| Name | Description | Type | Additional 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. |