Drugs and formularies

Part D excluded drugs covered as a supplemental benefit, monthly (CMS)

drug_silver.fact_drug_formulary_excluded_monthly·live·silver

Rows

1,103,415

Columns

History

N/A

Card

nocolumns only

Typed tools

What it is

1Drugs excluded from Part D that a plan covers as a supplemental benefit, with tier and utilization management, every monthly edition 2019-01..2026-09.
22026-09: 13,717 rows, 44 drugs.

Grain

Key	Grain
N/A	1One row per (release_month, contract_id, plan_id, drug_identifier).

Columns (28)

Column	Type	Meaning
`contract_id`	string
`plan_id`	string
`drug_identifier`	string
`drug_identifier_type`	string
`release_month`	string
`contract_year`	int
`tier`	int
`quantity_limit_yn`	boolean
`quantity_limit_amount`	double
`quantity_limit_days`	int
`prior_auth_yn`	boolean
`step_therapy_yn`	boolean
`capped_benefit_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_excluded_monthly")     # the card, live
query_substrate(sql="SELECT * FROM drug_silver.fact_drug_formulary_excluded_monthly WHERE <filter> LIMIT 100")

Item	Value
Typed tools that read it	none; raw SQL
Identity key	`release_month,contract_id,plan_id,drug_identifier`
Join	`how_to_join(source_fqn="drug_silver.fact_drug_formulary_excluded_monthly")`
Raw door	Athena (read-only via query_substrate): drug_silver.fact_drug_formulary_excluded_monthly (filter is_current, pin release_month)
Note	Register source cms_monthly_pdp_formulary_pharmacy_network (w3, serve raw). RAW. Loaded 2026-09-30 on the drug fleet (verify_tracker_loads PASS 2026-10-01 on all five tables: rows per month equal the independent reader's count of every bronze member, 0 duplicate keys, 0 null lineage; Athena 20aeca6c, 20b9bd5a, 8d309e07, 8d22a4d9, 88f1284b; PDPM-1 / PDPM-4 view sentinels PASS). Cell reconciliation PASS on 5 editions per table, except vw_dim_part_d_plan_monthly_v3 plan_name (PDPM-5, a documented trap). Registered 2026-10-01 in W3; the quarterly SPUF and its readers are untouched.

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