pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	mrx_tier_post_id	mrx_tier_post_label_list	mrx_tier_post_benefit_type	mrx_tier_post_type_id	mrx_tier_post_drug_type	mrx_tier_post_includes	mrx_tier_post_cost_struct	mrx_tier_post_copay_amt	mrx_tier_post_coins_pct
H0524	002	0	2	01	01	H0524_002_0	5	1	Preferred Generic	4	2	001000	1	2	4.00	
H0524	002	0	2	01	01	H0524_002_0	5	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0524	002	0	2	01	01	H0524_002_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	002	0	2	01	01	H0524_002_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	002	0	2	01	01	H0524_002_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	002	0	2	01	01	H0524_002_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	003	0	1	01	01	H0524_003_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	003	0	1	01	01	H0524_003_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	003	0	1	01	01	H0524_003_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	003	0	1	01	01	H0524_003_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	003	0	1	01	01	H0524_003_0	5	1	Preferred Generic	4	2	001000	1	2	3.00	
H0524	003	0	1	01	01	H0524_003_0	5	2	Non-Preferred Generic	4	2	000100	1	2	3.00	
H0524	008	0	1	01	01	H0524_008_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	008	0	1	01	01	H0524_008_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	008	0	1	01	01	H0524_008_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	008	0	1	01	01	H0524_008_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	008	0	1	01	01	H0524_008_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	008	0	1	01	01	H0524_008_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	010	0	2	01	01	H0524_010_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	010	0	2	01	01	H0524_010_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	010	0	2	01	01	H0524_010_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	010	0	2	01	01	H0524_010_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	010	0	2	01	01	H0524_010_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	010	0	2	01	01	H0524_010_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	013	0	1	01	01	H0524_013_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	013	0	1	01	01	H0524_013_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	013	0	1	01	01	H0524_013_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	013	0	1	01	01	H0524_013_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	013	0	1	01	01	H0524_013_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	013	0	1	01	01	H0524_013_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	015	0	1	01	01	H0524_015_0	8	1	Preferred Generic	4	2	001000	1	2	4.00	
H0524	015	0	1	01	01	H0524_015_0	8	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0524	015	0	1	01	01	H0524_015_0	8	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	015	0	1	01	01	H0524_015_0	8	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	015	0	1	01	01	H0524_015_0	8	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	015	0	1	01	01	H0524_015_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H0524	029	0	1	01	01	H0524_029_0	5	1	Preferred Generic	3	2	001000		2	6.00	
H0524	029	0	1	01	01	H0524_029_0	5	2	Non-Preferred Generic	3	2	000100		2	6.00	
H0524	029	0	1	01	01	H0524_029_0	5	6	Vaccines	3	2	000001		2	0.00	
H0524	029	0	1	01	01	H0524_029_0	5	4	Non-Preferred Brand	3	2	100000		2	12.00	
H0524	029	0	1	01	01	H0524_029_0	5	5	Specialty Tier	3	2	100001		2	12.00	
H0524	029	0	1	01	01	H0524_029_0	5	3	Preferred Brand	3	2	000001		2	12.00	
H0524	030	0	1	01	01	H0524_030_0	5	5	Specialty Tier	3	2	100001		2	15.00	
H0524	030	0	1	01	01	H0524_030_0	5	6	Vaccines	3	2	000001		2	0.00	
H0524	030	0	1	01	01	H0524_030_0	5	1	Preferred Generic	3	2	001000		2	9.00	
H0524	030	0	1	01	01	H0524_030_0	5	2	Non-Preferred Generic	3	2	000100		2	9.00	
H0524	030	0	1	01	01	H0524_030_0	5	4	Non-Preferred Brand	3	2	100000		2	15.00	
H0524	030	0	1	01	01	H0524_030_0	5	3	Preferred Brand	3	2	000001		2	15.00	
H0524	031	0	1	01	01	H0524_031_0	6	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	031	0	1	01	01	H0524_031_0	6	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	031	0	1	01	01	H0524_031_0	6	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	031	0	1	01	01	H0524_031_0	6	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	031	0	1	01	01	H0524_031_0	6	6	Vaccines	4	2	000001	1	2	0.00	
H0524	031	0	1	01	01	H0524_031_0	6	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	032	0	1	01	01	H0524_032_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	032	0	1	01	01	H0524_032_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	032	0	1	01	01	H0524_032_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	032	0	1	01	01	H0524_032_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	032	0	1	01	01	H0524_032_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	032	0	1	01	01	H0524_032_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	033	0	1	01	01	H0524_033_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	033	0	1	01	01	H0524_033_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	033	0	1	01	01	H0524_033_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	033	0	1	01	01	H0524_033_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	033	0	1	01	01	H0524_033_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	033	0	1	01	01	H0524_033_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	034	0	1	01	01	H0524_034_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	034	0	1	01	01	H0524_034_0	5	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0524	034	0	1	01	01	H0524_034_0	5	1	Preferred Generic	4	2	001000	1	2	4.00	
H0524	034	0	1	01	01	H0524_034_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	034	0	1	01	01	H0524_034_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	034	0	1	01	01	H0524_034_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	035	0	1	01	01	H0524_035_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	035	0	1	01	01	H0524_035_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	035	0	1	01	01	H0524_035_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	035	0	1	01	01	H0524_035_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	035	0	1	01	01	H0524_035_0	5	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0524	035	0	1	01	01	H0524_035_0	5	1	Preferred Generic	4	2	001000	1	2	4.00	
H0524	036	0	1	01	01	H0524_036_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	036	0	1	01	01	H0524_036_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	036	0	1	01	01	H0524_036_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	036	0	1	01	01	H0524_036_0	5	1	Preferred Generic	4	2	001000	1	2	4.00	
H0524	036	0	1	01	01	H0524_036_0	5	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0524	036	0	1	01	01	H0524_036_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	037	0	1	01	01	H0524_037_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	037	0	1	01	01	H0524_037_0	5	1	Preferred Generic	4	2	001000	1	2	4.00	
H0524	037	0	1	01	01	H0524_037_0	5	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0524	037	0	1	01	01	H0524_037_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	037	0	1	01	01	H0524_037_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	037	0	1	01	01	H0524_037_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	038	0	1	01	01	H0524_038_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	038	0	1	01	01	H0524_038_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	038	0	1	01	01	H0524_038_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	038	0	1	01	01	H0524_038_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	038	0	1	01	01	H0524_038_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	038	0	1	01	01	H0524_038_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	039	0	1	01	01	H0524_039_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	039	0	1	01	01	H0524_039_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	039	0	1	01	01	H0524_039_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	039	0	1	01	01	H0524_039_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	039	0	1	01	01	H0524_039_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	039	0	1	01	01	H0524_039_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	040	0	1	01	01	H0524_040_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	040	0	1	01	01	H0524_040_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	040	0	1	01	01	H0524_040_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	040	0	1	01	01	H0524_040_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	040	0	1	01	01	H0524_040_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	040	0	1	01	01	H0524_040_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	041	0	1	01	01	H0524_041_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	041	0	1	01	01	H0524_041_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	041	0	1	01	01	H0524_041_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	041	0	1	01	01	H0524_041_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	041	0	1	01	01	H0524_041_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	041	0	1	01	01	H0524_041_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	042	0	1	01	01	H0524_042_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	042	0	1	01	01	H0524_042_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	042	0	1	01	01	H0524_042_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	042	0	1	01	01	H0524_042_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	042	0	1	01	01	H0524_042_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	042	0	1	01	01	H0524_042_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	043	0	1	01	01	H0524_043_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	043	0	1	01	01	H0524_043_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	043	0	1	01	01	H0524_043_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	043	0	1	01	01	H0524_043_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	043	0	1	01	01	H0524_043_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	043	0	1	01	01	H0524_043_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0524	046	0	1	01	01	H0524_046_0	5	3	Preferred Brand	4	2	000001	1	2	12.00	
H0524	046	0	1	01	01	H0524_046_0	5	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H0524	046	0	1	01	01	H0524_046_0	5	5	Specialty Tier	4	2	100001	1	2	12.00	
H0524	046	0	1	01	01	H0524_046_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H0524	046	0	1	01	01	H0524_046_0	5	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0524	046	0	1	01	01	H0524_046_0	5	1	Preferred Generic	4	2	001000	1	2	5.00	
H0544	002	0	1	01	01	H0544_002_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	002	0	1	01	01	H0544_002_0	9	4	Non-Preferred Brand	4	2	100000	3	3	6.60	5
H0544	002	0	1	01	01	H0544_002_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	002	0	1	01	01	H0544_002_0	9	2	Non-Preferred Generic	4	2	000100	3	3	2.65	5
H0544	002	0	1	01	01	H0544_002_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	002	0	1	01	01	H0544_002_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	004	0	1	01	01	H0544_004_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	004	0	1	01	01	H0544_004_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	004	0	1	01	01	H0544_004_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	004	0	1	01	01	H0544_004_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	004	0	1	01	01	H0544_004_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	004	0	1	01	01	H0544_004_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	005	0	1	01	01	H0544_005_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	005	0	1	01	01	H0544_005_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	005	0	1	01	01	H0544_005_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	005	0	1	01	01	H0544_005_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	005	0	1	01	01	H0544_005_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	005	0	1	01	01	H0544_005_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	008	0	1	01	01	H0544_008_0	8	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H0544	008	0	1	01	01	H0544_008_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	008	0	1	01	01	H0544_008_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	008	0	1	01	01	H0544_008_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	008	0	1	01	01	H0544_008_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	008	0	1	01	01	H0544_008_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	010	0	1	01	01	H0544_010_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	010	0	1	01	01	H0544_010_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	010	0	1	01	01	H0544_010_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	010	0	1	01	01	H0544_010_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	010	0	1	01	01	H0544_010_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	010	0	1	01	01	H0544_010_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	012	0	1	01	01	H0544_012_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	012	0	1	01	01	H0544_012_0	8	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H0544	012	0	1	01	01	H0544_012_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	012	0	1	01	01	H0544_012_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	012	0	1	01	01	H0544_012_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	012	0	1	01	01	H0544_012_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	013	0	1	01	01	H0544_013_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	013	0	1	01	01	H0544_013_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	013	0	1	01	01	H0544_013_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	013	0	1	01	01	H0544_013_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	013	0	1	01	01	H0544_013_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	013	0	1	01	01	H0544_013_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	014	0	1	01	01	H0544_014_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	014	0	1	01	01	H0544_014_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	014	0	1	01	01	H0544_014_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	014	0	1	01	01	H0544_014_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	014	0	1	01	01	H0544_014_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	014	0	1	01	01	H0544_014_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	015	0	1	01	01	H0544_015_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	015	0	1	01	01	H0544_015_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	015	0	1	01	01	H0544_015_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	015	0	1	01	01	H0544_015_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	015	0	1	01	01	H0544_015_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	015	0	1	01	01	H0544_015_0	8	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	019	0	1	01	01	H0544_019_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	019	0	1	01	01	H0544_019_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	019	0	1	01	01	H0544_019_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	019	0	1	01	01	H0544_019_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	019	0	1	01	01	H0544_019_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	019	0	1	01	01	H0544_019_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	020	0	1	01	01	H0544_020_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	020	0	1	01	01	H0544_020_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	020	0	1	01	01	H0544_020_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	020	0	1	01	01	H0544_020_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	020	0	1	01	01	H0544_020_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	020	0	1	01	01	H0544_020_0	8	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	022	0	1	01	01	H0544_022_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	022	0	1	01	01	H0544_022_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	022	0	1	01	01	H0544_022_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	022	0	1	01	01	H0544_022_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	022	0	1	01	01	H0544_022_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	022	0	1	01	01	H0544_022_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	024	0	1	01	01	H0544_024_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	024	0	1	01	01	H0544_024_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	024	0	1	01	01	H0544_024_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	024	0	1	01	01	H0544_024_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	024	0	1	01	01	H0544_024_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	024	0	1	01	01	H0544_024_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	025	0	1	01	01	H0544_025_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	025	0	1	01	01	H0544_025_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	025	0	1	01	01	H0544_025_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	025	0	1	01	01	H0544_025_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	025	0	1	01	01	H0544_025_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	025	0	1	01	01	H0544_025_0	8	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	027	0	1	01	01	H0544_027_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	027	0	1	01	01	H0544_027_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	027	0	1	01	01	H0544_027_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	027	0	1	01	01	H0544_027_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	027	0	1	01	01	H0544_027_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	027	0	1	01	01	H0544_027_0	8	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H0544	031	0	1	01	01	H0544_031_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	031	0	1	01	01	H0544_031_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	031	0	1	01	01	H0544_031_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	031	0	1	01	01	H0544_031_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	031	0	1	01	01	H0544_031_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	031	0	1	01	01	H0544_031_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	032	0	1	01	01	H0544_032_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	032	0	1	01	01	H0544_032_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	032	0	1	01	01	H0544_032_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	032	0	1	01	01	H0544_032_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	032	0	1	01	01	H0544_032_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	032	0	1	01	01	H0544_032_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	034	0	1	01	01	H0544_034_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	034	0	1	01	01	H0544_034_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	034	0	1	01	01	H0544_034_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	034	0	1	01	01	H0544_034_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	034	0	1	01	01	H0544_034_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	034	0	1	01	01	H0544_034_0	8	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H0544	035	0	1	01	01	H0544_035_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	035	0	1	01	01	H0544_035_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	035	0	1	01	01	H0544_035_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	035	0	1	01	01	H0544_035_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	035	0	1	01	01	H0544_035_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	035	0	1	01	01	H0544_035_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	036	0	1	01	01	H0544_036_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	036	0	1	01	01	H0544_036_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	036	0	1	01	01	H0544_036_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	036	0	1	01	01	H0544_036_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	036	0	1	01	01	H0544_036_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	036	0	1	01	01	H0544_036_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	037	0	1	01	01	H0544_037_0	12	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	037	0	1	01	01	H0544_037_0	12	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	037	0	1	01	01	H0544_037_0	12	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	037	0	1	01	01	H0544_037_0	12	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	037	0	1	01	01	H0544_037_0	12	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	037	0	1	01	01	H0544_037_0	12	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	038	0	1	01	01	H0544_038_0	11	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	038	0	1	01	01	H0544_038_0	11	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	038	0	1	01	01	H0544_038_0	11	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	038	0	1	01	01	H0544_038_0	11	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	038	0	1	01	01	H0544_038_0	11	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	038	0	1	01	01	H0544_038_0	11	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	040	0	1	01	01	H0544_040_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	040	0	1	01	01	H0544_040_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	040	0	1	01	01	H0544_040_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	040	0	1	01	01	H0544_040_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	040	0	1	01	01	H0544_040_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	040	0	1	01	01	H0544_040_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	043	0	1	01	01	H0544_043_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	043	0	1	01	01	H0544_043_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	043	0	1	01	01	H0544_043_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	043	0	1	01	01	H0544_043_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	043	0	1	01	01	H0544_043_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	043	0	1	01	01	H0544_043_0	9	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H0544	044	0	1	01	01	H0544_044_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0544	044	0	1	01	01	H0544_044_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	044	0	1	01	01	H0544_044_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	044	0	1	01	01	H0544_044_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	044	0	1	01	01	H0544_044_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	044	0	1	01	01	H0544_044_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	045	0	1	01	01	H0544_045_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H0544	045	0	1	01	01	H0544_045_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H0544	045	0	1	01	01	H0544_045_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H0544	045	0	1	01	01	H0544_045_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H0544	045	0	1	01	01	H0544_045_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H0544	045	0	1	01	01	H0544_045_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H0630	013	0	1	01	01	H0630_013_0	7	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	013	0	1	01	01	H0630_013_0	7	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	013	0	1	01	01	H0630_013_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H0630	013	0	1	01	01	H0630_013_0	7	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	013	0	1	01	01	H0630_013_0	7	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	013	0	1	01	01	H0630_013_0	7	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	015	0	1	01	01	H0630_015_0	7	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	015	0	1	01	01	H0630_015_0	7	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	015	0	1	01	01	H0630_015_0	7	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	015	0	1	01	01	H0630_015_0	7	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	015	0	1	01	01	H0630_015_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H0630	015	0	1	01	01	H0630_015_0	7	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	016	0	1	01	01	H0630_016_0	6	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	016	0	1	01	01	H0630_016_0	6	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	016	0	1	01	01	H0630_016_0	6	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H0630	016	0	1	01	01	H0630_016_0	6	1	Preferred Generic	4	2	001000	1	2	4.00	
H0630	016	0	1	01	01	H0630_016_0	6	6	Vaccines	4	2	000001	1	2	0.00	
H0630	016	0	1	01	01	H0630_016_0	6	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	017	0	1	01	01	H0630_017_0	7	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	017	0	1	01	01	H0630_017_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H0630	017	0	1	01	01	H0630_017_0	7	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	017	0	1	01	01	H0630_017_0	7	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	017	0	1	01	01	H0630_017_0	7	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	017	0	1	01	01	H0630_017_0	7	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	018	0	1	01	01	H0630_018_0	6	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	018	0	1	01	01	H0630_018_0	6	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	018	0	1	01	01	H0630_018_0	6	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	018	0	1	01	01	H0630_018_0	6	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	018	0	1	01	01	H0630_018_0	6	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	018	0	1	01	01	H0630_018_0	6	6	Vaccines	4	2	000001	1	2	0.00	
H0630	019	0	1	02	01	H0630_019_0	8	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	019	0	1	02	01	H0630_019_0	8	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	019	0	1	02	01	H0630_019_0	8	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	019	0	1	02	01	H0630_019_0	8	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	019	0	1	02	01	H0630_019_0	8	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	019	0	1	02	01	H0630_019_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H0630	020	0	1	01	01	H0630_020_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H0630	020	0	1	01	01	H0630_020_0	7	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	020	0	1	01	01	H0630_020_0	7	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	020	0	1	01	01	H0630_020_0	7	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	020	0	1	01	01	H0630_020_0	7	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	020	0	1	01	01	H0630_020_0	7	5	Specialty Tier	4	2	100001	1	2	10.00	
H0630	021	0	1	01	01	H0630_021_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H0630	021	0	1	01	01	H0630_021_0	7	1	Preferred Generic	4	2	001000	1	2	5.00	
H0630	021	0	1	01	01	H0630_021_0	7	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H0630	021	0	1	01	01	H0630_021_0	7	3	Preferred Brand	4	2	000001	1	2	10.00	
H0630	021	0	1	01	01	H0630_021_0	7	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H0630	021	0	1	01	01	H0630_021_0	7	5	Specialty Tier	4	2	100001	1	2	10.00	
H1170	002	0	1	01	01	H1170_002_0	8	1	Preferred Generic	4	2	001000	1	2	2.00	
H1170	002	0	1	01	01	H1170_002_0	8	2	Non-Preferred Generic	4	2	000100	1	2	2.00	
H1170	002	0	1	01	01	H1170_002_0	8	3	Preferred Brand	4	2	000001	1	2	10.00	
H1170	002	0	1	01	01	H1170_002_0	8	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H1170	002	0	1	01	01	H1170_002_0	8	5	Specialty Tier	4	2	100001	1	2	10.00	
H1170	002	0	1	01	01	H1170_002_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H1170	008	0	1	01	01	H1170_008_0	8	6	Vaccines	3	2	000001		2	0.00	
H1170	008	0	1	01	01	H1170_008_0	8	5	Specialty Tier	3	2	100001		2	15.00	
H1170	008	0	1	01	01	H1170_008_0	8	4	Non-Preferred Brand	3	2	100000		2	15.00	
H1170	008	0	1	01	01	H1170_008_0	8	3	Preferred Brand	3	2	000001		2	15.00	
H1170	008	0	1	01	01	H1170_008_0	8	1	Preferred Generic	3	2	001000		2	5.00	
H1170	008	0	1	01	01	H1170_008_0	8	2	Non-Preferred Generic	3	2	000100		2	5.00	
H1170	009	0	1	01	01	H1170_009_0	8	1	Preferred Generic	4	2	001000	1	2	5.00	
H1170	009	0	1	01	01	H1170_009_0	8	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H1170	009	0	1	01	01	H1170_009_0	8	3	Preferred Brand	4	2	000001	1	2	15.00	
H1170	009	0	1	01	01	H1170_009_0	8	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H1170	009	0	1	01	01	H1170_009_0	8	5	Specialty Tier	4	2	100001	1	2	15.00	
H1170	009	0	1	01	01	H1170_009_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H1230	001	0	1	01	01	H1230_001_0	8	1	Preferred Generic	4	2	001000	1	2	4.00	
H1230	001	0	1	01	01	H1230_001_0	8	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H1230	001	0	1	01	01	H1230_001_0	8	3	Preferred Brand	4	2	000001	1	2	10.00	
H1230	001	0	1	01	01	H1230_001_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H1230	001	0	1	01	01	H1230_001_0	8	5	Specialty Tier	4	2	100001	1	2	10.00	
H1230	001	0	1	01	01	H1230_001_0	8	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H1230	003	0	1	01	01	H1230_003_0	6	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H1230	003	0	1	01	01	H1230_003_0	6	3	Preferred Brand	4	2	000001	1	2	10.00	
H1230	003	0	1	01	01	H1230_003_0	6	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H1230	003	0	1	01	01	H1230_003_0	6	5	Specialty Tier	4	2	100001	1	2	10.00	
H1230	003	0	1	01	01	H1230_003_0	6	6	Vaccines	4	2	000001	1	2	0.00	
H1230	003	0	1	01	01	H1230_003_0	6	1	Preferred Generic	4	2	001000	1	2	4.00	
H1230	005	0	1	01	01	H1230_005_0	5	5	Specialty Tier	4	2	100001	1	2	10.00	
H1230	005	0	1	01	01	H1230_005_0	5	6	Vaccines	4	2	000001	1	2	0.00	
H1230	005	0	1	01	01	H1230_005_0	5	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H1230	005	0	1	01	01	H1230_005_0	5	3	Preferred Brand	4	2	000001	1	2	10.00	
H1230	005	0	1	01	01	H1230_005_0	5	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H1230	005	0	1	01	01	H1230_005_0	5	1	Preferred Generic	4	2	001000	1	2	4.00	
H1230	006	0	1	01	01	H1230_006_0	7	1	Preferred Generic	4	2	001000	1	2	4.00	
H1230	006	0	1	01	01	H1230_006_0	7	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H1230	006	0	1	01	01	H1230_006_0	7	3	Preferred Brand	4	2	000001	1	2	10.00	
H1230	006	0	1	01	01	H1230_006_0	7	4	Non-Preferred Brand	4	2	100000	1	2	10.00	
H1230	006	0	1	01	01	H1230_006_0	7	5	Specialty Tier	4	2	100001	1	2	10.00	
H1230	006	0	1	01	01	H1230_006_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H2150	002	0	1	18	06	H2150_002_0	8	4	Non-Preferred Brand	4	2	100000	1	2	12.00	
H2150	002	0	1	18	06	H2150_002_0	8	3	Preferred Brand	4	2	000001	1	2	12.00	
H2150	002	0	1	18	06	H2150_002_0	8	2	Non-Preferred Generic	4	2	000100	1	2	4.00	
H2150	002	0	1	18	06	H2150_002_0	8	1	Preferred Generic	4	2	001000	1	2	4.00	
H2150	002	0	1	18	06	H2150_002_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H2150	002	0	1	18	06	H2150_002_0	8	5	Specialty Tier	4	2	100001	1	2	12.00	
H2150	009	0	1	18	06	H2150_009_0	8	5	Specialty Tier	4	2	100001	1	2	15.00	
H2150	009	0	1	18	06	H2150_009_0	8	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H2150	009	0	1	18	06	H2150_009_0	8	3	Preferred Brand	4	2	000001	1	2	15.00	
H2150	009	0	1	18	06	H2150_009_0	8	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H2150	009	0	1	18	06	H2150_009_0	8	1	Preferred Generic	4	2	001000	1	2	5.00	
H2150	009	0	1	18	06	H2150_009_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H2150	029	0	2	18	06	H2150_029_0	7	1	Preferred Generic	3	2	001000		2	5.00	
H2150	029	0	2	18	06	H2150_029_0	7	2	Non-Preferred Generic	3	2	000100		2	5.00	
H2150	029	0	2	18	06	H2150_029_0	7	3	Preferred Brand	3	2	000001		2	15.00	
H2150	029	0	2	18	06	H2150_029_0	7	4	Non-Preferred Brand	3	2	100000		2	15.00	
H2150	029	0	2	18	06	H2150_029_0	7	5	Specialty Tier	3	2	100001		2	15.00	
H2150	029	0	2	18	06	H2150_029_0	7	6	Vaccines	3	2	000001		2	0.00	
H2593	001	0	1	01	01	H2593_001_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	001	0	1	01	01	H2593_001_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	001	0	1	01	01	H2593_001_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	001	0	1	01	01	H2593_001_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	001	0	1	01	01	H2593_001_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	001	0	1	01	01	H2593_001_0	8	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H2593	003	0	1	01	01	H2593_003_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	003	0	1	01	01	H2593_003_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	003	0	1	01	01	H2593_003_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	003	0	1	01	01	H2593_003_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	003	0	1	01	01	H2593_003_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	003	0	1	01	01	H2593_003_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	005	0	1	01	01	H2593_005_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	005	0	1	01	01	H2593_005_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	005	0	1	01	01	H2593_005_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	005	0	1	01	01	H2593_005_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	005	0	1	01	01	H2593_005_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	005	0	1	01	01	H2593_005_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	006	0	1	01	01	H2593_006_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	006	0	1	01	01	H2593_006_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	006	0	1	01	01	H2593_006_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	006	0	1	01	01	H2593_006_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	006	0	1	01	01	H2593_006_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	006	0	1	01	01	H2593_006_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	007	0	1	01	01	H2593_007_0	8	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	007	0	1	01	01	H2593_007_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	007	0	1	01	01	H2593_007_0	8	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	007	0	1	01	01	H2593_007_0	8	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	007	0	1	01	01	H2593_007_0	8	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H2593	007	0	1	01	01	H2593_007_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	009	0	1	01	01	H2593_009_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	009	0	1	01	01	H2593_009_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	009	0	1	01	01	H2593_009_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	009	0	1	01	01	H2593_009_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	009	0	1	01	01	H2593_009_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	009	0	1	01	01	H2593_009_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	011	0	1	01	01	H2593_011_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	011	0	1	01	01	H2593_011_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	011	0	1	01	01	H2593_011_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	011	0	1	01	01	H2593_011_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	011	0	1	01	01	H2593_011_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	011	0	1	01	01	H2593_011_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	013	0	1	01	01	H2593_013_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	013	0	1	01	01	H2593_013_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	013	0	1	01	01	H2593_013_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	013	0	1	01	01	H2593_013_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	013	0	1	01	01	H2593_013_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	013	0	1	01	01	H2593_013_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	014	0	1	01	01	H2593_014_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	014	0	1	01	01	H2593_014_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	014	0	1	01	01	H2593_014_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	014	0	1	01	01	H2593_014_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	014	0	1	01	01	H2593_014_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	014	0	1	01	01	H2593_014_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H2593	015	0	1	01	01	H2593_015_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H2593	015	0	1	01	01	H2593_015_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H2593	015	0	1	01	01	H2593_015_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H2593	015	0	1	01	01	H2593_015_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H2593	015	0	1	01	01	H2593_015_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H2593	015	0	1	01	01	H2593_015_0	9	6	Select Care Drugs	4	2	000010	1	2	0.00	
H3370	024	0	1	01	01	H3370_024_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H3370	024	0	1	01	01	H3370_024_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3370	024	0	1	01	01	H3370_024_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3370	024	0	1	01	01	H3370_024_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3370	024	0	1	01	01	H3370_024_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3370	024	0	1	01	01	H3370_024_0	10	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H3370	025	0	1	01	01	H3370_025_0	12	1	Preferred Generic	4	2	001000	1	2	0.00	
H3370	025	0	1	01	01	H3370_025_0	12	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3370	025	0	1	01	01	H3370_025_0	12	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3370	025	0	1	01	01	H3370_025_0	12	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3370	025	0	1	01	01	H3370_025_0	12	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3370	025	0	1	01	01	H3370_025_0	12	6	Select Care Drugs	4	2	000010	1	2	0.00	
H3370	026	0	1	01	01	H3370_026_0	14	6	Select Care Drugs	4	2	000010	1	2	0.00	
H3370	026	0	1	01	01	H3370_026_0	14	1	Preferred Generic	4	2	001000	1	2	0.00	
H3370	026	0	1	01	01	H3370_026_0	14	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3370	026	0	1	01	01	H3370_026_0	14	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3370	026	0	1	01	01	H3370_026_0	14	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3370	026	0	1	01	01	H3370_026_0	14	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3447	001	0	1	01	01	H3447_001_0	9	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H3447	001	0	1	01	01	H3447_001_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3447	001	0	1	01	01	H3447_001_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3447	001	0	1	01	01	H3447_001_0	9	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3447	001	0	1	01	01	H3447_001_0	9	1	Preferred Generic	4	2	001000	1	2	0.00	
H3447	001	0	1	01	01	H3447_001_0	9	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3447	002	0	1	01	01	H3447_002_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3447	002	0	1	01	01	H3447_002_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3447	002	0	1	01	01	H3447_002_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3447	002	0	1	01	01	H3447_002_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3447	002	0	1	01	01	H3447_002_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H3447	002	0	1	01	01	H3447_002_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H3447	003	0	1	01	01	H3447_003_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3447	003	0	1	01	01	H3447_003_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3447	003	0	1	01	01	H3447_003_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3447	003	0	1	01	01	H3447_003_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3447	003	0	1	01	01	H3447_003_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H3447	003	0	1	01	01	H3447_003_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H3447	004	0	1	01	01	H3447_004_0	12	1	Preferred Generic	4	2	001000	1	2	0.00	
H3447	004	0	1	01	01	H3447_004_0	12	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H3447	004	0	1	01	01	H3447_004_0	12	3	Preferred Brand	4	2	000001	1	3	6.60	5
H3447	004	0	1	01	01	H3447_004_0	12	6	Select Care Drugs	4	2	000010	1	2	0.00	
H3447	004	0	1	01	01	H3447_004_0	12	5	Specialty Tier	4	2	010010	1	3	6.60	5
H3447	004	0	1	01	01	H3447_004_0	12	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H3815	001	0	1	01	01	H3815_001_0	9	1	Generic	4	2	010000	1	1		5
H3815	001	0	1	01	01	H3815_001_0	9	2	Preferred Brand	4	2	000001	1	1		5
H3815	001	0	1	01	01	H3815_001_0	9	3	Non-Preferred Brand	4	2	100000	3	1		5
H3815	001	0	1	01	01	H3815_001_0	9	4	Injectable Drugs	4	2	010010	1	1		5
H3815	001	0	1	01	01	H3815_001_0	9	5	Specialty Tier	4	2	010010	1	1		5
H3815	006	0	1	01	01	H3815_006_0	9	4	Injectable Drugs	4	2	010010	1	1		5
H3815	006	0	1	01	01	H3815_006_0	9	3	Non-Preferred Brand	4	2	100000	3	1		5
H3815	006	0	1	01	01	H3815_006_0	9	2	Preferred Brand	4	2	000001	1	1		5
H3815	006	0	1	01	01	H3815_006_0	9	1	Generic	4	2	010000	1	1		5
H3815	006	0	1	01	01	H3815_006_0	9	5	Specialty Tier	4	2	010010	1	1		5
H4199	001	0	1	01	01	H4199_001_0	11	1	Generic	4	2	010000	3	2	0.00	
H4199	001	0	1	01	01	H4199_001_0	11	2	Preferred Brand	4	2	000001	3	1		5
H4199	001	0	1	01	01	H4199_001_0	11	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	001	0	1	01	01	H4199_001_0	11	4	Specialty Tier	4	2	010010	3	1		5
H4199	002	0	1	01	01	H4199_002_0	14	1	Generic	4	2	010000	3	2	0.00	
H4199	002	0	1	01	01	H4199_002_0	14	2	Preferred Brand	4	2	000001	3	1		5
H4199	002	0	1	01	01	H4199_002_0	14	4	Specialty Tier	4	2	010010	3	1		5
H4199	002	0	1	01	01	H4199_002_0	14	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	005	0	1	01	01	H4199_005_0	14	1	Generic	4	2	010000	3	2	0.00	
H4199	005	0	1	01	01	H4199_005_0	14	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	005	0	1	01	01	H4199_005_0	14	2	Preferred Brand	4	2	000001	3	1		5
H4199	005	0	1	01	01	H4199_005_0	14	4	Specialty Tier	4	2	010010	3	1		5
H4199	007	0	1	01	01	H4199_007_0	9	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	007	0	1	01	01	H4199_007_0	9	4	Specialty Tier	4	2	010010	3	1		5
H4199	007	0	1	01	01	H4199_007_0	9	1	Generic	4	2	010000	3	2	0.00	
H4199	007	0	1	01	01	H4199_007_0	9	2	Preferred Brand	4	2	000001	3	1		5
H4199	008	0	1	01	01	H4199_008_0	10	1	Generic	4	2	010000	3	2	0.00	
H4199	008	0	1	01	01	H4199_008_0	10	2	Preferred Brand	4	2	000001	3	1		5
H4199	008	0	1	01	01	H4199_008_0	10	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	008	0	1	01	01	H4199_008_0	10	4	Specialty Tier	4	2	010010	3	1		5
H4199	010	0	1	01	01	H4199_010_0	10	2	Preferred Brand	4	2	000001	3	2	0.00	
H4199	010	0	1	01	01	H4199_010_0	10	1	Generic	4	2	010000	3	2	0.00	
H4199	010	0	1	01	01	H4199_010_0	10	3	Non-Preferred Brand	4	2	100000	3	2	0.00	
H4199	010	0	1	01	01	H4199_010_0	10	4	Specialty Tier	4	2	010010	3	2	0.00	
H4199	012	0	1	01	01	H4199_012_0	10	2	Preferred Brand	4	2	000001	3	1		5
H4199	012	0	1	01	01	H4199_012_0	10	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	012	0	1	01	01	H4199_012_0	10	4	Specialty Tier	4	2	010010	3	1		5
H4199	012	0	1	01	01	H4199_012_0	10	1	Generic	4	2	010000	3	2	0.00	
H4199	013	0	1	01	01	H4199_013_0	11	4	Specialty Tier	4	2	010010	3	1		5
H4199	013	0	1	01	01	H4199_013_0	11	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	013	0	1	01	01	H4199_013_0	11	1	Generic	4	2	010000	3	2	0.00	
H4199	013	0	1	01	01	H4199_013_0	11	2	Preferred Brand	4	2	000001	3	1		5
H4199	015	0	1	01	01	H4199_015_0	12	3	Non-Preferred Brand	4	2	100000	3	2	0.00	
H4199	015	0	1	01	01	H4199_015_0	12	1	Generic	4	2	010000	3	2	0.00	
H4199	015	0	1	01	01	H4199_015_0	12	2	Preferred Brand	4	2	000001	3	2	0.00	
H4199	015	0	1	01	01	H4199_015_0	12	4	Specialty Tier	4	2	010010	3	2	0.00	
H4199	017	0	1	01	01	H4199_017_0	9	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	017	0	1	01	01	H4199_017_0	9	4	Specialty Tier	4	2	010010	3	1		5
H4199	017	0	1	01	01	H4199_017_0	9	2	Preferred Brand	4	2	000001	3	1		5
H4199	017	0	1	01	01	H4199_017_0	9	1	Generic	4	2	010000	3	2	0.00	
H4199	018	0	1	01	01	H4199_018_0	10	4	Specialty Tier	4	2	010010	3	1		5
H4199	018	0	1	01	01	H4199_018_0	10	3	Non-Preferred Brand	4	2	100000	3	1		5
H4199	018	0	1	01	01	H4199_018_0	10	2	Preferred Brand	4	2	000001	3	1		5
H4199	018	0	1	01	01	H4199_018_0	10	1	Generic	4	2	010000	3	2	0.00	
H4199	020	0	1	01	01	H4199_020_0	11	4	Specialty Tier	4	2	010010	3	2	0.00	
H4199	020	0	1	01	01	H4199_020_0	11	3	Non-Preferred Brand	4	2	100000	3	2	0.00	
H4199	020	0	1	01	01	H4199_020_0	11	2	Preferred Brand	4	2	000001	3	2	0.00	
H4199	020	0	1	01	01	H4199_020_0	11	1	Generic	4	2	010000	3	2	0.00	
H4346	001	0	1	01	01	H4346_001_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H4346	001	0	1	01	01	H4346_001_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H4346	001	0	1	01	01	H4346_001_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H4346	001	0	1	01	01	H4346_001_0	10	6	Select Care Drugs	4	2	000010	1	3	6.60	5
H4346	001	0	1	01	01	H4346_001_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H4346	001	0	1	01	01	H4346_001_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H4346	003	0	1	01	01	H4346_003_0	11	1	Preferred Generic	4	2	001000	1	2	0.00	
H4346	003	0	1	01	01	H4346_003_0	11	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H4346	003	0	1	01	01	H4346_003_0	11	3	Preferred Brand	4	2	000001	1	3	6.60	5
H4346	003	0	1	01	01	H4346_003_0	11	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H4346	003	0	1	01	01	H4346_003_0	11	5	Specialty Tier	4	2	010010	1	3	6.60	5
H4346	003	0	1	01	01	H4346_003_0	11	6	Select Care Drugs	4	2	000010	1	2	0.00	
H4346	005	0	1	01	01	H4346_005_0	11	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H4346	005	0	1	01	01	H4346_005_0	11	3	Preferred Brand	4	2	000001	1	3	6.60	5
H4346	005	0	1	01	01	H4346_005_0	11	5	Specialty Tier	4	2	010010	1	3	6.60	5
H4346	005	0	1	01	01	H4346_005_0	11	6	Select Care Drugs	4	2	000010	1	2	0.00	
H4346	005	0	1	01	01	H4346_005_0	11	1	Preferred Generic	4	2	001000	1	2	0.00	
H4346	005	0	1	01	01	H4346_005_0	11	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H4346	006	0	1	01	01	H4346_006_0	11	6	Select Care Drugs	4	2	000010	1	2	0.00	
H4346	006	0	1	01	01	H4346_006_0	11	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H4346	006	0	1	01	01	H4346_006_0	11	1	Preferred Generic	4	2	001000	1	2	0.00	
H4346	006	0	1	01	01	H4346_006_0	11	3	Preferred Brand	4	2	000001	1	3	6.60	5
H4346	006	0	1	01	01	H4346_006_0	11	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H4346	006	0	1	01	01	H4346_006_0	11	5	Specialty Tier	4	2	010010	1	3	6.60	5
H4346	008	0	1	01	01	H4346_008_0	10	5	Specialty Tier	4	2	010010	1	3	6.60	5
H4346	008	0	1	01	01	H4346_008_0	10	1	Preferred Generic	4	2	001000	1	2	0.00	
H4346	008	0	1	01	01	H4346_008_0	10	2	Non-Preferred Generic	4	2	000100	1	3	2.65	5
H4346	008	0	1	01	01	H4346_008_0	10	6	Select Care Drugs	4	2	000010	1	2	0.00	
H4346	008	0	1	01	01	H4346_008_0	10	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H4346	008	0	1	01	01	H4346_008_0	10	3	Preferred Brand	4	2	000001	1	3	6.60	5
H5215	002	0	1	04	01	H5215_002_0	9	3	Preferred Brand	4	2	000101	1	3	6.60	5
H5215	002	0	1	04	01	H5215_002_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H5215	002	0	1	04	01	H5215_002_0	9	2	Non-Preferred Generic	4	2	001100	1	3	2.65	5
H5215	002	0	1	04	01	H5215_002_0	9	1	Preferred Generic	4	2	001000	1	3	2.65	5
H5215	002	0	1	04	01	H5215_002_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H5215	005	0	1	04	01	H5215_005_0	8	2	Non-Preferred Generic	4	2	001100	1	3	2.65	5
H5215	005	0	1	04	01	H5215_005_0	8	1	Preferred Generic	4	2	001000	1	3	2.65	5
H5215	005	0	1	04	01	H5215_005_0	8	3	Preferred Brand	4	2	000101	1	3	6.60	5
H5215	005	0	1	04	01	H5215_005_0	8	5	Specialty Tier	4	2	010010	1	3	6.60	5
H5215	005	0	1	04	01	H5215_005_0	8	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H5215	007	0	1	04	01	H5215_007_0	9	5	Specialty Tier	3	2	010010		3	6.60	5
H5215	007	0	1	04	01	H5215_007_0	9	4	Non-Preferred Brand	3	2	100000		3	6.60	5
H5215	007	0	1	04	01	H5215_007_0	9	2	Non-Preferred Generic	3	2	001100		3	2.65	5
H5215	007	0	1	04	01	H5215_007_0	9	3	Preferred Brand	3	2	000101		3	6.60	5
H5215	007	0	1	04	01	H5215_007_0	9	1	Preferred Generic	3	2	001000		3	2.65	5
H5215	008	0	1	04	01	H5215_008_0	9	4	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H5215	008	0	1	04	01	H5215_008_0	9	5	Specialty Tier	4	2	010010	1	3	6.60	5
H5215	008	0	1	04	01	H5215_008_0	9	1	Preferred Generic	4	2	001000	1	3	2.65	5
H5215	008	0	1	04	01	H5215_008_0	9	3	Preferred Brand	4	2	000101	1	3	6.60	5
H5215	008	0	1	04	01	H5215_008_0	9	2	Non-Preferred Generic	4	2	001100	1	3	2.65	5
H5410	001	0	1	01	01	H5410_001_0	8	3	Specialty Tier	4	2	000010	1	1		5
H5410	001	0	1	01	01	H5410_001_0	8	1	Generic	4	2	010000	3	3	2.65	5
H5410	001	0	1	01	01	H5410_001_0	8	2	Brand	4	2	000010	1	3	6.60	5
H5420	006	0	1	01	01	H5420_006_0	9	2	Preferred Brand	4	2	000001	3	3	6.60	5
H5420	006	0	1	01	01	H5420_006_0	9	1	Generic	4	2	010000	3	3	2.65	5
H5420	006	0	1	01	01	H5420_006_0	9	3	Non-Preferred Brand	4	2	100000	1	3	6.60	5
H5420	006	0	1	01	01	H5420_006_0	9	4	Specialty Tier	4	2	010010	1	3	6.60	5
H5431	001	0	1	01	01	H5431_001_0	5	6	Supplemental Brand and Generic Drugs	4	2	010010	2	2	10.00	
H5431	002	0	1	01	01	H5431_002_0	4	6	Supplemental Brand and Generic Drugs	4	2	010010	2	2	10.00	
H5431	005	0	1	01	01	H5431_005_0	5	6	Supplemental Brand and Generic Drugs	4	2	010010	2	2	10.00	
H5431	007	0	1	01	01	H5431_007_0	4	6	Supplemental Brand and Generic Drugs	4	2	010010	2	2	10.00	
H5431	008	0	1	01	01	H5431_008_0	4	6	Supplemental Brand and Generic Drugs	4	2	010010	2	2	10.00	
H6360	001	0	1	18	06	H6360_001_0	7	1	Preferred Generic	4	2	001000	1	2	5.00	
H6360	001	0	1	18	06	H6360_001_0	7	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H6360	001	0	1	18	06	H6360_001_0	7	3	Preferred Brand	4	2	000001	1	2	15.00	
H6360	001	0	1	18	06	H6360_001_0	7	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H6360	001	0	1	18	06	H6360_001_0	7	5	Specialty Tier	4	2	100001	1	2	15.00	
H6360	001	0	1	18	06	H6360_001_0	7	6	Vaccines	4	2	000001	1	2	0.00	
H6360	002	0	1	18	06	H6360_002_0	6	1	Preferred Generic	4	2	001000	1	2	5.00	
H6360	002	0	1	18	06	H6360_002_0	6	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H6360	002	0	1	18	06	H6360_002_0	6	3	Preferred Brand	4	2	000001	1	2	15.00	
H6360	002	0	1	18	06	H6360_002_0	6	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H6360	002	0	1	18	06	H6360_002_0	6	5	Specialty Tier	4	2	100001	1	2	15.00	
H6360	002	0	1	18	06	H6360_002_0	6	6	Vaccines	4	2	000001	1	2	0.00	
H6360	006	0	1	18	06	H6360_006_0	7	5	Specialty Tier	3	2	100001		2	12.00	
H6360	006	0	1	18	06	H6360_006_0	7	6	Vaccines	3	2	000001		2	0.00	
H6360	006	0	1	18	06	H6360_006_0	7	4	Non-Preferred Brand	3	2	100000		2	12.00	
H6360	006	0	1	18	06	H6360_006_0	7	3	Preferred Brand	3	2	000001		2	12.00	
H6360	006	0	1	18	06	H6360_006_0	7	2	Non-Preferred Generic	3	2	000100		2	6.00	
H6360	006	0	1	18	06	H6360_006_0	7	1	Preferred Generic	3	2	001000		2	6.00	
H6360	009	0	2	18	06	H6360_009_0	4	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H6360	009	0	2	18	06	H6360_009_0	4	3	Preferred Brand	4	2	000001	1	2	15.00	
H6360	009	0	2	18	06	H6360_009_0	4	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H6360	009	0	2	18	06	H6360_009_0	4	5	Specialty Tier	4	2	100001	1	2	15.00	
H6360	009	0	2	18	06	H6360_009_0	4	6	Vaccines	4	2	000001	1	2	0.00	
H6360	009	0	2	18	06	H6360_009_0	4	1	Preferred Generic	4	2	001000	1	2	5.00	
H6360	010	0	1	18	06	H6360_010_0	6	5	Specialty Tier	4	2	100001	1	1		5
H6360	010	0	1	18	06	H6360_010_0	6	4	Non-Preferred Brand	4	2	100000	1	1		5
H6360	010	0	1	18	06	H6360_010_0	6	3	Preferred Brand	4	2	000001	1	1		5
H6360	010	0	1	18	06	H6360_010_0	6	2	Non-Preferred Generic	4	2	000100	1	1		5
H6360	010	0	1	18	06	H6360_010_0	6	1	Preferred Generic	4	2	001000	1	1		5
H6360	010	0	1	18	06	H6360_010_0	6	6	Vaccines	4	2	000001	1	1		0
H9003	001	0	1	01	01	H9003_001_0	8	1	Preferred Generic	4	2	001000	1	2	5.00	
H9003	001	0	1	01	01	H9003_001_0	8	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H9003	001	0	1	01	01	H9003_001_0	8	3	Preferred Brand	4	2	000001	1	2	15.00	
H9003	001	0	1	01	01	H9003_001_0	8	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H9003	001	0	1	01	01	H9003_001_0	8	5	Specialty Tier	4	2	100001	1	2	15.00	
H9003	001	0	1	01	01	H9003_001_0	8	6	Vaccines	4	2	000001	1	2	0.00	
H9003	006	0	1	01	01	H9003_006_0	8	1	Preferred Generic	4	2	001000	1	2	5.00	
H9003	006	0	1	01	01	H9003_006_0	8	2	Non-Preferred Generic	4	2	000100	1	2	5.00	
H9003	006	0	1	01	01	H9003_006_0	8	3	Preferred Brand	4	2	000001	1	2	15.00	
H9003	006	0	1	01	01	H9003_006_0	8	4	Non-Preferred Brand	4	2	100000	1	2	15.00	
H9003	006	0	1	01	01	H9003_006_0	8	5	Specialty Tier	4	2	100001	1	2	15.00	
H9003	006	0	1	01	01	H9003_006_0	8	6	Vaccines	4	2	000001	1	2	0.00	
