Formulary Scanner · Healthcare data + AI

The formulary data layer your analytics team has been waiting for.

Formulary Scanner aggregates, normalizes, and delivers 30,000+ U.S. drug formularies — commercial, Medicare, Medicaid, and ACA exchange — directly into your Databricks, Snowflake, or AWS environment.

HDI
Trusted across healthcare

Built for pharma market access teams, specialty pharmacies, and digital-health innovators.

One schema. Every formulary. Your cloud.

The infrastructure pieces healthcare analytics teams have been building from scratch — now delivered as a product.

30,000+ formularies, one schema

Commercial, Medicare Part D, Medicaid PDLs, and ACA exchange plans, normalized into a single consistent dataset with tier, PA, ST, and QL flags.

Your platform, your cloud

Land the data directly in your Databricks workspace, Snowflake environment, or S3 via AWS Data Exchange. No proprietary analytics layer required.

Risk & quality consulting

Actuarial, quality measure, and health-data technology advisory for payors, providers, and health systems.

Built for the teams that move healthcare

Seven distinct buyer segments, one underlying dataset.

🔬

Pharma market access teams

Sizing addressable patient populations for a brand.

🤝

Trade & account teams

Negotiating contracts with payers and PBMs.

💊

Specialty pharmacies & hub services

Routing scripts to plans where coverage is achievable.

🚀

Digital-health & PBM startups

Building patient-facing coverage lookups (Capital Rx, Rightway, etc.).

📊

Health-economics researchers

Studying access patterns and formulary design.

💼

Investors & consultants

Payer-policy due diligence.

🏥

EHR & prior-auth vendors

Enriching workflows with live formulary context.

30,000+ formularies covered
Monthly Medicare refresh cadence
3 clouds Databricks · Snowflake · AWS
The product

Formulary Scanner

Every formulary, every plan, every month — structured, normalized, and delivered to the platform you already use.

Skip the months of building a crawl-and-parse pipeline. We've already done it, and we keep it current with monthly Medicare refreshes, weekly Medicaid diff detection, and continuous commercial coverage. Our open schema means your team owns the analytics layer; we own the data layer.

See pricing & data delivery options

What's in the dataset

  • Drug × plan × month coverage with tier, PA, ST, QL flags
  • Plan catalog: payer, line of business, geography, MRF reference
  • Drug reference: RxCUI, NDC, GPI, brand/generic, class
  • Coverage Changes diff stream (Commercial Lite & Enterprise)
  • Source provenance for every record
Three practice areas

Risk & Actuarial · Quality Measures · Technology & Data

Retainer, project, and advisory engagements for payors, providers, and health systems navigating Medicare Advantage risk, HEDIS & Stars, and modern data platforms.

Consulting

Expert guidance, not just data.

Beyond Formulary Scanner, HDI's consulting practice helps healthcare organizations design risk and quality programs and build the data infrastructure that makes them work. Engagements range from a focused readiness assessment to a multi-quarter platform build.

See our consulting services