": 1,
      "Name": "sample string 2",
      "MonthId": 3,
      "National": true,
      "PayerId": 1,
      "Payer": "sample string 4",
      "Lives": 5,
      "ControllerId": 6,
      "Controller": "sample string 7",
      "MCOId": 8,
      "MCO": "sample string 9",
      "Formulary": "sample string 10",
      "PBMId": 1,
      "PBM": "sample string 11",
      "PBMTypeId": 64,
      "PBMType": "sample string 12",
      "BenefitDesignId": 64,
      "BenefitDesign": "sample string 14",
      "PlanTypeId": 64,
      "ChannelId": 16,
      "Address": {
        "Address1": "sample string 1",
        "Address2": "sample string 2",
        "City": "sample string 3",
        "StateId": "sample string 4",
        "Zip": "sample string 5",
        "Phone": "sample string 6",
        "PriorAuthPhone": "sample string 7",
        "PriorAuthFax": "sample string 8",
        "MemberPhone": "sample string 9"
      },
      "FormularyId": 17,
      "MedicalGroupID": 18
    },
    {
      "PlanId": 1,
      "Name": "sample string 2",
      "MonthId": 3,
      "National": true,
      "PayerId": 1,
      "Payer": "sample string 4",
      "Lives": 5,
      "ControllerId": 6,
      "Controller": "sample string 7",
      "MCOId": 8,
      "MCO": "sample string 9",
      "Formulary": "sample string 10",
      "PBMId": 1,
      "PBM": "sample string 11",
      "PBMTypeId": 64,
      "PBMType": "sample string 12",
      "BenefitDesignId": 64,
      "BenefitDesign": "sample string 14",
      "PlanTypeId": 64,
      "ChannelId": 16,
      "Address": {
        "Address1": "sample string 1",
        "Address2": "sample string 2",
        "City": "sample string 3",
        "StateId": "sample string 4",
        "Zip": "sample string 5",
        "Phone": "sample string 6",
        "PriorAuthPhone": "sample string 7",
        "PriorAuthFax": "sample string 8",
        "MemberPhone": "sample string 9"
      },
      "FormularyId": 17,
      "MedicalGroupID": 18
    }
  ]
}

<PlansResponse xmlns:i="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://api.mmitnetwork.com/formulary/plans">
  <Plans>
    <Plan>
      <Address>
        <Address1>sample string 1</Address1>
        <Address2>sample string 2</Address2>
        <City>sample string 3</City>
        <MemberPhone>sample string 9</MemberPhone>
        <Phone>sample string 6</Phone>
        <PriorAuthFax>sample string 8</PriorAuthFax>
        <PriorAuthPhone>sample string 7</PriorAuthPhone>
        <StateId>sample string 4</StateId>
        <Zip>sample string 5</Zip>
      </Address>
      <BenefitDesign>sample string 14</BenefitDesign>
      <BenefitDesignId>64</BenefitDesignId>
      <ChannelId>16</ChannelId>
      <Controller>sample string 7</Controller>
      <ControllerId>6</ControllerId>
      <Formulary>sample string 10</Formulary>
      <FormularyId>17</FormularyId>
      <Lives>5</Lives>
      <MCO>sample string 9</MCO>
      <MCOId>8</MCOId>
      <MedicalGroupID>18</MedicalGroupID>
      <MonthId>3</MonthId>
      <Name>sample string 2</Name>
      <National>true</National>
      <PBM>sample string 11</PBM>
      <PBMId>1</PBMId>
      <PBMType>sample string 12</PBMType>
      <PBMTypeId>64</PBMTypeId>
      <Payer>sample string 4</Payer>
      <PayerId>1</PayerId>
      <PlanId>1</PlanId>
      <PlanTypeId>64</PlanTypeId>
    </Plan>
    <Plan>
      <Address>
        <Address1>sample string 1</Address1>
        <Address2>sample string 2</Address2>
        <City>sample string 3</City>
        <MemberPhone>sample string 9</MemberPhone>
        <Phone>sample string 6</Phone>
        <PriorAuthFax>sample string 8</PriorAuthFax>
        <PriorAuthPhone>sample string 7</PriorAuthPhone>
        <StateId>sample string 4</StateId>
        <Zip>sample string 5</Zip>
      </Address>
      <BenefitDesign>sample string 14</BenefitDesign>
      <BenefitDesignId>64</BenefitDesignId>
      <ChannelId>16</ChannelId>
      <Controller>sample string 7</Controller>
      <ControllerId>6</ControllerId>
      <Formulary>sample string 10</Formulary>
      <FormularyId>17</FormularyId>
      <Lives>5</Lives>
      <MCO>sample string 9</MCO>
      <MCOId>8</MCOId>
      <MedicalGroupID>18</MedicalGroupID>
      <MonthId>3</MonthId>
      <Name>sample string 2</Name>
      <National>true</National>
      <PBM>sample string 11</PBM>
      <PBMId>1</PBMId>
      <PBMType>sample string 12</PBMType>
      <PBMTypeId>64</PBMTypeId>
      <Payer>sample string 4</Payer>
      <PayerId>1</PayerId>
      <PlanId>1</PlanId>
      <PlanTypeId>64</PlanTypeId>
    </Plan>
  </Plans>
</PlansResponse>

Build Request

Parameters
Headers

Name	Description	Type	Required / Optional
Name	The name contained within the Plan Name	string	Optional
ControllerId	The id of the Controller of the Plan	integer	Optional
MCOId	The id of the Managed Care Organization	integer	Optional
PlanId	The Id of the Plan	integer	Optional
PayerId	The id of the Payer of the Plan	integer	Optional
PBMId	The id of the PBM of the Plan	integer	Optional
RxBin	The RxBin that matches the Plan. Can be used in conjunction with RxPCN and RxGroup	string	Optional
RxPCN	The RxPCN that matches the Plan. Can be used in conjunction with RxBin and RxGroup	string	Optional
RxGroup	The RxGroup that matches the Plan. Can be used in conjunction with RxBin and RxPCN	string	Optional
MedicareContractId	The CMSContractId that is assigned to the Plan. Should be used in conjunction with CMSPlanId	string	Optional
MedicarePlanId	The CMSPlanId that is assigned to the Plan. Should be used in conjunction with CMSContractId	integer	Optional
BenefitDesignId	The BenefitDesignId of the Plan	integer	Optional
ChannelId	The ChannelId of the Plan	Collection of integer	Optional
PlanTypeId	The PlanTypeId of the Plan	integer	Optional
StateId	The US State where the Plan is serviced	string	Optional
CBSAId	The CBSA Id (Core Based Statistical Area) where the Plan is serviced	integer	Optional
TerritoryId	The Territory Id where the Plan is covered	integer	Optional
FormularyId	The FormularyId of the Plan.	integer	Optional
LivesTypeId	The Id to override the types of lives to show, 1 = Medical plans, 4 = Pharmacy plans (default:4)	integer	Optional
MedicalGroupId	The MedicalGroupId of the Plan.	integer	Optional

Request URL

GET Formulary/v1/Plans?Name=Name&ControllerId=ControllerId&MCOId=MCOId&PlanId=PlanId&PayerId=PayerId&PBMId=PBMId&RxBin=RxBin&RxPCN=RxPCN&RxGroup=RxGroup&MedicareContractId=MedicareContractId&MedicarePlanId=MedicarePlanId&BenefitDesignId=BenefitDesignId&ChannelId=ChannelId&PlanTypeId=PlanTypeId&StateId=StateId&CBSAId=CBSAId&TerritoryId=TerritoryId&FormularyId=FormularyId&LivesTypeId=LivesTypeId&MedicalGroupId=MedicalGroupId

Status

Response Details

Data
Headers