GET api/groups/{groupid}/priorauthpersistents/{id}

Gets a Persistent Prior Authorization object by group and id

Request Information

URI Parameters

NameDescriptionTypeAdditional information
groupid

Group Identifier

integer

Required

id

Persistent Prior Authorization Identifier

integer

Required

Body Parameters

None.

Response Information

Resource Description

PriorAuthorizationPersistModel
NameDescriptionTypeAdditional information
GroupNo

Gets or sets the Group identifier

integer

None.

MemberSeqNo

Gets or sets the Member sequence number

integer

None.

CardholderSeqNo

integer

None.

MemberUrl

Gets or sets the Member Url

string

None.

CardHolderUrl

Gets or sets the Cardholder Url

string

None.

EffectiveStartDate

Gets or sets the Effective Start Date

date

None.

EffectiveEndDate

Gets or sets the Effective End Date

date

None.

NDC

Gets or sets the NDC

string

None.

GenericProductIdentifier

Gets or sets the Generic Product Identifier

string

None.

GPIChars

Gets or sets the GPI Chars

string

None.

RxNumber

Gets or sets the RX number

string

None.

PharmacyNPI

Gets or sets the Pharmacy NPI

string

None.

PharmacyNPIs

Gets or sets Pharmacy NPI list

Collection of PriorAuthorizationPersistPharmacyModel

None.

PrescriberNPI

Gets or sets the Prescriber NPI

string

None.

AllowBrand

Gets or sets the Allow Brand indicator

boolean

None.

AllowOTC

Gets or sets the Allow OTC indicator

boolean

None.

AllowRepackaged

Gets or sets the Allow Repackaged indicator

boolean

None.

DaysSupply

Gets or sets the days supply amount

integer

None.

CopayOverride

Gets or sets the copay override amount

decimal number

None.

CopayOverrideDaysInterval

Gets or sets the copay override days interval

byte

None.

CoinsuranceOverride

Gets or sets the Coinsurance override amount (Enter the percentage in decimal form (e.g., 0.25 for 25%))

decimal number

None.

VariableCopayAmount

Gets or sets the Variable Copay amount

decimal number

None.

EnforceQtyLimit

Gets or sets Enforce Quantity Limit indicator

boolean

None.

EnforceDaysSupplyLimit

Gets or sets Enforce Quantity Supply Limit indicator

boolean

None.

EnforceRefillTooSoon

Gets or sets Enforce Refill Too Soon indicator

boolean

None.

EnforceMaxFillsLimit

Gets or sets Enforce Max Fills Limit indicator

boolean

None.

EnforceMaxPriceLimit

Gets or sets Enforce Max Price Limit indicator

boolean

None.

EnforceStepTherapy

Gets or sets Enforce Step Therapy indicator

boolean

None.

EnforceAgeRestriction

Gets or sets Enforce Age Restriction indicator

boolean

None.

QtyLimit

Gets or sets Quantity Limit

decimal number

None.

DaysSupplyLimit

Gets or sets Days Supply Limit

integer

None.

MaxPrice

Gets or sets Maximum Price

decimal number

None.

MaxPriceDaysInterval

Gets or sets Maximum Price Days Interval

byte

None.

MaxPriceCompound

Gets or sets Maximum Price Compound

decimal number

None.

MaxPriceCompoundDaysInterval

Gets or sets Maximum Price Compound Days Interval

byte

None.

Grandfathered

Gets or sets Grandathered indicator

boolean

None.

Notes

Gets or sets Notes

string

None.

EnforcePlanFormulary

Gets or sets Enforce Plan Formulary indicator

boolean

None.

EnforcePharmacyFormulary

Gets or sets Enforce Pharmacy Formulary indicator

boolean

None.

EnforceMemberFormulary

Gets or sets Enforce Member Formulary indicator

boolean

None.

EnforcePrescriberFormulary

Gets or sets Enforce Prescriber Formulary indicator

boolean

None.

EnforceDAW

Gets or sets Enforce DAW indicator

boolean

None.

EnforceFinalFormulary

Gets or sets Enforce Final Formulary indicator

boolean

None.

EnforcePostPricing

Gets or sets Enforce Post Pricing indicator

boolean

None.

EnforceRestrictedOverride

Gets or sets Enforce Restricted Override indicator

boolean

None.

EnforceRestrictedOverride2

Gets or sets Enforce Restricted Override2 indicator

boolean

None.

EnforceRestrictedOverride3

Gets or sets Enforce Restricted Override3 indicator

boolean

None.

EnforceRestrictedOverride4

Gets or sets Enforce Restricted Override4 indicator

boolean

None.

EnforceFormularyNotCovered

Gets or sets whether to enforce formulary not covered limits

boolean

None.

EnforceFormularyAgeLimit

Gets or sets whether to enforce formulary age limits

boolean

None.

EnforceFormularyGenderLimit

Gets or sets whether to enforce formulary gender limits

boolean

None.

EnforceFormularyQtyLimit

Gets or sets whether to enforce formulary quantity limits

boolean

None.

EnforceFormularyStepMed

Gets or sets whether to enforce formulary step med limits

boolean

None.

EnforceFormularyPriorAuth

Gets or sets whether to enforce formulary prior auth limits

boolean

None.

EnforceFormularyDiagnosisCodeLimit

Gets or sets whether to enforce formulary diagnosis code limits

boolean

None.

OOPCopayOverride

Gets or sets Out of Pocket Copay Override

decimal number

None.

OOPCopayOverrideDaysInterval

Gets or sets Out of Pocket Copay Override Days Interval

byte

None.

OOPCoinsuranceOverride

Gets or sets Out of Pocket Coinsurance Override (Enter the percentage in decimal form (e.g., 0.25 for 25%))

decimal number

None.

ExemptFromDeductible

Gets or sets Exempty From Deductible indicator

boolean

None.

ExemptFromOutOfPocketLimit

Gets or sets Exempt From Out of Pocket Limit indicator

boolean

None.

MaxNumberOfFills

Gets or sets Maximum number of Fills

integer

None.

MaxQuantityPerDaysSupply

Gets or sets Maximum Quantity Per Days Supply

decimal number

None.

IsMultiSourced

Gets or sets Is MultiSourced indicator

boolean

None.

GenericAvailable

Gets or sets Is Generic Available indicator

boolean

None.

PlanSeqNo

Gets or sets Plan sequence number

integer

None.

PlanUrl

Gets or sets Plan Url

string

None.

PlanPricingGroupSeqNo

Gets or sets Plan Pricing Group sequence number

integer

None.

PlanPricingGroupUrl

Gets or sets Plan Pricing Group Url

string

None.

SkipAlternatePricingRules

Gets or sets Skip Alternate Pricing Rules indicator

boolean

None.

IgnoreDrugSelectionPenalty

Gets or sets Ignore Drug Selection Penalty indicator

boolean

None.

OverrideTypeSeqNo

Gets or sets Override Type sequence number

integer

None.

OverrideTypeUrl

Gets or sets Override Type Url

string

None.

LimitToPrincipalPlans

Gets or set Limit To Principal Plans

boolean

None.

LimitToAlternatePlans

Gets or set Limit To Alternate Plans

boolean

None.

LimitToSecondaryPlans

Gets or set Limit To Secondary Plans (obsolete)

boolean

None.

ApplyToCompoundRuleChecks

Gets or sets Apply Compound Rules

boolean

None.

CopayCardAmount

Gets or set the Copay Card Amount

decimal number

None.

VendorCouponAmount

Gets or set the Vendor Coupon Amount

decimal number

None.

QtyLimitTotal

Gets or sets Quantity Limit Total

decimal number

None.

PharmacyHeadquarterSeqNo

Gets or sets the Pharmacy Headquarter sequence number

integer

None.

PharmacyHeadquarterUrl

Gets or sets the Pharmacy Headquarter url

string

None.

PlanContractSeqNo

Gets or sets the Plan Contract sequence number

integer

None.

PlanContractUrl

Gets or sets the Plan Contrct url

string

None.

FormularyTierSeqNo

Gets or sets the Formulary Tier sequence number

integer

None.

FormularyTierUrl

Gets or sets the Formulary Tier url

string

None.

MMEThreshold

Gets or sets MME Threshold amount

integer

None.

IngredientCostRateOverride

Gets or sets Ingredient Cost override amount

decimal number

None.

DispenseFeeOverride

Gets or sets Dispense Fee Override amount

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 19",
  "id": 20,
  "groupNo": 1,
  "memberSeqNo": 1,
  "cardholderSeqNo": 1,
  "memberUrl": "sample string 1",
  "cardHolderUrl": "sample string 2",
  "effectiveStartDate": "2025-05-30T21:04:33.8719669-05:00",
  "effectiveEndDate": "2025-05-30T21:04:33.8719669-05:00",
  "ndc": "sample string 3",
  "genericProductIdentifier": "sample string 4",
  "gpiChars": "sample string 5",
  "rxNumber": "sample string 6",
  "pharmacyNPI": "sample string 7",
  "pharmacyNPIs": [
    {
      "url": "sample string 3",
      "id": 4,
      "pharmacyNPI": "sample string 1"
    },
    {
      "url": "sample string 3",
      "id": 4,
      "pharmacyNPI": "sample string 1"
    }
  ],
  "prescriberNPI": "sample string 8",
  "allowBrand": true,
  "allowOTC": true,
  "allowRepackaged": true,
  "daysSupply": 1,
  "copayOverride": 1.0,
  "copayOverrideDaysInterval": 64,
  "coinsuranceOverride": 1.0,
  "enforceQtyLimit": true,
  "enforceDaysSupplyLimit": true,
  "enforceRefillTooSoon": true,
  "enforceMaxFillsLimit": true,
  "enforceMaxPriceLimit": true,
  "enforceStepTherapy": true,
  "enforceAgeRestriction": true,
  "qtyLimit": 1.0,
  "daysSupplyLimit": 1,
  "maxPrice": 1.0,
  "maxPriceDaysInterval": 64,
  "maxPriceCompound": 1.0,
  "maxPriceCompoundDaysInterval": 64,
  "grandfathered": true,
  "notes": "sample string 9",
  "enforcePlanFormulary": true,
  "enforcePharmacyFormulary": true,
  "enforceMemberFormulary": true,
  "enforcePrescriberFormulary": true,
  "enforceDAW": 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,
  "oopCopayOverride": 1.0,
  "oopCopayOverrideDaysInterval": 64,
  "oopCoinsuranceOverride": 1.0,
  "exemptFromDeductible": true,
  "exemptFromOutOfPocketLimit": true,
  "maxNumberOfFills": 1,
  "maxQuantityPerDaysSupply": 1.0,
  "isMultiSourced": true,
  "genericAvailable": true,
  "planSeqNo": 1,
  "planUrl": "sample string 10",
  "planPricingGroupSeqNo": 1,
  "planPricingGroupUrl": "sample string 11",
  "skipAlternatePricingRules": true,
  "ignoreDrugSelectionPenalty": true,
  "overrideTypeSeqNo": 1,
  "overrideTypeUrl": "sample string 12",
  "limitToPrincipalPlans": true,
  "limitToAlternatePlans": true,
  "limitToSecondaryPlans": true,
  "applyToCompoundRuleChecks": true,
  "copayCardAmount": 1.0,
  "vendorCouponAmount": 1.0,
  "qtyLimitTotal": 1.0,
  "pharmacyHeadquarterSeqNo": 1,
  "pharmacyHeadquarterUrl": "sample string 16",
  "planContractSeqNo": 1,
  "planContractUrl": "sample string 17",
  "formularyTierSeqNo": 1,
  "formularyTierUrl": "sample string 18",
  "mmeThreshold": 1,
  "ingredientCostRateOverride": 1.0,
  "dispenseFeeOverride": 1.0
}