GET api/groups/{groupid}/groupplans/{groupplanid}/rulegeneraloptionsbydrugs
Gets a collection of General Option rules for a given 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 general option rules
Collection of RuleGeneralOptionByDrugModelName | Description | Type | Additional information |
---|---|---|---|
EndProcessing |
Gets or sets whether more benefit rules are processed if all criteria has been met |
boolean |
None. |
PharmacyTier |
Gets or sets the pharmacy tier to be applied if the rule is enforced |
string |
None. |
FlatTaxReject |
Gets or sets whether to reject claim if flat tax is submitted |
boolean |
None. |
UseGroupPlanOnly |
Gets or sets whether to only use the group plan |
boolean |
None. |
ProcessAsShortCycle |
Gets or sets whether to process as short cycle, if eligible and rule is enforced |
boolean |
None. |
SendRemitToPharmacy |
Gets or sets whether to send remit to pharmacy if rule is enforced |
boolean |
None. |
DaysSupplyTermGraceDays |
Gets or sets the days supply grace days allowed if the rule is enforced (i.e. number of days supply to allow after a future term date for the member's current status) |
integer |
None. |
BenefitCodeGenOptionUrl |
Gets or sets the Benefit Code Gen Option Url |
string |
None. |
BenefitCodeGenOptionNo |
Gets or sets the Benefit Code value that will be used when applying this rule. This field should not be used as the Benefit Code criteria for this rule. For that, use the BenefitCodeNo field. |
integer |
None. |
CompoundDrugPricingUrl |
Gets or sets the link to the Drug Pricing resource for compound drugs |
string |
None. |
CompoundDrugPricingNo |
Gets or sets the identifier of the special drug pricing for a compound. |
integer |
None. |
UnknownDrugPricingUrl |
Gets or sets the link to the Drug Pricing resource for unknown/undefined drugs |
string |
None. |
UnknownDrugPricingNo |
Gets or sets the identifier of the special drug pricing for an unknown/undefined drug. |
integer |
None. |
MemberClaimFee |
Gets or sets the member claim fee, which is the amount added to the claim as ingredient cost that the member is responsible for |
decimal number |
None. |
ReroutePlanAlternateProcessorNo |
Gets or sets the Alternate Processor used to reroute the claim to a different plan |
integer |
None. |
ReroutePlanAlternateProcessorUrl |
The url for the reroute plan alternate processor resource |
string |
None. |
MemberClaimFeeIC |
Percentage amount of the ingredient cost added to the claim that the member is responsible for |
decimal number |
None. |
MemberClaimFeeRecalcNtwk |
Gets or sets the value indicating whether to recalculate amount of member claim fee for the network plan |
boolean |
None. |
AltCompoundDrugPricingNo |
Gets or sets the Alternate compound pricing option (If two options are defined, then the lower pricing option will be used) |
integer |
None. |
ShortCycle |
Gets or sets whether the rule applies to claims identified as short cycle |
boolean |
None. |
NewStartDrug |
Gets or sets whether the rule applies to new a start medication (based on plan's New Start Days) |
boolean |
None. |
NewStartDrugByDrugName |
Gets or sets whether the new start drug is based on the drug name (10 digit GPI) |
boolean |
None. |
NewDrug |
Gets or sets whether the rule is applied for drugs recently added to the catalog |
boolean |
None. |
FirstFillByRx |
Gets or sets whether the rule applies to first fills |
boolean |
None. |
RefillExpired |
Gets or sets whether the rule applies for expired refills (based on plan's Rx Expire Days) |
boolean |
None. |
OnPlan |
Gets or sets whether the rule applies when the drug is on the plan |
boolean |
None. |
InCompound |
Gets or sets whether the rule applies to compounds being priced using ingredients |
boolean |
None. |
DiagnosisCodes |
Gets or sets the DiagnosisCodes for which the rule applies |
Collection of RuleDiagnosisCodeModel |
None. |
Members |
Gets or sets members for which the rule applies; if the list is empty it applies to all |
Collection of RuleMemberModel |
None. |
Networks |
Gets or sets networks for which the rule applies; if the list is empty it applies to all |
Collection of RuleNetworkModel |
None. |
Headquarters |
Gets or sets headquarters for which the rule applies; if the list is empty it applies to all |
Collection of RulePharmacyHeadquarterModel |
None. |
Pharmacies |
Gets or sets pharmacies for which the rule applies; if the list is empty it applies to all |
Collection of RulePharmacyModel |
None. |
Prescribers |
Gets or sets prescribers for which the rule applies; if the list is empty it applies to all |
Collection of RulePrescriberModel |
None. |
Facilities |
Gets or sets the Facilities for which the rule applies |
Collection of RuleFacilityBranchModel |
None. |
AlternateProcessors |
Gets or sets the Alternate Processors for which the rule applies |
Collection of RuleAlternateProcessorModel |
None. |
QuantityMin |
Gets or sets the minimum quantity in order for the rule to apply |
decimal number |
None. |
QuantityMax |
Gets or sets the maximum quantity in order for the rule to apply |
decimal number |
None. |
IsBrand |
Gets or sets whether the drug criteria is based on brand |
boolean |
None. |
IsRx |
Gets or sets whether the drug criteria is for prescription only (non-OTC) |
boolean |
None. |
IsMultiSourced |
Gets or sets whether the drug criteria is based on multi-source |
boolean |
None. |
IsRepackaged |
Gets or sets whether the drug criteria is based on repackaged value |
boolean |
None. |
GenericAvailable |
Gets or sets whether the drug criteria applies if a generic is available |
boolean |
None. |
OTCAvailable |
Gets or sets whether the drug criteria applies if an OTC is available |
boolean |
None. |
IsMaintenanceDrug |
Gets or sets whether the drug criteria applies to maintenance drug |
boolean |
None. |
DEAClassCodes |
Gets or sets the applicable DEA schedules for the drug criteria |
Collection of DEAScheduleModel |
None. |
BrandNameCodes |
Gets or sets the applicable brand codes for the drug criteria |
Collection of BrandNameCodeModel |
None. |
MultiSourceCodes |
Gets or sets the applicable multi-source codes for the drug criteria |
Collection of MultiSourceCodeModel |
None. |
IncludeCustomDrugs |
Gets or sets whether the drug criteria applies to custom drugs |
boolean |
None. |
GPIs |
Gets or sets the list of GPIs associated with the drug criteria |
Collection of RuleGPIModel |
None. |
PricingGroups |
Gets or sets the list of pricing groups associated with the drug criteria |
Collection of RulePricingGroupModel |
None. |
ROAs |
Gets or sets the list of ROAs associated with the drug criteria |
Collection of RuleROAModel |
None. |
DosageForms |
Gets or sets the dosage forms associated with the drug criteria |
Collection of RuleDosageFormModel |
None. |
FormularyTiers |
Gets or sets the list of formulary tiers associated with the drug criteria |
Collection of RuleFormularyTierModel |
None. |
isSpecialty |
Gets or Sets a flag indicating whether this rule's criteria should include specialty drugs |
boolean |
None. |
DrugProfiles |
Gets or Sets a a list of which drug profiles are associated with this rule |
Collection of RuleDrugProfileModel |
None. |
GroupPlanNo |
Gets or sets the group plan id associated with the rule |
integer |
None. |
Description |
Gets or sets the description |
string |
None. |
Priority |
Gets or sets the priority |
integer |
None. |
ReferenceCode |
Gets or sets the reference code |
string |
None. |
Message |
Gets or sets the message |
string |
None. |
ChangeNote |
Gets the latest change note or sets a change note to be saved on a patch |
string |
None. |
EffectiveStartDate |
Gets or sets the effective start date |
date |
None. |
EffectiveEndDate |
Gets or sets the effective end date |
date |
None. |
Active |
Gets or sets whether the rule is active |
boolean |
None. |
DaysSupplyMin |
Gets or sets the minimum days supply in order for the rule to apply |
integer |
None. |
DaysSupplyMax |
Gets or sets the maximum days supply in order for the rule to apply |
integer |
None. |
MemberAgeMin |
Gets or sets the minimum age of the member in order for the rule to apply |
integer |
None. |
MemberAgeMax |
Gets or sets the maximum age of the member in order for the rule to apply |
integer |
None. |
MemberAgeUnits |
Gets or sets the age units. |
string |
None. |
DependentRelationshipCodes |
Gets or sets the dependent relationship code as a delimited list for which the rule applies. |
Collection of RelationshipModel |
None. |
ServiceCategory |
Gets or sets the service category |
string |
None. |
MemberGender |
Gets or sets the gender (if necessary) for which the rule applies |
string |
None. |
PharmacyTypes |
Gets or sets the list of acceptable pharmacy types |
Collection of RulePharmacyTypeModel |
None. |
SubmissionClarificationCodeCriteriaType |
Gets or sets the rule's submission clarification code match criteria if applicable (possible values: Blank, Match, n/a) |
string |
None. |
SubmissionClarificationCodes |
Gets or sets the submission clarification codes for which the rule applies (This list is only used if SubmissionClarificationCodeCriteriaType is set to match) |
Collection of RuleSubmissionClarificationCodeModel |
None. |
PharmacyServiceTypeCriteriaType |
Gets or sets the pharmacy service criteria type |
string |
None. |
PharmacyServiceType |
Gets or sets the pharmacy service value. Uses standarded NCPDP values. |
string |
None. |
PatientResidenceCriteriaType |
Gets or sets the patient residence criteria type |
string |
None. |
PatientResidence |
Gets or sets the patient residence value. Uses standarded NCPDP values. |
string |
None. |
PlaceOfServiceCriteriaType |
Gets or sets the place of service criteria type |
string |
None. |
PlaceOfService |
Gets or sets the place of service value. Uses standarded NCPDP values. |
string |
None. |
BenefitCodeUrl |
Gets or sets the Benefit Code Url |
string |
None. |
BenefitCodeNo |
Gets or sets the Benefit Code number |
integer |
None. |
PriorFillsGPIChars |
Gets or sets the Prior Fills GPI Chars |
string |
None. |
DiagnosisCodeCriteriaType |
Gets or sets the rule's submission clarification code match criteria if applicable (possible values: Blank, Match, n/a) |
string |
None. |
DAWCodes |
Gets or sets the acceptable DAW code values that apply to the rule |
Collection of DAWCodeModel |
None. |
ContractCodes |
Gets or sets the list of contract codes associated with the general criteria |
Collection of RuleContractCodeModel |
None. |
ARCodes |
Gets or sets the list of AR codes associated with the general criteria |
Collection of RuleARCodeModel |
None. |
CoverageLevels |
Gets or sets the coverage levels associated with the general criteria |
Collection of RuleCoverageLevelModel |
None. |
EmployeeStatuses |
Gets or sets the list of employee statuses associated with the general criteria |
Collection of RuleEmployeeStatusModel |
None. |
OtherStatuses |
Gets or sets the list of other statuses associated with the general criteria |
Collection of RuleOtherStatusModel |
None. |
PharmacyStates |
Gets or sets the list of US States associated with the general criteria |
Collection of RuleStateModel |
None. |
isTemplate |
Gets or sets whether the rule is a template |
boolean |
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 24", "id": 25, "endProcessing": true, "pharmacyTier": "sample string 1", "flatTaxReject": true, "useGroupPlanOnly": true, "processAsShortCycle": true, "sendRemitToPharmacy": true, "daysSupplyTermGraceDays": 1, "benefitCodeGenOptionUrl": "sample string 2", "benefitCodeGenOptionNo": 1, "compoundDrugPricingUrl": "sample string 3", "compoundDrugPricingNo": 1, "unknownDrugPricingUrl": "sample string 4", "unknownDrugPricingNo": 1, "memberClaimFee": 1.0, "reroutePlanAlternateProcessorNo": 1, "reroutePlanAlternateProcessorUrl": "sample string 5", "memberClaimFeeIC": 1.0, "memberClaimFeeRecalcNtwk": true, "altCompoundDrugPricingNo": 1, "shortCycle": true, "newStartDrug": true, "newStartDrugByDrugName": true, "newDrug": true, "firstFillByRx": true, "refillExpired": true, "onPlan": true, "inCompound": true, "diagnosisCodes": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "diagnosisCode": "sample string 2", "description": "sample string 3" }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "diagnosisCode": "sample string 2", "description": "sample string 3" } ], "members": [ { "url": "sample string 9", "id": 10, "ruleNo": 1, "lastName": "sample string 2", "firstName": "sample string 3", "middleName": "sample string 4", "dateOfBirth": "2025-05-30T21:48:41.5824824-05:00", "ssn": "sample string 5", "memberSeqNo": 6, "locationName": "sample string 8" }, { "url": "sample string 9", "id": 10, "ruleNo": 1, "lastName": "sample string 2", "firstName": "sample string 3", "middleName": "sample string 4", "dateOfBirth": "2025-05-30T21:48:41.5824824-05:00", "ssn": "sample string 5", "memberSeqNo": 6, "locationName": "sample string 8" } ], "networks": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "networkNo": 4 }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "networkNo": 4 } ], "headquarters": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "pharmacyHeadquarterNo": 4 }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "pharmacyHeadquarterNo": 4 } ], "pharmacies": [ { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "pharmacyName": "sample string 3" }, { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "pharmacyName": "sample string 3" } ], "prescribers": [ { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "prescriberName": "sample string 3", "effectiveStartDate": "2025-05-30T21:48:41.5824824-05:00", "effectiveEndDate": "2025-05-30T21:48:41.5824824-05:00" }, { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "prescriberName": "sample string 3", "effectiveStartDate": "2025-05-30T21:48:41.5824824-05:00", "effectiveEndDate": "2025-05-30T21:48:41.5824824-05:00" } ], "facilities": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "facilityName": "sample string 2", "pharmacyBranch": "sample string 3", "facilityBranchSeqNo": 4 }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "facilityName": "sample string 2", "pharmacyBranch": "sample string 3", "facilityBranchSeqNo": 4 } ], "alternateProcessors": [ { "url": "sample string 6", "id": 7, "ruleNo": 2, "description": "sample string 3", "planAlternateProcessorNo": 5 }, { "url": "sample string 6", "id": 7, "ruleNo": 2, "description": "sample string 3", "planAlternateProcessorNo": 5 } ], "quantityMin": 1.0, "quantityMax": 1.0, "isBrand": true, "isRx": true, "isMultiSourced": true, "isRepackaged": true, "genericAvailable": true, "otcAvailable": true, "isMaintenanceDrug": true, "deaClassCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "brandNameCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "multiSourceCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "includeCustomDrugs": true, "gpIs": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "genericProductIdentifier": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "genericProductIdentifier": "sample string 2" } ], "pricingGroups": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "planPricingGroupNo": 5 }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "planPricingGroupNo": 5 } ], "roAs": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "routeOfAdministration": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "routeOfAdministration": "sample string 2" } ], "dosageForms": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "dosageForm": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "dosageForm": "sample string 2" } ], "formularyTiers": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "tier": 1, "formularyTierNo": 4 }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "tier": 1, "formularyTierNo": 4 } ], "isSpecialty": true, "drugProfiles": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "drugProfileUrl": "sample string 3", "drugProfileNo": 4 }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "drugProfileUrl": "sample string 3", "drugProfileNo": 4 } ], "groupPlanNo": 6, "description": "sample string 7", "priority": 1, "referenceCode": "sample string 8", "message": "sample string 9", "changeNote": "sample string 10", "effectiveStartDate": "2025-05-30T21:48:41.5824824-05:00", "effectiveEndDate": "2025-05-30T21:48:41.5824824-05:00", "active": true, "daysSupplyMin": 1, "daysSupplyMax": 1, "memberAgeMin": 1, "memberAgeMax": 1, "memberAgeUnits": "sample string 11", "dependentRelationshipCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "serviceCategory": "sample string 12", "memberGender": "sample string 13", "pharmacyTypes": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "description": "sample string 2", "pharmacyTypeCode": "sample string 3" }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "description": "sample string 2", "pharmacyTypeCode": "sample string 3" } ], "submissionClarificationCodeCriteriaType": "sample string 14", "submissionClarificationCodes": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "submissionClarificationCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "submissionClarificationCode": "sample string 2" } ], "pharmacyServiceTypeCriteriaType": "sample string 15", "pharmacyServiceType": "sample string 16", "patientResidenceCriteriaType": "sample string 17", "patientResidence": "sample string 18", "placeOfServiceCriteriaType": "sample string 19", "placeOfService": "sample string 20", "benefitCodeUrl": "sample string 21", "benefitCodeNo": 1, "priorFillsGPIChars": "sample string 22", "diagnosisCodeCriteriaType": "sample string 23", "dawCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "contractCodes": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "contractCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "contractCode": "sample string 2" } ], "arCodes": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "arShortCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "arShortCode": "sample string 2" } ], "coverageLevels": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "coverageLevelCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "coverageLevelCode": "sample string 2" } ], "employeeStatuses": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "employeeStatus": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "employeeStatus": "sample string 2" } ], "otherStatuses": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "otherStatus": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "otherStatus": "sample string 2" } ], "pharmacyStates": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "stateCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "stateCode": "sample string 2" } ], "isTemplate": true }, { "url": "sample string 24", "id": 25, "endProcessing": true, "pharmacyTier": "sample string 1", "flatTaxReject": true, "useGroupPlanOnly": true, "processAsShortCycle": true, "sendRemitToPharmacy": true, "daysSupplyTermGraceDays": 1, "benefitCodeGenOptionUrl": "sample string 2", "benefitCodeGenOptionNo": 1, "compoundDrugPricingUrl": "sample string 3", "compoundDrugPricingNo": 1, "unknownDrugPricingUrl": "sample string 4", "unknownDrugPricingNo": 1, "memberClaimFee": 1.0, "reroutePlanAlternateProcessorNo": 1, "reroutePlanAlternateProcessorUrl": "sample string 5", "memberClaimFeeIC": 1.0, "memberClaimFeeRecalcNtwk": true, "altCompoundDrugPricingNo": 1, "shortCycle": true, "newStartDrug": true, "newStartDrugByDrugName": true, "newDrug": true, "firstFillByRx": true, "refillExpired": true, "onPlan": true, "inCompound": true, "diagnosisCodes": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "diagnosisCode": "sample string 2", "description": "sample string 3" }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "diagnosisCode": "sample string 2", "description": "sample string 3" } ], "members": [ { "url": "sample string 9", "id": 10, "ruleNo": 1, "lastName": "sample string 2", "firstName": "sample string 3", "middleName": "sample string 4", "dateOfBirth": "2025-05-30T21:48:41.5824824-05:00", "ssn": "sample string 5", "memberSeqNo": 6, "locationName": "sample string 8" }, { "url": "sample string 9", "id": 10, "ruleNo": 1, "lastName": "sample string 2", "firstName": "sample string 3", "middleName": "sample string 4", "dateOfBirth": "2025-05-30T21:48:41.5824824-05:00", "ssn": "sample string 5", "memberSeqNo": 6, "locationName": "sample string 8" } ], "networks": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "networkNo": 4 }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "networkNo": 4 } ], "headquarters": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "pharmacyHeadquarterNo": 4 }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "description": "sample string 2", "pharmacyHeadquarterNo": 4 } ], "pharmacies": [ { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "pharmacyName": "sample string 3" }, { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "pharmacyName": "sample string 3" } ], "prescribers": [ { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "prescriberName": "sample string 3", "effectiveStartDate": "2025-05-30T21:48:41.5824824-05:00", "effectiveEndDate": "2025-05-30T21:48:41.5824824-05:00" }, { "url": "sample string 4", "id": 5, "ruleNo": 1, "npi": "sample string 2", "prescriberName": "sample string 3", "effectiveStartDate": "2025-05-30T21:48:41.5824824-05:00", "effectiveEndDate": "2025-05-30T21:48:41.5824824-05:00" } ], "facilities": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "facilityName": "sample string 2", "pharmacyBranch": "sample string 3", "facilityBranchSeqNo": 4 }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "facilityName": "sample string 2", "pharmacyBranch": "sample string 3", "facilityBranchSeqNo": 4 } ], "alternateProcessors": [ { "url": "sample string 6", "id": 7, "ruleNo": 2, "description": "sample string 3", "planAlternateProcessorNo": 5 }, { "url": "sample string 6", "id": 7, "ruleNo": 2, "description": "sample string 3", "planAlternateProcessorNo": 5 } ], "quantityMin": 1.0, "quantityMax": 1.0, "isBrand": true, "isRx": true, "isMultiSourced": true, "isRepackaged": true, "genericAvailable": true, "otcAvailable": true, "isMaintenanceDrug": true, "deaClassCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "brandNameCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "multiSourceCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "includeCustomDrugs": true, "gpIs": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "genericProductIdentifier": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "genericProductIdentifier": "sample string 2" } ], "pricingGroups": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "planPricingGroupNo": 5 }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "planPricingGroupNo": 5 } ], "roAs": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "routeOfAdministration": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "routeOfAdministration": "sample string 2" } ], "dosageForms": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "dosageForm": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "dosageForm": "sample string 2" } ], "formularyTiers": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "tier": 1, "formularyTierNo": 4 }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "name": "sample string 2", "description": "sample string 3", "tier": 1, "formularyTierNo": 4 } ], "isSpecialty": true, "drugProfiles": [ { "url": "sample string 5", "id": 6, "ruleNo": 1, "drugProfileUrl": "sample string 3", "drugProfileNo": 4 }, { "url": "sample string 5", "id": 6, "ruleNo": 1, "drugProfileUrl": "sample string 3", "drugProfileNo": 4 } ], "groupPlanNo": 6, "description": "sample string 7", "priority": 1, "referenceCode": "sample string 8", "message": "sample string 9", "changeNote": "sample string 10", "effectiveStartDate": "2025-05-30T21:48:41.5824824-05:00", "effectiveEndDate": "2025-05-30T21:48:41.5824824-05:00", "active": true, "daysSupplyMin": 1, "daysSupplyMax": 1, "memberAgeMin": 1, "memberAgeMax": 1, "memberAgeUnits": "sample string 11", "dependentRelationshipCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "serviceCategory": "sample string 12", "memberGender": "sample string 13", "pharmacyTypes": [ { "url": "sample string 6", "id": 7, "ruleNo": 1, "description": "sample string 2", "pharmacyTypeCode": "sample string 3" }, { "url": "sample string 6", "id": 7, "ruleNo": 1, "description": "sample string 2", "pharmacyTypeCode": "sample string 3" } ], "submissionClarificationCodeCriteriaType": "sample string 14", "submissionClarificationCodes": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "submissionClarificationCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "submissionClarificationCode": "sample string 2" } ], "pharmacyServiceTypeCriteriaType": "sample string 15", "pharmacyServiceType": "sample string 16", "patientResidenceCriteriaType": "sample string 17", "patientResidence": "sample string 18", "placeOfServiceCriteriaType": "sample string 19", "placeOfService": "sample string 20", "benefitCodeUrl": "sample string 21", "benefitCodeNo": 1, "priorFillsGPIChars": "sample string 22", "diagnosisCodeCriteriaType": "sample string 23", "dawCodes": [ { "displayName": "sample string 1" }, { "displayName": "sample string 1" } ], "contractCodes": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "contractCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "contractCode": "sample string 2" } ], "arCodes": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "arShortCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "arShortCode": "sample string 2" } ], "coverageLevels": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "coverageLevelCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "coverageLevelCode": "sample string 2" } ], "employeeStatuses": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "employeeStatus": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "employeeStatus": "sample string 2" } ], "otherStatuses": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "otherStatus": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "otherStatus": "sample string 2" } ], "pharmacyStates": [ { "url": "sample string 3", "id": 4, "ruleNo": 1, "stateCode": "sample string 2" }, { "url": "sample string 3", "id": 4, "ruleNo": 1, "stateCode": "sample string 2" } ], "isTemplate": true } ]