GET api/groups/{groupid}/groupplans/{groupplanid}/ruleoverridendcspecifics?showTemplates={showTemplates}
Gets a collection of NDC specific override 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 |
| showTemplates |
Show templates |
boolean |
Default value is False |
Body Parameters
None.
Response Information
Resource Description
A list of NDC specific override rules
Collection of RuleOverrideNDCSpecificModel| Name | Description | Type | Additional information |
|---|---|---|---|
| EndProcessing |
Gets or sets whether more override rules are processed if all criteria has been met |
boolean |
None. |
| RuleActionTypeUrl |
Gets or sets the link to the rule action type resource |
string |
None. |
| RuleActionTypeNo |
Gets or sets the identifier to the rule action type |
integer |
None. |
| RuleOverride |
Gets or sets the rule overrides associated with this rule claim override |
RuleOverrideModel |
None. |
| DAWEnforceRule |
Gets or sets whether to enforce drug criteria checks that would normally be skipped due to DAW |
boolean |
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. |
| MemberListIsExclusion |
Gets or sets a value indicating whether the member list is treated as an exclusion list. If this is true, members in the list will be excluded from the rule; if false, only members in the list will be included in the rule. If the list is empty, it applies to all pharmacies regardless of this value. |
boolean |
None. |
| MemberProfileListIsExclusion |
Gets or sets a value indicating whether the member profile list is treated as an exclusion list. If this is true, member profiles in the list will be excluded from the rule; if false, only member profiles in the list will be included in the rule. If the list is empty, it applies to all pharmacies regardless of this value. |
boolean |
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. |
| PharmacyHeadquarterListIsExclusion |
Gets or sets a value indicating whether the headquarter list is treated as an exclusion list. If this is true, headquarters in the list will be excluded from the rule; if false, only headquarters in the list will be included in the rule. If the list is empty, it applies to all pharmacies regardless of this value. |
boolean |
None. |
| Pharmacies |
Gets or sets pharmacies for which the rule applies; if the list is empty it applies to all |
Collection of RulePharmacyModel |
None. |
| PharmacyListIsExclusion |
Gets or sets a value indicating whether the pharmacy list is treated as an exclusion list. If this is true, pharmacies in the list will be excluded from the rule; if false, only pharmacies in the list will be included in the rule. If the list is empty, it applies to all pharmacies regardless of this value. |
boolean |
None. |
| PharmacyProfileListIsExclusion |
Gets or sets a value indicating whether the pharmacy profile list is treated as an exclusion list. If this is true, pharmacy profiles in the list will be excluded from the rule; if false, only pharmacy profiles in the list will be included in the rule. If the list is empty, it applies to all pharmacy profiles regardless of this value. |
boolean |
None. |
| Prescribers |
Gets or sets prescribers for which the rule applies; if the list is empty it applies to all |
Collection of RulePrescriberModel |
None. |
| PrescriberListIsExclusion |
Gets or sets a value indicating whether the prescriber list is treated as an exclusion list. If this is true, prescribers in the list will be excluded from the rule; if false, only prescribers in the list will be included in the rule. If the list is empty, it applies to all pharmacies regardless of this value. |
boolean |
None. |
| Facilities |
Gets or sets the Facilities for which the rule applies |
Collection of RuleFacilityBranchModel |
None. |
| NDCListIsExclusion |
Gets or sets a value indicating whether the ndc list is treated as an exclusion list. If this is true, ndcs in the list will be excluded from the rule; if false, only ndcs in the list will be included in the rule. If the list is empty, it applies to all pharmacies regardless of this value. |
boolean |
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. |
| NDCs |
Gets or sets the list of NDCs associated with the rule criteria. These values can be posted/added at individual rule controllers, but should be patched at the RuleDrug endpoint - api/groups/{groupid}/groupplans/{groupplanid}/rules/{ruleid}/ruledrugs/{id}. |
Collection of RuleDrugModel |
None. |
| PricingGroups |
Gets or sets the list of pricing groups associated with the drug criteria |
Collection of RulePricingGroupModel |
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. |
| 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. |
| IsOverridden |
Gets or sets the flag if this rule is overridden |
boolean |
None. |
| OverridingRuleURL |
Gets or sets the rule template thats being overridden |
string |
None. |
| Enabled |
Gets or sets the rule template is enabled |
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 30",
"id": 31,
"endProcessing": true,
"ruleActionTypeUrl": "sample string 1",
"ruleActionTypeNo": 2,
"ruleOverride": {
"enforcePlanFormulary": true,
"enforcePharmacyFormulary": true,
"enforceMemberFormulary": true,
"enforcePrescriberFormulary": true,
"enforceDAW": true,
"enforceStepTherapy": true,
"enforceQtyLimit": true,
"enforceDaysSupplyLimit": true,
"enforceRefillTooSoon": true,
"enforceMaxFillsLimit": true,
"enforceMaxPriceLimit": true,
"enforceAgeRestriction": true,
"enforceFinalFormulary": true,
"enforcePostPricing": true,
"enforceRestrictedOverride": true,
"enforceRestrictedOverride2": true,
"enforceRestrictedOverride3": true,
"enforceRestrictedOverride4": true,
"enforceFormularyNotCovered": true,
"enforceFormularyAgeLimit": true,
"enforceFormularyGenderLimit": true,
"enforceFormularyQtyLimit": true,
"enforceFormularyStepMed": true,
"enforceFormularyPriorAuth": true,
"enforceFormularyDiagnosisCodeLimit": true,
"maxPrice": 1.0
},
"dawEnforceRule": true,
"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": "2025-12-09T20:14:29.8315731-06:00",
"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": "2025-12-09T20:14:29.8315731-06:00",
"ssn": "sample string 5",
"memberSeqNo": 6,
"locationName": "sample string 8"
}
],
"memberListIsExclusion": true,
"memberProfileListIsExclusion": true,
"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
}
],
"pharmacyHeadquarterListIsExclusion": true,
"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"
}
],
"pharmacyListIsExclusion": true,
"pharmacyProfileListIsExclusion": true,
"prescribers": [
{
"url": "sample string 4",
"id": 5,
"ruleNo": 1,
"npi": "sample string 2",
"prescriberName": "sample string 3",
"effectiveStartDate": "2025-12-09T20:14:29.8315731-06:00",
"effectiveEndDate": "2025-12-09T20:14:29.8315731-06:00"
},
{
"url": "sample string 4",
"id": 5,
"ruleNo": 1,
"npi": "sample string 2",
"prescriberName": "sample string 3",
"effectiveStartDate": "2025-12-09T20:14:29.8315731-06:00",
"effectiveEndDate": "2025-12-09T20:14:29.8315731-06:00"
}
],
"prescriberListIsExclusion": true,
"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
}
],
"ndcListIsExclusion": true,
"quantityMin": 1.0,
"quantityMax": 1.0,
"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
}
],
"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,
"groupPlanNo": 11,
"description": "sample string 12",
"priority": 1,
"referenceCode": "sample string 13",
"message": "sample string 14",
"changeNote": "sample string 15",
"effectiveStartDate": "2025-12-09T20:14:29.8315731-06:00",
"effectiveEndDate": "2025-12-09T20:14:29.8315731-06:00",
"active": true,
"daysSupplyMin": 1,
"daysSupplyMax": 1,
"memberAgeMin": 1,
"memberAgeMax": 1,
"memberAgeUnits": "sample string 16",
"dependentRelationshipCodes": [
{
"displayName": "sample string 1"
},
{
"displayName": "sample string 1"
}
],
"serviceCategory": "sample string 17",
"memberGender": "sample string 18",
"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 19",
"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 20",
"pharmacyServiceType": "sample string 21",
"patientResidenceCriteriaType": "sample string 22",
"patientResidence": "sample string 23",
"placeOfServiceCriteriaType": "sample string 24",
"placeOfService": "sample string 25",
"benefitCodeUrl": "sample string 26",
"benefitCodeNo": 1,
"priorFillsGPIChars": "sample string 27",
"diagnosisCodeCriteriaType": "sample string 28",
"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,
"ndCs": [
{
"url": "sample string 3",
"id": 4,
"ruleNo": 1,
"ndc": "sample string 2"
},
{
"url": "sample string 3",
"id": 4,
"ruleNo": 1,
"ndc": "sample string 2"
}
]
},
{
"url": "sample string 30",
"id": 31,
"endProcessing": true,
"ruleActionTypeUrl": "sample string 1",
"ruleActionTypeNo": 2,
"ruleOverride": {
"enforcePlanFormulary": true,
"enforcePharmacyFormulary": true,
"enforceMemberFormulary": true,
"enforcePrescriberFormulary": true,
"enforceDAW": true,
"enforceStepTherapy": true,
"enforceQtyLimit": true,
"enforceDaysSupplyLimit": true,
"enforceRefillTooSoon": true,
"enforceMaxFillsLimit": true,
"enforceMaxPriceLimit": true,
"enforceAgeRestriction": true,
"enforceFinalFormulary": true,
"enforcePostPricing": true,
"enforceRestrictedOverride": true,
"enforceRestrictedOverride2": true,
"enforceRestrictedOverride3": true,
"enforceRestrictedOverride4": true,
"enforceFormularyNotCovered": true,
"enforceFormularyAgeLimit": true,
"enforceFormularyGenderLimit": true,
"enforceFormularyQtyLimit": true,
"enforceFormularyStepMed": true,
"enforceFormularyPriorAuth": true,
"enforceFormularyDiagnosisCodeLimit": true,
"maxPrice": 1.0
},
"dawEnforceRule": true,
"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": "2025-12-09T20:14:29.8315731-06:00",
"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": "2025-12-09T20:14:29.8315731-06:00",
"ssn": "sample string 5",
"memberSeqNo": 6,
"locationName": "sample string 8"
}
],
"memberListIsExclusion": true,
"memberProfileListIsExclusion": true,
"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
}
],
"pharmacyHeadquarterListIsExclusion": true,
"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"
}
],
"pharmacyListIsExclusion": true,
"pharmacyProfileListIsExclusion": true,
"prescribers": [
{
"url": "sample string 4",
"id": 5,
"ruleNo": 1,
"npi": "sample string 2",
"prescriberName": "sample string 3",
"effectiveStartDate": "2025-12-09T20:14:29.8315731-06:00",
"effectiveEndDate": "2025-12-09T20:14:29.8315731-06:00"
},
{
"url": "sample string 4",
"id": 5,
"ruleNo": 1,
"npi": "sample string 2",
"prescriberName": "sample string 3",
"effectiveStartDate": "2025-12-09T20:14:29.8315731-06:00",
"effectiveEndDate": "2025-12-09T20:14:29.8315731-06:00"
}
],
"prescriberListIsExclusion": true,
"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
}
],
"ndcListIsExclusion": true,
"quantityMin": 1.0,
"quantityMax": 1.0,
"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
}
],
"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,
"groupPlanNo": 11,
"description": "sample string 12",
"priority": 1,
"referenceCode": "sample string 13",
"message": "sample string 14",
"changeNote": "sample string 15",
"effectiveStartDate": "2025-12-09T20:14:29.8315731-06:00",
"effectiveEndDate": "2025-12-09T20:14:29.8315731-06:00",
"active": true,
"daysSupplyMin": 1,
"daysSupplyMax": 1,
"memberAgeMin": 1,
"memberAgeMax": 1,
"memberAgeUnits": "sample string 16",
"dependentRelationshipCodes": [
{
"displayName": "sample string 1"
},
{
"displayName": "sample string 1"
}
],
"serviceCategory": "sample string 17",
"memberGender": "sample string 18",
"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 19",
"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 20",
"pharmacyServiceType": "sample string 21",
"patientResidenceCriteriaType": "sample string 22",
"patientResidence": "sample string 23",
"placeOfServiceCriteriaType": "sample string 24",
"placeOfService": "sample string 25",
"benefitCodeUrl": "sample string 26",
"benefitCodeNo": 1,
"priorFillsGPIChars": "sample string 27",
"diagnosisCodeCriteriaType": "sample string 28",
"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,
"ndCs": [
{
"url": "sample string 3",
"id": 4,
"ruleNo": 1,
"ndc": "sample string 2"
},
{
"url": "sample string 3",
"id": 4,
"ruleNo": 1,
"ndc": "sample string 2"
}
]
}
]