{
  "name": "medicaid-pdl-mcp",
  "title": "HealthMesh · Medicaid Preferred Drug List MCP",
  "version": "0.1.1",
  "description": "Medicaid preferred drug list (PDL) status, PDL class lists and clinical prior authorization criteria links from state-published machine-readable formulary files. Coverage: Texas Medicaid and CHIP (Vendor Drug Program formulary, weekly files: preferred / non-preferred / temporary non-preferred, clinical PA, PDL class, criteria PDFs). Other states publish PDLs only as PDFs with no common schema and are not loaded yet.",
  "healthmesh_domain": "Utilization Management",
  "datasets": [
    "UM-06"
  ],
  "mcp_endpoint": "https://medicaid-pdl.healthmesh.ai/mcp",
  "transport": "Streamable HTTP (stateless, JSON responses)",
  "authorization": "none",
  "auth_mode": "off",
  "docs": "https://github.com/HendrikK/healthmesh/tree/main/servers/medicaid-pdl-mcp#readme",
  "contact": "hendrik.kleine@gmail.com",
  "data_source": {
    "name": "Texas HHSC Vendor Drug Program formulary data files (formulary drug + clinical prior authorization name)",
    "url": "https://www.txvendordrug.com/resources/downloads",
    "license": "Texas state government public data files",
    "refresh": "weekly VDP files; weekly SHA-256 check, rebuilt on change"
  },
  "tools": [
    {
      "name": "pdl_get_drug_status",
      "title": "Medicaid PDL status of a drug",
      "description": "Returns a drug's Medicaid preferred drug list status (preferred, non_preferred, temporary_non_preferred, not_pdl_class), whether a PDL or clinical prior authorization is required, the PDL class, Medicaid/CHIP formulary status and clinical PA criteria links, one row per product (FDB label name, NDCs collapsed). Search by brand or generic name (e.g. Eliquis, apixaban, Humira). Status definitions: non_preferred = PDL (non-preferred) PA required; preferred = in a PDL class without PDL PA; not_pdl_class = no PDL class; clinical PA is separate. Coverage: Texas only so far; other states return a not-loaded note."
    },
    {
      "name": "pdl_list_class",
      "title": "Preferred and non-preferred drugs in a PDL class",
      "description": "Lists the products in a state's Medicaid PDL class grouped by generic, with preferred / non-preferred status and clinical PA flags. drug_class matches the state's PDL class names by words (Texas uses names like 'ANTICOAGULANTS', 'HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS', 'STIMULANTS AND RELATED AGENTS'); an unknown class returns the closest class names. Coverage: Texas only."
    },
    {
      "name": "pdl_get_criteria",
      "title": "Clinical prior authorization criteria for a drug",
      "description": "Returns the state's clinical prior authorization criteria documents that apply to a drug (criteria name, official criteria PDF link, effective date) and whether a PDL non-preferred PA also applies. The criteria text itself stays in the state's PDF (linked, not reproduced). Coverage: Texas only."
    },
    {
      "name": "pdl_describe_dataset",
      "title": "Describe the Medicaid PDL data",
      "description": "Explains the loaded state formulary files (Texas VDP weekly formulary drug + clinical PA files, creation date, SHA-256), status definitions, counts by status, PDL classes, and coverage gaps."
    }
  ]
}