| Name | Description | Type | Required / Optional |
|---|---|---|---|
| ProductId | integer |
Optional |
|
| Product | string |
Optional |
|
| MonthId | integer |
Optional |
|
| ControllerId | integer |
Optional |
|
| Controller | string |
Optional |
|
| IndicationId | integer |
Optional |
|
| MedicalUnifiedTier | MedicalUnifiedTierCoverageModel |
Optional |
|
| Lives | integer |
Optional |
|
| PlanCount | integer |
Optional |