io.github.builtforai/coverage-exception

up checked 2026-11-11T11:38:30.240Z

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Publisher-provided description

Why Medicare Part D restricts a drug, and the exception and appeal path to challenge it

Summary by lookupd

Explains why a Medicare Part D drug is restricted and projects annual out-of-pocket spending against the statutory cap.

Install

Claude Code, remote (streamable-http)

claude mcp add --transport http coverage-exception https://insurewith.ai/mcp

Codex, remote (streamable-http)

codex mcp add coverage-exception --url https://insurewith.ai/mcp

Cursor, remote (streamable-http) → .cursor/mcp.json

{
  "mcpServers": {
    "coverage-exception": {
      "url": "https://insurewith.ai/mcp"
    }
  }
}

Other clients: docs. Or tell your agent: Set up lookupd for me: read https://lookupd.com/agent.md and follow it.

Tools (2 tools)

Publisher-provided text

• medicare_part_d_out_of_pocket_cap Project month-by-month Medicare Part D out-of-pocket spending against the statutory annual cap, identify the month the cap is reached, quantify what the cap its
• medicare_coverage_restriction_and_exception For a drug on Medicare Part D, name the coverage problem — covered, prior authorization, step therapy, quantity limit, or not on formulary — and give the except

Details

• Version: 1.0.0
• Transports: streamable-http
• Uptime (7 days): 100%
• Median latency: 198 ms
• First indexed: 2026-11-01T09:22:33.802Z
• Last seen in registry: 2026-11-01T09:22:33.802Z
• Repository: https://github.com/builtforai/builtforai-healthcare
• Website: https://insurewith.ai/

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• Last crawl: 2026-11-11T16:39:06.253Z
• API base: https://api.lookupd.com
• MCP URL: https://api.lookupd.com/mcp