Machine Readable Data

Machine Readable Data for Provider Network and Prescription Formulary Content for Federally-Facilitated Marketplace (FFM) Qualified Health Plans (QHP)

As required by the Patient Protection and Affordable Care Act, for plan years beginning on or after January 1, 2016, qualified health plan (QHP) issuers in the Federally-Facilitated Marketplace (FFM) are required to publish information regarding their provider directories and formulary drug lists on their website in a machine-readable format.

This requirement increases and enhances consumer transparency by allowing software developers to access up-to-date, accurate and complete formulary and provider data needed to create innovative and informative tools.

In accordance with this requirement, the following files are available for use:

Index Data

Plan Data

Provider Data - File 1

Provider Data - File 2

Provider Data - File 3

Provider Data - File 4

Provider Data - File 5

Provider Data - File 6

Provider Data - File 7

Provider Data - File 8

Provider Data - File 9

Provider Data - File 10

Provider Data - File 11

Provider Data - File 12

Provider Data - File 13

Provider Data - File 14

Provider Data - File 15

Provider Data - File 16

Provider Data - File 17

Provider Data - File 18

Provider Data - File 19

Provider Data - File 20

Prescription Formulary Data - File 1

Prescription Formulary Data - File 2

Prescription Formulary Data - File 3

Prescription Formulary Data - File 4

Prescription Formulary Data - File 5

Prescription Formulary Data - File 6