Methodology & Provenance
This resource organizes commercial pharmacy benefit criteria into Plan Triples — plan × drug × indication — with links to official policy PDFs. The intent is transparency, reproducibility, and practical navigation.
Source discovery & monitoring
- Continuously monitor payer policy libraries and update notices.
- Prioritize label changes, safety communications, and guideline updates.
- Capture source URLs and document metadata at time of ingestion.
Normalization
- Normalize plan names, drug entities, and indication terms for consistent routing.
- Record common synonyms to improve search and linking.
Versioning
- Keep a change log when policies are revised or superseded.
- Include last-seen dates to support provenance and auditability.
E-E-A-T (experience, expertise, authority, trust)
- Experience: Curated by practicing pharmacists with managed care exposure.
- Expertise: Coverage logic summarized from payer documentation.
- Authority: Each page links directly to the official source PDF.
- Trust: Educational use; always confirm with the plan before clinical or financial decisions.
Have suggestions or spotted a revision? Email Andrew directly.