Eligibility ping (demo)
Response (synthetic): active · family plan · pharmacy benefit NCPDP ID 9902.
This payer desk aligns with insurer APIs exposed in eligibility, benefits/coverage, and UHC integration. Prescription payloads route from eRx queue.
Prior authorization & step therapy
| Rx | Tier | Benefit outcome | Copay due |
|---|---|---|---|
| RX-99301-Q | Preferred specialty | Approved | KES 850 |
| RX-99344-L | Non-formulary | PA pending · prescriber attestation | — |