Drugs and formularies

Part D formulary coverage (CMS SPUF)

drug_silver.fact_drug_formulary·live·silver·Part D Plans & Formularies

Rows

42,858,106

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1NDC-grained Part D formulary coverage from CMS SPUF: tier_level_value, prior authorization, step therapy, quantity limits, and selected-drug flag across all MA-PD + PDP formularies.
2The coverage lens for employer audits.
3Resolve plan -> formulary_id via dim_part_d_plan.

Grain

Key	Grain
N/A	1One row per (formulary_id, NDC11, report_quarter).

Columns (28)

Column	Type	Meaning
`formulary_id`	string
`formulary_version`	int
`contract_year`	int
`rxcui`	string
`ndc11`	string
`report_quarter`	string
`tier_level_value`	int
`quantity_limit_yn`	boolean
`quantity_limit_amount`	double
`quantity_limit_days`	int
`prior_authorization_yn`	boolean
`step_therapy_yn`	boolean
`selected_drug_yn`	boolean
`observed_period`	date
`asserted_at`	date
`effective_period_start`	date
`effective_period_end`	date
`cms_vintage_sequence`	int
`parse_revision`	int
`parser_artifact_hash`	string
`source_url`	string
`sha256_content_hash`	string
`source_id`	string
`is_current`	boolean
`bronze_object_key`	string
`s3_version_id`	string
`vintage_tag`	string
`drug_source_version_id`	string

Query it

describe_data_source(source_fqn="drug_silver.fact_drug_formulary")     # the card, live
query_substrate(sql="SELECT * FROM drug_silver.fact_drug_formulary WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	formulary_churn
Identity key	`ndc11`
Join	`how_to_join(source_fqn="drug_silver.fact_drug_formulary")`
Raw door	Tools: formulary_lens, formulary_churn, formulary_coverage_lookup; Athena: drug_silver.fact_drug_formulary
Note	SPUF substrate sibling of fact_drug_formulary_excluded; grain is formulary (not plan) — many plans share a formulary_id.

This page as markdown: /docs-md/data/drug_silver_fact_drug_formulary.md · every page in one file: /llms-full.txt