| Name | Description | Type | Required / Optional |
|---|---|---|---|
| PlanId | integer |
Optional |
|
| PlanTypeId | byte |
Optional |
|
| ChannelId | integer |
Optional |
|
| ProductId | integer |
Optional |
|
| MonthId | integer |
Optional |
|
| MCOId | integer |
Optional |
|
| MCO | string |
Optional |
|
| NoteId | integer |
Optional |
|
| NotesAvailable | integer |
Optional |
|
| Lives | integer |
Optional |
|
| DrugListTierId | byte |
Optional |
|
| FormularyTierId | integer |
Optional |
|
| FormularyUnifiedTierId | integer |
Optional |
|
| UnifiedTierId | integer |
Optional |
|
| PromotionalTierId | integer |
Optional |
|
| IsGeneric | boolean |
Optional |
|
| PriorAuthorization | boolean |
Optional |
|
| StepTherapy | boolean |
Optional |
|
| QuantityLimit | boolean |
Optional |
|
| SpecialtyPharmacy | boolean |
Optional |
|
| ConditionalPriorAuthorization | boolean |
Optional |
|
| DurableMedicalEquipment | boolean |
Optional |
|
| MedicalBenefit | boolean |
Optional |
|
| OverTheCounter | boolean |
Optional |
|
| Variance | boolean |
Optional |
|
| StateCarveOut | boolean |
Optional |
|
| FormularyId | integer |
Optional |