GET api/groups/{groupid}/groupplans/{groupplanid}/planpricinggroups
Gets a collection of plan pricing groups for a Group Plan
Request Information
URI Parameters
Name | Description | Type | Additional information |
---|---|---|---|
groupid |
Group identifier |
integer |
Required |
groupplanid |
Group Plan identifier |
integer |
Required |
Body Parameters
None.
Response Information
Resource Description
A list of plan pricing groups
Collection of PlanPricingGroupModelName | Description | Type | Additional information |
---|---|---|---|
PerDiemUrl |
Gets or sets the link back to the per diem resource |
string |
None. |
PerDiemNo |
Gets or sets the per diem identifier |
integer |
None. |
ExemptFromDeductible |
Gets or sets whether the pricing group is exempt from the deductible |
boolean |
None. |
ExemptFromOutOfPocketLimit |
Gets or sets whether the pricing group is exempt from max out of pocket limits |
boolean |
None. |
BrandCoinsuranceUrl |
Gets or sets the link back to the coinsurance resource for brand drugs in this pricing group |
string |
None. |
BrandCoinsuranceNo |
Gets or sets the coinsurance identifier for brand drugs in this pricing group |
integer |
None. |
GenericCoinsuranceUrl |
Gets or sets the link back to the coinsurance resource for generic drugs in this pricing group |
string |
None. |
GenericCoinsuranceNo |
Gets or sets the coinsurance identifier for generic drugs in this pricing group |
integer |
None. |
BrandOutOfPocketCoinsuranceUrl |
Gets or sets the link back to the coinsurance resource for brand drugs after max out of pocket limits reached |
string |
None. |
BrandOutOfPocketCoinsuranceNo |
Gets or sets the coinsurance identifier for brand drugs after max out of pocket limits reached |
integer |
None. |
GenericOutOfPocketCoinsuranceUrl |
Gets or sets the link back to the coinsurance resource for generic drugs after max out of pocket limits reached |
string |
None. |
GenericOutOfPocketCoinsuranceNo |
Gets or sets the coinsurance identifier for generic drugs after max out of pocket limits reached |
integer |
None. |
BrandPlanIncentiveUrl |
Gets or sets the link back to the plan incentive resource for brand drugs in this pricing group |
string |
None. |
BrandPlanIncentiveNo |
Gets or sets the plan incentive identifier for brand drugs in this pricing group |
integer |
None. |
GenericPlanIncentiveUrl |
Gets or sets the link back to the incentive resource for generic drugs in this pricing group |
string |
None. |
GenericPlanIncentiveNo |
Gets or sets the plan incentive identifier for generic drugs in this pricing group |
integer |
None. |
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
[ { "url": "sample string 25", "id": 26, "perDiemUrl": "sample string 1", "perDiemNo": 1, "exemptFromDeductible": true, "exemptFromOutOfPocketLimit": true, "brandCoinsuranceUrl": "sample string 2", "brandCoinsuranceNo": 1, "genericCoinsuranceUrl": "sample string 3", "genericCoinsuranceNo": 1, "brandOutOfPocketCoinsuranceUrl": "sample string 4", "brandOutOfPocketCoinsuranceNo": 1, "genericOutOfPocketCoinsuranceUrl": "sample string 5", "genericOutOfPocketCoinsuranceNo": 1, "brandPlanIncentiveUrl": "sample string 6", "brandPlanIncentiveNo": 1, "genericPlanIncentiveUrl": "sample string 7", "genericPlanIncentiveNo": 1, "priceCodesUrl": "sample string 8", "planPricingGroupDrugsUrl": "sample string 9", "groupPlanNo": 10, "name": "sample string 11", "description": "sample string 12", "priceCodeNo": 1, "priceCode": "sample string 13", "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 14", "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 15", "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 16", "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 17", "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 18", "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 19", "noCustomPriceAltGroupNo": 1, "requiresOverride": true, "requiresOverrideRestricted": true, "notCovered": true, "specialty": true, "is340B": true, "patientAssistanceProgram": true, "rejectClaimIfNoCustomPrice": true, "approveMessage": "sample string 20", "requireOverrideMessage": "sample string 21", "notCoveredMessage": "sample string 22", "altMinimumPriceCodeNo": 1, "altMinimumPriceCode": "sample string 23", "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 24", "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 25", "id": 26, "perDiemUrl": "sample string 1", "perDiemNo": 1, "exemptFromDeductible": true, "exemptFromOutOfPocketLimit": true, "brandCoinsuranceUrl": "sample string 2", "brandCoinsuranceNo": 1, "genericCoinsuranceUrl": "sample string 3", "genericCoinsuranceNo": 1, "brandOutOfPocketCoinsuranceUrl": "sample string 4", "brandOutOfPocketCoinsuranceNo": 1, "genericOutOfPocketCoinsuranceUrl": "sample string 5", "genericOutOfPocketCoinsuranceNo": 1, "brandPlanIncentiveUrl": "sample string 6", "brandPlanIncentiveNo": 1, "genericPlanIncentiveUrl": "sample string 7", "genericPlanIncentiveNo": 1, "priceCodesUrl": "sample string 8", "planPricingGroupDrugsUrl": "sample string 9", "groupPlanNo": 10, "name": "sample string 11", "description": "sample string 12", "priceCodeNo": 1, "priceCode": "sample string 13", "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 14", "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 15", "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 16", "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 17", "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 18", "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 19", "noCustomPriceAltGroupNo": 1, "requiresOverride": true, "requiresOverrideRestricted": true, "notCovered": true, "specialty": true, "is340B": true, "patientAssistanceProgram": true, "rejectClaimIfNoCustomPrice": true, "approveMessage": "sample string 20", "requireOverrideMessage": "sample string 21", "notCoveredMessage": "sample string 22", "altMinimumPriceCodeNo": 1, "altMinimumPriceCode": "sample string 23", "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 24", "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 } ]