Independence Blue Cross

Independence Blue Cross Drug Formulary FHIR API

HL7 FHIR R4 (4.0.1) Drug Formulary API satisfying the CMS Interoperability drug formulary publication requirement, published as a Da Vinci US Drug Formulary (USDF) server (CapabilityStatement id `usdf-server`, published 2021-06-03). Exposes covered drug lists, tiers, and prior authorization indicators via FHIR `List` and `MedicationKnowledge` resources. Publicly queryable; no authentication required.

Independence Blue Cross Drug Formulary FHIR API is one of 5 APIs that Independence Blue Cross publishes on the APIs.io network, described by a machine-readable OpenAPI specification.

This API exposes 1 machine-runnable capability that can be deployed as REST, MCP, or Agent Skill surfaces via Naftiko.

Tagged areas include Formulary, Drug Formulary, FHIR, Da Vinci, and USDF. The published artifact set on APIs.io includes API documentation, an OpenAPI specification, and 1 Naftiko capability spec.

Documentation GitHub OpenAPI

OpenAPI Specification

openapi: 3.0.3
info:
  title: Independence Blue Cross Drug Formulary FHIR API
  version: 1.0.0
  description: HL7 FHIR R4 (4.0.1) Drug Formulary API satisfying the CMS Interoperability drug formulary publication requirement,
    published as a Da Vinci US Drug Formulary (USDF) server. Publicly queryable, no authentication required. Exposes the Independence
    Blue Cross covered drug list, tiers, and prior authorization indicators via FHIR List and MedicationKnowledge resources.
  contact:
    name: Independence Interoperability Support
    email: [email protected]
    url: https://devportal.ibx.com/
  license:
    name: Independence Developer Portal Terms & Conditions
    url: https://www.ibx.com/htdocs/custom/tnc/Developer%20Portal%20TandC.pdf
servers:
- url: https://eapics.ibx.com/formulary/v1/fhir
  description: Production FHIR endpoint
tags:
- name: Formulary
  description: Public Da Vinci USDF FHIR R4 drug formulary resources.
paths:
  /metadata:
    get:
      summary: Get Capability Statement
      operationId: get_metadata
      tags:
      - Formulary
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /List:
    get:
      summary: Search List
      operationId: get_List
      tags:
      - Formulary
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /List/{rid}:
    get:
      summary: Read List By ID
      operationId: get_List_rid
      tags:
      - Formulary
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string
  /MedicationKnowledge:
    get:
      summary: Search MedicationKnowledge
      operationId: get_MedicationKnowledge
      tags:
      - Formulary
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
  /MedicationKnowledge/{rid}:
    get:
      summary: Read MedicationKnowledge By ID
      operationId: get_MedicationKnowledge_rid
      tags:
      - Formulary
      responses:
        '200':
          description: OK
          content:
            application/fhir+json: {}
        '400':
          description: Bad Request
        '401':
          description: Unauthorized
        '403':
          description: Forbidden
        '404':
          description: Not Found
      parameters:
      - name: rid
        in: path
        required: true
        description: FHIR resource id
        schema:
          type: string

Independence Blue Cross Drug Formulary FHIR API

Documentation

Specifications

Other Resources

OpenAPI Specification