GET api/groupplans/{groupplanid}/PlanTemplatePricingGroups

Gets a collection of Plan Template Pricing Groups for a Group Plan

Request Information

URI Parameters

NameDescriptionTypeAdditional information
groupplanid

Plan Template identifier

integer

Required

Body Parameters

None.

Response Information

Resource Description

A list of Plan Template Pricing Groups

Collection of PlanTemplatePricingGroupModel
NameDescriptionTypeAdditional information
PriceCodesUrl

Gets or sets the link to the Price Codes resource for the pricing group

string

None.

PlanPricingGroupDrugsUrl

Gets or sets the link to the drugs for the pricing group

string

None.

GroupPlanNo

Gets or sets the identifier for the Group Plan associated with this pricing group

integer

None.

Name

Gets or sets the name of the pricing group

string

None.

Description

Gets or sets the description of the pricing group

string

None.

PriceCodeNo

Gets or sets the custom pricing price code identifier

integer

None.

PriceCode

Gets or sets the custom pricing price code

string

None.

CustomPriceAdjustment

Gets or sets the custom pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

CustomPriceRate

Gets or sets the custom pricing rate (markup amount)

decimal number

None.

CustomPriceRatePerUnit

Gets or sets whether the custom pricing rate is calculated per unit (each) or per fill

boolean

None.

CustomPricePerDiemRate

Gets or sets the custom pricing per diem rate

decimal number

None.

CustomPriceDispenseFee

Gets or sets the custom pricing dispense fee

decimal number

None.

CustomPriceDispenseFeeDaysInterval

Gets or sets the custom pricing dispense fee days interval for dispense fee

byte

None.

CustomPriceDispenseFeePercentIC

Gets or sets the custom pricing dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

PriceMemberClaimFee

Gets or sets the price member claim fee.

decimal number

None.

PriceMemberClaimFeeIC

Gets or sets the price member claim fee IC.

decimal number

None.

AltPriceCodeNo

Gets or sets the first alternate pricing price code identifier

integer

None.

AltPriceCode

Gets or sets the first alternate pricing price code

string

None.

AltPriceAdjustment

Gets or sets the first alternate pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

AltPriceRate

Gets or sets the first alternate pricing rate (markup amount)

decimal number

None.

AltPriceRatePerUnit

Gets or sets whether the first alternate pricing rate is calculated per unit (each) or per fill

boolean

None.

AltPricePerDiemRate

Gets or sets the first alternate pricing per diem rate

decimal number

None.

AltPriceDispenseFee

Gets or sets the first alternate pricing dispense fee

decimal number

None.

AltPriceDispenseFeeDaysInterval

Gets or sets the first alternate pricing dispense fee days interval for dispense fee

byte

None.

AltPriceDispenseFeePercentIC

Gets or sets the first alternate pricing dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

AltPriceMemberClaimFee

Gets or sets the alternative price member claim fee.

decimal number

None.

AltPriceMemberClaimFeeIC

Gets or sets the alternative price member claim fee IC.

decimal number

None.

Alt2PriceCodeNo

Gets or sets the second alternate pricing price code identifier

integer

None.

Alt2PriceCode

Gets or sets the second alternate pricing price code

string

None.

Alt2PriceAdjustment

Gets or sets the second alternate pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

Alt2PriceRate

Gets or sets the second alternate pricing rate (markup amount)

decimal number

None.

Alt2PriceRatePerUnit

Gets or sets whether the second alternate pricing rate is calculated per unit (each) or per fill

boolean

None.

Alt2PricePerDiemRate

Gets or sets the second alternate pricing per diem rate

decimal number

None.

Alt2PriceDispenseFee

Gets or sets the second alternate pricing dispense fee

decimal number

None.

Alt2PriceDispenseFeeDaysInterval

Gets or sets the second alternate pricing dispense fee days interval for dispense fee

byte

None.

Alt2PriceDispenseFeePercentIC

Gets or sets the second alternate pricing dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

Alt2PriceMemberClaimFee

Gets or sets the second alternative price member claim fee.

decimal number

None.

Alt2PriceMemberClaimFeeIC

Gets or sets the second alternative price member claim fee IC.

decimal number

None.

Alt3PriceCodeNo

Gets or sets the third alternate pricing price code identifier

integer

None.

Alt3PriceCode

Gets or sets the third alternate pricing price code

string

None.

Alt3PriceAdjustment

Gets or sets the third alternate pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

Alt3PriceRate

Gets or sets the third alternate pricing rate (markup amount)

decimal number

None.

Alt3PriceRatePerUnit

Gets or sets whether the third alternate pricing rate is calculated per unit (each) or per fill

boolean

None.

Alt3PricePerDiemRate

Gets or sets the third alternate pricing per diem rate

decimal number

None.

Alt3PriceDispenseFee

Gets or sets the third alternate pricing dispense fee

decimal number

None.

Alt3PriceDispenseFeeDaysInterval

Gets or sets the third alternate pricing dispense fee days interval for dispense fee

byte

None.

Alt3PriceDispenseFeePercentIC

Gets or sets the third alternate pricing dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

Alt3PriceMemberClaimFee

Gets or sets the third alternative price member claim fee.

decimal number

None.

Alt3PriceMemberClaimFeeIC

Gets or sets the third alternative price member claim fee IC.

decimal number

None.

Alt4PriceCodeNo

Gets or sets the fourth alternate pricing price code identifier

integer

None.

Alt4PriceCode

Gets or sets the fourth alternate pricing price code

string

None.

Alt4PriceAdjustment

Gets or sets the fourth alternate pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

Alt4PriceRate

Gets or sets the fourth alternate pricing rate (markup amount)

decimal number

None.

Alt4PriceRatePerUnit

Gets or sets whether the fourth alternate pricing rate is calculated per unit (each) or per fill

boolean

None.

Alt4PricePerDiemRate

Gets or sets the fourth alternate pricing per diem rate

decimal number

None.

Alt4PriceDispenseFee

Gets or sets the fourth alternate pricing dispense fee

decimal number

None.

Alt4PriceDispenseFeeDaysInterval

Gets or sets the fourth alternate pricing dispense fee days interval for dispense fee

byte

None.

Alt4PriceDispenseFeePercentIC

Gets or sets the fourth alternate pricing dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

Alt4PriceMemberClaimFee

Gets or sets the fourth alternative price member claim fee.

decimal number

None.

Alt4PriceMemberClaimFeeIC

Gets or sets the fourth alternative price member claim fee IC.

decimal number

None.

MinimumPriceCodeNo

Gets or sets the minimum pricing price code identifier

integer

None.

MinimumPriceCode

Gets or sets the minimum pricing price code

string

None.

MinimumPriceAdjustment

Gets or sets the minimum pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

MinimumPriceRate

Gets or sets the minimum pricing rate (markup amount)

decimal number

None.

MinimumPriceRatePerUnit

Gets or sets whether the minimum pricing rate is calculated per unit (each) or per fill

boolean

None.

MinimumPricePerDiemRate

Gets or sets the minimum pricing per diem rate

decimal number

None.

MinimumPriceDispenseFee

Gets or sets the minimum pricing dispense fee

decimal number

None.

MinimumPriceDispenseFeeDaysInterval

Gets or sets the minimum dispense fee days interval for dispense fee

byte

None.

MinimumPriceDispenseFeePercentIC

Gets or sets the minimum dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

MinimumPriceMemberClaimFee

Gets or sets the minimum price member claim fee.

decimal number

None.

MinimumPriceMemberClaimFeeIC

Gets or sets the minimum price member claim fee IC.

decimal number

None.

FlatRate

Gets or sets the flat rate pricing rate (markup amount)

decimal number

None.

FlatRateDaysInterval

Gets or sets the flat rate days interval

byte

None.

FlatRateDispenseFee

Gets or sets the flat rate pricing dispense fee

decimal number

None.

FlatRateDispenseFeeDaysInterval

Gets or sets the flat rate dispense fee days interval for dispense fee

byte

None.

FlatRateDispenseFeePercentIC

Gets or sets the flat rate dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

FlatRateMemberClaimFee

Gets or sets the flat rate member claim fee.

decimal number

None.

FlatRateMemberClaimFeeIC

Gets or sets the flat rate member claim fee IC.

decimal number

None.

MinimumRate

Gets or sets the minimum rate pricing rate (markup amount)

decimal number

None.

MinimumRateDaysInterval

Gets or sets the minimum rate days interval

byte

None.

MinimumRateDispenseFee

Gets or sets the minimim rate pricing dispense fee

decimal number

None.

MinimumRateDispenseFeeDaysInterval

Gets or sets the minimum rate dispense fee days interval for dispense fee

byte

None.

MinimumRateDispenseFeePercentIC

Gets or sets the minimum rate dispense fee percentage of IC for dispense fee. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

MinimumRateMemberClaimFee

Gets or sets the minimum rate member claim fee.

decimal number

None.

MinimumRateMemberClaimFeeIC

Gets or sets the minimum rate member claim fee IC.

decimal number

None.

ProfessionalFee

Gets or sets the professional fee amount

decimal number

None.

MemberClaimFee

Gets or sets the member claim fee amount

decimal number

None.

UseUsualAndCustomary

Gets or sets whether to use the pharmacy's submitted usual and customary

boolean

None.

UsualAndCustomaryRate

Gets or sets the usual and customary rate (markup amount)

decimal number

None.

UsualAndCustomaryRatePerUnit

Gets or sets whether the usual and customary rate is calculated per unit (each) or per fill

boolean

None.

UsualAndCustomaryPerDiemRate

Gets or sets the usual and customary per diem rate

decimal number

None.

UsualAndCustomaryAdjustmentIC

Gets or sets the usual and customary total pricing adjustment. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

UsualAndCustomaryDispenseFee

Gets or sets the dispense fee when usual and customary pricing is used

decimal number

None.

UsualAndCustomaryDispenseFeeDaysInterval

Gets or sets the dispense fee days interval when usual and customary pricing is used

byte

None.

UsualAndCustomaryDispenseFeePercentIC

Gets or sets the dispense fee percentage of IC for dispense fee when usual and customary pricing is used. The value must be entered as a decimal (e.g. for a 20% adjustment, enter 0.20 as the value)

decimal number

None.

UsualAndCustomaryMemberClaimFee

Gets or sets the usual and customary member claim fee.

decimal number

None.

UsualAndCustomaryMemberClaimFeeIC

Gets or sets the usual and customary member claim fee IC.

decimal number

None.

UseGrossAmountDue

Gets or sets whether to use the pharmacy's submitted gross amount due

boolean

None.

UseGrossAmountDueIfNoPricing

Gets or sets whether to use the pharmacy's submitted gross amount due if there is no other pricing available

boolean

None.

UseClaimAcqCost

Gets or sets whether to take amount from claim into account when using acquistion cost

boolean

None.

AlwaysUseAltPricing

Gets or sets whether the pricing group takes takes the lowest of all pricing methods that return a price or the first pricing method that returns a price

boolean

None.

FlatRateIncludesTax

Gets or sets whether the flat rate includes tax

boolean

None.

NoCustomPriceAltGroupUrl

Gets or sets the link back to a fall back pricing group if no pricing could be determined

string

None.

NoCustomPriceAltGroupNo

Gets or sets the identifier to the fall back pricing group if not pricing could be determined

integer

None.

RequiresOverride

Gets or sets whether the pricing group requires an override

boolean

None.

RequiresOverrideRestricted

Gets or sets whether the pricing group requires a restricted override

boolean

None.

NotCovered

Gets or sets whether this pricing group is covered

boolean

None.

Specialty

Gets or sets whether this pricing group is tagged as specialty

boolean

None.

Is340B

Gets or sets whether this pricing group is tagged as 340B

boolean

None.

PatientAssistanceProgram

Gets or sets whether this pricing group is tagged as a patient assistance program

boolean

None.

RejectClaimIfNoCustomPrice

Gets or sets whether claims should reject if there is no custom pricing

boolean

None.

ApproveMessage

Gets or sets the message for paid claim

string

None.

RequireOverrideMessage

Gets or sets the message for claims that require override

string

None.

NotCoveredMessage

Gets or sets the message for claims that are not covered

string

None.

AltMinimumPriceCodeNo

Gets or sets the alternative minimum price code ID.

integer

None.

AltMinimumPriceCode

Gets or sets the alternative minimum price code.

string

None.

AltMinimumPriceAdjustment

Gets or sets the alternative minimum price adjustment.

decimal number

None.

AltMinimumPriceRate

Gets or sets the alternative minimum price rate.

decimal number

None.

AltMinimumPriceRatePerUnit

Gets or sets the alternative minimum price rate is per unit.

boolean

None.

AltMinimumPricePerDiemRate

Gets or sets the alternative minimum price per diem rate.

decimal number

None.

AltMinimumPriceDispenseFee

Gets or sets the alternative minimum price dispense fee.

decimal number

None.

AltMinimumPriceDispenseFeeDaysInterval

Gets or sets the interval of days for the alternative minimum price dispense fee.

byte

None.

AltMinimumPriceDispenseFeePercentIC

Gets or sets the alternative minimum price dispense fee percent IC.

decimal number

None.

AltMinimumPriceMemberClaimFee

Gets or sets the alternative minimum price member claim fee.

decimal number

None.

AltMinimumPriceMemberClaimFeeIC

Gets or sets the alternative minimum price member claim fee IC.

decimal number

None.

Alt2MinimumPriceCodeNo

Gets or sets the second alternative minimum price code ID.

integer

None.

Alt2MinimumPriceCode

Gets or sets the second alternative minimum price code.

string

None.

Alt2MinimumPriceAdjustment

Gets or sets the second alternative minimum price adjustment.

decimal number

None.

Alt2MinimumPriceRate

Gets or sets the second alternative minimum price rate.

decimal number

None.

Alt2MinimumPriceRatePerUnit

Gets or sets the second alternative minimum price rate is per unit.

boolean

None.

Alt2MinimumPricePerDiemRate

Gets or sets the second alternative minimum price per diem rate.

decimal number

None.

Alt2MinimumPriceDispenseFee

Gets or sets the second alternative minimum price dispense fee.

decimal number

None.

Alt2MinimumPriceDispenseFeeDaysInterval

Gets or sets the interval of days for the second alternative minimum price dispense fee.

byte

None.

Alt2MinimumPriceDispenseFeePercentIC

Gets or sets the second alternative minimum price dispense fee percent IC.

decimal number

None.

Alt2MinimumPriceMemberClaimFee

Gets or sets the second alternative minimum price member claim fee.

decimal number

None.

Alt2MinimumPriceMemberClaimFeeIC

Gets or sets the second alternative minimum price member claim fee IC.

decimal number

None.

GrossAmountDueMemberClaimFee

Gets or sets the amount added to the claim as ingredient cost that the member is responsible for when using gross amount due pricing

decimal number

None.

GrossAmountDueMemberClaimFeeIC

Gets or sets the percentage amount of the ingredient cost added to the claim that the member is responsible for when using gross amount due pricing

decimal number

None.

Url

Gets or sets the link representing a link back to the resource

string

None.

ID

Gets or sets the identifier for the resource

integer

None.

Response Formats

application/json, text/json, application/json-patch+json

Sample:
[
  {
    "url": "sample string 18",
    "id": 19,
    "priceCodesUrl": "sample string 1",
    "planPricingGroupDrugsUrl": "sample string 2",
    "groupPlanNo": 3,
    "name": "sample string 4",
    "description": "sample string 5",
    "priceCodeNo": 1,
    "priceCode": "sample string 6",
    "customPriceAdjustment": 1.0,
    "customPriceRate": 1.0,
    "customPriceRatePerUnit": true,
    "customPricePerDiemRate": 1.0,
    "customPriceDispenseFee": 1.0,
    "customPriceDispenseFeeDaysInterval": 64,
    "customPriceDispenseFeePercentIC": 1.0,
    "priceMemberClaimFee": 1.0,
    "priceMemberClaimFeeIC": 1.0,
    "altPriceCodeNo": 1,
    "altPriceCode": "sample string 7",
    "altPriceAdjustment": 1.0,
    "altPriceRate": 1.0,
    "altPriceRatePerUnit": true,
    "altPricePerDiemRate": 1.0,
    "altPriceDispenseFee": 1.0,
    "altPriceDispenseFeeDaysInterval": 64,
    "altPriceDispenseFeePercentIC": 1.0,
    "altPriceMemberClaimFee": 1.0,
    "altPriceMemberClaimFeeIC": 1.0,
    "alt2PriceCodeNo": 1,
    "alt2PriceCode": "sample string 8",
    "alt2PriceAdjustment": 1.0,
    "alt2PriceRate": 1.0,
    "alt2PriceRatePerUnit": true,
    "alt2PricePerDiemRate": 1.0,
    "alt2PriceDispenseFee": 1.0,
    "alt2PriceDispenseFeeDaysInterval": 64,
    "alt2PriceDispenseFeePercentIC": 1.0,
    "alt2PriceMemberClaimFee": 1.0,
    "alt2PriceMemberClaimFeeIC": 1.0,
    "alt3PriceCodeNo": 1,
    "alt3PriceCode": "sample string 9",
    "alt3PriceAdjustment": 1.0,
    "alt3PriceRate": 1.0,
    "alt3PriceRatePerUnit": true,
    "alt3PricePerDiemRate": 1.0,
    "alt3PriceDispenseFee": 1.0,
    "alt3PriceDispenseFeeDaysInterval": 64,
    "alt3PriceDispenseFeePercentIC": 1.0,
    "alt3PriceMemberClaimFee": 1.0,
    "alt3PriceMemberClaimFeeIC": 1.0,
    "alt4PriceCodeNo": 1,
    "alt4PriceCode": "sample string 10",
    "alt4PriceAdjustment": 1.0,
    "alt4PriceRate": 1.0,
    "alt4PriceRatePerUnit": true,
    "alt4PricePerDiemRate": 1.0,
    "alt4PriceDispenseFee": 1.0,
    "alt4PriceDispenseFeeDaysInterval": 64,
    "alt4PriceDispenseFeePercentIC": 1.0,
    "alt4PriceMemberClaimFee": 1.0,
    "alt4PriceMemberClaimFeeIC": 1.0,
    "minimumPriceCodeNo": 1,
    "minimumPriceCode": "sample string 11",
    "minimumPriceAdjustment": 1.0,
    "minimumPriceRate": 1.0,
    "minimumPriceRatePerUnit": true,
    "minimumPricePerDiemRate": 1.0,
    "minimumPriceDispenseFee": 1.0,
    "minimumPriceDispenseFeeDaysInterval": 64,
    "minimumPriceDispenseFeePercentIC": 1.0,
    "minimumPriceMemberClaimFee": 1.0,
    "minimumPriceMemberClaimFeeIC": 1.0,
    "flatRate": 1.0,
    "flatRateDaysInterval": 64,
    "flatRateDispenseFee": 1.0,
    "flatRateDispenseFeeDaysInterval": 64,
    "flatRateDispenseFeePercentIC": 1.0,
    "flatRateMemberClaimFee": 1.0,
    "flatRateMemberClaimFeeIC": 1.0,
    "minimumRate": 1.0,
    "minimumRateDaysInterval": 64,
    "minimumRateDispenseFee": 1.0,
    "minimumRateDispenseFeeDaysInterval": 64,
    "minimumRateDispenseFeePercentIC": 1.0,
    "minimumRateMemberClaimFee": 1.0,
    "minimumRateMemberClaimFeeIC": 1.0,
    "professionalFee": 1.0,
    "memberClaimFee": 1.0,
    "useUsualAndCustomary": true,
    "usualAndCustomaryRate": 1.0,
    "usualAndCustomaryRatePerUnit": true,
    "usualAndCustomaryPerDiemRate": 1.0,
    "usualAndCustomaryAdjustmentIC": 1.0,
    "usualAndCustomaryDispenseFee": 1.0,
    "usualAndCustomaryDispenseFeeDaysInterval": 64,
    "usualAndCustomaryDispenseFeePercentIC": 1.0,
    "usualAndCustomaryMemberClaimFee": 1.0,
    "usualAndCustomaryMemberClaimFeeIC": 1.0,
    "useGrossAmountDue": true,
    "useGrossAmountDueIfNoPricing": true,
    "useClaimAcqCost": true,
    "alwaysUseAltPricing": true,
    "flatRateIncludesTax": true,
    "noCustomPriceAltGroupUrl": "sample string 12",
    "noCustomPriceAltGroupNo": 1,
    "requiresOverride": true,
    "requiresOverrideRestricted": true,
    "notCovered": true,
    "specialty": true,
    "is340B": true,
    "patientAssistanceProgram": true,
    "rejectClaimIfNoCustomPrice": true,
    "approveMessage": "sample string 13",
    "requireOverrideMessage": "sample string 14",
    "notCoveredMessage": "sample string 15",
    "altMinimumPriceCodeNo": 1,
    "altMinimumPriceCode": "sample string 16",
    "altMinimumPriceAdjustment": 1.0,
    "altMinimumPriceRate": 1.0,
    "altMinimumPriceRatePerUnit": true,
    "altMinimumPricePerDiemRate": 1.0,
    "altMinimumPriceDispenseFee": 1.0,
    "altMinimumPriceDispenseFeeDaysInterval": 64,
    "altMinimumPriceDispenseFeePercentIC": 1.0,
    "altMinimumPriceMemberClaimFee": 1.0,
    "altMinimumPriceMemberClaimFeeIC": 1.0,
    "alt2MinimumPriceCodeNo": 1,
    "alt2MinimumPriceCode": "sample string 17",
    "alt2MinimumPriceAdjustment": 1.0,
    "alt2MinimumPriceRate": 1.0,
    "alt2MinimumPriceRatePerUnit": true,
    "alt2MinimumPricePerDiemRate": 1.0,
    "alt2MinimumPriceDispenseFee": 1.0,
    "alt2MinimumPriceDispenseFeeDaysInterval": 64,
    "alt2MinimumPriceDispenseFeePercentIC": 1.0,
    "alt2MinimumPriceMemberClaimFee": 1.0,
    "alt2MinimumPriceMemberClaimFeeIC": 1.0,
    "grossAmountDueMemberClaimFee": 1.0,
    "grossAmountDueMemberClaimFeeIC": 1.0
  },
  {
    "url": "sample string 18",
    "id": 19,
    "priceCodesUrl": "sample string 1",
    "planPricingGroupDrugsUrl": "sample string 2",
    "groupPlanNo": 3,
    "name": "sample string 4",
    "description": "sample string 5",
    "priceCodeNo": 1,
    "priceCode": "sample string 6",
    "customPriceAdjustment": 1.0,
    "customPriceRate": 1.0,
    "customPriceRatePerUnit": true,
    "customPricePerDiemRate": 1.0,
    "customPriceDispenseFee": 1.0,
    "customPriceDispenseFeeDaysInterval": 64,
    "customPriceDispenseFeePercentIC": 1.0,
    "priceMemberClaimFee": 1.0,
    "priceMemberClaimFeeIC": 1.0,
    "altPriceCodeNo": 1,
    "altPriceCode": "sample string 7",
    "altPriceAdjustment": 1.0,
    "altPriceRate": 1.0,
    "altPriceRatePerUnit": true,
    "altPricePerDiemRate": 1.0,
    "altPriceDispenseFee": 1.0,
    "altPriceDispenseFeeDaysInterval": 64,
    "altPriceDispenseFeePercentIC": 1.0,
    "altPriceMemberClaimFee": 1.0,
    "altPriceMemberClaimFeeIC": 1.0,
    "alt2PriceCodeNo": 1,
    "alt2PriceCode": "sample string 8",
    "alt2PriceAdjustment": 1.0,
    "alt2PriceRate": 1.0,
    "alt2PriceRatePerUnit": true,
    "alt2PricePerDiemRate": 1.0,
    "alt2PriceDispenseFee": 1.0,
    "alt2PriceDispenseFeeDaysInterval": 64,
    "alt2PriceDispenseFeePercentIC": 1.0,
    "alt2PriceMemberClaimFee": 1.0,
    "alt2PriceMemberClaimFeeIC": 1.0,
    "alt3PriceCodeNo": 1,
    "alt3PriceCode": "sample string 9",
    "alt3PriceAdjustment": 1.0,
    "alt3PriceRate": 1.0,
    "alt3PriceRatePerUnit": true,
    "alt3PricePerDiemRate": 1.0,
    "alt3PriceDispenseFee": 1.0,
    "alt3PriceDispenseFeeDaysInterval": 64,
    "alt3PriceDispenseFeePercentIC": 1.0,
    "alt3PriceMemberClaimFee": 1.0,
    "alt3PriceMemberClaimFeeIC": 1.0,
    "alt4PriceCodeNo": 1,
    "alt4PriceCode": "sample string 10",
    "alt4PriceAdjustment": 1.0,
    "alt4PriceRate": 1.0,
    "alt4PriceRatePerUnit": true,
    "alt4PricePerDiemRate": 1.0,
    "alt4PriceDispenseFee": 1.0,
    "alt4PriceDispenseFeeDaysInterval": 64,
    "alt4PriceDispenseFeePercentIC": 1.0,
    "alt4PriceMemberClaimFee": 1.0,
    "alt4PriceMemberClaimFeeIC": 1.0,
    "minimumPriceCodeNo": 1,
    "minimumPriceCode": "sample string 11",
    "minimumPriceAdjustment": 1.0,
    "minimumPriceRate": 1.0,
    "minimumPriceRatePerUnit": true,
    "minimumPricePerDiemRate": 1.0,
    "minimumPriceDispenseFee": 1.0,
    "minimumPriceDispenseFeeDaysInterval": 64,
    "minimumPriceDispenseFeePercentIC": 1.0,
    "minimumPriceMemberClaimFee": 1.0,
    "minimumPriceMemberClaimFeeIC": 1.0,
    "flatRate": 1.0,
    "flatRateDaysInterval": 64,
    "flatRateDispenseFee": 1.0,
    "flatRateDispenseFeeDaysInterval": 64,
    "flatRateDispenseFeePercentIC": 1.0,
    "flatRateMemberClaimFee": 1.0,
    "flatRateMemberClaimFeeIC": 1.0,
    "minimumRate": 1.0,
    "minimumRateDaysInterval": 64,
    "minimumRateDispenseFee": 1.0,
    "minimumRateDispenseFeeDaysInterval": 64,
    "minimumRateDispenseFeePercentIC": 1.0,
    "minimumRateMemberClaimFee": 1.0,
    "minimumRateMemberClaimFeeIC": 1.0,
    "professionalFee": 1.0,
    "memberClaimFee": 1.0,
    "useUsualAndCustomary": true,
    "usualAndCustomaryRate": 1.0,
    "usualAndCustomaryRatePerUnit": true,
    "usualAndCustomaryPerDiemRate": 1.0,
    "usualAndCustomaryAdjustmentIC": 1.0,
    "usualAndCustomaryDispenseFee": 1.0,
    "usualAndCustomaryDispenseFeeDaysInterval": 64,
    "usualAndCustomaryDispenseFeePercentIC": 1.0,
    "usualAndCustomaryMemberClaimFee": 1.0,
    "usualAndCustomaryMemberClaimFeeIC": 1.0,
    "useGrossAmountDue": true,
    "useGrossAmountDueIfNoPricing": true,
    "useClaimAcqCost": true,
    "alwaysUseAltPricing": true,
    "flatRateIncludesTax": true,
    "noCustomPriceAltGroupUrl": "sample string 12",
    "noCustomPriceAltGroupNo": 1,
    "requiresOverride": true,
    "requiresOverrideRestricted": true,
    "notCovered": true,
    "specialty": true,
    "is340B": true,
    "patientAssistanceProgram": true,
    "rejectClaimIfNoCustomPrice": true,
    "approveMessage": "sample string 13",
    "requireOverrideMessage": "sample string 14",
    "notCoveredMessage": "sample string 15",
    "altMinimumPriceCodeNo": 1,
    "altMinimumPriceCode": "sample string 16",
    "altMinimumPriceAdjustment": 1.0,
    "altMinimumPriceRate": 1.0,
    "altMinimumPriceRatePerUnit": true,
    "altMinimumPricePerDiemRate": 1.0,
    "altMinimumPriceDispenseFee": 1.0,
    "altMinimumPriceDispenseFeeDaysInterval": 64,
    "altMinimumPriceDispenseFeePercentIC": 1.0,
    "altMinimumPriceMemberClaimFee": 1.0,
    "altMinimumPriceMemberClaimFeeIC": 1.0,
    "alt2MinimumPriceCodeNo": 1,
    "alt2MinimumPriceCode": "sample string 17",
    "alt2MinimumPriceAdjustment": 1.0,
    "alt2MinimumPriceRate": 1.0,
    "alt2MinimumPriceRatePerUnit": true,
    "alt2MinimumPricePerDiemRate": 1.0,
    "alt2MinimumPriceDispenseFee": 1.0,
    "alt2MinimumPriceDispenseFeeDaysInterval": 64,
    "alt2MinimumPriceDispenseFeePercentIC": 1.0,
    "alt2MinimumPriceMemberClaimFee": 1.0,
    "alt2MinimumPriceMemberClaimFeeIC": 1.0,
    "grossAmountDueMemberClaimFee": 1.0,
    "grossAmountDueMemberClaimFeeIC": 1.0
  }
]