pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	mrx_tier_post_label_list	mrx_tier_post_form_model_desc	mrx_tier_post_benefit_type	mrx_tier_post_id	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	mrx_tier_post_includes_mmp	mrx_tier_post_copay_amt_mmpmin	mrx_tier_post_copay_amt_mmpmax
H0022	001	0	1	48	05	H0022_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0022	001	0	1	48	05	H0022_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H0022	001	0	1	48	05	H0022_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H0028	001	0	1	01	01	H0028_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0028	001	0	1	01	01	H0028_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0028	001	0	1	01	01	H0028_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0028	001	0	1	01	01	H0028_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0028	001	0	1	01	01	H0028_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0028	002	0	1	01	01	H0028_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0028	002	0	1	01	01	H0028_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0028	002	0	1	01	01	H0028_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0028	002	0	1	01	01	H0028_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0028	002	0	1	01	01	H0028_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0028	003	0	1	01	01	H0028_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0028	003	0	1	01	01	H0028_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0028	003	0	1	01	01	H0028_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0028	003	0	1	01	01	H0028_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0028	003	0	1	01	01	H0028_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0028	004	0	1	01	01	H0028_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0028	004	0	1	01	01	H0028_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0028	004	0	1	01	01	H0028_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0028	004	0	1	01	01	H0028_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0028	004	0	1	01	01	H0028_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0084	001	0	1	04	01	H0084_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0084	001	0	1	04	01	H0084_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0084	001	0	1	04	01	H0084_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0084	001	0	1	04	01	H0084_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0084	001	0	1	04	01	H0084_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0084	004	0	1	04	01	H0084_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0084	004	0	1	04	01	H0084_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0084	004	0	1	04	01	H0084_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0084	004	0	1	04	01	H0084_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0084	004	0	1	04	01	H0084_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0104	010	1	1	04	01	H0104_010_1	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0104	010	1	1	04	01	H0104_010_1	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0104	010	1	1	04	01	H0104_010_1	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0104	010	1	1	04	01	H0104_010_1	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0104	010	1	1	04	01	H0104_010_1	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0104	010	2	1	04	01	H0104_010_2	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0104	010	2	1	04	01	H0104_010_2	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0104	010	2	1	04	01	H0104_010_2	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0104	010	2	1	04	01	H0104_010_2	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0104	010	2	1	04	01	H0104_010_2	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0104	010	3	1	04	01	H0104_010_3	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0104	010	3	1	04	01	H0104_010_3	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0104	010	3	1	04	01	H0104_010_3	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0104	010	3	1	04	01	H0104_010_3	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0104	010	3	1	04	01	H0104_010_3	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0104	010	4	1	04	01	H0104_010_4	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0104	010	4	1	04	01	H0104_010_4	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0104	010	4	1	04	01	H0104_010_4	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0104	010	4	1	04	01	H0104_010_4	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0104	010	4	1	04	01	H0104_010_4	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0104	010	5	1	04	01	H0104_010_5	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0104	010	5	1	04	01	H0104_010_5	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0104	010	5	1	04	01	H0104_010_5	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0104	010	5	1	04	01	H0104_010_5	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0104	010	5	1	04	01	H0104_010_5	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0104	011	1	1	04	01	H0104_011_1	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0104	011	1	1	04	01	H0104_011_1	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0104	011	1	1	04	01	H0104_011_1	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0104	011	1	1	04	01	H0104_011_1	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0104	011	1	1	04	01	H0104_011_1	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0104	011	2	1	04	01	H0104_011_2	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0104	011	2	1	04	01	H0104_011_2	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0104	011	2	1	04	01	H0104_011_2	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0104	011	2	1	04	01	H0104_011_2	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0104	011	2	1	04	01	H0104_011_2	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0104	011	3	1	04	01	H0104_011_3	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0104	011	3	1	04	01	H0104_011_3	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0104	011	3	1	04	01	H0104_011_3	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0104	011	3	1	04	01	H0104_011_3	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0104	011	3	1	04	01	H0104_011_3	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0104	011	4	1	04	01	H0104_011_4	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0104	011	4	1	04	01	H0104_011_4	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0104	011	4	1	04	01	H0104_011_4	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0104	011	4	1	04	01	H0104_011_4	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0104	011	4	1	04	01	H0104_011_4	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0104	011	5	1	04	01	H0104_011_5	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0104	011	5	1	04	01	H0104_011_5	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0104	011	5	1	04	01	H0104_011_5	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0104	011	5	1	04	01	H0104_011_5	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0104	011	5	1	04	01	H0104_011_5	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0104	011	6	1	04	01	H0104_011_6	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0104	011	6	1	04	01	H0104_011_6	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0104	011	6	1	04	01	H0104_011_6	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0104	011	6	1	04	01	H0104_011_6	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0104	011	6	1	04	01	H0104_011_6	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0107	001	0	1	04	01	H0107_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0107	001	0	1	04	01	H0107_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0107	001	0	1	04	01	H0107_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0107	001	0	1	04	01	H0107_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0107	001	0	1	04	01	H0107_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0107	002	0	1	04	01	H0107_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0107	002	0	1	04	01	H0107_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0107	002	0	1	04	01	H0107_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0107	002	0	1	04	01	H0107_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0107	002	0	1	04	01	H0107_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	004	0	1	01	01	H0108_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	004	0	1	01	01	H0108_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	004	0	1	01	01	H0108_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	004	0	1	01	01	H0108_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	004	0	1	01	01	H0108_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	005	0	1	01	01	H0108_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	005	0	1	01	01	H0108_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	005	0	1	01	01	H0108_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	005	0	1	01	01	H0108_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	005	0	1	01	01	H0108_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	006	0	1	01	01	H0108_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	006	0	1	01	01	H0108_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	006	0	1	01	01	H0108_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	006	0	1	01	01	H0108_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	006	0	1	01	01	H0108_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	008	0	1	01	01	H0108_008_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	008	0	1	01	01	H0108_008_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	008	0	1	01	01	H0108_008_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	008	0	1	01	01	H0108_008_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	008	0	1	01	01	H0108_008_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	009	0	1	01	01	H0108_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	009	0	1	01	01	H0108_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	009	0	1	01	01	H0108_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	009	0	1	01	01	H0108_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	009	0	1	01	01	H0108_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	010	0	1	01	01	H0108_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	010	0	1	01	01	H0108_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	010	0	1	01	01	H0108_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	010	0	1	01	01	H0108_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	010	0	1	01	01	H0108_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	011	0	1	01	01	H0108_011_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	011	0	1	01	01	H0108_011_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	011	0	1	01	01	H0108_011_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	011	0	1	01	01	H0108_011_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	011	0	1	01	01	H0108_011_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	021	0	1	01	01	H0108_021_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	021	0	1	01	01	H0108_021_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	021	0	1	01	01	H0108_021_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	021	0	1	01	01	H0108_021_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	021	0	1	01	01	H0108_021_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	022	0	1	01	01	H0108_022_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	022	0	1	01	01	H0108_022_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	022	0	1	01	01	H0108_022_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	022	0	1	01	01	H0108_022_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	022	0	1	01	01	H0108_022_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	023	0	1	01	01	H0108_023_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	023	0	1	01	01	H0108_023_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	023	0	1	01	01	H0108_023_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	023	0	1	01	01	H0108_023_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	023	0	1	01	01	H0108_023_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	024	0	1	01	01	H0108_024_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	024	0	1	01	01	H0108_024_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	024	0	1	01	01	H0108_024_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	024	0	1	01	01	H0108_024_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	024	0	1	01	01	H0108_024_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	025	0	1	01	01	H0108_025_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	025	0	1	01	01	H0108_025_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	025	0	1	01	01	H0108_025_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	025	0	1	01	01	H0108_025_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	025	0	1	01	01	H0108_025_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	026	0	1	01	01	H0108_026_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	026	0	1	01	01	H0108_026_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	026	0	1	01	01	H0108_026_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	026	0	1	01	01	H0108_026_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	026	0	1	01	01	H0108_026_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	027	0	1	01	01	H0108_027_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	027	0	1	01	01	H0108_027_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	027	0	1	01	01	H0108_027_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	027	0	1	01	01	H0108_027_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	027	0	1	01	01	H0108_027_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	028	0	1	01	01	H0108_028_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	028	0	1	01	01	H0108_028_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	028	0	1	01	01	H0108_028_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	028	0	1	01	01	H0108_028_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	028	0	1	01	01	H0108_028_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	034	0	1	01	01	H0108_034_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	034	0	1	01	01	H0108_034_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	034	0	1	01	01	H0108_034_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	034	0	1	01	01	H0108_034_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	034	0	1	01	01	H0108_034_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	035	0	1	01	01	H0108_035_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	035	0	1	01	01	H0108_035_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	035	0	1	01	01	H0108_035_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	035	0	1	01	01	H0108_035_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	035	0	1	01	01	H0108_035_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	037	0	1	01	01	H0108_037_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	037	0	1	01	01	H0108_037_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	037	0	1	01	01	H0108_037_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	037	0	1	01	01	H0108_037_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	037	0	1	01	01	H0108_037_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	038	0	1	01	01	H0108_038_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	038	0	1	01	01	H0108_038_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	038	0	1	01	01	H0108_038_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	038	0	1	01	01	H0108_038_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	038	0	1	01	01	H0108_038_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	039	0	1	01	01	H0108_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H0108	039	0	1	01	01	H0108_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H0108	039	0	1	01	01	H0108_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0108	039	0	1	01	01	H0108_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H0108	039	0	1	01	01	H0108_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0108	041	0	1	01	01	H0108_041_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H0108	041	0	1	01	01	H0108_041_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H0108	041	0	1	01	01	H0108_041_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0108	041	0	1	01	01	H0108_041_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0108	041	0	1	01	01	H0108_041_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H0108	045	0	1	01	01	H0108_045_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	045	0	1	01	01	H0108_045_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	045	0	1	01	01	H0108_045_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	045	0	1	01	01	H0108_045_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	045	0	1	01	01	H0108_045_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	046	0	1	01	01	H0108_046_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	046	0	1	01	01	H0108_046_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	046	0	1	01	01	H0108_046_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	046	0	1	01	01	H0108_046_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	046	0	1	01	01	H0108_046_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	047	0	1	01	01	H0108_047_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	047	0	1	01	01	H0108_047_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	047	0	1	01	01	H0108_047_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	047	0	1	01	01	H0108_047_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	047	0	1	01	01	H0108_047_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	048	0	1	01	01	H0108_048_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H0108	048	0	1	01	01	H0108_048_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0108	048	0	1	01	01	H0108_048_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H0108	048	0	1	01	01	H0108_048_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H0108	048	0	1	01	01	H0108_048_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0108	050	0	1	01	01	H0108_050_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0108	050	0	1	01	01	H0108_050_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H0108	050	0	1	01	01	H0108_050_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H0108	050	0	1	01	01	H0108_050_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H0108	050	0	1	01	01	H0108_050_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0108	054	0	1	01	01	H0108_054_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	054	0	1	01	01	H0108_054_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	054	0	1	01	01	H0108_054_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	054	0	1	01	01	H0108_054_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	054	0	1	01	01	H0108_054_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	055	0	1	01	01	H0108_055_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	055	0	1	01	01	H0108_055_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	055	0	1	01	01	H0108_055_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	055	0	1	01	01	H0108_055_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	055	0	1	01	01	H0108_055_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	056	0	1	01	01	H0108_056_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	056	0	1	01	01	H0108_056_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	056	0	1	01	01	H0108_056_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	056	0	1	01	01	H0108_056_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	056	0	1	01	01	H0108_056_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	057	0	1	01	01	H0108_057_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	057	0	1	01	01	H0108_057_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	057	0	1	01	01	H0108_057_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	057	0	1	01	01	H0108_057_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	057	0	1	01	01	H0108_057_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	058	0	1	01	01	H0108_058_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	058	0	1	01	01	H0108_058_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	058	0	1	01	01	H0108_058_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	058	0	1	01	01	H0108_058_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	058	0	1	01	01	H0108_058_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0108	059	0	1	01	01	H0108_059_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H0108	059	0	1	01	01	H0108_059_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0108	059	0	1	01	01	H0108_059_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0108	059	0	1	01	01	H0108_059_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0108	059	0	1	01	01	H0108_059_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0137	001	0	1	48	05	H0137_001_0	4	Generic Drugs	Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0137	001	0	1	48	05	H0137_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare Rx/OTC Drugs	4	4	2	010010					2	0.00	0.00
H0137	001	0	1	48	05	H0137_001_0	4	Non-Preferred Brand Drugs	Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	100000					1	0.00	0.00
H0137	001	0	1	48	05	H0137_001_0	4	Preferred Brand Drugs	Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000001					1	0.00	0.00
H0141	004	1	1	01	01	H0141_004_1	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H0141	004	1	1	01	01	H0141_004_1	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H0141	004	1	1	01	01	H0141_004_1	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H0141	004	1	1	01	01	H0141_004_1	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H0141	004	2	1	01	01	H0141_004_2	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H0141	004	2	1	01	01	H0141_004_2	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H0141	004	2	1	01	01	H0141_004_2	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H0141	004	2	1	01	01	H0141_004_2	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H0141	005	1	1	01	01	H0141_005_1	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H0141	005	1	1	01	01	H0141_005_1	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H0141	005	1	1	01	01	H0141_005_1	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H0141	005	1	1	01	01	H0141_005_1	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H0141	005	3	1	01	01	H0141_005_3	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H0141	005	3	1	01	01	H0141_005_3	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H0141	005	3	1	01	01	H0141_005_3	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H0141	005	3	1	01	01	H0141_005_3	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H0147	001	0	1	48	05	H0147_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	001001					1	0.00	0.00
H0147	001	0	1	48	05	H0147_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	100100					1	0.00	0.00
H0147	001	0	1	48	05	H0147_001_0	4	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H0147	001	0	1	48	05	H0147_001_0	4	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010000					2	0.00	0.00
H0148	001	0	1	48	05	H0148_001_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0148	001	0	1	48	05	H0148_001_0	2	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H0148	001	0	1	48	05	H0148_001_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H0148	002	0	1	48	05	H0148_002_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H0148	002	0	1	48	05	H0148_002_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0148	002	0	1	48	05	H0148_002_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H0150	024	1	1	01	01	H0150_024_1	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0150	024	1	1	01	01	H0150_024_1	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0150	024	1	1	01	01	H0150_024_1	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0150	024	1	1	01	01	H0150_024_1	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0150	024	1	1	01	01	H0150_024_1	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0150	024	2	1	01	01	H0150_024_2	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0150	024	2	1	01	01	H0150_024_2	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0150	024	2	1	01	01	H0150_024_2	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0150	024	2	1	01	01	H0150_024_2	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0150	024	2	1	01	01	H0150_024_2	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0151	001	0	1	01	01	H0151_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0151	001	0	1	01	01	H0151_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0151	001	0	1	01	01	H0151_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0151	001	0	1	01	01	H0151_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0151	001	0	1	01	01	H0151_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0151	025	0	1	01	01	H0151_025_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0151	025	0	1	01	01	H0151_025_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0151	025	0	1	01	01	H0151_025_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0151	025	0	1	01	01	H0151_025_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0151	025	0	1	01	01	H0151_025_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0154	001	0	1	01	01	H0154_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0154	001	0	1	01	01	H0154_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0154	001	0	1	01	01	H0154_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0154	001	0	1	01	01	H0154_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0154	001	0	1	01	01	H0154_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0154	011	0	1	01	01	H0154_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0154	011	0	1	01	01	H0154_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0154	011	0	1	01	01	H0154_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0154	011	0	1	01	01	H0154_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0154	011	0	1	01	01	H0154_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0154	014	0	1	01	01	H0154_014_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0154	014	0	1	01	01	H0154_014_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0154	014	0	1	01	01	H0154_014_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0154	014	0	1	01	01	H0154_014_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0154	014	0	1	01	01	H0154_014_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0192	001	0	1	48	05	H0192_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0192	001	0	1	48	05	H0192_001_0	7	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	000010					2	0.00	0.00
H0192	001	0	1	48	05	H0192_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H0281	001	0	1	48	05	H0281_001_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H0281	001	0	1	48	05	H0281_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H0281	001	0	1	48	05	H0281_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0294	002	0	1	04	01	H0294_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0294	002	0	1	04	01	H0294_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0294	002	0	1	04	01	H0294_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0294	002	0	1	04	01	H0294_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0294	002	0	1	04	01	H0294_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0294	004	0	1	04	01	H0294_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0294	004	0	1	04	01	H0294_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0294	004	0	1	04	01	H0294_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0294	004	0	1	04	01	H0294_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0294	004	0	1	04	01	H0294_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0302	001	0	1	01	01	H0302_001_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0302	001	0	1	01	01	H0302_001_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0302	001	0	1	01	01	H0302_001_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0302	001	0	1	01	01	H0302_001_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0302	001	0	1	01	01	H0302_001_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H0302	006	0	1	01	01	H0302_006_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0302	006	0	1	01	01	H0302_006_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0302	006	0	1	01	01	H0302_006_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0302	006	0	1	01	01	H0302_006_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0302	006	0	1	01	01	H0302_006_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H0302	007	0	1	01	01	H0302_007_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0302	007	0	1	01	01	H0302_007_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0302	007	0	1	01	01	H0302_007_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0302	007	0	1	01	01	H0302_007_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H0302	007	0	1	01	01	H0302_007_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0302	008	0	1	01	01	H0302_008_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0302	008	0	1	01	01	H0302_008_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0302	008	0	1	01	01	H0302_008_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0302	008	0	1	01	01	H0302_008_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0302	008	0	1	01	01	H0302_008_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H0303	013	0	1	01	01	H0303_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0303	013	0	1	01	01	H0303_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0303	013	0	1	01	01	H0303_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0303	013	0	1	01	01	H0303_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0303	013	0	1	01	01	H0303_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0303	015	0	1	01	01	H0303_015_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0303	015	0	1	01	01	H0303_015_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0303	015	0	1	01	01	H0303_015_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0303	015	0	1	01	01	H0303_015_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0303	015	0	1	01	01	H0303_015_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0316	002	0	1	02	01	H0316_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0316	002	0	1	02	01	H0316_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0316	002	0	1	02	01	H0316_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0316	002	0	1	02	01	H0316_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0316	002	0	1	02	01	H0316_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0316	014	0	1	01	01	H0316_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0316	014	0	1	01	01	H0316_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0316	014	0	1	01	01	H0316_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0316	014	0	1	01	01	H0316_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0316	014	0	1	01	01	H0316_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0318	007	0	1	01	01	H0318_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0318	007	0	1	01	01	H0318_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0318	007	0	1	01	01	H0318_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0318	007	0	1	01	01	H0318_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0332	002	0	1	01	01	H0332_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0332	002	0	1	01	01	H0332_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0332	002	0	1	01	01	H0332_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0332	002	0	1	01	01	H0332_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0332	002	0	1	01	01	H0332_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0332	004	0	1	02	01	H0332_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0332	004	0	1	02	01	H0332_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0332	004	0	1	02	01	H0332_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0332	004	0	1	02	01	H0332_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0332	004	0	1	02	01	H0332_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0332	006	0	1	01	01	H0332_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0332	006	0	1	01	01	H0332_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0332	006	0	1	01	01	H0332_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0332	006	0	1	01	01	H0332_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0332	006	0	1	01	01	H0332_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0336	001	0	1	48	05	H0336_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H0336	001	0	1	48	05	H0336_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H0336	001	0	1	48	05	H0336_001_0	7	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H0336	001	0	1	48	05	H0336_001_0	7	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H0351	029	0	1	01	01	H0351_029_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0351	029	0	1	01	01	H0351_029_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000001	1						
H0351	029	0	1	01	01	H0351_029_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100000	1						
H0351	029	0	1	01	01	H0351_029_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0351	029	0	1	01	01	H0351_029_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	010010	1						
H0351	029	0	1	01	01	H0351_029_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0351	035	0	1	01	01	H0351_035_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	035	0	1	01	01	H0351_035_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	035	0	1	01	01	H0351_035_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	035	0	1	01	01	H0351_035_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	035	0	1	01	01	H0351_035_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	035	0	1	01	01	H0351_035_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0351	038	0	1	01	01	H0351_038_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	038	0	1	01	01	H0351_038_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	038	0	1	01	01	H0351_038_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	038	0	1	01	01	H0351_038_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	038	0	1	01	01	H0351_038_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	038	0	1	01	01	H0351_038_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0351	040	0	1	01	01	H0351_040_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	040	0	1	01	01	H0351_040_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	040	0	1	01	01	H0351_040_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	040	0	1	01	01	H0351_040_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	040	0	1	01	01	H0351_040_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	040	0	1	01	01	H0351_040_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0351	041	0	1	01	01	H0351_041_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	041	0	1	01	01	H0351_041_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	041	0	1	01	01	H0351_041_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	041	0	1	01	01	H0351_041_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	041	0	1	01	01	H0351_041_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	041	0	1	01	01	H0351_041_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0351	042	0	1	01	01	H0351_042_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	042	0	1	01	01	H0351_042_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	042	0	1	01	01	H0351_042_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	042	0	1	01	01	H0351_042_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	042	0	1	01	01	H0351_042_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	042	0	1	01	01	H0351_042_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0351	043	1	1	01	01	H0351_043_1	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	043	1	1	01	01	H0351_043_1	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	043	1	1	01	01	H0351_043_1	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	043	1	1	01	01	H0351_043_1	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	043	1	1	01	01	H0351_043_1	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	043	1	1	01	01	H0351_043_1	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0351	043	3	1	01	01	H0351_043_3	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0351	043	3	1	01	01	H0351_043_3	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0351	043	3	1	01	01	H0351_043_3	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0351	043	3	1	01	01	H0351_043_3	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0351	043	3	1	01	01	H0351_043_3	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0351	043	3	1	01	01	H0351_043_3	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0354	001	0	1	01	01	H0354_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0354	001	0	1	01	01	H0354_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0354	001	0	1	01	01	H0354_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0354	001	0	1	01	01	H0354_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0354	001	0	1	01	01	H0354_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0354	021	0	1	01	01	H0354_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0354	021	0	1	01	01	H0354_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0354	021	0	1	01	01	H0354_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0354	021	0	1	01	01	H0354_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0354	021	0	1	01	01	H0354_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0354	023	0	1	01	01	H0354_023_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0354	023	0	1	01	01	H0354_023_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0354	023	0	1	01	01	H0354_023_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0354	023	0	1	01	01	H0354_023_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0354	023	0	1	01	01	H0354_023_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0408	003	0	1	01	01	H0408_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0408	003	0	1	01	01	H0408_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0408	003	0	1	01	01	H0408_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0408	003	0	1	01	01	H0408_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0408	003	0	1	01	01	H0408_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0435	002	0	1	01	01	H0435_002_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0435	002	0	1	01	01	H0435_002_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0435	002	0	1	01	01	H0435_002_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0435	002	0	1	01	01	H0435_002_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0435	002	0	1	01	01	H0435_002_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0435	003	0	1	01	01	H0435_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0435	003	0	1	01	01	H0435_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0435	003	0	1	01	01	H0435_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0435	003	0	1	01	01	H0435_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0435	003	0	1	01	01	H0435_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0435	004	0	1	01	01	H0435_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0435	004	0	1	01	01	H0435_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0435	004	0	1	01	01	H0435_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0435	004	0	1	01	01	H0435_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0435	004	0	1	01	01	H0435_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0435	005	0	1	01	01	H0435_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0435	005	0	1	01	01	H0435_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0435	005	0	1	01	01	H0435_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0435	005	0	1	01	01	H0435_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0435	005	0	1	01	01	H0435_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H0439	001	0	1	01	01	H0439_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0439	001	0	1	01	01	H0439_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0439	001	0	1	01	01	H0439_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0439	001	0	1	01	01	H0439_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0439	001	0	1	01	01	H0439_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0480	001	0	1	48	05	H0480_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H0480	001	0	1	48	05	H0480_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H0480	001	0	1	48	05	H0480_001_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H0490	004	0	1	01	01	H0490_004_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H0490	004	0	1	01	01	H0490_004_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H0490	004	0	1	01	01	H0490_004_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H0490	004	0	1	01	01	H0490_004_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H0504	015	0	1	01	01	H0504_015_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	015	0	1	01	01	H0504_015_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	015	0	1	01	01	H0504_015_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	015	0	1	01	01	H0504_015_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	015	0	1	01	01	H0504_015_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	015	0	1	01	01	H0504_015_0	6	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	017	0	1	01	01	H0504_017_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	017	0	1	01	01	H0504_017_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	017	0	1	01	01	H0504_017_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	017	0	1	01	01	H0504_017_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	017	0	1	01	01	H0504_017_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	017	0	1	01	01	H0504_017_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	021	0	1	01	01	H0504_021_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	021	0	1	01	01	H0504_021_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	021	0	1	01	01	H0504_021_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	021	0	1	01	01	H0504_021_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	021	0	1	01	01	H0504_021_0	7	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	021	0	1	01	01	H0504_021_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001010	1						
H0504	026	0	1	01	01	H0504_026_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	026	0	1	01	01	H0504_026_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	026	0	1	01	01	H0504_026_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	026	0	1	01	01	H0504_026_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	026	0	1	01	01	H0504_026_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	026	0	1	01	01	H0504_026_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	027	0	1	01	01	H0504_027_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	027	0	1	01	01	H0504_027_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	027	0	1	01	01	H0504_027_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	027	0	1	01	01	H0504_027_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	027	0	1	01	01	H0504_027_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	027	0	1	01	01	H0504_027_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	028	0	1	01	01	H0504_028_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	028	0	1	01	01	H0504_028_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	028	0	1	01	01	H0504_028_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	028	0	1	01	01	H0504_028_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	028	0	1	01	01	H0504_028_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	028	0	1	01	01	H0504_028_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	029	0	1	01	01	H0504_029_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	029	0	1	01	01	H0504_029_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	029	0	1	01	01	H0504_029_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	029	0	1	01	01	H0504_029_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	029	0	1	01	01	H0504_029_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	029	0	1	01	01	H0504_029_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	030	0	1	01	01	H0504_030_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	030	0	1	01	01	H0504_030_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	030	0	1	01	01	H0504_030_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	030	0	1	01	01	H0504_030_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	030	0	1	01	01	H0504_030_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	030	0	1	01	01	H0504_030_0	6	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	031	0	1	01	01	H0504_031_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	031	0	1	01	01	H0504_031_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	031	0	1	01	01	H0504_031_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0504	031	0	1	01	01	H0504_031_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	031	0	1	01	01	H0504_031_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	031	0	1	01	01	H0504_031_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	032	0	1	01	01	H0504_032_0	5	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H0504	032	0	1	01	01	H0504_032_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H0504	032	0	1	01	01	H0504_032_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H0504	032	0	1	01	01	H0504_032_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H0504	032	0	1	01	01	H0504_032_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
H0504	032	0	1	01	01	H0504_032_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
H0523	002	0	1	01	01	H0523_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	002	0	1	01	01	H0523_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	002	0	1	01	01	H0523_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	002	0	1	01	01	H0523_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0523	022	0	1	01	01	H0523_022_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	022	0	1	01	01	H0523_022_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	022	0	1	01	01	H0523_022_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	022	0	1	01	01	H0523_022_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0523	031	0	1	01	01	H0523_031_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	031	0	1	01	01	H0523_031_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	031	0	1	01	01	H0523_031_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	031	0	1	01	01	H0523_031_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0523	052	0	1	01	01	H0523_052_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	052	0	1	01	01	H0523_052_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	052	0	1	01	01	H0523_052_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	052	0	1	01	01	H0523_052_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0523	060	0	1	01	01	H0523_060_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	060	0	1	01	01	H0523_060_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0523	060	0	1	01	01	H0523_060_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	060	0	1	01	01	H0523_060_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	061	0	1	01	01	H0523_061_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	061	0	1	01	01	H0523_061_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	061	0	1	01	01	H0523_061_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	061	0	1	01	01	H0523_061_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0523	063	0	1	01	01	H0523_063_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H0523	063	0	1	01	01	H0523_063_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H0523	063	0	1	01	01	H0523_063_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H0523	063	0	1	01	01	H0523_063_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H0524	002	0	2	01	01	H0524_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0524	002	0	2	01	01	H0524_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	002	0	2	01	01	H0524_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	002	0	2	01	01	H0524_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	002	0	2	01	01	H0524_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	002	0	2	01	01	H0524_002_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	003	0	1	01	01	H0524_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	003	0	1	01	01	H0524_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	003	0	1	01	01	H0524_003_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	003	0	1	01	01	H0524_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	3.00				
H0524	003	0	1	01	01	H0524_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	003	0	1	01	01	H0524_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	008	0	1	01	01	H0524_008_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	008	0	1	01	01	H0524_008_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	008	0	1	01	01	H0524_008_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	008	0	1	01	01	H0524_008_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	008	0	1	01	01	H0524_008_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	008	0	1	01	01	H0524_008_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	010	0	2	01	01	H0524_010_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	010	0	2	01	01	H0524_010_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	010	0	2	01	01	H0524_010_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	010	0	2	01	01	H0524_010_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	010	0	2	01	01	H0524_010_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	010	0	2	01	01	H0524_010_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	013	0	1	01	01	H0524_013_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	013	0	1	01	01	H0524_013_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	013	0	1	01	01	H0524_013_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	013	0	1	01	01	H0524_013_0	11	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	013	0	1	01	01	H0524_013_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	013	0	1	01	01	H0524_013_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	015	0	1	01	01	H0524_015_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	015	0	1	01	01	H0524_015_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	015	0	1	01	01	H0524_015_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0524	015	0	1	01	01	H0524_015_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	015	0	1	01	01	H0524_015_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	015	0	1	01	01	H0524_015_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	029	0	1	01	01	H0524_029_0	11	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1	2	0.00				
H0524	029	0	1	01	01	H0524_029_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1	2	15.00				
H0524	029	0	1	01	01	H0524_029_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1	2	15.00				
H0524	029	0	1	01	01	H0524_029_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1	2	15.00				
H0524	029	0	1	01	01	H0524_029_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1	2	7.00				
H0524	029	0	1	01	01	H0524_029_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1	2	7.00				
H0524	030	0	1	01	01	H0524_030_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1	2	8.00				
H0524	030	0	1	01	01	H0524_030_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1	2	20.00				
H0524	030	0	1	01	01	H0524_030_0	11	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1	2	0.00				
H0524	030	0	1	01	01	H0524_030_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1	2	20.00				
H0524	030	0	1	01	01	H0524_030_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1	2	8.00				
H0524	030	0	1	01	01	H0524_030_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1	2	20.00				
H0524	031	0	1	01	01	H0524_031_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	031	0	1	01	01	H0524_031_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	031	0	1	01	01	H0524_031_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	031	0	1	01	01	H0524_031_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	031	0	1	01	01	H0524_031_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	031	0	1	01	01	H0524_031_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	032	0	1	01	01	H0524_032_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	032	0	1	01	01	H0524_032_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	032	0	1	01	01	H0524_032_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	032	0	1	01	01	H0524_032_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	032	0	1	01	01	H0524_032_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	032	0	1	01	01	H0524_032_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	033	0	1	01	01	H0524_033_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	033	0	1	01	01	H0524_033_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	033	0	1	01	01	H0524_033_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	033	0	1	01	01	H0524_033_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	033	0	1	01	01	H0524_033_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	033	0	1	01	01	H0524_033_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	034	0	1	01	01	H0524_034_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	034	0	1	01	01	H0524_034_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	034	0	1	01	01	H0524_034_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	034	0	1	01	01	H0524_034_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0524	034	0	1	01	01	H0524_034_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	034	0	1	01	01	H0524_034_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	035	0	1	01	01	H0524_035_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0524	035	0	1	01	01	H0524_035_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	035	0	1	01	01	H0524_035_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	035	0	1	01	01	H0524_035_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	035	0	1	01	01	H0524_035_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	035	0	1	01	01	H0524_035_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	036	0	1	01	01	H0524_036_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	036	0	1	01	01	H0524_036_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	036	0	1	01	01	H0524_036_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	036	0	1	01	01	H0524_036_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0524	036	0	1	01	01	H0524_036_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	036	0	1	01	01	H0524_036_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	037	0	1	01	01	H0524_037_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	037	0	1	01	01	H0524_037_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	037	0	1	01	01	H0524_037_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	037	0	1	01	01	H0524_037_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0524	037	0	1	01	01	H0524_037_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0524	037	0	1	01	01	H0524_037_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	038	0	1	01	01	H0524_038_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	038	0	1	01	01	H0524_038_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	038	0	1	01	01	H0524_038_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	038	0	1	01	01	H0524_038_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	038	0	1	01	01	H0524_038_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	038	0	1	01	01	H0524_038_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	039	0	1	01	01	H0524_039_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	039	0	1	01	01	H0524_039_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	039	0	1	01	01	H0524_039_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	039	0	1	01	01	H0524_039_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	039	0	1	01	01	H0524_039_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	039	0	1	01	01	H0524_039_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	040	0	1	01	01	H0524_040_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	040	0	1	01	01	H0524_040_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	040	0	1	01	01	H0524_040_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	040	0	1	01	01	H0524_040_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	040	0	1	01	01	H0524_040_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	040	0	1	01	01	H0524_040_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	041	0	1	01	01	H0524_041_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	041	0	1	01	01	H0524_041_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	041	0	1	01	01	H0524_041_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	041	0	1	01	01	H0524_041_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	041	0	1	01	01	H0524_041_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	041	0	1	01	01	H0524_041_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	042	0	1	01	01	H0524_042_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	042	0	1	01	01	H0524_042_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	042	0	1	01	01	H0524_042_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	042	0	1	01	01	H0524_042_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	042	0	1	01	01	H0524_042_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	042	0	1	01	01	H0524_042_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	043	0	1	01	01	H0524_043_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	043	0	1	01	01	H0524_043_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	043	0	1	01	01	H0524_043_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	043	0	1	01	01	H0524_043_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	043	0	1	01	01	H0524_043_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	043	0	1	01	01	H0524_043_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	046	0	1	01	01	H0524_046_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	046	0	1	01	01	H0524_046_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	046	0	1	01	01	H0524_046_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	046	0	1	01	01	H0524_046_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	046	0	1	01	01	H0524_046_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	046	0	1	01	01	H0524_046_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0524	051	0	1	01	01	H0524_051_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0524	051	0	1	01	01	H0524_051_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0524	051	0	1	01	01	H0524_051_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H0524	051	0	1	01	01	H0524_051_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H0524	051	0	1	01	01	H0524_051_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H0524	051	0	1	01	01	H0524_051_0	11	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0543	001	0	1	01	01	H0543_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	001	0	1	01	01	H0543_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	001	0	1	01	01	H0543_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	001	0	1	01	01	H0543_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	001	0	1	01	01	H0543_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	004	0	1	01	01	H0543_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	004	0	1	01	01	H0543_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	004	0	1	01	01	H0543_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	004	0	1	01	01	H0543_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	004	0	1	01	01	H0543_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	007	0	1	01	01	H0543_007_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	007	0	1	01	01	H0543_007_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	007	0	1	01	01	H0543_007_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	007	0	1	01	01	H0543_007_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	007	0	1	01	01	H0543_007_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	013	0	1	01	01	H0543_013_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	013	0	1	01	01	H0543_013_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	013	0	1	01	01	H0543_013_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	013	0	1	01	01	H0543_013_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	013	0	1	01	01	H0543_013_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	019	0	1	01	01	H0543_019_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	019	0	1	01	01	H0543_019_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	019	0	1	01	01	H0543_019_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	019	0	1	01	01	H0543_019_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	019	0	1	01	01	H0543_019_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	022	0	1	01	01	H0543_022_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	022	0	1	01	01	H0543_022_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	022	0	1	01	01	H0543_022_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	022	0	1	01	01	H0543_022_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	022	0	1	01	01	H0543_022_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	028	0	1	01	01	H0543_028_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	028	0	1	01	01	H0543_028_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	028	0	1	01	01	H0543_028_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	028	0	1	01	01	H0543_028_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	028	0	1	01	01	H0543_028_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	029	0	1	01	01	H0543_029_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	029	0	1	01	01	H0543_029_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	029	0	1	01	01	H0543_029_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	029	0	1	01	01	H0543_029_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	029	0	1	01	01	H0543_029_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	032	0	1	01	01	H0543_032_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	032	0	1	01	01	H0543_032_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	032	0	1	01	01	H0543_032_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	032	0	1	01	01	H0543_032_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	032	0	1	01	01	H0543_032_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	035	0	1	01	01	H0543_035_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	035	0	1	01	01	H0543_035_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	035	0	1	01	01	H0543_035_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	035	0	1	01	01	H0543_035_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	035	0	1	01	01	H0543_035_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	036	0	1	01	01	H0543_036_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	036	0	1	01	01	H0543_036_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	036	0	1	01	01	H0543_036_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	036	0	1	01	01	H0543_036_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	036	0	1	01	01	H0543_036_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	060	0	1	01	01	H0543_060_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	060	0	1	01	01	H0543_060_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	060	0	1	01	01	H0543_060_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	060	0	1	01	01	H0543_060_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	060	0	1	01	01	H0543_060_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	070	0	1	01	01	H0543_070_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	070	0	1	01	01	H0543_070_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	070	0	1	01	01	H0543_070_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	070	0	1	01	01	H0543_070_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	070	0	1	01	01	H0543_070_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	086	0	1	01	01	H0543_086_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	086	0	1	01	01	H0543_086_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	086	0	1	01	01	H0543_086_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	086	0	1	01	01	H0543_086_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	086	0	1	01	01	H0543_086_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	089	0	1	01	01	H0543_089_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	089	0	1	01	01	H0543_089_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	089	0	1	01	01	H0543_089_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	089	0	1	01	01	H0543_089_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	089	0	1	01	01	H0543_089_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	138	0	1	01	01	H0543_138_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	138	0	1	01	01	H0543_138_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	138	0	1	01	01	H0543_138_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	138	0	1	01	01	H0543_138_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	138	0	1	01	01	H0543_138_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	140	0	1	01	01	H0543_140_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	140	0	1	01	01	H0543_140_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	140	0	1	01	01	H0543_140_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	140	0	1	01	01	H0543_140_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	140	0	1	01	01	H0543_140_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	144	0	1	01	01	H0543_144_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	144	0	1	01	01	H0543_144_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	144	0	1	01	01	H0543_144_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	144	0	1	01	01	H0543_144_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	144	0	1	01	01	H0543_144_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	145	0	1	01	01	H0543_145_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	145	0	1	01	01	H0543_145_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	145	0	1	01	01	H0543_145_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	145	0	1	01	01	H0543_145_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	145	0	1	01	01	H0543_145_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	146	0	1	01	01	H0543_146_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	146	0	1	01	01	H0543_146_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	146	0	1	01	01	H0543_146_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	146	0	1	01	01	H0543_146_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	146	0	1	01	01	H0543_146_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	147	0	1	01	01	H0543_147_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	147	0	1	01	01	H0543_147_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	147	0	1	01	01	H0543_147_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	147	0	1	01	01	H0543_147_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	147	0	1	01	01	H0543_147_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	148	0	1	01	01	H0543_148_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0543	148	0	1	01	01	H0543_148_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0543	148	0	1	01	01	H0543_148_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0543	148	0	1	01	01	H0543_148_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0543	148	0	1	01	01	H0543_148_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0543	151	0	1	01	01	H0543_151_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	151	0	1	01	01	H0543_151_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	151	0	1	01	01	H0543_151_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	151	0	1	01	01	H0543_151_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	151	0	1	01	01	H0543_151_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0543	152	0	1	01	01	H0543_152_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0543	152	0	1	01	01	H0543_152_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0543	152	0	1	01	01	H0543_152_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0543	152	0	1	01	01	H0543_152_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0543	152	0	1	01	01	H0543_152_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0544	002	0	1	01	01	H0544_002_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	002	0	1	01	01	H0544_002_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	002	0	1	01	01	H0544_002_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	002	0	1	01	01	H0544_002_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	002	0	1	01	01	H0544_002_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	002	0	1	01	01	H0544_002_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	003	0	1	01	01	H0544_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0544	003	0	1	01	01	H0544_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0544	003	0	1	01	01	H0544_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0544	003	0	1	01	01	H0544_003_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0544	003	0	1	01	01	H0544_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0544	003	0	1	01	01	H0544_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0544	004	0	1	01	01	H0544_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	004	0	1	01	01	H0544_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	004	0	1	01	01	H0544_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	004	0	1	01	01	H0544_004_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	004	0	1	01	01	H0544_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	004	0	1	01	01	H0544_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	005	0	1	01	01	H0544_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	005	0	1	01	01	H0544_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	005	0	1	01	01	H0544_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	005	0	1	01	01	H0544_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	005	0	1	01	01	H0544_005_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	005	0	1	01	01	H0544_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	007	0	1	01	01	H0544_007_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0544	007	0	1	01	01	H0544_007_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0544	007	0	1	01	01	H0544_007_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0544	007	0	1	01	01	H0544_007_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0544	007	0	1	01	01	H0544_007_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0544	007	0	1	01	01	H0544_007_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0544	008	0	1	01	01	H0544_008_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H0544	008	0	1	01	01	H0544_008_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	008	0	1	01	01	H0544_008_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	008	0	1	01	01	H0544_008_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	008	0	1	01	01	H0544_008_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	008	0	1	01	01	H0544_008_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	010	0	1	01	01	H0544_010_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	010	0	1	01	01	H0544_010_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	010	0	1	01	01	H0544_010_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	010	0	1	01	01	H0544_010_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	010	0	1	01	01	H0544_010_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	010	0	1	01	01	H0544_010_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	012	0	1	01	01	H0544_012_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	012	0	1	01	01	H0544_012_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	012	0	1	01	01	H0544_012_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	012	0	1	01	01	H0544_012_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	012	0	1	01	01	H0544_012_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	012	0	1	01	01	H0544_012_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H0544	013	0	1	01	01	H0544_013_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	013	0	1	01	01	H0544_013_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	013	0	1	01	01	H0544_013_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	013	0	1	01	01	H0544_013_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	013	0	1	01	01	H0544_013_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	013	0	1	01	01	H0544_013_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	014	0	1	01	01	H0544_014_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	014	0	1	01	01	H0544_014_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	014	0	1	01	01	H0544_014_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	014	0	1	01	01	H0544_014_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	014	0	1	01	01	H0544_014_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	014	0	1	01	01	H0544_014_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	015	0	1	01	01	H0544_015_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	015	0	1	01	01	H0544_015_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	015	0	1	01	01	H0544_015_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	015	0	1	01	01	H0544_015_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	015	0	1	01	01	H0544_015_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	015	0	1	01	01	H0544_015_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	019	0	1	01	01	H0544_019_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	019	0	1	01	01	H0544_019_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	019	0	1	01	01	H0544_019_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	019	0	1	01	01	H0544_019_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	019	0	1	01	01	H0544_019_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	019	0	1	01	01	H0544_019_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	020	0	1	01	01	H0544_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	020	0	1	01	01	H0544_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	020	0	1	01	01	H0544_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	020	0	1	01	01	H0544_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	020	0	1	01	01	H0544_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	020	0	1	01	01	H0544_020_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	021	0	1	01	01	H0544_021_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0544	021	0	1	01	01	H0544_021_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0544	021	0	1	01	01	H0544_021_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0544	021	0	1	01	01	H0544_021_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0544	021	0	1	01	01	H0544_021_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0544	021	0	1	01	01	H0544_021_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0544	024	0	1	01	01	H0544_024_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	024	0	1	01	01	H0544_024_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	024	0	1	01	01	H0544_024_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	024	0	1	01	01	H0544_024_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	024	0	1	01	01	H0544_024_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	024	0	1	01	01	H0544_024_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	025	0	1	01	01	H0544_025_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	025	0	1	01	01	H0544_025_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	025	0	1	01	01	H0544_025_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	025	0	1	01	01	H0544_025_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	025	0	1	01	01	H0544_025_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	025	0	1	01	01	H0544_025_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	027	0	1	01	01	H0544_027_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	027	0	1	01	01	H0544_027_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	027	0	1	01	01	H0544_027_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	027	0	1	01	01	H0544_027_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	027	0	1	01	01	H0544_027_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	027	0	1	01	01	H0544_027_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H0544	031	0	1	01	01	H0544_031_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	031	0	1	01	01	H0544_031_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	031	0	1	01	01	H0544_031_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	031	0	1	01	01	H0544_031_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	031	0	1	01	01	H0544_031_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	031	0	1	01	01	H0544_031_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	032	0	1	01	01	H0544_032_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	032	0	1	01	01	H0544_032_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	032	0	1	01	01	H0544_032_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	032	0	1	01	01	H0544_032_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	032	0	1	01	01	H0544_032_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	032	0	1	01	01	H0544_032_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	036	0	1	01	01	H0544_036_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	036	0	1	01	01	H0544_036_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	036	0	1	01	01	H0544_036_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	036	0	1	01	01	H0544_036_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	036	0	1	01	01	H0544_036_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	036	0	1	01	01	H0544_036_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	037	0	1	01	01	H0544_037_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	037	0	1	01	01	H0544_037_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	037	0	1	01	01	H0544_037_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	037	0	1	01	01	H0544_037_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	037	0	1	01	01	H0544_037_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	037	0	1	01	01	H0544_037_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	038	0	1	01	01	H0544_038_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H0544	038	0	1	01	01	H0544_038_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H0544	038	0	1	01	01	H0544_038_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H0544	038	0	1	01	01	H0544_038_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H0544	038	0	1	01	01	H0544_038_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H0544	038	0	1	01	01	H0544_038_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H0544	041	0	1	01	01	H0544_041_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0544	041	0	1	01	01	H0544_041_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0544	041	0	1	01	01	H0544_041_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0544	041	0	1	01	01	H0544_041_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0544	041	0	1	01	01	H0544_041_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0544	041	0	1	01	01	H0544_041_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0545	001	0	1	01	01	H0545_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H0545	001	0	1	01	01	H0545_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0545	001	0	1	01	01	H0545_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0545	001	0	1	01	01	H0545_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H0545	001	0	1	01	01	H0545_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0545	012	0	1	01	01	H0545_012_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H0545	012	0	1	01	01	H0545_012_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0545	012	0	1	01	01	H0545_012_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0545	012	0	1	01	01	H0545_012_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0545	012	0	1	01	01	H0545_012_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H0545	013	0	1	01	01	H0545_013_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0545	013	0	1	01	01	H0545_013_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H0545	013	0	1	01	01	H0545_013_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H0545	013	0	1	01	01	H0545_013_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0545	013	0	1	01	01	H0545_013_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0562	009	0	1	01	01	H0562_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	009	0	1	01	01	H0562_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	009	0	1	01	01	H0562_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	009	0	1	01	01	H0562_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	009	0	1	01	01	H0562_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	009	0	1	01	01	H0562_009_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	012	0	1	01	01	H0562_012_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	012	0	1	01	01	H0562_012_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	012	0	1	01	01	H0562_012_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	012	0	1	01	01	H0562_012_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	012	0	1	01	01	H0562_012_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	012	0	1	01	01	H0562_012_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	039	0	1	01	01	H0562_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	039	0	1	01	01	H0562_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	039	0	1	01	01	H0562_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	039	0	1	01	01	H0562_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	039	0	1	01	01	H0562_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	039	0	1	01	01	H0562_039_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	040	0	1	01	01	H0562_040_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	040	0	1	01	01	H0562_040_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	040	0	1	01	01	H0562_040_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	040	0	1	01	01	H0562_040_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	040	0	1	01	01	H0562_040_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	040	0	1	01	01	H0562_040_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	055	0	1	01	01	H0562_055_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	055	0	1	01	01	H0562_055_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	055	0	1	01	01	H0562_055_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	055	0	1	01	01	H0562_055_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	055	0	1	01	01	H0562_055_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	055	0	1	01	01	H0562_055_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	068	0	1	01	01	H0562_068_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	068	0	1	01	01	H0562_068_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	068	0	1	01	01	H0562_068_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	068	0	1	01	01	H0562_068_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	068	0	1	01	01	H0562_068_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	068	0	1	01	01	H0562_068_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	070	0	1	01	01	H0562_070_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0562	070	0	1	01	01	H0562_070_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0562	070	0	1	01	01	H0562_070_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000001	1						
H0562	070	0	1	01	01	H0562_070_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100000	1						
H0562	070	0	1	01	01	H0562_070_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0562	070	0	1	01	01	H0562_070_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	010010	1						
H0562	079	0	1	01	01	H0562_079_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	079	0	1	01	01	H0562_079_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	079	0	1	01	01	H0562_079_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	079	0	1	01	01	H0562_079_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	079	0	1	01	01	H0562_079_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	079	0	1	01	01	H0562_079_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	084	0	1	01	01	H0562_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	084	0	1	01	01	H0562_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	084	0	1	01	01	H0562_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	084	0	1	01	01	H0562_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	084	0	1	01	01	H0562_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	084	0	1	01	01	H0562_084_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	089	0	1	01	01	H0562_089_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	089	0	1	01	01	H0562_089_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	089	0	1	01	01	H0562_089_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	089	0	1	01	01	H0562_089_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	089	0	1	01	01	H0562_089_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	089	0	1	01	01	H0562_089_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	090	0	1	01	01	H0562_090_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	090	0	1	01	01	H0562_090_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	090	0	1	01	01	H0562_090_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	090	0	1	01	01	H0562_090_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	090	0	1	01	01	H0562_090_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	090	0	1	01	01	H0562_090_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	092	0	1	01	01	H0562_092_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	092	0	1	01	01	H0562_092_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	092	0	1	01	01	H0562_092_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	092	0	1	01	01	H0562_092_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	092	0	1	01	01	H0562_092_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	092	0	1	01	01	H0562_092_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	093	0	1	01	01	H0562_093_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	093	0	1	01	01	H0562_093_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	093	0	1	01	01	H0562_093_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	093	0	1	01	01	H0562_093_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	093	0	1	01	01	H0562_093_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	093	0	1	01	01	H0562_093_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	095	0	1	01	01	H0562_095_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	095	0	1	01	01	H0562_095_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	095	0	1	01	01	H0562_095_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	095	0	1	01	01	H0562_095_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	095	0	1	01	01	H0562_095_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	095	0	1	01	01	H0562_095_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	096	0	1	01	01	H0562_096_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0562	096	0	1	01	01	H0562_096_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0562	096	0	1	01	01	H0562_096_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H0562	096	0	1	01	01	H0562_096_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H0562	096	0	1	01	01	H0562_096_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0562	096	0	1	01	01	H0562_096_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	010010	1						
H0562	097	0	1	01	01	H0562_097_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	097	0	1	01	01	H0562_097_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	097	0	1	01	01	H0562_097_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	097	0	1	01	01	H0562_097_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	097	0	1	01	01	H0562_097_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	097	0	1	01	01	H0562_097_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	100	1	1	01	01	H0562_100_1	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	100	1	1	01	01	H0562_100_1	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	100	1	1	01	01	H0562_100_1	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	100	1	1	01	01	H0562_100_1	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	100	1	1	01	01	H0562_100_1	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	100	1	1	01	01	H0562_100_1	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	100	2	1	01	01	H0562_100_2	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	100	2	1	01	01	H0562_100_2	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	100	2	1	01	01	H0562_100_2	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	100	2	1	01	01	H0562_100_2	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	100	2	1	01	01	H0562_100_2	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	100	2	1	01	01	H0562_100_2	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	101	1	1	01	01	H0562_101_1	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	101	1	1	01	01	H0562_101_1	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	101	1	1	01	01	H0562_101_1	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	101	1	1	01	01	H0562_101_1	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	101	1	1	01	01	H0562_101_1	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	101	1	1	01	01	H0562_101_1	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	101	2	1	01	01	H0562_101_2	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	101	2	1	01	01	H0562_101_2	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	101	2	1	01	01	H0562_101_2	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	101	2	1	01	01	H0562_101_2	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	101	2	1	01	01	H0562_101_2	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	101	2	1	01	01	H0562_101_2	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	102	0	1	01	01	H0562_102_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	102	0	1	01	01	H0562_102_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	102	0	1	01	01	H0562_102_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	102	0	1	01	01	H0562_102_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	102	0	1	01	01	H0562_102_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	102	0	1	01	01	H0562_102_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	103	0	1	01	01	H0562_103_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	103	0	1	01	01	H0562_103_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	103	0	1	01	01	H0562_103_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	103	0	1	01	01	H0562_103_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	103	0	1	01	01	H0562_103_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	103	0	1	01	01	H0562_103_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	104	0	1	01	01	H0562_104_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0562	104	0	1	01	01	H0562_104_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0562	104	0	1	01	01	H0562_104_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000001	1						
H0562	104	0	1	01	01	H0562_104_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100000	1						
H0562	104	0	1	01	01	H0562_104_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0562	104	0	1	01	01	H0562_104_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	010010	1						
H0562	105	0	1	01	01	H0562_105_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	105	0	1	01	01	H0562_105_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	105	0	1	01	01	H0562_105_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	105	0	1	01	01	H0562_105_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0562	105	0	1	01	01	H0562_105_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0562	105	0	1	01	01	H0562_105_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	106	0	1	01	01	H0562_106_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	106	0	1	01	01	H0562_106_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	106	0	1	01	01	H0562_106_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	106	0	1	01	01	H0562_106_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	106	0	1	01	01	H0562_106_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0562	106	0	1	01	01	H0562_106_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	108	0	1	01	01	H0562_108_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H0562	108	0	1	01	01	H0562_108_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H0562	108	0	1	01	01	H0562_108_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0562	108	0	1	01	01	H0562_108_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H0562	108	0	1	01	01	H0562_108_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0562	108	0	1	01	01	H0562_108_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	055	0	1	01	01	H0564_055_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0564	055	0	1	01	01	H0564_055_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0564	055	0	1	01	01	H0564_055_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H0564	055	0	1	01	01	H0564_055_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H0564	055	0	1	01	01	H0564_055_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0564	055	0	1	01	01	H0564_055_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H0564	056	0	1	01	01	H0564_056_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0564	056	0	1	01	01	H0564_056_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H0564	056	0	1	01	01	H0564_056_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H0564	056	0	1	01	01	H0564_056_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0564	056	0	1	01	01	H0564_056_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0564	056	0	1	01	01	H0564_056_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H0564	058	0	1	01	01	H0564_058_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0564	058	0	1	01	01	H0564_058_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H0564	058	0	1	01	01	H0564_058_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H0564	058	0	1	01	01	H0564_058_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0564	058	0	1	01	01	H0564_058_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0564	058	0	1	01	01	H0564_058_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H0564	059	0	1	01	01	H0564_059_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H0564	059	0	1	01	01	H0564_059_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H0564	059	0	1	01	01	H0564_059_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H0564	059	0	1	01	01	H0564_059_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H0564	059	0	1	01	01	H0564_059_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H0564	059	0	1	01	01	H0564_059_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H0564	060	0	1	01	01	H0564_060_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	060	0	1	01	01	H0564_060_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	060	0	1	01	01	H0564_060_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	060	0	1	01	01	H0564_060_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	060	0	1	01	01	H0564_060_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	060	0	1	01	01	H0564_060_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	061	0	1	01	01	H0564_061_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	061	0	1	01	01	H0564_061_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	061	0	1	01	01	H0564_061_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	061	0	1	01	01	H0564_061_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	061	0	1	01	01	H0564_061_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	061	0	1	01	01	H0564_061_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	062	0	1	01	01	H0564_062_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	062	0	1	01	01	H0564_062_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	062	0	1	01	01	H0564_062_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	062	0	1	01	01	H0564_062_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	062	0	1	01	01	H0564_062_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	062	0	1	01	01	H0564_062_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	063	0	1	01	01	H0564_063_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	063	0	1	01	01	H0564_063_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	063	0	1	01	01	H0564_063_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	063	0	1	01	01	H0564_063_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	063	0	1	01	01	H0564_063_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	063	0	1	01	01	H0564_063_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	067	1	1	01	01	H0564_067_1	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	067	1	1	01	01	H0564_067_1	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	067	1	1	01	01	H0564_067_1	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	067	1	1	01	01	H0564_067_1	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	067	1	1	01	01	H0564_067_1	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	067	1	1	01	01	H0564_067_1	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	067	2	1	01	01	H0564_067_2	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	067	2	1	01	01	H0564_067_2	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	067	2	1	01	01	H0564_067_2	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	067	2	1	01	01	H0564_067_2	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	067	2	1	01	01	H0564_067_2	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	067	2	1	01	01	H0564_067_2	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	068	0	1	01	01	H0564_068_0	16	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	068	0	1	01	01	H0564_068_0	16	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	068	0	1	01	01	H0564_068_0	16	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	068	0	1	01	01	H0564_068_0	16	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	068	0	1	01	01	H0564_068_0	16	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	068	0	1	01	01	H0564_068_0	16	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	069	0	1	01	01	H0564_069_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	069	0	1	01	01	H0564_069_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	069	0	1	01	01	H0564_069_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	069	0	1	01	01	H0564_069_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	069	0	1	01	01	H0564_069_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0564	069	0	1	01	01	H0564_069_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	070	0	1	01	01	H0564_070_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H0564	070	0	1	01	01	H0564_070_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H0564	070	0	1	01	01	H0564_070_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H0564	070	0	1	01	01	H0564_070_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H0564	070	0	1	01	01	H0564_070_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H0564	070	0	1	01	01	H0564_070_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H0571	001	0	1	01	01	H0571_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0571	001	0	1	01	01	H0571_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0571	001	0	1	01	01	H0571_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100001	1						
H0571	001	0	1	01	01	H0571_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0571	001	0	1	01	01	H0571_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0602	017	0	1	18	06	H0602_017_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0602	017	0	1	18	06	H0602_017_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0602	017	0	1	18	06	H0602_017_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0602	017	0	1	18	06	H0602_017_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0602	017	0	1	18	06	H0602_017_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0602	019	0	1	18	06	H0602_019_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0602	019	0	1	18	06	H0602_019_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0602	019	0	1	18	06	H0602_019_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0602	019	0	1	18	06	H0602_019_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0602	019	0	1	18	06	H0602_019_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0602	020	0	1	18	06	H0602_020_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0602	020	0	1	18	06	H0602_020_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0602	020	0	1	18	06	H0602_020_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0602	020	0	1	18	06	H0602_020_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0602	020	0	1	18	06	H0602_020_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0602	022	0	1	18	06	H0602_022_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0602	022	0	1	18	06	H0602_022_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0602	022	0	1	18	06	H0602_022_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0602	022	0	1	18	06	H0602_022_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0602	022	0	1	18	06	H0602_022_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0602	039	0	1	18	06	H0602_039_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0602	039	0	1	18	06	H0602_039_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0602	039	0	1	18	06	H0602_039_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H0602	039	0	1	18	06	H0602_039_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0602	039	0	1	18	06	H0602_039_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0602	043	0	1	18	06	H0602_043_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000110	1						
H0602	043	0	1	18	06	H0602_043_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0602	043	0	1	18	06	H0602_043_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0602	043	0	1	18	06	H0602_043_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0602	043	0	1	18	06	H0602_043_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0609	002	0	1	01	01	H0609_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0609	002	0	1	01	01	H0609_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0609	002	0	1	01	01	H0609_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0609	002	0	1	01	01	H0609_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0609	002	0	1	01	01	H0609_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0609	007	0	1	01	01	H0609_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0609	007	0	1	01	01	H0609_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0609	007	0	1	01	01	H0609_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0609	007	0	1	01	01	H0609_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0609	007	0	1	01	01	H0609_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0609	012	0	1	01	01	H0609_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0609	012	0	1	01	01	H0609_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0609	012	0	1	01	01	H0609_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0609	012	0	1	01	01	H0609_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0609	012	0	1	01	01	H0609_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0609	020	0	1	01	01	H0609_020_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0609	020	0	1	01	01	H0609_020_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0609	020	0	1	01	01	H0609_020_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0609	020	0	1	01	01	H0609_020_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0609	020	0	1	01	01	H0609_020_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0621	006	0	1	01	01	H0621_006_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H0621	006	0	1	01	01	H0621_006_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0621	006	0	1	01	01	H0621_006_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0621	006	0	1	01	01	H0621_006_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0621	006	0	1	01	01	H0621_006_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0621	010	0	1	01	01	H0621_010_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0621	010	0	1	01	01	H0621_010_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H0621	010	0	1	01	01	H0621_010_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H0621	010	0	1	01	01	H0621_010_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0621	010	0	1	01	01	H0621_010_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0630	013	0	1	01	01	H0630_013_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	013	0	1	01	01	H0630_013_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	013	0	1	01	01	H0630_013_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	013	0	1	01	01	H0630_013_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0630	013	0	1	01	01	H0630_013_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0630	013	0	1	01	01	H0630_013_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0630	015	0	1	01	01	H0630_015_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0630	015	0	1	01	01	H0630_015_0	11	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0630	015	0	1	01	01	H0630_015_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	015	0	1	01	01	H0630_015_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	015	0	1	01	01	H0630_015_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	015	0	1	01	01	H0630_015_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0630	016	0	1	01	01	H0630_016_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	016	0	1	01	01	H0630_016_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	016	0	1	01	01	H0630_016_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	016	0	1	01	01	H0630_016_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H0630	016	0	1	01	01	H0630_016_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H0630	016	0	1	01	01	H0630_016_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0630	017	0	1	01	01	H0630_017_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0630	017	0	1	01	01	H0630_017_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0630	017	0	1	01	01	H0630_017_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	017	0	1	01	01	H0630_017_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	017	0	1	01	01	H0630_017_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	017	0	1	01	01	H0630_017_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0630	018	0	1	01	01	H0630_018_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0630	018	0	1	01	01	H0630_018_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0630	018	0	1	01	01	H0630_018_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	018	0	1	01	01	H0630_018_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	018	0	1	01	01	H0630_018_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	018	0	1	01	01	H0630_018_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0630	020	0	1	01	01	H0630_020_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0630	020	0	1	01	01	H0630_020_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0630	020	0	1	01	01	H0630_020_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	020	0	1	01	01	H0630_020_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0630	020	0	1	01	01	H0630_020_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	020	0	1	01	01	H0630_020_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	021	0	1	01	01	H0630_021_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H0630	021	0	1	01	01	H0630_021_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H0630	021	0	1	01	01	H0630_021_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H0630	021	0	1	01	01	H0630_021_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H0630	021	0	1	01	01	H0630_021_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H0630	021	0	1	01	01	H0630_021_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H0712	005	0	1	01	01	H0712_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0712	005	0	1	01	01	H0712_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0712	005	0	1	01	01	H0712_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H0712	005	0	1	01	01	H0712_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0712	005	0	1	01	01	H0712_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0712	019	0	1	01	01	H0712_019_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0712	019	0	1	01	01	H0712_019_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0712	019	0	1	01	01	H0712_019_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0712	019	0	1	01	01	H0712_019_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0712	019	0	1	01	01	H0712_019_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0712	020	0	1	01	01	H0712_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H0712	020	0	1	01	01	H0712_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H0712	020	0	1	01	01	H0712_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
H0712	020	0	1	01	01	H0712_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H0712	020	0	1	01	01	H0712_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H0755	030	0	1	01	01	H0755_030_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0755	030	0	1	01	01	H0755_030_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0755	030	0	1	01	01	H0755_030_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0755	030	0	1	01	01	H0755_030_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0755	030	0	1	01	01	H0755_030_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0755	031	0	1	01	01	H0755_031_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0755	031	0	1	01	01	H0755_031_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0755	031	0	1	01	01	H0755_031_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0755	031	0	1	01	01	H0755_031_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0755	031	0	1	01	01	H0755_031_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0755	033	0	1	01	01	H0755_033_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H0755	033	0	1	01	01	H0755_033_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H0755	033	0	1	01	01	H0755_033_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H0755	033	0	1	01	01	H0755_033_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H0755	033	0	1	01	01	H0755_033_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H0773	001	0	1	48	05	H0773_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H0773	001	0	1	48	05	H0773_001_0	3	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H0773	001	0	1	48	05	H0773_001_0	3	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	000010					2	0.00	0.00
H0773	001	0	1	48	05	H0773_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H0811	001	0	1	49	05	H0811_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H0811	001	0	1	49	05	H0811_001_0	5	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H0811	001	0	1	49	05	H0811_001_0	5	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H0811	001	0	1	49	05	H0811_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H0838	024	0	1	01	01	H0838_024_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	024	0	1	01	01	H0838_024_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	024	0	1	01	01	H0838_024_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	024	0	1	01	01	H0838_024_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	024	0	1	01	01	H0838_024_0	14	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	024	0	1	01	01	H0838_024_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	025	0	1	01	01	H0838_025_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	025	0	1	01	01	H0838_025_0	13	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	025	0	1	01	01	H0838_025_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	025	0	1	01	01	H0838_025_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	025	0	1	01	01	H0838_025_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	025	0	1	01	01	H0838_025_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	026	0	1	01	01	H0838_026_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	026	0	1	01	01	H0838_026_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	026	0	1	01	01	H0838_026_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	026	0	1	01	01	H0838_026_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	026	0	1	01	01	H0838_026_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	026	0	1	01	01	H0838_026_0	13	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	027	0	1	01	01	H0838_027_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	027	0	1	01	01	H0838_027_0	13	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	027	0	1	01	01	H0838_027_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	027	0	1	01	01	H0838_027_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	027	0	1	01	01	H0838_027_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	027	0	1	01	01	H0838_027_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	028	0	1	01	01	H0838_028_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	028	0	1	01	01	H0838_028_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	028	0	1	01	01	H0838_028_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	028	0	1	01	01	H0838_028_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	028	0	1	01	01	H0838_028_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	028	0	1	01	01	H0838_028_0	13	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	029	0	1	01	01	H0838_029_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	029	0	1	01	01	H0838_029_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	029	0	1	01	01	H0838_029_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	029	0	1	01	01	H0838_029_0	14	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	029	0	1	01	01	H0838_029_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	029	0	1	01	01	H0838_029_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	030	0	1	01	01	H0838_030_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	030	0	1	01	01	H0838_030_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	030	0	1	01	01	H0838_030_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	030	0	1	01	01	H0838_030_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	030	0	1	01	01	H0838_030_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	030	0	1	01	01	H0838_030_0	13	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	031	0	1	01	01	H0838_031_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	031	0	1	01	01	H0838_031_0	14	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0838	031	0	1	01	01	H0838_031_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	031	0	1	01	01	H0838_031_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	031	0	1	01	01	H0838_031_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	031	0	1	01	01	H0838_031_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	032	0	1	01	01	H0838_032_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H0838	032	0	1	01	01	H0838_032_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H0838	032	0	1	01	01	H0838_032_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H0838	032	0	1	01	01	H0838_032_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H0838	032	0	1	01	01	H0838_032_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	100000	1						
H0838	032	0	1	01	01	H0838_032_0	13	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000001	1						
H0840	001	0	1	04	01	H0840_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H0840	001	0	1	04	01	H0840_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H0840	001	0	1	04	01	H0840_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H0840	001	0	1	04	01	H0840_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H0840	001	0	1	04	01	H0840_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0879	001	0	1	04	01	H0879_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H0879	001	0	1	04	01	H0879_001_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H0879	001	0	1	04	01	H0879_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100000	1						
H0879	001	0	1	04	01	H0879_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H0879	001	0	1	04	01	H0879_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H0879	001	0	1	04	01	H0879_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H0879	002	0	1	04	01	H0879_002_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100000	1						
H0879	002	0	1	04	01	H0879_002_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H0879	002	0	1	04	01	H0879_002_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H0879	002	0	1	04	01	H0879_002_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H0879	002	0	1	04	01	H0879_002_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H0879	002	0	1	04	01	H0879_002_0	11	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H0901	004	0	1	01	01	H0901_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H0901	004	0	1	01	01	H0901_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0901	004	0	1	01	01	H0901_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0901	004	0	1	01	01	H0901_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H0901	004	0	1	01	01	H0901_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0913	002	0	1	01	01	H0913_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0913	002	0	1	01	01	H0913_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0913	002	0	1	01	01	H0913_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0913	002	0	1	01	01	H0913_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0913	002	0	1	01	01	H0913_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0913	012	0	1	01	01	H0913_012_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H0913	012	0	1	01	01	H0913_012_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H0913	012	0	1	01	01	H0913_012_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H0913	012	0	1	01	01	H0913_012_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H0913	012	0	1	01	01	H0913_012_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H0927	001	0	1	48	05	H0927_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H0927	001	0	1	48	05	H0927_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare OTC Drugs	4	2	2	000100					1	0.00	0.00
H0927	001	0	1	48	05	H0927_001_0	4	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare OTC Drugs	4	3	2	000001					2	0.00	0.00
H1013	011	0	1	01	01	H1013_011_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	011	0	1	01	01	H1013_011_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	011	0	1	01	01	H1013_011_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	011	0	1	01	01	H1013_011_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	021	0	1	01	01	H1013_021_0	4	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	021	0	1	01	01	H1013_021_0	4	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	021	0	1	01	01	H1013_021_0	4	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	021	0	1	01	01	H1013_021_0	4	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	024	0	1	01	01	H1013_024_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	024	0	1	01	01	H1013_024_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	024	0	1	01	01	H1013_024_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	024	0	1	01	01	H1013_024_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	029	0	1	01	01	H1013_029_0	4	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	029	0	1	01	01	H1013_029_0	4	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	029	0	1	01	01	H1013_029_0	4	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	029	0	1	01	01	H1013_029_0	4	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	030	0	1	01	01	H1013_030_0	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	030	0	1	01	01	H1013_030_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	030	0	1	01	01	H1013_030_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	030	0	1	01	01	H1013_030_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	031	0	1	01	01	H1013_031_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	031	0	1	01	01	H1013_031_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	031	0	1	01	01	H1013_031_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	031	0	1	01	01	H1013_031_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	032	0	1	01	01	H1013_032_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	032	0	1	01	01	H1013_032_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	032	0	1	01	01	H1013_032_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	032	0	1	01	01	H1013_032_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	033	0	1	01	01	H1013_033_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	033	0	1	01	01	H1013_033_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	033	0	1	01	01	H1013_033_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	033	0	1	01	01	H1013_033_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	034	0	1	01	01	H1013_034_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	034	0	1	01	01	H1013_034_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	034	0	1	01	01	H1013_034_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1013	034	0	1	01	01	H1013_034_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	035	0	1	01	01	H1013_035_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010010	3						
H1013	035	0	1	01	01	H1013_035_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1013	035	0	1	01	01	H1013_035_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H1013	035	0	1	01	01	H1013_035_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1016	001	0	1	01	01	H1016_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1016	001	0	1	01	01	H1016_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1016	001	0	1	01	01	H1016_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H1016	001	0	1	01	01	H1016_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	3						
H1016	001	0	1	01	01	H1016_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1016	021	0	1	01	01	H1016_021_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1016	021	0	1	01	01	H1016_021_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H1016	021	0	1	01	01	H1016_021_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1016	021	0	1	01	01	H1016_021_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1016	021	0	1	01	01	H1016_021_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	3						
H1019	001	0	1	01	01	H1019_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	001	0	1	01	01	H1019_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	001	0	1	01	01	H1019_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	001	0	1	01	01	H1019_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	001	0	1	01	01	H1019_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	006	0	1	01	01	H1019_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	006	0	1	01	01	H1019_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	006	0	1	01	01	H1019_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	006	0	1	01	01	H1019_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	006	0	1	01	01	H1019_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	010	0	1	01	01	H1019_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	010	0	1	01	01	H1019_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	010	0	1	01	01	H1019_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	010	0	1	01	01	H1019_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	010	0	1	01	01	H1019_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	014	0	1	01	01	H1019_014_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	014	0	1	01	01	H1019_014_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	014	0	1	01	01	H1019_014_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	014	0	1	01	01	H1019_014_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	014	0	1	01	01	H1019_014_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	023	0	1	01	01	H1019_023_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	023	0	1	01	01	H1019_023_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	023	0	1	01	01	H1019_023_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	023	0	1	01	01	H1019_023_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	023	0	1	01	01	H1019_023_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	024	0	1	01	01	H1019_024_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	024	0	1	01	01	H1019_024_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	024	0	1	01	01	H1019_024_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	024	0	1	01	01	H1019_024_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	024	0	1	01	01	H1019_024_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	025	0	1	01	01	H1019_025_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	025	0	1	01	01	H1019_025_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	025	0	1	01	01	H1019_025_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	025	0	1	01	01	H1019_025_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	025	0	1	01	01	H1019_025_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	026	0	1	01	01	H1019_026_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	026	0	1	01	01	H1019_026_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	026	0	1	01	01	H1019_026_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	026	0	1	01	01	H1019_026_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	026	0	1	01	01	H1019_026_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	027	0	1	01	01	H1019_027_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	027	0	1	01	01	H1019_027_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	027	0	1	01	01	H1019_027_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	027	0	1	01	01	H1019_027_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	027	0	1	01	01	H1019_027_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	028	0	1	01	01	H1019_028_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	028	0	1	01	01	H1019_028_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	028	0	1	01	01	H1019_028_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	028	0	1	01	01	H1019_028_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	028	0	1	01	01	H1019_028_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	032	0	1	01	01	H1019_032_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	032	0	1	01	01	H1019_032_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	032	0	1	01	01	H1019_032_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	032	0	1	01	01	H1019_032_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	032	0	1	01	01	H1019_032_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	043	0	1	01	01	H1019_043_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	043	0	1	01	01	H1019_043_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	043	0	1	01	01	H1019_043_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	043	0	1	01	01	H1019_043_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	043	0	1	01	01	H1019_043_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	054	0	1	01	01	H1019_054_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	054	0	1	01	01	H1019_054_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	054	0	1	01	01	H1019_054_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	054	0	1	01	01	H1019_054_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	054	0	1	01	01	H1019_054_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	057	0	1	01	01	H1019_057_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	057	0	1	01	01	H1019_057_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	057	0	1	01	01	H1019_057_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	057	0	1	01	01	H1019_057_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	057	0	1	01	01	H1019_057_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	059	0	1	01	01	H1019_059_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1019	059	0	1	01	01	H1019_059_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1019	059	0	1	01	01	H1019_059_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1019	059	0	1	01	01	H1019_059_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1019	059	0	1	01	01	H1019_059_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1019	059	0	1	01	01	H1019_059_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1019	060	0	1	01	01	H1019_060_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	060	0	1	01	01	H1019_060_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	060	0	1	01	01	H1019_060_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	060	0	1	01	01	H1019_060_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	060	0	1	01	01	H1019_060_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	062	0	1	01	01	H1019_062_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	062	0	1	01	01	H1019_062_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	062	0	1	01	01	H1019_062_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	062	0	1	01	01	H1019_062_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	062	0	1	01	01	H1019_062_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	063	0	1	01	01	H1019_063_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	063	0	1	01	01	H1019_063_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	063	0	1	01	01	H1019_063_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	063	0	1	01	01	H1019_063_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	063	0	1	01	01	H1019_063_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	064	0	1	01	01	H1019_064_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	064	0	1	01	01	H1019_064_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	064	0	1	01	01	H1019_064_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	064	0	1	01	01	H1019_064_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	064	0	1	01	01	H1019_064_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	065	0	1	01	01	H1019_065_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	065	0	1	01	01	H1019_065_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	065	0	1	01	01	H1019_065_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	065	0	1	01	01	H1019_065_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	065	0	1	01	01	H1019_065_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	066	0	1	01	01	H1019_066_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1019	066	0	1	01	01	H1019_066_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1019	066	0	1	01	01	H1019_066_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1019	066	0	1	01	01	H1019_066_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1019	066	0	1	01	01	H1019_066_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1019	066	0	1	01	01	H1019_066_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1019	067	0	1	01	01	H1019_067_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	067	0	1	01	01	H1019_067_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	067	0	1	01	01	H1019_067_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	067	0	1	01	01	H1019_067_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	067	0	1	01	01	H1019_067_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	069	0	1	01	01	H1019_069_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	069	0	1	01	01	H1019_069_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	069	0	1	01	01	H1019_069_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	069	0	1	01	01	H1019_069_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	069	0	1	01	01	H1019_069_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	070	0	1	01	01	H1019_070_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	070	0	1	01	01	H1019_070_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	070	0	1	01	01	H1019_070_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	070	0	1	01	01	H1019_070_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1019	070	0	1	01	01	H1019_070_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	071	0	1	01	01	H1019_071_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1019	071	0	1	01	01	H1019_071_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1019	071	0	1	01	01	H1019_071_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1019	071	0	1	01	01	H1019_071_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1019	071	0	1	01	01	H1019_071_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1019	073	0	1	01	01	H1019_073_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1019	073	0	1	01	01	H1019_073_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1019	073	0	1	01	01	H1019_073_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1019	073	0	1	01	01	H1019_073_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1019	073	0	1	01	01	H1019_073_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1019	074	0	1	01	01	H1019_074_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1019	074	0	1	01	01	H1019_074_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1019	074	0	1	01	01	H1019_074_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1019	074	0	1	01	01	H1019_074_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1019	074	0	1	01	01	H1019_074_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1019	075	0	1	01	01	H1019_075_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	075	0	1	01	01	H1019_075_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	075	0	1	01	01	H1019_075_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	075	0	1	01	01	H1019_075_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1019	075	0	1	01	01	H1019_075_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	076	0	1	01	01	H1019_076_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1019	076	0	1	01	01	H1019_076_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1019	076	0	1	01	01	H1019_076_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1019	076	0	1	01	01	H1019_076_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1019	076	0	1	01	01	H1019_076_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1026	001	0	1	01	01	H1026_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	001	0	1	01	01	H1026_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	001	0	1	01	01	H1026_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	001	0	1	01	01	H1026_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	001	0	1	01	01	H1026_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1026	038	0	1	01	01	H1026_038_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	038	0	1	01	01	H1026_038_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	038	0	1	01	01	H1026_038_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	038	0	1	01	01	H1026_038_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1026	038	0	1	01	01	H1026_038_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	040	0	1	01	01	H1026_040_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	040	0	1	01	01	H1026_040_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	040	0	1	01	01	H1026_040_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	040	0	1	01	01	H1026_040_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	040	0	1	01	01	H1026_040_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1026	051	0	1	01	01	H1026_051_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	051	0	1	01	01	H1026_051_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	051	0	1	01	01	H1026_051_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	051	0	1	01	01	H1026_051_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1026	051	0	1	01	01	H1026_051_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	055	0	1	01	01	H1026_055_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	055	0	1	01	01	H1026_055_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	055	0	1	01	01	H1026_055_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	055	0	1	01	01	H1026_055_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	055	0	1	01	01	H1026_055_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1026	056	0	1	01	01	H1026_056_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	056	0	1	01	01	H1026_056_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	056	0	1	01	01	H1026_056_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	056	0	1	01	01	H1026_056_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1026	056	0	1	01	01	H1026_056_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	057	0	1	01	01	H1026_057_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1026	057	0	1	01	01	H1026_057_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1026	057	0	1	01	01	H1026_057_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1026	057	0	1	01	01	H1026_057_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1026	057	0	1	01	01	H1026_057_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1032	002	0	1	02	01	H1032_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	002	0	1	02	01	H1032_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	002	0	1	02	01	H1032_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	002	0	1	02	01	H1032_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	002	0	1	02	01	H1032_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	025	0	1	02	01	H1032_025_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	025	0	1	02	01	H1032_025_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	025	0	1	02	01	H1032_025_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	025	0	1	02	01	H1032_025_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	025	0	1	02	01	H1032_025_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	032	0	1	02	01	H1032_032_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	032	0	1	02	01	H1032_032_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	032	0	1	02	01	H1032_032_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	032	0	1	02	01	H1032_032_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	032	0	1	02	01	H1032_032_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	035	0	1	02	01	H1032_035_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	035	0	1	02	01	H1032_035_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	035	0	1	02	01	H1032_035_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	035	0	1	02	01	H1032_035_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	035	0	1	02	01	H1032_035_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	040	0	1	02	01	H1032_040_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	040	0	1	02	01	H1032_040_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	040	0	1	02	01	H1032_040_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	040	0	1	02	01	H1032_040_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	040	0	1	02	01	H1032_040_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	061	0	1	01	01	H1032_061_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1032	061	0	1	01	01	H1032_061_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1032	061	0	1	01	01	H1032_061_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1032	061	0	1	01	01	H1032_061_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1032	061	0	1	01	01	H1032_061_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1032	073	0	1	01	01	H1032_073_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	073	0	1	01	01	H1032_073_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	073	0	1	01	01	H1032_073_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	073	0	1	01	01	H1032_073_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	073	0	1	01	01	H1032_073_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	079	0	1	01	01	H1032_079_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	079	0	1	01	01	H1032_079_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	079	0	1	01	01	H1032_079_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	079	0	1	01	01	H1032_079_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	079	0	1	01	01	H1032_079_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	091	0	1	01	01	H1032_091_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	091	0	1	01	01	H1032_091_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	091	0	1	01	01	H1032_091_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	091	0	1	01	01	H1032_091_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	091	0	1	01	01	H1032_091_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	124	0	1	01	01	H1032_124_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1032	124	0	1	01	01	H1032_124_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1032	124	0	1	01	01	H1032_124_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1032	124	0	1	01	01	H1032_124_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1032	124	0	1	01	01	H1032_124_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1032	133	0	1	02	01	H1032_133_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	133	0	1	02	01	H1032_133_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	133	0	1	02	01	H1032_133_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	133	0	1	02	01	H1032_133_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	133	0	1	02	01	H1032_133_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	170	0	1	01	01	H1032_170_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1032	170	0	1	01	01	H1032_170_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1032	170	0	1	01	01	H1032_170_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1032	170	0	1	01	01	H1032_170_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1032	170	0	1	01	01	H1032_170_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1032	173	0	1	01	01	H1032_173_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	173	0	1	01	01	H1032_173_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	173	0	1	01	01	H1032_173_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	173	0	1	01	01	H1032_173_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	173	0	1	01	01	H1032_173_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	174	0	1	01	01	H1032_174_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	174	0	1	01	01	H1032_174_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	174	0	1	01	01	H1032_174_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	174	0	1	01	01	H1032_174_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	174	0	1	01	01	H1032_174_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	175	0	1	01	01	H1032_175_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1032	175	0	1	01	01	H1032_175_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1032	175	0	1	01	01	H1032_175_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1032	175	0	1	01	01	H1032_175_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1032	175	0	1	01	01	H1032_175_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1032	176	0	1	01	01	H1032_176_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1032	176	0	1	01	01	H1032_176_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	176	0	1	01	01	H1032_176_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	176	0	1	01	01	H1032_176_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	176	0	1	01	01	H1032_176_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1032	177	0	1	01	01	H1032_177_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	177	0	1	01	01	H1032_177_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	177	0	1	01	01	H1032_177_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	177	0	1	01	01	H1032_177_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	177	0	1	01	01	H1032_177_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	179	0	1	01	01	H1032_179_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	179	0	1	01	01	H1032_179_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	179	0	1	01	01	H1032_179_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	179	0	1	01	01	H1032_179_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	179	0	1	01	01	H1032_179_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	180	0	1	01	01	H1032_180_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1032	180	0	1	01	01	H1032_180_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1032	180	0	1	01	01	H1032_180_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1032	180	0	1	01	01	H1032_180_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1032	180	0	1	01	01	H1032_180_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1032	181	0	1	02	01	H1032_181_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H1032	181	0	1	02	01	H1032_181_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
H1032	181	0	1	02	01	H1032_181_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H1032	181	0	1	02	01	H1032_181_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H1032	181	0	1	02	01	H1032_181_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H1035	002	0	1	02	01	H1035_002_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	010010	1						
H1035	002	0	1	02	01	H1035_002_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H1035	002	0	1	02	01	H1035_002_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H1035	002	0	1	02	01	H1035_002_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H1035	002	0	1	02	01	H1035_002_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H1035	002	0	1	02	01	H1035_002_0	12	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	010010	1						
H1035	006	0	1	01	01	H1035_006_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	010010	1						
H1035	006	0	1	01	01	H1035_006_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H1035	006	0	1	01	01	H1035_006_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H1035	006	0	1	01	01	H1035_006_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H1035	006	0	1	01	01	H1035_006_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H1035	006	0	1	01	01	H1035_006_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	010010	1						
H1035	010	0	1	01	01	H1035_010_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H1035	010	0	1	01	01	H1035_010_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H1035	010	0	1	01	01	H1035_010_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H1035	010	0	1	01	01	H1035_010_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H1035	010	0	1	01	01	H1035_010_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	010010	1						
H1035	010	0	1	01	01	H1035_010_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	010010	1						
H1035	011	0	1	02	01	H1035_011_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H1035	011	0	1	02	01	H1035_011_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H1035	011	0	1	02	01	H1035_011_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H1035	011	0	1	02	01	H1035_011_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H1035	011	0	1	02	01	H1035_011_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	010010	1						
H1035	011	0	1	02	01	H1035_011_0	10	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	010010	1						
H1036	025	0	1	01	01	H1036_025_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	025	0	1	01	01	H1036_025_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	025	0	1	01	01	H1036_025_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	025	0	1	01	01	H1036_025_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	025	0	1	01	01	H1036_025_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	040	0	1	01	01	H1036_040_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	040	0	1	01	01	H1036_040_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	040	0	1	01	01	H1036_040_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	040	0	1	01	01	H1036_040_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	040	0	1	01	01	H1036_040_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	044	0	1	01	01	H1036_044_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	044	0	1	01	01	H1036_044_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	044	0	1	01	01	H1036_044_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	044	0	1	01	01	H1036_044_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	044	0	1	01	01	H1036_044_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	052	0	1	01	01	H1036_052_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	052	0	1	01	01	H1036_052_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	052	0	1	01	01	H1036_052_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	052	0	1	01	01	H1036_052_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	052	0	1	01	01	H1036_052_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	054	0	1	01	01	H1036_054_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	054	0	1	01	01	H1036_054_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	054	0	1	01	01	H1036_054_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	054	0	1	01	01	H1036_054_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	054	0	1	01	01	H1036_054_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	062	0	1	01	01	H1036_062_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	062	0	1	01	01	H1036_062_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	062	0	1	01	01	H1036_062_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	062	0	1	01	01	H1036_062_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	062	0	1	01	01	H1036_062_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	065	0	1	01	01	H1036_065_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	065	0	1	01	01	H1036_065_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	065	0	1	01	01	H1036_065_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	065	0	1	01	01	H1036_065_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	065	0	1	01	01	H1036_065_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	067	0	1	01	01	H1036_067_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	067	0	1	01	01	H1036_067_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	067	0	1	01	01	H1036_067_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	067	0	1	01	01	H1036_067_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	067	0	1	01	01	H1036_067_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	068	0	1	01	01	H1036_068_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	068	0	1	01	01	H1036_068_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	068	0	1	01	01	H1036_068_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	068	0	1	01	01	H1036_068_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	068	0	1	01	01	H1036_068_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	074	0	1	01	01	H1036_074_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	074	0	1	01	01	H1036_074_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	074	0	1	01	01	H1036_074_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	074	0	1	01	01	H1036_074_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	074	0	1	01	01	H1036_074_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	077	0	1	01	01	H1036_077_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	077	0	1	01	01	H1036_077_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	077	0	1	01	01	H1036_077_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	077	0	1	01	01	H1036_077_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	077	0	1	01	01	H1036_077_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	081	0	1	01	01	H1036_081_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	081	0	1	01	01	H1036_081_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	081	0	1	01	01	H1036_081_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	081	0	1	01	01	H1036_081_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	081	0	1	01	01	H1036_081_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	102	0	1	01	01	H1036_102_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	102	0	1	01	01	H1036_102_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	102	0	1	01	01	H1036_102_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	102	0	1	01	01	H1036_102_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	102	0	1	01	01	H1036_102_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	103	0	1	01	01	H1036_103_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	103	0	1	01	01	H1036_103_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	103	0	1	01	01	H1036_103_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	103	0	1	01	01	H1036_103_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	103	0	1	01	01	H1036_103_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	104	0	1	01	01	H1036_104_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	104	0	1	01	01	H1036_104_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	104	0	1	01	01	H1036_104_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	104	0	1	01	01	H1036_104_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	104	0	1	01	01	H1036_104_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	121	0	1	01	01	H1036_121_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	121	0	1	01	01	H1036_121_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	121	0	1	01	01	H1036_121_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	121	0	1	01	01	H1036_121_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	121	0	1	01	01	H1036_121_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	130	0	1	01	01	H1036_130_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	130	0	1	01	01	H1036_130_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	130	0	1	01	01	H1036_130_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	130	0	1	01	01	H1036_130_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	130	0	1	01	01	H1036_130_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	137	0	1	01	01	H1036_137_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	137	0	1	01	01	H1036_137_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	137	0	1	01	01	H1036_137_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	137	0	1	01	01	H1036_137_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	137	0	1	01	01	H1036_137_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	138	0	1	01	01	H1036_138_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	138	0	1	01	01	H1036_138_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	138	0	1	01	01	H1036_138_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	138	0	1	01	01	H1036_138_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	138	0	1	01	01	H1036_138_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	140	0	1	01	01	H1036_140_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	140	0	1	01	01	H1036_140_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	140	0	1	01	01	H1036_140_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	140	0	1	01	01	H1036_140_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	140	0	1	01	01	H1036_140_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	141	0	1	01	01	H1036_141_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	141	0	1	01	01	H1036_141_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	141	0	1	01	01	H1036_141_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	141	0	1	01	01	H1036_141_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	141	0	1	01	01	H1036_141_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	143	0	1	01	01	H1036_143_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	143	0	1	01	01	H1036_143_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	143	0	1	01	01	H1036_143_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	143	0	1	01	01	H1036_143_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	143	0	1	01	01	H1036_143_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	146	0	1	01	01	H1036_146_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	146	0	1	01	01	H1036_146_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	146	0	1	01	01	H1036_146_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	146	0	1	01	01	H1036_146_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	146	0	1	01	01	H1036_146_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	151	0	1	01	01	H1036_151_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	151	0	1	01	01	H1036_151_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	151	0	1	01	01	H1036_151_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	151	0	1	01	01	H1036_151_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	151	0	1	01	01	H1036_151_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	153	0	1	01	01	H1036_153_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	153	0	1	01	01	H1036_153_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	153	0	1	01	01	H1036_153_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	153	0	1	01	01	H1036_153_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	153	0	1	01	01	H1036_153_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	156	0	1	01	01	H1036_156_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	156	0	1	01	01	H1036_156_0	5	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	156	0	1	01	01	H1036_156_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	156	0	1	01	01	H1036_156_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	156	0	1	01	01	H1036_156_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	156	0	1	01	01	H1036_156_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1036	157	0	1	01	01	H1036_157_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	157	0	1	01	01	H1036_157_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	157	0	1	01	01	H1036_157_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	157	0	1	01	01	H1036_157_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	157	0	1	01	01	H1036_157_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	160	0	1	01	01	H1036_160_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	160	0	1	01	01	H1036_160_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1036	160	0	1	01	01	H1036_160_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	160	0	1	01	01	H1036_160_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	160	0	1	01	01	H1036_160_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	160	0	1	01	01	H1036_160_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	167	0	1	01	01	H1036_167_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	167	0	1	01	01	H1036_167_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	167	0	1	01	01	H1036_167_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	167	0	1	01	01	H1036_167_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	167	0	1	01	01	H1036_167_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	168	0	1	01	01	H1036_168_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	168	0	1	01	01	H1036_168_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	168	0	1	01	01	H1036_168_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	168	0	1	01	01	H1036_168_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	168	0	1	01	01	H1036_168_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	169	0	1	01	01	H1036_169_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	169	0	1	01	01	H1036_169_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	169	0	1	01	01	H1036_169_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	169	0	1	01	01	H1036_169_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	169	0	1	01	01	H1036_169_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	170	0	1	01	01	H1036_170_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	170	0	1	01	01	H1036_170_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	170	0	1	01	01	H1036_170_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	170	0	1	01	01	H1036_170_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	170	0	1	01	01	H1036_170_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	171	0	1	01	01	H1036_171_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	171	0	1	01	01	H1036_171_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	171	0	1	01	01	H1036_171_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	171	0	1	01	01	H1036_171_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	171	0	1	01	01	H1036_171_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	175	0	1	01	01	H1036_175_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	175	0	1	01	01	H1036_175_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1036	175	0	1	01	01	H1036_175_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	175	0	1	01	01	H1036_175_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	175	0	1	01	01	H1036_175_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	175	0	1	01	01	H1036_175_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	178	0	1	01	01	H1036_178_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	178	0	1	01	01	H1036_178_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1036	178	0	1	01	01	H1036_178_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	178	0	1	01	01	H1036_178_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	178	0	1	01	01	H1036_178_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	178	0	1	01	01	H1036_178_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	179	0	1	01	01	H1036_179_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1036	179	0	1	01	01	H1036_179_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	179	0	1	01	01	H1036_179_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	179	0	1	01	01	H1036_179_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	179	0	1	01	01	H1036_179_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	179	0	1	01	01	H1036_179_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	184	0	1	01	01	H1036_184_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	184	0	1	01	01	H1036_184_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	184	0	1	01	01	H1036_184_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1036	184	0	1	01	01	H1036_184_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	184	0	1	01	01	H1036_184_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	184	0	1	01	01	H1036_184_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	186	0	1	01	01	H1036_186_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	186	0	1	01	01	H1036_186_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	186	0	1	01	01	H1036_186_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	186	0	1	01	01	H1036_186_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	186	0	1	01	01	H1036_186_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	188	0	1	01	01	H1036_188_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1036	188	0	1	01	01	H1036_188_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	188	0	1	01	01	H1036_188_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	188	0	1	01	01	H1036_188_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	188	0	1	01	01	H1036_188_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	189	0	1	01	01	H1036_189_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	189	0	1	01	01	H1036_189_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	189	0	1	01	01	H1036_189_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	189	0	1	01	01	H1036_189_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	189	0	1	01	01	H1036_189_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	190	0	1	01	01	H1036_190_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	190	0	1	01	01	H1036_190_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	190	0	1	01	01	H1036_190_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	190	0	1	01	01	H1036_190_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	190	0	1	01	01	H1036_190_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	193	0	1	01	01	H1036_193_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	193	0	1	01	01	H1036_193_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	193	0	1	01	01	H1036_193_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	193	0	1	01	01	H1036_193_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	193	0	1	01	01	H1036_193_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1036	193	0	1	01	01	H1036_193_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	194	0	1	01	01	H1036_194_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	194	0	1	01	01	H1036_194_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	194	0	1	01	01	H1036_194_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	194	0	1	01	01	H1036_194_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	3						
H1036	194	0	1	01	01	H1036_194_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	194	0	1	01	01	H1036_194_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	196	0	1	01	01	H1036_196_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	196	0	1	01	01	H1036_196_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	196	0	1	01	01	H1036_196_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	196	0	1	01	01	H1036_196_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	196	0	1	01	01	H1036_196_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	199	0	1	01	01	H1036_199_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	199	0	1	01	01	H1036_199_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	199	0	1	01	01	H1036_199_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	199	0	1	01	01	H1036_199_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	199	0	1	01	01	H1036_199_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	209	0	1	01	01	H1036_209_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	209	0	1	01	01	H1036_209_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	209	0	1	01	01	H1036_209_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	209	0	1	01	01	H1036_209_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	209	0	1	01	01	H1036_209_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	210	0	1	01	01	H1036_210_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	210	0	1	01	01	H1036_210_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	210	0	1	01	01	H1036_210_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	210	0	1	01	01	H1036_210_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	210	0	1	01	01	H1036_210_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	213	0	1	01	01	H1036_213_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	213	0	1	01	01	H1036_213_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	213	0	1	01	01	H1036_213_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	213	0	1	01	01	H1036_213_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	213	0	1	01	01	H1036_213_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	214	0	1	01	01	H1036_214_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	214	0	1	01	01	H1036_214_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	214	0	1	01	01	H1036_214_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	214	0	1	01	01	H1036_214_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	214	0	1	01	01	H1036_214_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	215	0	1	01	01	H1036_215_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	215	0	1	01	01	H1036_215_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	215	0	1	01	01	H1036_215_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	215	0	1	01	01	H1036_215_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	215	0	1	01	01	H1036_215_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	217	0	1	01	01	H1036_217_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	217	0	1	01	01	H1036_217_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	217	0	1	01	01	H1036_217_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	217	0	1	01	01	H1036_217_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	217	0	1	01	01	H1036_217_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	218	0	1	01	01	H1036_218_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	218	0	1	01	01	H1036_218_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	218	0	1	01	01	H1036_218_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	218	0	1	01	01	H1036_218_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	218	0	1	01	01	H1036_218_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	219	0	1	01	01	H1036_219_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	219	0	1	01	01	H1036_219_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	219	0	1	01	01	H1036_219_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	219	0	1	01	01	H1036_219_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	219	0	1	01	01	H1036_219_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	222	0	1	01	01	H1036_222_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	222	0	1	01	01	H1036_222_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	222	0	1	01	01	H1036_222_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	222	0	1	01	01	H1036_222_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	222	0	1	01	01	H1036_222_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	223	0	1	01	01	H1036_223_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	223	0	1	01	01	H1036_223_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	223	0	1	01	01	H1036_223_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	223	0	1	01	01	H1036_223_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	223	0	1	01	01	H1036_223_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	226	0	1	01	01	H1036_226_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	226	0	1	01	01	H1036_226_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	226	0	1	01	01	H1036_226_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	226	0	1	01	01	H1036_226_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	226	0	1	01	01	H1036_226_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	227	0	1	01	01	H1036_227_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	227	0	1	01	01	H1036_227_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	227	0	1	01	01	H1036_227_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	227	0	1	01	01	H1036_227_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	227	0	1	01	01	H1036_227_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	229	0	1	01	01	H1036_229_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	229	0	1	01	01	H1036_229_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	229	0	1	01	01	H1036_229_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	229	0	1	01	01	H1036_229_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	229	0	1	01	01	H1036_229_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	230	0	1	01	01	H1036_230_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	230	0	1	01	01	H1036_230_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	230	0	1	01	01	H1036_230_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	230	0	1	01	01	H1036_230_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	230	0	1	01	01	H1036_230_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	231	0	1	01	01	H1036_231_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	231	0	1	01	01	H1036_231_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	231	0	1	01	01	H1036_231_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	231	0	1	01	01	H1036_231_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	231	0	1	01	01	H1036_231_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	233	0	1	01	01	H1036_233_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	233	0	1	01	01	H1036_233_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	233	0	1	01	01	H1036_233_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	233	0	1	01	01	H1036_233_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	233	0	1	01	01	H1036_233_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	234	0	1	01	01	H1036_234_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1036	234	0	1	01	01	H1036_234_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1036	234	0	1	01	01	H1036_234_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1036	234	0	1	01	01	H1036_234_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1036	234	0	1	01	01	H1036_234_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1036	234	0	1	01	01	H1036_234_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1036	235	0	1	01	01	H1036_235_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1036	235	0	1	01	01	H1036_235_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1036	235	0	1	01	01	H1036_235_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1036	235	0	1	01	01	H1036_235_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1036	235	0	1	01	01	H1036_235_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1036	236	0	1	01	01	H1036_236_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	236	0	1	01	01	H1036_236_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	236	0	1	01	01	H1036_236_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	236	0	1	01	01	H1036_236_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	236	0	1	01	01	H1036_236_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	237	1	1	01	01	H1036_237_1	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	237	1	1	01	01	H1036_237_1	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	237	1	1	01	01	H1036_237_1	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	237	1	1	01	01	H1036_237_1	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	237	1	1	01	01	H1036_237_1	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1036	237	2	1	01	01	H1036_237_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1036	237	2	1	01	01	H1036_237_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1036	237	2	1	01	01	H1036_237_2	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1036	237	2	1	01	01	H1036_237_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1036	237	2	1	01	01	H1036_237_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1045	001	0	1	02	01	H1045_001_0	5	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1045	001	0	1	02	01	H1045_001_0	5	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1045	001	0	1	02	01	H1045_001_0	5	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H1045	001	0	1	02	01	H1045_001_0	5	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1045	005	0	1	01	01	H1045_005_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1045	005	0	1	01	01	H1045_005_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1045	005	0	1	01	01	H1045_005_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H1045	005	0	1	01	01	H1045_005_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1045	012	0	1	02	01	H1045_012_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1045	012	0	1	02	01	H1045_012_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H1045	012	0	1	02	01	H1045_012_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1045	012	0	1	02	01	H1045_012_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1045	016	0	1	01	01	H1045_016_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H1045	016	0	1	01	01	H1045_016_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H1045	016	0	1	01	01	H1045_016_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H1045	016	0	1	01	01	H1045_016_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1045	018	0	1	01	01	H1045_018_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1045	018	0	1	01	01	H1045_018_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	1						
H1045	018	0	1	01	01	H1045_018_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H1045	018	0	1	01	01	H1045_018_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1045	023	0	1	01	01	H1045_023_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1045	023	0	1	01	01	H1045_023_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	1						
H1045	023	0	1	01	01	H1045_023_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H1045	023	0	1	01	01	H1045_023_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H1045	025	0	1	01	01	H1045_025_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1045	025	0	1	01	01	H1045_025_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1045	025	0	1	01	01	H1045_025_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1045	025	0	1	01	01	H1045_025_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1045	025	0	1	01	01	H1045_025_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1045	026	0	1	01	01	H1045_026_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1045	026	0	1	01	01	H1045_026_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1045	026	0	1	01	01	H1045_026_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1045	026	0	1	01	01	H1045_026_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1045	026	0	1	01	01	H1045_026_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1080	004	0	1	01	01	H1080_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1080	004	0	1	01	01	H1080_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1080	004	0	1	01	01	H1080_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1080	004	0	1	01	01	H1080_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1080	004	0	1	01	01	H1080_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1080	042	0	1	01	01	H1080_042_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1080	042	0	1	01	01	H1080_042_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1080	042	0	1	01	01	H1080_042_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1080	042	0	1	01	01	H1080_042_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1080	042	0	1	01	01	H1080_042_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1080	043	0	1	01	01	H1080_043_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1080	043	0	1	01	01	H1080_043_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1080	043	0	1	01	01	H1080_043_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1080	043	0	1	01	01	H1080_043_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1080	043	0	1	01	01	H1080_043_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1099	001	0	1	02	01	H1099_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1099	001	0	1	02	01	H1099_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1099	001	0	1	02	01	H1099_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1099	001	0	1	02	01	H1099_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1099	001	0	1	02	01	H1099_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1099	006	0	1	01	01	H1099_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1099	006	0	1	01	01	H1099_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1099	006	0	1	01	01	H1099_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1099	006	0	1	01	01	H1099_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1099	006	0	1	01	01	H1099_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1099	014	0	1	01	01	H1099_014_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1099	014	0	1	01	01	H1099_014_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1099	014	0	1	01	01	H1099_014_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1099	014	0	1	01	01	H1099_014_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1099	014	0	1	01	01	H1099_014_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1099	016	0	1	02	01	H1099_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1099	016	0	1	02	01	H1099_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1099	016	0	1	02	01	H1099_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1099	016	0	1	02	01	H1099_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1099	016	0	1	02	01	H1099_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1099	017	0	1	02	01	H1099_017_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1099	017	0	1	02	01	H1099_017_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1099	017	0	1	02	01	H1099_017_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1099	017	0	1	02	01	H1099_017_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1099	017	0	1	02	01	H1099_017_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1109	005	0	1	01	01	H1109_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1109	005	0	1	01	01	H1109_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1109	005	0	1	01	01	H1109_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1109	005	0	1	01	01	H1109_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1109	005	0	1	01	01	H1109_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1111	006	0	1	01	01	H1111_006_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1111	006	0	1	01	01	H1111_006_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1111	006	0	1	01	01	H1111_006_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1111	006	0	1	01	01	H1111_006_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1111	006	0	1	01	01	H1111_006_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1112	006	0	1	01	01	H1112_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1112	006	0	1	01	01	H1112_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1112	006	0	1	01	01	H1112_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1112	006	0	1	01	01	H1112_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1112	006	0	1	01	01	H1112_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1112	027	0	1	01	01	H1112_027_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1112	027	0	1	01	01	H1112_027_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1112	027	0	1	01	01	H1112_027_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1112	027	0	1	01	01	H1112_027_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1112	027	0	1	01	01	H1112_027_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1170	002	0	1	01	01	H1170_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	2.00				
H1170	002	0	1	01	01	H1170_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	2.00				
H1170	002	0	1	01	01	H1170_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H1170	002	0	1	01	01	H1170_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H1170	002	0	1	01	01	H1170_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H1170	002	0	1	01	01	H1170_002_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H1170	008	0	1	01	01	H1170_008_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1	2	5.00				
H1170	008	0	1	01	01	H1170_008_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1	2	5.00				
H1170	008	0	1	01	01	H1170_008_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1	2	15.00				
H1170	008	0	1	01	01	H1170_008_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1	2	0.00				
H1170	008	0	1	01	01	H1170_008_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1	2	15.00				
H1170	008	0	1	01	01	H1170_008_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1	2	15.00				
H1170	009	0	1	01	01	H1170_009_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H1170	009	0	1	01	01	H1170_009_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H1170	009	0	1	01	01	H1170_009_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	15.00				
H1170	009	0	1	01	01	H1170_009_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	15.00				
H1170	009	0	1	01	01	H1170_009_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	15.00				
H1170	009	0	1	01	01	H1170_009_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H1230	001	0	1	01	01	H1230_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H1230	001	0	1	01	01	H1230_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H1230	001	0	1	01	01	H1230_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H1230	001	0	1	01	01	H1230_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H1230	001	0	1	01	01	H1230_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H1230	001	0	1	01	01	H1230_001_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H1230	003	0	1	01	01	H1230_003_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H1230	003	0	1	01	01	H1230_003_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H1230	003	0	1	01	01	H1230_003_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H1230	003	0	1	01	01	H1230_003_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H1230	003	0	1	01	01	H1230_003_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H1230	003	0	1	01	01	H1230_003_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H1230	005	0	1	01	01	H1230_005_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H1230	005	0	1	01	01	H1230_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H1230	005	0	1	01	01	H1230_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	6.00				
H1230	005	0	1	01	01	H1230_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H1230	005	0	1	01	01	H1230_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H1230	005	0	1	01	01	H1230_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	6.00				
H1230	006	0	1	01	01	H1230_006_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H1230	006	0	1	01	01	H1230_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	10.00				
H1230	006	0	1	01	01	H1230_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	10.00				
H1230	006	0	1	01	01	H1230_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H1230	006	0	1	01	01	H1230_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H1230	006	0	1	01	01	H1230_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	10.00				
H1264	004	0	1	02	01	H1264_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1264	004	0	1	02	01	H1264_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1264	004	0	1	02	01	H1264_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1264	004	0	1	02	01	H1264_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1264	004	0	1	02	01	H1264_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1264	007	0	1	01	01	H1264_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1264	007	0	1	01	01	H1264_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1264	007	0	1	01	01	H1264_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1264	007	0	1	01	01	H1264_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1264	007	0	1	01	01	H1264_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1264	008	0	1	01	01	H1264_008_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1264	008	0	1	01	01	H1264_008_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1264	008	0	1	01	01	H1264_008_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1264	008	0	1	01	01	H1264_008_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1264	008	0	1	01	01	H1264_008_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1264	018	0	1	01	01	H1264_018_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1264	018	0	1	01	01	H1264_018_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1264	018	0	1	01	01	H1264_018_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1264	018	0	1	01	01	H1264_018_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1264	018	0	1	01	01	H1264_018_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1286	002	0	1	01	01	H1286_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1286	002	0	1	01	01	H1286_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1286	002	0	1	01	01	H1286_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1286	002	0	1	01	01	H1286_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1286	002	0	1	01	01	H1286_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1286	009	0	1	01	01	H1286_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1286	009	0	1	01	01	H1286_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1286	009	0	1	01	01	H1286_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1286	009	0	1	01	01	H1286_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1286	009	0	1	01	01	H1286_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1291	001	0	1	09	04	H1291_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1291	001	0	1	09	04	H1291_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1291	001	0	1	09	04	H1291_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1291	001	0	1	09	04	H1291_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1291	001	0	1	09	04	H1291_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1302	001	0	1	04	01	H1302_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1302	001	0	1	04	01	H1302_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1302	001	0	1	04	01	H1302_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1302	001	0	1	04	01	H1302_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1302	001	0	1	04	01	H1302_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1302	006	0	1	04	01	H1302_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1302	006	0	1	04	01	H1302_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1302	006	0	1	04	01	H1302_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1302	006	0	1	04	01	H1302_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1302	006	0	1	04	01	H1302_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1303	001	0	1	04	01	H1303_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1303	001	0	1	04	01	H1303_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1303	001	0	1	04	01	H1303_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1303	001	0	1	04	01	H1303_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1303	001	0	1	04	01	H1303_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1303	007	0	1	04	01	H1303_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1303	007	0	1	04	01	H1303_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1303	007	0	1	04	01	H1303_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1303	007	0	1	04	01	H1303_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1303	007	0	1	04	01	H1303_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1304	002	0	1	04	01	H1304_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1304	002	0	1	04	01	H1304_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1304	002	0	1	04	01	H1304_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1304	002	0	1	04	01	H1304_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1304	002	0	1	04	01	H1304_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1304	004	0	1	04	01	H1304_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1304	004	0	1	04	01	H1304_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1304	004	0	1	04	01	H1304_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1304	004	0	1	04	01	H1304_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1304	004	0	1	04	01	H1304_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1304	009	0	1	04	01	H1304_009_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1304	009	0	1	04	01	H1304_009_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1304	009	0	1	04	01	H1304_009_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1304	009	0	1	04	01	H1304_009_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1304	009	0	1	04	01	H1304_009_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1304	010	0	1	04	01	H1304_010_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1304	010	0	1	04	01	H1304_010_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1304	010	0	1	04	01	H1304_010_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1304	010	0	1	04	01	H1304_010_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1304	010	0	1	04	01	H1304_010_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1350	001	0	1	02	01	H1350_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1350	001	0	1	02	01	H1350_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1350	001	0	1	02	01	H1350_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1350	001	0	1	02	01	H1350_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1350	001	0	1	02	01	H1350_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1350	010	0	1	01	01	H1350_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1350	010	0	1	01	01	H1350_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1350	010	0	1	01	01	H1350_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1350	010	0	1	01	01	H1350_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1350	010	0	1	01	01	H1350_010_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1350	012	0	1	01	01	H1350_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1350	012	0	1	01	01	H1350_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1350	012	0	1	01	01	H1350_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1350	012	0	1	01	01	H1350_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1350	012	0	1	01	01	H1350_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H1365	001	0	1	04	01	H1365_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1365	001	0	1	04	01	H1365_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H1365	001	0	1	04	01	H1365_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1365	001	0	1	04	01	H1365_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1365	001	0	1	04	01	H1365_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1365	002	0	1	04	01	H1365_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H1365	002	0	1	04	01	H1365_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1365	002	0	1	04	01	H1365_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1365	002	0	1	04	01	H1365_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1365	002	0	1	04	01	H1365_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1365	003	0	1	04	01	H1365_003_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H1365	003	0	1	04	01	H1365_003_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1365	003	0	1	04	01	H1365_003_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1365	003	0	1	04	01	H1365_003_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1365	003	0	1	04	01	H1365_003_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1406	013	0	1	01	01	H1406_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1406	013	0	1	01	01	H1406_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1406	013	0	1	01	01	H1406_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1406	013	0	1	01	01	H1406_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1406	013	0	1	01	01	H1406_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1406	022	0	1	01	01	H1406_022_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1406	022	0	1	01	01	H1406_022_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1406	022	0	1	01	01	H1406_022_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1406	022	0	1	01	01	H1406_022_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1406	022	0	1	01	01	H1406_022_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1406	026	0	1	01	01	H1406_026_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1406	026	0	1	01	01	H1406_026_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1406	026	0	1	01	01	H1406_026_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1406	026	0	1	01	01	H1406_026_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1406	026	0	1	01	01	H1406_026_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1406	028	0	1	01	01	H1406_028_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1406	028	0	1	01	01	H1406_028_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1406	028	0	1	01	01	H1406_028_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1406	028	0	1	01	01	H1406_028_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1406	028	0	1	01	01	H1406_028_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1406	029	0	1	01	01	H1406_029_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1406	029	0	1	01	01	H1406_029_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1406	029	0	1	01	01	H1406_029_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1406	029	0	1	01	01	H1406_029_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1406	029	0	1	01	01	H1406_029_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1406	029	0	1	01	01	H1406_029_0	4	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1406	030	0	1	01	01	H1406_030_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1406	030	0	1	01	01	H1406_030_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1406	030	0	1	01	01	H1406_030_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1406	030	0	1	01	01	H1406_030_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1406	030	0	1	01	01	H1406_030_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1406	031	0	1	01	01	H1406_031_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1406	031	0	1	01	01	H1406_031_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1406	031	0	1	01	01	H1406_031_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1406	031	0	1	01	01	H1406_031_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1406	031	0	1	01	01	H1406_031_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1415	021	0	1	02	01	H1415_021_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1415	021	0	1	02	01	H1415_021_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1415	021	0	1	02	01	H1415_021_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1415	021	0	1	02	01	H1415_021_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1415	021	0	1	02	01	H1415_021_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1416	007	0	1	01	01	H1416_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1416	007	0	1	01	01	H1416_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1416	007	0	1	01	01	H1416_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1416	007	0	1	01	01	H1416_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1416	007	0	1	01	01	H1416_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1416	009	0	1	02	01	H1416_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1416	009	0	1	02	01	H1416_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1416	009	0	1	02	01	H1416_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1416	009	0	1	02	01	H1416_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1416	009	0	1	02	01	H1416_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1416	023	0	1	01	01	H1416_023_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H1416	023	0	1	01	01	H1416_023_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H1416	023	0	1	01	01	H1416_023_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
H1416	023	0	1	01	01	H1416_023_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H1416	023	0	1	01	01	H1416_023_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H1417	002	0	1	04	01	H1417_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1417	002	0	1	04	01	H1417_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1417	002	0	1	04	01	H1417_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1417	002	0	1	04	01	H1417_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1417	002	0	1	04	01	H1417_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1417	004	0	1	04	01	H1417_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1417	004	0	1	04	01	H1417_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1417	004	0	1	04	01	H1417_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1417	004	0	1	04	01	H1417_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1417	004	0	1	04	01	H1417_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1417	010	0	1	04	01	H1417_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1417	010	0	1	04	01	H1417_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1417	010	0	1	04	01	H1417_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1417	010	0	1	04	01	H1417_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1417	010	0	1	04	01	H1417_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1418	002	0	1	04	01	H1418_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1418	002	0	1	04	01	H1418_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1418	002	0	1	04	01	H1418_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1418	002	0	1	04	01	H1418_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1418	002	0	1	04	01	H1418_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1418	007	0	1	04	01	H1418_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1418	007	0	1	04	01	H1418_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1418	007	0	1	04	01	H1418_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1418	007	0	1	04	01	H1418_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1418	007	0	1	04	01	H1418_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1418	008	0	1	04	01	H1418_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1418	008	0	1	04	01	H1418_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1418	008	0	1	04	01	H1418_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1418	008	0	1	04	01	H1418_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1418	008	0	1	04	01	H1418_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1419	001	0	1	01	01	H1419_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1419	001	0	1	01	01	H1419_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1419	001	0	1	01	01	H1419_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1419	001	0	1	01	01	H1419_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1419	001	0	1	01	01	H1419_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1444	001	0	1	01	01	H1444_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H1444	001	0	1	01	01	H1444_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H1444	001	0	1	01	01	H1444_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H1444	001	0	1	01	01	H1444_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H1444	001	0	1	01	01	H1444_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H1463	003	0	1	01	01	H1463_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1463	003	0	1	01	01	H1463_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1463	003	0	1	01	01	H1463_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1463	003	0	1	01	01	H1463_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1463	003	0	1	01	01	H1463_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1463	009	0	1	01	01	H1463_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1463	009	0	1	01	01	H1463_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1463	009	0	1	01	01	H1463_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1463	009	0	1	01	01	H1463_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1463	009	0	1	01	01	H1463_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1463	010	0	1	01	01	H1463_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1463	010	0	1	01	01	H1463_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1463	010	0	1	01	01	H1463_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1463	010	0	1	01	01	H1463_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1463	010	0	1	01	01	H1463_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1468	007	0	1	01	01	H1468_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1468	007	0	1	01	01	H1468_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1468	007	0	1	01	01	H1468_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1468	007	0	1	01	01	H1468_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1468	007	0	1	01	01	H1468_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1509	001	0	1	04	01	H1509_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1509	001	0	1	04	01	H1509_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1509	001	0	1	04	01	H1509_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1509	001	0	1	04	01	H1509_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1509	001	0	1	04	01	H1509_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1509	009	0	1	04	01	H1509_009_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1509	009	0	1	04	01	H1509_009_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1509	009	0	1	04	01	H1509_009_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1509	009	0	1	04	01	H1509_009_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1509	009	0	1	04	01	H1509_009_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1509	010	0	1	04	01	H1509_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1509	010	0	1	04	01	H1509_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1509	010	0	1	04	01	H1509_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1509	010	0	1	04	01	H1509_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1509	010	0	1	04	01	H1509_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1509	011	0	1	04	01	H1509_011_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1509	011	0	1	04	01	H1509_011_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1509	011	0	1	04	01	H1509_011_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1509	011	0	1	04	01	H1509_011_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1509	011	0	1	04	01	H1509_011_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1510	001	0	1	04	01	H1510_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1510	001	0	1	04	01	H1510_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1510	001	0	1	04	01	H1510_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1510	001	0	1	04	01	H1510_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1510	001	0	1	04	01	H1510_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1510	004	0	1	04	01	H1510_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1510	004	0	1	04	01	H1510_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1510	004	0	1	04	01	H1510_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1510	004	0	1	04	01	H1510_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1510	004	0	1	04	01	H1510_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1510	005	0	1	04	01	H1510_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1510	005	0	1	04	01	H1510_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1510	005	0	1	04	01	H1510_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1510	005	0	1	04	01	H1510_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1510	005	0	1	04	01	H1510_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1510	008	0	1	04	01	H1510_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1510	008	0	1	04	01	H1510_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1510	008	0	1	04	01	H1510_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1510	008	0	1	04	01	H1510_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1510	008	0	1	04	01	H1510_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1517	006	1	1	04	01	H1517_006_1	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1517	006	1	1	04	01	H1517_006_1	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1517	006	1	1	04	01	H1517_006_1	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1517	006	1	1	04	01	H1517_006_1	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1517	006	1	1	04	01	H1517_006_1	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1517	006	1	1	04	01	H1517_006_1	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1517	006	2	1	04	01	H1517_006_2	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1517	006	2	1	04	01	H1517_006_2	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1517	006	2	1	04	01	H1517_006_2	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1517	006	2	1	04	01	H1517_006_2	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1517	006	2	1	04	01	H1517_006_2	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1517	006	2	1	04	01	H1517_006_2	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1517	006	4	1	04	01	H1517_006_4	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1517	006	4	1	04	01	H1517_006_4	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1517	006	4	1	04	01	H1517_006_4	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1517	006	4	1	04	01	H1517_006_4	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1517	006	4	1	04	01	H1517_006_4	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1517	006	4	1	04	01	H1517_006_4	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1537	001	0	1	04	01	H1537_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1537	001	0	1	04	01	H1537_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1537	001	0	1	04	01	H1537_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1537	001	0	1	04	01	H1537_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1537	001	0	1	04	01	H1537_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1595	003	0	1	04	01	H1595_003_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H1595	003	0	1	04	01	H1595_003_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H1595	003	0	1	04	01	H1595_003_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H1595	003	0	1	04	01	H1595_003_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110001	1						
H1595	004	0	1	04	01	H1595_004_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	100000	1						
H1595	004	0	1	04	01	H1595_004_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000001	1						
H1595	004	0	1	04	01	H1595_004_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	010000	1						
H1595	004	0	1	04	01	H1595_004_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110001	1						
H1607	012	0	1	04	01	H1607_012_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1607	012	0	1	04	01	H1607_012_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1607	012	0	1	04	01	H1607_012_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1607	012	0	1	04	01	H1607_012_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1607	012	0	1	04	01	H1607_012_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1607	012	0	1	04	01	H1607_012_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1608	001	0	1	04	01	H1608_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1608	001	0	1	04	01	H1608_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1608	001	0	1	04	01	H1608_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1608	001	0	1	04	01	H1608_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1608	001	0	1	04	01	H1608_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1608	004	0	1	04	01	H1608_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1608	004	0	1	04	01	H1608_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1608	004	0	1	04	01	H1608_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1608	004	0	1	04	01	H1608_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1608	004	0	1	04	01	H1608_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1608	007	0	1	04	01	H1608_007_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1608	007	0	1	04	01	H1608_007_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1608	007	0	1	04	01	H1608_007_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1608	007	0	1	04	01	H1608_007_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1608	007	0	1	04	01	H1608_007_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1608	008	0	1	04	01	H1608_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1608	008	0	1	04	01	H1608_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1608	008	0	1	04	01	H1608_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1608	008	0	1	04	01	H1608_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1608	008	0	1	04	01	H1608_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1609	001	0	1	01	01	H1609_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1609	001	0	1	01	01	H1609_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1609	001	0	1	01	01	H1609_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1609	001	0	1	01	01	H1609_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1609	001	0	1	01	01	H1609_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1609	009	0	1	01	01	H1609_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1609	009	0	1	01	01	H1609_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1609	009	0	1	01	01	H1609_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1609	009	0	1	01	01	H1609_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1609	009	0	1	01	01	H1609_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1609	010	0	1	01	01	H1609_010_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1609	010	0	1	01	01	H1609_010_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1609	010	0	1	01	01	H1609_010_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1609	010	0	1	01	01	H1609_010_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1609	010	0	1	01	01	H1609_010_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1659	001	0	1	04	01	H1659_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1659	001	0	1	04	01	H1659_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1659	001	0	1	04	01	H1659_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1659	001	0	1	04	01	H1659_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1659	001	0	1	04	01	H1659_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H1659	002	0	1	04	01	H1659_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1659	002	0	1	04	01	H1659_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1659	002	0	1	04	01	H1659_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1659	002	0	1	04	01	H1659_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H1659	002	0	1	04	01	H1659_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1659	003	0	1	04	01	H1659_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1659	003	0	1	04	01	H1659_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1659	003	0	1	04	01	H1659_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1659	003	0	1	04	01	H1659_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1659	003	0	1	04	01	H1659_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H1660	001	0	1	01	01	H1660_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1660	001	0	1	01	01	H1660_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H1660	001	0	1	01	01	H1660_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1660	001	0	1	01	01	H1660_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1660	001	0	1	01	01	H1660_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1660	004	0	1	01	01	H1660_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1660	004	0	1	01	01	H1660_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1660	004	0	1	01	01	H1660_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1660	004	0	1	01	01	H1660_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H1660	004	0	1	01	01	H1660_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1660	005	0	1	01	01	H1660_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1660	005	0	1	01	01	H1660_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1660	005	0	1	01	01	H1660_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1660	005	0	1	01	01	H1660_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1660	005	0	1	01	01	H1660_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H1660	009	0	1	01	01	H1660_009_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1660	009	0	1	01	01	H1660_009_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1660	009	0	1	01	01	H1660_009_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1660	009	0	1	01	01	H1660_009_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H1660	009	0	1	01	01	H1660_009_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1660	012	0	1	01	01	H1660_012_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1660	012	0	1	01	01	H1660_012_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1660	012	0	1	01	01	H1660_012_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H1660	012	0	1	01	01	H1660_012_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1660	012	0	1	01	01	H1660_012_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1660	013	0	1	01	01	H1660_013_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H1660	013	0	1	01	01	H1660_013_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H1660	013	0	1	01	01	H1660_013_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H1660	013	0	1	01	01	H1660_013_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H1660	013	0	1	01	01	H1660_013_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1666	001	0	1	04	01	H1666_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1666	001	0	1	04	01	H1666_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1666	001	0	1	04	01	H1666_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H1666	001	0	1	04	01	H1666_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1666	001	0	1	04	01	H1666_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1666	002	0	1	04	01	H1666_002_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1666	002	0	1	04	01	H1666_002_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H1666	002	0	1	04	01	H1666_002_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1666	002	0	1	04	01	H1666_002_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1666	002	0	1	04	01	H1666_002_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1666	003	0	1	04	01	H1666_003_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1666	003	0	1	04	01	H1666_003_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1666	003	0	1	04	01	H1666_003_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H1666	003	0	1	04	01	H1666_003_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1666	003	0	1	04	01	H1666_003_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1666	004	0	1	04	01	H1666_004_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H1666	004	0	1	04	01	H1666_004_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1666	004	0	1	04	01	H1666_004_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1666	004	0	1	04	01	H1666_004_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1666	004	0	1	04	01	H1666_004_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1666	005	0	1	04	01	H1666_005_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H1666	005	0	1	04	01	H1666_005_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1666	005	0	1	04	01	H1666_005_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1666	005	0	1	04	01	H1666_005_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1666	005	0	1	04	01	H1666_005_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1666	006	0	1	04	01	H1666_006_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1666	006	0	1	04	01	H1666_006_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H1666	006	0	1	04	01	H1666_006_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1666	006	0	1	04	01	H1666_006_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1666	006	0	1	04	01	H1666_006_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1692	001	0	1	01	01	H1692_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1692	001	0	1	01	01	H1692_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1692	001	0	1	01	01	H1692_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1692	001	0	1	01	01	H1692_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1692	001	0	1	01	01	H1692_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1692	002	0	1	01	01	H1692_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1692	002	0	1	01	01	H1692_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1692	002	0	1	01	01	H1692_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1692	002	0	1	01	01	H1692_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1692	002	0	1	01	01	H1692_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1716	001	0	1	04	01	H1716_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1716	001	0	1	04	01	H1716_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1716	001	0	1	04	01	H1716_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1716	001	0	1	04	01	H1716_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1716	001	0	1	04	01	H1716_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1716	020	0	1	04	01	H1716_020_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1716	020	0	1	04	01	H1716_020_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1716	020	0	1	04	01	H1716_020_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1716	020	0	1	04	01	H1716_020_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1716	020	0	1	04	01	H1716_020_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1723	001	0	1	48	05	H1723_001_0	10	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H1723	001	0	1	48	05	H1723_001_0	10	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H1723	001	0	1	48	05	H1723_001_0	10	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H1737	001	0	1	01	01	H1737_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1737	001	0	1	01	01	H1737_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1737	001	0	1	01	01	H1737_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1737	001	0	1	01	01	H1737_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1737	001	0	1	01	01	H1737_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1737	003	0	1	01	01	H1737_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H1737	003	0	1	01	01	H1737_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H1737	003	0	1	01	01	H1737_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H1737	003	0	1	01	01	H1737_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1737	003	0	1	01	01	H1737_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1846	001	0	1	04	01	H1846_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1846	001	0	1	04	01	H1846_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H1846	001	0	1	04	01	H1846_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1846	001	0	1	04	01	H1846_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1846	001	0	1	04	01	H1846_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1846	003	0	1	04	01	H1846_003_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1846	003	0	1	04	01	H1846_003_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H1846	003	0	1	04	01	H1846_003_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1846	003	0	1	04	01	H1846_003_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1846	003	0	1	04	01	H1846_003_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H1849	017	0	1	01	01	H1849_017_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1849	017	0	1	01	01	H1849_017_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1849	017	0	1	01	01	H1849_017_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1849	017	0	1	01	01	H1849_017_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1849	017	0	1	01	01	H1849_017_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1849	017	0	1	01	01	H1849_017_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1849	018	0	1	01	01	H1849_018_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1849	018	0	1	01	01	H1849_018_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1849	018	0	1	01	01	H1849_018_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1849	018	0	1	01	01	H1849_018_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1849	018	0	1	01	01	H1849_018_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1849	018	0	1	01	01	H1849_018_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1894	001	0	1	01	01	H1894_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H1894	001	0	1	01	01	H1894_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H1894	001	0	1	01	01	H1894_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1894	001	0	1	01	01	H1894_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H1894	001	0	1	01	01	H1894_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1894	001	0	1	01	01	H1894_001_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H1894	002	0	1	01	01	H1894_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H1894	002	0	1	01	01	H1894_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H1894	002	0	1	01	01	H1894_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H1894	002	0	1	01	01	H1894_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H1894	002	0	1	01	01	H1894_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H1894	002	0	1	01	01	H1894_002_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H1903	011	0	1	01	01	H1903_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1903	011	0	1	01	01	H1903_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1903	011	0	1	01	01	H1903_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1903	011	0	1	01	01	H1903_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1903	011	0	1	01	01	H1903_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1903	022	0	1	01	01	H1903_022_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1903	022	0	1	01	01	H1903_022_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1903	022	0	1	01	01	H1903_022_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1903	022	0	1	01	01	H1903_022_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1903	022	0	1	01	01	H1903_022_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1906	001	0	1	09	04	H1906_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1906	001	0	1	09	04	H1906_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1906	001	0	1	09	04	H1906_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1906	001	0	1	09	04	H1906_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1906	001	0	1	09	04	H1906_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1916	001	0	1	48	05	H1916_001_0	9	Brand Drugs	Generic Drugs, Brand Drugs	4	2	2	100011					3	0.00	0.00
H1916	001	0	1	48	05	H1916_001_0	9	Generic Drugs	Generic Drugs, Brand Drugs	4	1	2	011100					3	0.00	0.00
H1944	001	0	1	01	01	H1944_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1944	001	0	1	01	01	H1944_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1944	001	0	1	01	01	H1944_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1944	001	0	1	01	01	H1944_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1944	001	0	1	01	01	H1944_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1944	004	0	1	01	01	H1944_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H1944	004	0	1	01	01	H1944_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H1944	004	0	1	01	01	H1944_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H1944	004	0	1	01	01	H1944_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H1944	004	0	1	01	01	H1944_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1951	001	0	1	01	01	H1951_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	001	0	1	01	01	H1951_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	001	0	1	01	01	H1951_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	001	0	1	01	01	H1951_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	001	0	1	01	01	H1951_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	005	0	1	01	01	H1951_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	005	0	1	01	01	H1951_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	005	0	1	01	01	H1951_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	005	0	1	01	01	H1951_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	005	0	1	01	01	H1951_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	013	0	1	01	01	H1951_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	013	0	1	01	01	H1951_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	013	0	1	01	01	H1951_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	013	0	1	01	01	H1951_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	013	0	1	01	01	H1951_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	024	0	1	01	01	H1951_024_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	024	0	1	01	01	H1951_024_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	024	0	1	01	01	H1951_024_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	024	0	1	01	01	H1951_024_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	024	0	1	01	01	H1951_024_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	025	0	1	01	01	H1951_025_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	025	0	1	01	01	H1951_025_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	025	0	1	01	01	H1951_025_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	025	0	1	01	01	H1951_025_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	025	0	1	01	01	H1951_025_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	028	0	1	01	01	H1951_028_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	028	0	1	01	01	H1951_028_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	028	0	1	01	01	H1951_028_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	028	0	1	01	01	H1951_028_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	028	0	1	01	01	H1951_028_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	032	0	1	01	01	H1951_032_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1951	032	0	1	01	01	H1951_032_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1951	032	0	1	01	01	H1951_032_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1951	032	0	1	01	01	H1951_032_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1951	032	0	1	01	01	H1951_032_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1951	033	0	1	01	01	H1951_033_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1951	033	0	1	01	01	H1951_033_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1951	033	0	1	01	01	H1951_033_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1951	033	0	1	01	01	H1951_033_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1951	033	0	1	01	01	H1951_033_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1951	034	0	1	01	01	H1951_034_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1951	034	0	1	01	01	H1951_034_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1951	034	0	1	01	01	H1951_034_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1951	034	0	1	01	01	H1951_034_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1951	034	0	1	01	01	H1951_034_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1951	035	0	1	01	01	H1951_035_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1951	035	0	1	01	01	H1951_035_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1951	035	0	1	01	01	H1951_035_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1951	035	0	1	01	01	H1951_035_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1951	035	0	1	01	01	H1951_035_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1951	036	0	1	01	01	H1951_036_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1951	036	0	1	01	01	H1951_036_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1951	036	0	1	01	01	H1951_036_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1951	036	0	1	01	01	H1951_036_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1951	036	0	1	01	01	H1951_036_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1951	036	0	1	01	01	H1951_036_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1951	037	0	1	01	01	H1951_037_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1951	037	0	1	01	01	H1951_037_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1951	037	0	1	01	01	H1951_037_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1951	037	0	1	01	01	H1951_037_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1951	037	0	1	01	01	H1951_037_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1951	037	0	1	01	01	H1951_037_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1951	038	0	1	01	01	H1951_038_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	038	0	1	01	01	H1951_038_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	038	0	1	01	01	H1951_038_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	038	0	1	01	01	H1951_038_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	038	0	1	01	01	H1951_038_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	039	0	1	01	01	H1951_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	039	0	1	01	01	H1951_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	039	0	1	01	01	H1951_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	039	0	1	01	01	H1951_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	039	0	1	01	01	H1951_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	041	0	1	01	01	H1951_041_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H1951	041	0	1	01	01	H1951_041_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H1951	041	0	1	01	01	H1951_041_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H1951	041	0	1	01	01	H1951_041_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H1951	041	0	1	01	01	H1951_041_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H1951	042	0	1	01	01	H1951_042_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1951	042	0	1	01	01	H1951_042_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1951	042	0	1	01	01	H1951_042_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H1951	042	0	1	01	01	H1951_042_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H1951	042	0	1	01	01	H1951_042_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H1951	043	0	1	01	01	H1951_043_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1951	043	0	1	01	01	H1951_043_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1951	043	0	1	01	01	H1951_043_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1951	043	0	1	01	01	H1951_043_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1951	043	0	1	01	01	H1951_043_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1951	043	0	1	01	01	H1951_043_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1951	044	0	1	01	01	H1951_044_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H1951	044	0	1	01	01	H1951_044_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H1951	044	0	1	01	01	H1951_044_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H1951	044	0	1	01	01	H1951_044_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H1951	044	0	1	01	01	H1951_044_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H1951	044	0	1	01	01	H1951_044_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H1961	002	0	1	01	01	H1961_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1961	002	0	1	01	01	H1961_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1961	002	0	1	01	01	H1961_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1961	002	0	1	01	01	H1961_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1961	002	0	1	01	01	H1961_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1961	007	0	1	01	01	H1961_007_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1961	007	0	1	01	01	H1961_007_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1961	007	0	1	01	01	H1961_007_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1961	007	0	1	01	01	H1961_007_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1961	007	0	1	01	01	H1961_007_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1961	009	0	1	01	01	H1961_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1961	009	0	1	01	01	H1961_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1961	009	0	1	01	01	H1961_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1961	009	0	1	01	01	H1961_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1961	009	0	1	01	01	H1961_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1961	012	0	1	01	01	H1961_012_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1961	012	0	1	01	01	H1961_012_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1961	012	0	1	01	01	H1961_012_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1961	012	0	1	01	01	H1961_012_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1961	012	0	1	01	01	H1961_012_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1961	014	1	1	01	01	H1961_014_1	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1961	014	1	1	01	01	H1961_014_1	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1961	014	1	1	01	01	H1961_014_1	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1961	014	1	1	01	01	H1961_014_1	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1961	014	1	1	01	01	H1961_014_1	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1961	014	2	1	01	01	H1961_014_2	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1961	014	2	1	01	01	H1961_014_2	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1961	014	2	1	01	01	H1961_014_2	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H1961	014	2	1	01	01	H1961_014_2	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1961	014	2	1	01	01	H1961_014_2	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H1969	002	0	1	01	01	H1969_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1969	002	0	1	01	01	H1969_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1969	002	0	1	01	01	H1969_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1969	002	0	1	01	01	H1969_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1969	002	0	1	01	01	H1969_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1969	003	0	1	01	01	H1969_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1969	003	0	1	01	01	H1969_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1969	003	0	1	01	01	H1969_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1969	003	0	1	01	01	H1969_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1969	003	0	1	01	01	H1969_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1977	001	0	1	48	05	H1977_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs	4	2	2	000010					3	0.00	0.00
H1977	001	0	1	48	05	H1977_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs	4	1	2	010000					3	0.00	0.00
H1994	001	0	1	02	01	H1994_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1994	001	0	1	02	01	H1994_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1994	001	0	1	02	01	H1994_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1994	001	0	1	02	01	H1994_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1994	001	0	1	02	01	H1994_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1994	002	0	1	02	01	H1994_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1994	002	0	1	02	01	H1994_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1994	002	0	1	02	01	H1994_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1994	002	0	1	02	01	H1994_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1994	002	0	1	02	01	H1994_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1994	003	0	1	02	01	H1994_003_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1994	003	0	1	02	01	H1994_003_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1994	003	0	1	02	01	H1994_003_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1994	003	0	1	02	01	H1994_003_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1994	003	0	1	02	01	H1994_003_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1994	004	0	1	02	01	H1994_004_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1994	004	0	1	02	01	H1994_004_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1994	004	0	1	02	01	H1994_004_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1994	004	0	1	02	01	H1994_004_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1994	004	0	1	02	01	H1994_004_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1994	005	0	1	02	01	H1994_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1994	005	0	1	02	01	H1994_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1994	005	0	1	02	01	H1994_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1994	005	0	1	02	01	H1994_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1994	005	0	1	02	01	H1994_005_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1994	006	0	1	02	01	H1994_006_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1994	006	0	1	02	01	H1994_006_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1994	006	0	1	02	01	H1994_006_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1994	006	0	1	02	01	H1994_006_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H1994	006	0	1	02	01	H1994_006_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1997	002	0	1	01	01	H1997_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H1997	002	0	1	01	01	H1997_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H1997	002	0	1	01	01	H1997_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H1997	002	0	1	01	01	H1997_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H1997	002	0	1	01	01	H1997_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2001	001	0	1	04	01	H2001_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2001	001	0	1	04	01	H2001_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2001	001	0	1	04	01	H2001_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2001	001	0	1	04	01	H2001_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2001	001	0	1	04	01	H2001_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2005	001	0	1	48	05	H2005_001_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	100000					2	0.00	0.00
H2005	001	0	1	48	05	H2005_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000001					1	0.00	0.00
H2005	001	0	1	48	05	H2005_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H2012	002	0	1	01	01	H2012_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	002	0	1	01	01	H2012_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	002	0	1	01	01	H2012_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	002	0	1	01	01	H2012_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	002	0	1	01	01	H2012_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	003	0	1	01	01	H2012_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	003	0	1	01	01	H2012_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	003	0	1	01	01	H2012_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	003	0	1	01	01	H2012_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	003	0	1	01	01	H2012_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	006	0	1	01	01	H2012_006_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	006	0	1	01	01	H2012_006_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	006	0	1	01	01	H2012_006_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	006	0	1	01	01	H2012_006_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	006	0	1	01	01	H2012_006_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	008	0	1	01	01	H2012_008_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	008	0	1	01	01	H2012_008_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	008	0	1	01	01	H2012_008_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	008	0	1	01	01	H2012_008_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	008	0	1	01	01	H2012_008_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	009	0	1	01	01	H2012_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	009	0	1	01	01	H2012_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	009	0	1	01	01	H2012_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	009	0	1	01	01	H2012_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	009	0	1	01	01	H2012_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	011	0	1	01	01	H2012_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	011	0	1	01	01	H2012_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	011	0	1	01	01	H2012_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	011	0	1	01	01	H2012_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	011	0	1	01	01	H2012_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	012	0	1	01	01	H2012_012_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	012	0	1	01	01	H2012_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	012	0	1	01	01	H2012_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	012	0	1	01	01	H2012_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	012	0	1	01	01	H2012_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	013	0	1	01	01	H2012_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	013	0	1	01	01	H2012_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	013	0	1	01	01	H2012_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	013	0	1	01	01	H2012_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	013	0	1	01	01	H2012_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	015	0	1	01	01	H2012_015_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	015	0	1	01	01	H2012_015_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	015	0	1	01	01	H2012_015_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	015	0	1	01	01	H2012_015_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	015	0	1	01	01	H2012_015_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	016	0	1	01	01	H2012_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	016	0	1	01	01	H2012_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	016	0	1	01	01	H2012_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	016	0	1	01	01	H2012_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	016	0	1	01	01	H2012_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	021	0	1	01	01	H2012_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	021	0	1	01	01	H2012_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	021	0	1	01	01	H2012_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	021	0	1	01	01	H2012_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	021	0	1	01	01	H2012_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	022	0	1	01	01	H2012_022_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	022	0	1	01	01	H2012_022_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	022	0	1	01	01	H2012_022_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	022	0	1	01	01	H2012_022_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	022	0	1	01	01	H2012_022_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	027	0	1	01	01	H2012_027_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	027	0	1	01	01	H2012_027_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	027	0	1	01	01	H2012_027_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	027	0	1	01	01	H2012_027_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	027	0	1	01	01	H2012_027_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	028	0	1	01	01	H2012_028_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	028	0	1	01	01	H2012_028_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	028	0	1	01	01	H2012_028_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	028	0	1	01	01	H2012_028_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	028	0	1	01	01	H2012_028_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	029	0	1	01	01	H2012_029_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	029	0	1	01	01	H2012_029_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	029	0	1	01	01	H2012_029_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	029	0	1	01	01	H2012_029_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	029	0	1	01	01	H2012_029_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	030	0	1	02	01	H2012_030_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	030	0	1	02	01	H2012_030_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	030	0	1	02	01	H2012_030_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	030	0	1	02	01	H2012_030_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	030	0	1	02	01	H2012_030_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	031	0	1	01	01	H2012_031_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	031	0	1	01	01	H2012_031_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	031	0	1	01	01	H2012_031_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	031	0	1	01	01	H2012_031_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	031	0	1	01	01	H2012_031_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	033	0	1	01	01	H2012_033_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	033	0	1	01	01	H2012_033_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	033	0	1	01	01	H2012_033_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	033	0	1	01	01	H2012_033_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	033	0	1	01	01	H2012_033_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	035	0	1	01	01	H2012_035_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	035	0	1	01	01	H2012_035_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	035	0	1	01	01	H2012_035_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	035	0	1	01	01	H2012_035_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	035	0	1	01	01	H2012_035_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	037	0	1	01	01	H2012_037_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	037	0	1	01	01	H2012_037_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	037	0	1	01	01	H2012_037_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	037	0	1	01	01	H2012_037_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	037	0	1	01	01	H2012_037_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	039	0	1	01	01	H2012_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	039	0	1	01	01	H2012_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	039	0	1	01	01	H2012_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	039	0	1	01	01	H2012_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	039	0	1	01	01	H2012_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	042	0	1	01	01	H2012_042_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	042	0	1	01	01	H2012_042_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	042	0	1	01	01	H2012_042_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	042	0	1	01	01	H2012_042_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	042	0	1	01	01	H2012_042_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	051	0	1	01	01	H2012_051_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	051	0	1	01	01	H2012_051_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	051	0	1	01	01	H2012_051_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	051	0	1	01	01	H2012_051_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	051	0	1	01	01	H2012_051_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	053	0	1	01	01	H2012_053_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	053	0	1	01	01	H2012_053_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	053	0	1	01	01	H2012_053_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	053	0	1	01	01	H2012_053_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	053	0	1	01	01	H2012_053_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	054	0	1	01	01	H2012_054_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	054	0	1	01	01	H2012_054_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	054	0	1	01	01	H2012_054_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	054	0	1	01	01	H2012_054_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	054	0	1	01	01	H2012_054_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	055	0	1	01	01	H2012_055_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	055	0	1	01	01	H2012_055_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	055	0	1	01	01	H2012_055_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	055	0	1	01	01	H2012_055_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	055	0	1	01	01	H2012_055_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	056	0	1	01	01	H2012_056_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	056	0	1	01	01	H2012_056_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	056	0	1	01	01	H2012_056_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	056	0	1	01	01	H2012_056_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	056	0	1	01	01	H2012_056_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	060	0	1	01	01	H2012_060_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H2012	060	0	1	01	01	H2012_060_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H2012	060	0	1	01	01	H2012_060_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H2012	060	0	1	01	01	H2012_060_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H2012	060	0	1	01	01	H2012_060_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H2012	060	0	1	01	01	H2012_060_0	5	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H2012	064	0	1	01	01	H2012_064_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	064	0	1	01	01	H2012_064_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	064	0	1	01	01	H2012_064_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	064	0	1	01	01	H2012_064_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	064	0	1	01	01	H2012_064_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	070	0	1	01	01	H2012_070_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	070	0	1	01	01	H2012_070_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	070	0	1	01	01	H2012_070_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	070	0	1	01	01	H2012_070_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	070	0	1	01	01	H2012_070_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	080	0	1	01	01	H2012_080_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	080	0	1	01	01	H2012_080_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	080	0	1	01	01	H2012_080_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	080	0	1	01	01	H2012_080_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	080	0	1	01	01	H2012_080_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	081	0	1	01	01	H2012_081_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2012	081	0	1	01	01	H2012_081_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2012	081	0	1	01	01	H2012_081_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2012	081	0	1	01	01	H2012_081_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2012	081	0	1	01	01	H2012_081_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2012	082	0	1	01	01	H2012_082_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	082	0	1	01	01	H2012_082_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	082	0	1	01	01	H2012_082_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	082	0	1	01	01	H2012_082_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	082	0	1	01	01	H2012_082_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	084	0	1	01	01	H2012_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H2012	084	0	1	01	01	H2012_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H2012	084	0	1	01	01	H2012_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H2012	084	0	1	01	01	H2012_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H2012	084	0	1	01	01	H2012_084_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H2012	084	0	1	01	01	H2012_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H2012	087	0	1	01	01	H2012_087_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	087	0	1	01	01	H2012_087_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	087	0	1	01	01	H2012_087_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	087	0	1	01	01	H2012_087_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	087	0	1	01	01	H2012_087_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	088	0	1	01	01	H2012_088_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	088	0	1	01	01	H2012_088_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	088	0	1	01	01	H2012_088_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	088	0	1	01	01	H2012_088_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	088	0	1	01	01	H2012_088_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	090	0	1	01	01	H2012_090_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	090	0	1	01	01	H2012_090_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	090	0	1	01	01	H2012_090_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	090	0	1	01	01	H2012_090_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	090	0	1	01	01	H2012_090_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	093	0	1	01	01	H2012_093_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	093	0	1	01	01	H2012_093_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	093	0	1	01	01	H2012_093_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	093	0	1	01	01	H2012_093_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	093	0	1	01	01	H2012_093_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	096	0	1	01	01	H2012_096_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	096	0	1	01	01	H2012_096_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	096	0	1	01	01	H2012_096_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	096	0	1	01	01	H2012_096_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	096	0	1	01	01	H2012_096_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	097	0	1	01	01	H2012_097_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	097	0	1	01	01	H2012_097_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	097	0	1	01	01	H2012_097_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	097	0	1	01	01	H2012_097_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	097	0	1	01	01	H2012_097_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	099	1	1	01	01	H2012_099_1	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	099	1	1	01	01	H2012_099_1	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	099	1	1	01	01	H2012_099_1	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	099	1	1	01	01	H2012_099_1	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	099	1	1	01	01	H2012_099_1	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	099	2	1	01	01	H2012_099_2	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	099	2	1	01	01	H2012_099_2	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	099	2	1	01	01	H2012_099_2	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	099	2	1	01	01	H2012_099_2	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	099	2	1	01	01	H2012_099_2	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	100	4	1	01	01	H2012_100_4	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	100	4	1	01	01	H2012_100_4	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	100	4	1	01	01	H2012_100_4	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	100	4	1	01	01	H2012_100_4	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	100	4	1	01	01	H2012_100_4	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2012	100	5	1	01	01	H2012_100_5	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2012	100	5	1	01	01	H2012_100_5	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2012	100	5	1	01	01	H2012_100_5	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2012	100	5	1	01	01	H2012_100_5	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2012	100	5	1	01	01	H2012_100_5	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2029	001	0	1	04	01	H2029_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2029	001	0	1	04	01	H2029_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2029	001	0	1	04	01	H2029_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2029	001	0	1	04	01	H2029_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2029	001	0	1	04	01	H2029_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2108	022	0	1	01	01	H2108_022_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2108	022	0	1	01	01	H2108_022_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2108	022	0	1	01	01	H2108_022_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H2108	022	0	1	01	01	H2108_022_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2108	022	0	1	01	01	H2108_022_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2108	028	0	1	01	01	H2108_028_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2108	028	0	1	01	01	H2108_028_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2108	028	0	1	01	01	H2108_028_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2108	028	0	1	01	01	H2108_028_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2108	028	0	1	01	01	H2108_028_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2108	029	0	1	01	01	H2108_029_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100100	1						
H2108	029	0	1	01	01	H2108_029_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2108	029	0	1	01	01	H2108_029_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2108	029	0	1	01	01	H2108_029_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2108	029	0	1	01	01	H2108_029_0	5	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	010010	1						
H2108	029	0	1	01	01	H2108_029_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2108	030	0	1	01	01	H2108_030_0	5	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	010010	1						
H2108	030	0	1	01	01	H2108_030_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2108	030	0	1	01	01	H2108_030_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100100	1						
H2108	030	0	1	01	01	H2108_030_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2108	030	0	1	01	01	H2108_030_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2108	030	0	1	01	01	H2108_030_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2108	032	0	1	01	01	H2108_032_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2108	032	0	1	01	01	H2108_032_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2108	032	0	1	01	01	H2108_032_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2108	032	0	1	01	01	H2108_032_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2108	032	0	1	01	01	H2108_032_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2112	007	0	1	01	01	H2112_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2112	007	0	1	01	01	H2112_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2112	007	0	1	01	01	H2112_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2112	007	0	1	01	01	H2112_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2112	007	0	1	01	01	H2112_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2150	002	0	1	18	06	H2150_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	12.00				
H2150	002	0	1	18	06	H2150_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	12.00				
H2150	002	0	1	18	06	H2150_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	12.00				
H2150	002	0	1	18	06	H2150_002_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H2150	002	0	1	18	06	H2150_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	4.00				
H2150	002	0	1	18	06	H2150_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	4.00				
H2150	009	0	1	18	06	H2150_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1	1		5			
H2150	009	0	1	18	06	H2150_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1	1		5			
H2150	009	0	1	18	06	H2150_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1	1		5			
H2150	009	0	1	18	06	H2150_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1	1		5			
H2150	009	0	1	18	06	H2150_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1	1		5			
H2150	009	0	1	18	06	H2150_009_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1	1		0			
H2150	029	0	2	18	06	H2150_029_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1	1		5			
H2150	029	0	2	18	06	H2150_029_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1	1		5			
H2150	029	0	2	18	06	H2150_029_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1	1		5			
H2150	029	0	2	18	06	H2150_029_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1	1		0			
H2150	029	0	2	18	06	H2150_029_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1	1		5			
H2150	029	0	2	18	06	H2150_029_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1	1		5			
H2161	002	0	1	01	01	H2161_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2161	002	0	1	01	01	H2161_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2161	002	0	1	01	01	H2161_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2161	002	0	1	01	01	H2161_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2161	002	0	1	01	01	H2161_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H2165	005	0	1	01	01	H2165_005_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2165	005	0	1	01	01	H2165_005_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2165	005	0	1	01	01	H2165_005_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2165	005	0	1	01	01	H2165_005_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2165	005	0	1	01	01	H2165_005_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2165	011	0	1	02	01	H2165_011_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2165	011	0	1	02	01	H2165_011_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2165	011	0	1	02	01	H2165_011_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2165	011	0	1	02	01	H2165_011_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2165	011	0	1	02	01	H2165_011_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2165	018	0	1	01	01	H2165_018_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2165	018	0	1	01	01	H2165_018_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2165	018	0	1	01	01	H2165_018_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2165	018	0	1	01	01	H2165_018_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2165	018	0	1	01	01	H2165_018_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2171	001	0	1	01	01	H2171_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2171	001	0	1	01	01	H2171_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2171	001	0	1	01	01	H2171_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2171	001	0	1	01	01	H2171_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2171	001	0	1	01	01	H2171_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2174	009	0	1	01	01	H2174_009_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2174	009	0	1	01	01	H2174_009_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2174	009	0	1	01	01	H2174_009_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2174	009	0	1	01	01	H2174_009_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2174	009	0	1	01	01	H2174_009_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2230	002	0	1	04	01	H2230_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2230	002	0	1	04	01	H2230_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2230	002	0	1	04	01	H2230_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2230	002	0	1	04	01	H2230_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2230	002	0	1	04	01	H2230_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H2230	016	0	1	04	01	H2230_016_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2230	016	0	1	04	01	H2230_016_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2230	016	0	1	04	01	H2230_016_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2230	016	0	1	04	01	H2230_016_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2230	016	0	1	04	01	H2230_016_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H2230	017	0	1	04	01	H2230_017_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2230	017	0	1	04	01	H2230_017_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H2230	017	0	1	04	01	H2230_017_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2230	017	0	1	04	01	H2230_017_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2230	017	0	1	04	01	H2230_017_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2237	001	0	1	01	01	H2237_001_0	8	Generic	Generic, Brand, Specialty Tier	3	1	2	010000	1						
H2237	001	0	1	01	01	H2237_001_0	8	Specialty Tier	Generic, Brand, Specialty Tier	3	3	2	010010	1						
H2237	001	0	1	01	01	H2237_001_0	8	Brand	Generic, Brand, Specialty Tier	3	2	2	000010	1						
H2237	007	0	1	01	01	H2237_007_0	8	Brand	Generic, Brand, Specialty Tier	3	2	2	000010	1						
H2237	007	0	1	01	01	H2237_007_0	8	Generic	Generic, Brand, Specialty Tier	3	1	2	010000	1						
H2237	007	0	1	01	01	H2237_007_0	8	Specialty Tier	Generic, Brand, Specialty Tier	3	3	2	010010	1						
H2241	003	1	1	01	01	H2241_003_1	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2241	003	1	1	01	01	H2241_003_1	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2241	003	1	1	01	01	H2241_003_1	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	3						
H2241	003	1	1	01	01	H2241_003_1	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2241	003	1	1	01	01	H2241_003_1	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2241	003	2	1	01	01	H2241_003_2	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2241	003	2	1	01	01	H2241_003_2	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2241	003	2	1	01	01	H2241_003_2	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2241	003	2	1	01	01	H2241_003_2	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2241	003	2	1	01	01	H2241_003_2	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	3						
H2256	001	1	1	01	01	H2256_001_1	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	001	1	1	01	01	H2256_001_1	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	001	1	1	01	01	H2256_001_1	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	001	1	1	01	01	H2256_001_1	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	001	1	1	01	01	H2256_001_1	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	001	2	1	01	01	H2256_001_2	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	001	2	1	01	01	H2256_001_2	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	001	2	1	01	01	H2256_001_2	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	001	2	1	01	01	H2256_001_2	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	001	2	1	01	01	H2256_001_2	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	001	6	1	01	01	H2256_001_6	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	001	6	1	01	01	H2256_001_6	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	001	6	1	01	01	H2256_001_6	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	001	6	1	01	01	H2256_001_6	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	001	6	1	01	01	H2256_001_6	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	015	1	1	01	01	H2256_015_1	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	015	1	1	01	01	H2256_015_1	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	015	1	1	01	01	H2256_015_1	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	015	1	1	01	01	H2256_015_1	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	015	1	1	01	01	H2256_015_1	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	015	2	1	01	01	H2256_015_2	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	015	2	1	01	01	H2256_015_2	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	015	2	1	01	01	H2256_015_2	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	015	2	1	01	01	H2256_015_2	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	015	2	1	01	01	H2256_015_2	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	015	6	1	01	01	H2256_015_6	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	015	6	1	01	01	H2256_015_6	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	015	6	1	01	01	H2256_015_6	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	015	6	1	01	01	H2256_015_6	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	015	6	1	01	01	H2256_015_6	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	018	1	1	01	01	H2256_018_1	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	018	1	1	01	01	H2256_018_1	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	018	1	1	01	01	H2256_018_1	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	018	1	1	01	01	H2256_018_1	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	018	1	1	01	01	H2256_018_1	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	018	7	1	01	01	H2256_018_7	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	018	7	1	01	01	H2256_018_7	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	018	7	1	01	01	H2256_018_7	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	018	7	1	01	01	H2256_018_7	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	018	7	1	01	01	H2256_018_7	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	018	8	1	01	01	H2256_018_8	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	018	8	1	01	01	H2256_018_8	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	018	8	1	01	01	H2256_018_8	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	018	8	1	01	01	H2256_018_8	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	018	8	1	01	01	H2256_018_8	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	026	1	1	01	01	H2256_026_1	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	026	1	1	01	01	H2256_026_1	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	026	1	1	01	01	H2256_026_1	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	026	1	1	01	01	H2256_026_1	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	026	1	1	01	01	H2256_026_1	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	026	2	1	01	01	H2256_026_2	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	026	2	1	01	01	H2256_026_2	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	026	2	1	01	01	H2256_026_2	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	026	2	1	01	01	H2256_026_2	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	026	2	1	01	01	H2256_026_2	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	026	3	1	01	01	H2256_026_3	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	026	3	1	01	01	H2256_026_3	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	026	3	1	01	01	H2256_026_3	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	026	3	1	01	01	H2256_026_3	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	026	3	1	01	01	H2256_026_3	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	028	0	1	01	01	H2256_028_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	028	0	1	01	01	H2256_028_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	028	0	1	01	01	H2256_028_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	028	0	1	01	01	H2256_028_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	028	0	1	01	01	H2256_028_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	033	0	1	01	01	H2256_033_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	033	0	1	01	01	H2256_033_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	033	0	1	01	01	H2256_033_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	033	0	1	01	01	H2256_033_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	033	0	1	01	01	H2256_033_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	034	0	1	01	01	H2256_034_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	034	0	1	01	01	H2256_034_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	034	0	1	01	01	H2256_034_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	034	0	1	01	01	H2256_034_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2256	034	0	1	01	01	H2256_034_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	036	0	1	01	01	H2256_036_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2256	036	0	1	01	01	H2256_036_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2256	036	0	1	01	01	H2256_036_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2256	036	0	1	01	01	H2256_036_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2256	036	0	1	01	01	H2256_036_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2261	005	0	1	01	01	H2261_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2261	005	0	1	01	01	H2261_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2261	005	0	1	01	01	H2261_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2261	005	0	1	01	01	H2261_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2261	005	0	1	01	01	H2261_005_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H2261	019	0	1	01	01	H2261_019_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2261	019	0	1	01	01	H2261_019_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2261	019	0	1	01	01	H2261_019_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2261	019	0	1	01	01	H2261_019_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2261	019	0	1	01	01	H2261_019_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H2312	004	0	1	01	01	H2312_004_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H2312	004	0	1	01	01	H2312_004_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H2312	004	0	1	01	01	H2312_004_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H2312	004	0	1	01	01	H2312_004_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2312	004	0	1	01	01	H2312_004_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H2312	007	0	1	02	01	H2312_007_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2312	007	0	1	02	01	H2312_007_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H2312	007	0	1	02	01	H2312_007_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H2312	007	0	1	02	01	H2312_007_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H2312	007	0	1	02	01	H2312_007_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H2312	010	0	1	02	01	H2312_010_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H2312	010	0	1	02	01	H2312_010_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H2312	010	0	1	02	01	H2312_010_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H2312	010	0	1	02	01	H2312_010_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2312	010	0	1	02	01	H2312_010_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H2312	012	0	1	02	01	H2312_012_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H2312	012	0	1	02	01	H2312_012_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H2312	012	0	1	02	01	H2312_012_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H2312	012	0	1	02	01	H2312_012_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2312	012	0	1	02	01	H2312_012_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H2320	007	0	1	02	01	H2320_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	007	0	1	02	01	H2320_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	007	0	1	02	01	H2320_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	007	0	1	02	01	H2320_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	007	0	1	02	01	H2320_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	008	0	1	02	01	H2320_008_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	008	0	1	02	01	H2320_008_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	008	0	1	02	01	H2320_008_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	008	0	1	02	01	H2320_008_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	008	0	1	02	01	H2320_008_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	011	0	1	02	01	H2320_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	011	0	1	02	01	H2320_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	011	0	1	02	01	H2320_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	011	0	1	02	01	H2320_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	011	0	1	02	01	H2320_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	012	0	1	02	01	H2320_012_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	012	0	1	02	01	H2320_012_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	012	0	1	02	01	H2320_012_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	012	0	1	02	01	H2320_012_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	012	0	1	02	01	H2320_012_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	013	0	1	02	01	H2320_013_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	013	0	1	02	01	H2320_013_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	013	0	1	02	01	H2320_013_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	013	0	1	02	01	H2320_013_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	013	0	1	02	01	H2320_013_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	015	0	1	02	01	H2320_015_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	015	0	1	02	01	H2320_015_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	015	0	1	02	01	H2320_015_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	015	0	1	02	01	H2320_015_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	015	0	1	02	01	H2320_015_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	016	0	1	02	01	H2320_016_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	016	0	1	02	01	H2320_016_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	016	0	1	02	01	H2320_016_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	016	0	1	02	01	H2320_016_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	016	0	1	02	01	H2320_016_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	018	0	1	02	01	H2320_018_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	018	0	1	02	01	H2320_018_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	018	0	1	02	01	H2320_018_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	018	0	1	02	01	H2320_018_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	018	0	1	02	01	H2320_018_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	019	0	1	02	01	H2320_019_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	019	0	1	02	01	H2320_019_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	019	0	1	02	01	H2320_019_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	019	0	1	02	01	H2320_019_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	019	0	1	02	01	H2320_019_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2320	021	0	1	02	01	H2320_021_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2320	021	0	1	02	01	H2320_021_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H2320	021	0	1	02	01	H2320_021_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2320	021	0	1	02	01	H2320_021_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2320	021	0	1	02	01	H2320_021_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2322	004	0	1	04	01	H2322_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H2322	004	0	1	04	01	H2322_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H2322	004	0	1	04	01	H2322_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H2322	004	0	1	04	01	H2322_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2322	004	0	1	04	01	H2322_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H2322	008	0	1	04	01	H2322_008_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H2322	008	0	1	04	01	H2322_008_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H2322	008	0	1	04	01	H2322_008_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H2322	008	0	1	04	01	H2322_008_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2322	008	0	1	04	01	H2322_008_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H2323	011	0	1	01	01	H2323_011_0	13	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	2	2	2	000001	1	2	6.60				
H2323	011	0	1	01	01	H2323_011_0	13	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	2	1	2	001000	1	2	2.65				
H2323	011	0	1	01	01	H2323_011_0	13	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	2	3	2	001001	1	1		5			
H2323	015	0	1	01	01	H2323_015_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H2323	015	0	1	01	01	H2323_015_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H2323	015	0	1	01	01	H2323_015_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H2323	015	0	1	01	01	H2323_015_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H2323	016	0	1	01	01	H2323_016_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H2323	016	0	1	01	01	H2323_016_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H2323	016	0	1	01	01	H2323_016_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H2323	016	0	1	01	01	H2323_016_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H2354	001	0	1	01	01	H2354_001_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H2354	001	0	1	01	01	H2354_001_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110001	1						
H2354	001	0	1	01	01	H2354_001_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H2354	001	0	1	01	01	H2354_001_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H2354	013	0	1	01	01	H2354_013_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H2354	013	0	1	01	01	H2354_013_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H2354	013	0	1	01	01	H2354_013_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H2354	013	0	1	01	01	H2354_013_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110001	1						
H2354	015	0	1	01	01	H2354_015_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H2354	015	0	1	01	01	H2354_015_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H2354	015	0	1	01	01	H2354_015_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H2354	015	0	1	01	01	H2354_015_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110001	1						
H2450	001	0	1	18	06	H2450_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2450	001	0	1	18	06	H2450_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2450	001	0	1	18	06	H2450_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2450	001	0	1	18	06	H2450_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2450	001	0	1	18	06	H2450_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2450	002	0	1	18	06	H2450_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2450	002	0	1	18	06	H2450_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2450	002	0	1	18	06	H2450_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2450	002	0	1	18	06	H2450_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2450	002	0	1	18	06	H2450_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2450	023	0	1	18	06	H2450_023_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2450	023	0	1	18	06	H2450_023_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2450	023	0	1	18	06	H2450_023_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2450	023	0	1	18	06	H2450_023_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2450	023	0	1	18	06	H2450_023_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2459	002	0	1	02	01	H2459_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2459	002	0	1	02	01	H2459_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2459	002	0	1	02	01	H2459_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2459	002	0	1	02	01	H2459_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2459	002	0	1	02	01	H2459_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2459	013	0	1	02	01	H2459_013_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2459	013	0	1	02	01	H2459_013_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2459	013	0	1	02	01	H2459_013_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2459	013	0	1	02	01	H2459_013_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2459	013	0	1	02	01	H2459_013_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2459	019	0	1	02	01	H2459_019_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2459	019	0	1	02	01	H2459_019_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2459	019	0	1	02	01	H2459_019_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2459	019	0	1	02	01	H2459_019_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2459	019	0	1	02	01	H2459_019_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2461	008	0	1	18	06	H2461_008_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	2	1	2	001000	1						
H2461	008	0	1	18	06	H2461_008_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	2	2	2	000100	1						
H2461	008	0	1	18	06	H2461_008_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	2	3	2	000001	1						
H2461	008	0	1	18	06	H2461_008_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	2	4	2	100000	1						
H2461	009	0	1	18	06	H2461_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H2461	009	0	1	18	06	H2461_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	000001	1						
H2461	009	0	1	18	06	H2461_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H2461	009	0	1	18	06	H2461_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H2461	010	0	1	18	06	H2461_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H2461	010	0	1	18	06	H2461_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H2461	010	0	1	18	06	H2461_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	000001	1						
H2461	010	0	1	18	06	H2461_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H2462	008	0	1	18	06	H2462_008_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2462	008	0	1	18	06	H2462_008_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2462	008	0	1	18	06	H2462_008_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2462	008	0	1	18	06	H2462_008_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2462	008	0	1	18	06	H2462_008_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2462	011	0	1	18	06	H2462_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2462	011	0	1	18	06	H2462_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2462	011	0	1	18	06	H2462_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H2462	011	0	1	18	06	H2462_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H2462	011	0	1	18	06	H2462_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2462	012	0	1	18	06	H2462_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2462	012	0	1	18	06	H2462_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2462	012	0	1	18	06	H2462_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2462	012	0	1	18	06	H2462_012_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2462	012	0	1	18	06	H2462_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2462	019	0	1	18	06	H2462_019_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2462	019	0	1	18	06	H2462_019_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2462	019	0	1	18	06	H2462_019_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2462	019	0	1	18	06	H2462_019_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2462	019	0	1	18	06	H2462_019_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2486	003	0	1	01	01	H2486_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2486	003	0	1	01	01	H2486_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2486	003	0	1	01	01	H2486_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2486	003	0	1	01	01	H2486_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2486	003	0	1	01	01	H2486_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2491	002	0	1	02	01	H2491_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2491	002	0	1	02	01	H2491_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2491	002	0	1	02	01	H2491_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2491	002	0	1	02	01	H2491_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2491	002	0	1	02	01	H2491_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2491	004	0	1	02	01	H2491_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2491	004	0	1	02	01	H2491_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2491	004	0	1	02	01	H2491_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2491	004	0	1	02	01	H2491_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2491	004	0	1	02	01	H2491_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2491	005	0	1	02	01	H2491_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2491	005	0	1	02	01	H2491_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2491	005	0	1	02	01	H2491_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2491	005	0	1	02	01	H2491_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2491	005	0	1	02	01	H2491_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2506	001	0	1	48	05	H2506_001_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H2506	001	0	1	48	05	H2506_001_0	2	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H2506	001	0	1	48	05	H2506_001_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H2531	001	0	1	48	05	H2531_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H2531	001	0	1	48	05	H2531_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H2531	001	0	1	48	05	H2531_001_0	5	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H2533	001	0	1	48	05	H2533_001_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H2533	001	0	1	48	05	H2533_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H2533	001	0	1	48	05	H2533_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H2563	001	0	1	01	01	H2563_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2563	001	0	1	01	01	H2563_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2563	001	0	1	01	01	H2563_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2563	001	0	1	01	01	H2563_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2563	001	0	1	01	01	H2563_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2563	002	0	1	01	01	H2563_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2563	002	0	1	01	01	H2563_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2563	002	0	1	01	01	H2563_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2563	002	0	1	01	01	H2563_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2563	002	0	1	01	01	H2563_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2591	001	0	1	04	01	H2591_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2591	001	0	1	04	01	H2591_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2591	001	0	1	04	01	H2591_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H2591	001	0	1	04	01	H2591_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H2591	001	0	1	04	01	H2591_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H2593	001	0	1	01	01	H2593_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	001	0	1	01	01	H2593_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	001	0	1	01	01	H2593_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	001	0	1	01	01	H2593_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	001	0	1	01	01	H2593_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	001	0	1	01	01	H2593_001_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H2593	003	0	1	01	01	H2593_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	003	0	1	01	01	H2593_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	003	0	1	01	01	H2593_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	003	0	1	01	01	H2593_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	003	0	1	01	01	H2593_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	003	0	1	01	01	H2593_003_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	005	0	1	01	01	H2593_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	005	0	1	01	01	H2593_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	005	0	1	01	01	H2593_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	005	0	1	01	01	H2593_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	005	0	1	01	01	H2593_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	005	0	1	01	01	H2593_005_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	006	0	1	01	01	H2593_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	006	0	1	01	01	H2593_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	006	0	1	01	01	H2593_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	006	0	1	01	01	H2593_006_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	006	0	1	01	01	H2593_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	006	0	1	01	01	H2593_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	007	0	1	01	01	H2593_007_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	007	0	1	01	01	H2593_007_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	007	0	1	01	01	H2593_007_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	007	0	1	01	01	H2593_007_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	007	0	1	01	01	H2593_007_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	007	0	1	01	01	H2593_007_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H2593	011	0	1	01	01	H2593_011_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	011	0	1	01	01	H2593_011_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	011	0	1	01	01	H2593_011_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	011	0	1	01	01	H2593_011_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	011	0	1	01	01	H2593_011_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	011	0	1	01	01	H2593_011_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	013	0	1	01	01	H2593_013_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	013	0	1	01	01	H2593_013_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	013	0	1	01	01	H2593_013_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	013	0	1	01	01	H2593_013_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	013	0	1	01	01	H2593_013_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	013	0	1	01	01	H2593_013_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	014	0	1	01	01	H2593_014_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	014	0	1	01	01	H2593_014_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	014	0	1	01	01	H2593_014_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	014	0	1	01	01	H2593_014_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	014	0	1	01	01	H2593_014_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	014	0	1	01	01	H2593_014_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	015	0	1	01	01	H2593_015_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H2593	015	0	1	01	01	H2593_015_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H2593	015	0	1	01	01	H2593_015_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H2593	015	0	1	01	01	H2593_015_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H2593	015	0	1	01	01	H2593_015_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H2593	015	0	1	01	01	H2593_015_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H2593	016	0	1	01	01	H2593_016_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H2593	016	0	1	01	01	H2593_016_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H2593	016	0	1	01	01	H2593_016_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H2593	016	0	1	01	01	H2593_016_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H2593	016	0	1	01	01	H2593_016_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H2593	016	0	1	01	01	H2593_016_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H2593	018	0	1	01	01	H2593_018_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H2593	018	0	1	01	01	H2593_018_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H2593	018	0	1	01	01	H2593_018_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H2593	018	0	1	01	01	H2593_018_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H2593	018	0	1	01	01	H2593_018_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H2593	018	0	1	01	01	H2593_018_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H2610	005	0	1	01	01	H2610_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2610	005	0	1	01	01	H2610_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2610	005	0	1	01	01	H2610_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2610	005	0	1	01	01	H2610_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2610	005	0	1	01	01	H2610_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2610	006	0	1	01	01	H2610_006_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2610	006	0	1	01	01	H2610_006_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2610	006	0	1	01	01	H2610_006_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2610	006	0	1	01	01	H2610_006_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2610	006	0	1	01	01	H2610_006_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2610	011	0	1	01	01	H2610_011_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2610	011	0	1	01	01	H2610_011_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2610	011	0	1	01	01	H2610_011_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2610	011	0	1	01	01	H2610_011_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2610	011	0	1	01	01	H2610_011_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2610	014	0	1	02	01	H2610_014_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2610	014	0	1	02	01	H2610_014_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2610	014	0	1	02	01	H2610_014_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2610	014	0	1	02	01	H2610_014_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2610	014	0	1	02	01	H2610_014_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2610	015	0	1	01	01	H2610_015_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2610	015	0	1	01	01	H2610_015_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2610	015	0	1	01	01	H2610_015_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2610	015	0	1	01	01	H2610_015_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2610	015	0	1	01	01	H2610_015_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2611	001	0	1	04	01	H2611_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2611	001	0	1	04	01	H2611_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2611	001	0	1	04	01	H2611_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2611	001	0	1	04	01	H2611_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2611	001	0	1	04	01	H2611_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2611	008	0	1	04	01	H2611_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2611	008	0	1	04	01	H2611_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2611	008	0	1	04	01	H2611_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2611	008	0	1	04	01	H2611_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2611	008	0	1	04	01	H2611_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2611	018	0	1	04	01	H2611_018_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2611	018	0	1	04	01	H2611_018_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2611	018	0	1	04	01	H2611_018_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2611	018	0	1	04	01	H2611_018_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2611	018	0	1	04	01	H2611_018_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2649	004	0	1	01	01	H2649_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	004	0	1	01	01	H2649_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	004	0	1	01	01	H2649_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	004	0	1	01	01	H2649_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	004	0	1	01	01	H2649_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	020	0	1	01	01	H2649_020_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	020	0	1	01	01	H2649_020_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	020	0	1	01	01	H2649_020_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	020	0	1	01	01	H2649_020_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	020	0	1	01	01	H2649_020_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	021	0	1	01	01	H2649_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	021	0	1	01	01	H2649_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	021	0	1	01	01	H2649_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	021	0	1	01	01	H2649_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	021	0	1	01	01	H2649_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	023	0	1	01	01	H2649_023_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	023	0	1	01	01	H2649_023_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	023	0	1	01	01	H2649_023_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	023	0	1	01	01	H2649_023_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	023	0	1	01	01	H2649_023_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	024	0	1	01	01	H2649_024_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	024	0	1	01	01	H2649_024_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	024	0	1	01	01	H2649_024_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	024	0	1	01	01	H2649_024_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	024	0	1	01	01	H2649_024_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	025	0	1	01	01	H2649_025_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	025	0	1	01	01	H2649_025_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	025	0	1	01	01	H2649_025_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	025	0	1	01	01	H2649_025_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	025	0	1	01	01	H2649_025_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	029	0	1	01	01	H2649_029_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	029	0	1	01	01	H2649_029_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	029	0	1	01	01	H2649_029_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	029	0	1	01	01	H2649_029_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	029	0	1	01	01	H2649_029_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	030	0	1	02	01	H2649_030_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	030	0	1	02	01	H2649_030_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	030	0	1	02	01	H2649_030_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	030	0	1	02	01	H2649_030_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	030	0	1	02	01	H2649_030_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	031	0	1	01	01	H2649_031_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	031	0	1	01	01	H2649_031_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	031	0	1	01	01	H2649_031_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	031	0	1	01	01	H2649_031_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	031	0	1	01	01	H2649_031_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	032	0	1	01	01	H2649_032_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	032	0	1	01	01	H2649_032_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	032	0	1	01	01	H2649_032_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	032	0	1	01	01	H2649_032_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	032	0	1	01	01	H2649_032_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	033	0	1	01	01	H2649_033_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	033	0	1	01	01	H2649_033_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	033	0	1	01	01	H2649_033_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	033	0	1	01	01	H2649_033_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	033	0	1	01	01	H2649_033_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	034	0	1	01	01	H2649_034_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	034	0	1	01	01	H2649_034_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	034	0	1	01	01	H2649_034_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	034	0	1	01	01	H2649_034_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	034	0	1	01	01	H2649_034_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	035	0	1	01	01	H2649_035_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	035	0	1	01	01	H2649_035_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	035	0	1	01	01	H2649_035_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	035	0	1	01	01	H2649_035_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	035	0	1	01	01	H2649_035_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	036	0	1	01	01	H2649_036_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H2649	036	0	1	01	01	H2649_036_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H2649	036	0	1	01	01	H2649_036_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H2649	036	0	1	01	01	H2649_036_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H2649	036	0	1	01	01	H2649_036_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H2649	036	0	1	01	01	H2649_036_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H2649	039	0	1	01	01	H2649_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2649	039	0	1	01	01	H2649_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2649	039	0	1	01	01	H2649_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2649	039	0	1	01	01	H2649_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2649	039	0	1	01	01	H2649_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2649	040	0	1	01	01	H2649_040_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	040	0	1	01	01	H2649_040_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	040	0	1	01	01	H2649_040_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	040	0	1	01	01	H2649_040_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	040	0	1	01	01	H2649_040_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	041	0	1	01	01	H2649_041_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	041	0	1	01	01	H2649_041_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	041	0	1	01	01	H2649_041_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	041	0	1	01	01	H2649_041_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	041	0	1	01	01	H2649_041_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	042	0	1	01	01	H2649_042_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	042	0	1	01	01	H2649_042_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2649	042	0	1	01	01	H2649_042_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	042	0	1	01	01	H2649_042_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	042	0	1	01	01	H2649_042_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	043	0	1	01	01	H2649_043_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2649	043	0	1	01	01	H2649_043_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2649	043	0	1	01	01	H2649_043_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2649	043	0	1	01	01	H2649_043_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2649	043	0	1	01	01	H2649_043_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2654	010	0	1	01	01	H2654_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2654	010	0	1	01	01	H2654_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2654	010	0	1	01	01	H2654_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2654	010	0	1	01	01	H2654_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2654	010	0	1	01	01	H2654_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2654	013	0	1	01	01	H2654_013_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2654	013	0	1	01	01	H2654_013_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2654	013	0	1	01	01	H2654_013_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2654	013	0	1	01	01	H2654_013_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2654	013	0	1	01	01	H2654_013_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2654	033	0	1	01	01	H2654_033_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2654	033	0	1	01	01	H2654_033_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2654	033	0	1	01	01	H2654_033_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2654	033	0	1	01	01	H2654_033_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2654	033	0	1	01	01	H2654_033_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2663	002	0	1	01	01	H2663_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	002	0	1	01	01	H2663_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	002	0	1	01	01	H2663_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	002	0	1	01	01	H2663_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	002	0	1	01	01	H2663_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2663	005	0	1	01	01	H2663_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	005	0	1	01	01	H2663_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	005	0	1	01	01	H2663_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	005	0	1	01	01	H2663_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	005	0	1	01	01	H2663_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2663	006	0	1	02	01	H2663_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	006	0	1	02	01	H2663_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	006	0	1	02	01	H2663_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	006	0	1	02	01	H2663_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	006	0	1	02	01	H2663_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2663	015	0	1	02	01	H2663_015_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	015	0	1	02	01	H2663_015_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	015	0	1	02	01	H2663_015_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	015	0	1	02	01	H2663_015_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	015	0	1	02	01	H2663_015_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2663	016	0	1	01	01	H2663_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	016	0	1	01	01	H2663_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	016	0	1	01	01	H2663_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	016	0	1	01	01	H2663_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2663	016	0	1	01	01	H2663_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	017	0	1	01	01	H2663_017_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	017	0	1	01	01	H2663_017_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	017	0	1	01	01	H2663_017_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	017	0	1	01	01	H2663_017_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	017	0	1	01	01	H2663_017_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2663	018	0	1	01	01	H2663_018_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2663	018	0	1	01	01	H2663_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2663	018	0	1	01	01	H2663_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2663	018	0	1	01	01	H2663_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2663	018	0	1	01	01	H2663_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2667	001	0	1	01	01	H2667_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2667	001	0	1	01	01	H2667_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2667	001	0	1	01	01	H2667_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2667	001	0	1	01	01	H2667_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2667	001	0	1	01	01	H2667_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2667	017	0	1	02	01	H2667_017_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2667	017	0	1	02	01	H2667_017_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2667	017	0	1	02	01	H2667_017_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2667	017	0	1	02	01	H2667_017_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2667	017	0	1	02	01	H2667_017_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	001	0	1	01	01	H2672_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2672	001	0	1	01	01	H2672_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2672	001	0	1	01	01	H2672_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2672	001	0	1	01	01	H2672_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2672	001	0	1	01	01	H2672_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	008	0	1	01	01	H2672_008_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2672	008	0	1	01	01	H2672_008_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2672	008	0	1	01	01	H2672_008_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2672	008	0	1	01	01	H2672_008_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	008	0	1	01	01	H2672_008_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2672	009	0	1	01	01	H2672_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2672	009	0	1	01	01	H2672_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2672	009	0	1	01	01	H2672_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2672	009	0	1	01	01	H2672_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2672	009	0	1	01	01	H2672_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	010	0	1	01	01	H2672_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2672	010	0	1	01	01	H2672_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2672	010	0	1	01	01	H2672_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2672	010	0	1	01	01	H2672_010_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	010	0	1	01	01	H2672_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2672	012	0	1	01	01	H2672_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2672	012	0	1	01	01	H2672_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2672	012	0	1	01	01	H2672_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2672	012	0	1	01	01	H2672_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2672	012	0	1	01	01	H2672_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	018	0	1	01	01	H2672_018_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2672	018	0	1	01	01	H2672_018_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2672	018	0	1	01	01	H2672_018_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2672	018	0	1	01	01	H2672_018_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2672	018	0	1	01	01	H2672_018_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2676	001	0	1	04	01	H2676_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2676	001	0	1	04	01	H2676_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2676	001	0	1	04	01	H2676_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2676	001	0	1	04	01	H2676_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2676	001	0	1	04	01	H2676_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2701	003	0	1	04	01	H2701_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H2701	003	0	1	04	01	H2701_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H2701	003	0	1	04	01	H2701_003_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	101101	1						
H2701	003	0	1	04	01	H2701_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H2701	003	0	1	04	01	H2701_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	101101	1						
H2701	003	0	1	04	01	H2701_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H2701	006	0	1	04	01	H2701_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H2701	006	0	1	04	01	H2701_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	101101	1						
H2701	006	0	1	04	01	H2701_006_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	101101	1						
H2701	006	0	1	04	01	H2701_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H2701	006	0	1	04	01	H2701_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H2701	006	0	1	04	01	H2701_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H2751	002	0	1	48	05	H2751_002_0	6	Preferred Brand Drugs	Preferred Generic Drugs, Non-Preferred Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare RX/OTC Drugs	4	3	2	010001					1	0.00	0.00
H2751	002	0	1	48	05	H2751_002_0	6	Non-Preferred Brand Drugs	Preferred Generic Drugs, Non-Preferred Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare RX/OTC Drugs	4	4	2	110000					1	0.00	0.00
H2751	002	0	1	48	05	H2751_002_0	6	Non-Preferred Generic Drugs	Preferred Generic Drugs, Non-Preferred Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare RX/OTC Drugs	4	2	2	000100					1	0.00	0.00
H2751	002	0	1	48	05	H2751_002_0	6	Preferred Generic Drugs	Preferred Generic Drugs, Non-Preferred Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare RX/OTC Drugs	4	1	2	001000					1	0.00	0.00
H2751	002	0	1	48	05	H2751_002_0	6	Non-Medicare RX/OTC Drugs	Preferred Generic Drugs, Non-Preferred Generic Drugs, Preferred Brand Drugs, Non-Preferred Brand Drugs, Non-Medicare RX/OTC Drugs	4	5	2	010010					2	0.00	0.00
H2758	002	0	1	01	01	H2758_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2758	002	0	1	01	01	H2758_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2758	002	0	1	01	01	H2758_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2758	002	0	1	01	01	H2758_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2758	002	0	1	01	01	H2758_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2773	003	0	1	01	01	H2773_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2773	003	0	1	01	01	H2773_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2773	003	0	1	01	01	H2773_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2773	003	0	1	01	01	H2773_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110000	1						
H2773	003	0	1	01	01	H2773_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2773	013	0	1	01	01	H2773_013_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2773	013	0	1	01	01	H2773_013_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2773	013	0	1	01	01	H2773_013_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2773	013	0	1	01	01	H2773_013_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2773	013	0	1	01	01	H2773_013_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110000	1						
H2773	015	0	1	01	01	H2773_015_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2773	015	0	1	01	01	H2773_015_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2773	015	0	1	01	01	H2773_015_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2773	015	0	1	01	01	H2773_015_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2773	015	0	1	01	01	H2773_015_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110000	1						
H2773	017	0	1	01	01	H2773_017_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2773	017	0	1	01	01	H2773_017_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2773	017	0	1	01	01	H2773_017_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2773	017	0	1	01	01	H2773_017_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2773	017	0	1	01	01	H2773_017_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110000	1						
H2773	018	0	1	01	01	H2773_018_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2773	018	0	1	01	01	H2773_018_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2773	018	0	1	01	01	H2773_018_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2773	018	0	1	01	01	H2773_018_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2773	018	0	1	01	01	H2773_018_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110000	1						
H2773	019	0	1	01	01	H2773_019_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2773	019	0	1	01	01	H2773_019_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2773	019	0	1	01	01	H2773_019_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2773	019	0	1	01	01	H2773_019_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H2773	019	0	1	01	01	H2773_019_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110000	1						
H2775	082	0	1	04	01	H2775_082_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2775	082	0	1	04	01	H2775_082_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2775	082	0	1	04	01	H2775_082_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2775	082	0	1	04	01	H2775_082_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2775	082	0	1	04	01	H2775_082_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2775	083	0	1	04	01	H2775_083_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2775	083	0	1	04	01	H2775_083_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2775	083	0	1	04	01	H2775_083_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2775	083	0	1	04	01	H2775_083_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2775	083	0	1	04	01	H2775_083_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2775	088	0	1	04	01	H2775_088_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2775	088	0	1	04	01	H2775_088_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2775	088	0	1	04	01	H2775_088_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2775	088	0	1	04	01	H2775_088_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2775	088	0	1	04	01	H2775_088_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2775	089	0	1	04	01	H2775_089_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2775	089	0	1	04	01	H2775_089_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2775	089	0	1	04	01	H2775_089_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2775	089	0	1	04	01	H2775_089_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2775	089	0	1	04	01	H2775_089_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2802	001	0	1	01	01	H2802_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2802	001	0	1	01	01	H2802_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2802	001	0	1	01	01	H2802_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2802	001	0	1	01	01	H2802_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2802	001	0	1	01	01	H2802_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2810	001	0	1	04	01	H2810_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2810	001	0	1	04	01	H2810_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H2810	001	0	1	04	01	H2810_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2810	001	0	1	04	01	H2810_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H2810	001	0	1	04	01	H2810_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2816	013	0	1	09	04	H2816_013_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2816	013	0	1	09	04	H2816_013_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2816	013	0	1	09	04	H2816_013_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2816	013	0	1	09	04	H2816_013_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2816	013	0	1	09	04	H2816_013_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2816	019	0	1	09	04	H2816_019_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2816	019	0	1	09	04	H2816_019_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2816	019	0	1	09	04	H2816_019_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2816	019	0	1	09	04	H2816_019_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2816	019	0	1	09	04	H2816_019_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2816	021	0	1	09	04	H2816_021_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2816	021	0	1	09	04	H2816_021_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2816	021	0	1	09	04	H2816_021_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2816	021	0	1	09	04	H2816_021_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2816	021	0	1	09	04	H2816_021_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2816	027	0	1	09	04	H2816_027_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2816	027	0	1	09	04	H2816_027_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2816	027	0	1	09	04	H2816_027_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2816	027	0	1	09	04	H2816_027_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2816	027	0	1	09	04	H2816_027_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2836	004	0	1	04	01	H2836_004_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H2836	004	0	1	04	01	H2836_004_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H2836	004	0	1	04	01	H2836_004_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H2836	004	0	1	04	01	H2836_004_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H2836	004	0	1	04	01	H2836_004_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H2836	004	0	1	04	01	H2836_004_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H2905	001	0	1	04	01	H2905_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2905	001	0	1	04	01	H2905_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2905	001	0	1	04	01	H2905_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2905	001	0	1	04	01	H2905_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2905	001	0	1	04	01	H2905_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2906	003	0	1	04	01	H2906_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2906	003	0	1	04	01	H2906_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2906	003	0	1	04	01	H2906_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2906	003	0	1	04	01	H2906_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2906	003	0	1	04	01	H2906_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2906	003	0	1	04	01	H2906_003_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2906	005	0	1	04	01	H2906_005_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2906	005	0	1	04	01	H2906_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2906	005	0	1	04	01	H2906_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2906	005	0	1	04	01	H2906_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2906	005	0	1	04	01	H2906_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2906	005	0	1	04	01	H2906_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2906	006	0	1	04	01	H2906_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2906	006	0	1	04	01	H2906_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2906	006	0	1	04	01	H2906_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2906	006	0	1	04	01	H2906_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2906	006	0	1	04	01	H2906_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2906	006	0	1	04	01	H2906_006_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2906	007	0	1	04	01	H2906_007_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2906	007	0	1	04	01	H2906_007_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2906	007	0	1	04	01	H2906_007_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2906	007	0	1	04	01	H2906_007_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2906	007	0	1	04	01	H2906_007_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2906	007	0	1	04	01	H2906_007_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2931	002	0	1	01	01	H2931_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2931	002	0	1	01	01	H2931_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H2931	002	0	1	01	01	H2931_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H2931	002	0	1	01	01	H2931_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2931	002	0	1	01	01	H2931_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2931	004	0	1	01	01	H2931_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H2931	004	0	1	01	01	H2931_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H2931	004	0	1	01	01	H2931_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H2931	004	0	1	01	01	H2931_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H2931	004	0	1	01	01	H2931_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2944	004	0	1	09	04	H2944_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2944	004	0	1	09	04	H2944_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2944	004	0	1	09	04	H2944_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2944	004	0	1	09	04	H2944_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2944	004	0	1	09	04	H2944_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2944	013	0	1	09	04	H2944_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2944	013	0	1	09	04	H2944_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2944	013	0	1	09	04	H2944_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2944	013	0	1	09	04	H2944_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2944	013	0	1	09	04	H2944_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2944	041	0	1	09	04	H2944_041_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2944	041	0	1	09	04	H2944_041_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2944	041	0	1	09	04	H2944_041_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2944	041	0	1	09	04	H2944_041_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2944	041	0	1	09	04	H2944_041_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2944	078	0	1	09	04	H2944_078_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2944	078	0	1	09	04	H2944_078_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2944	078	0	1	09	04	H2944_078_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2944	078	0	1	09	04	H2944_078_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2944	078	0	1	09	04	H2944_078_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2944	085	0	1	09	04	H2944_085_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2944	085	0	1	09	04	H2944_085_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2944	085	0	1	09	04	H2944_085_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2944	085	0	1	09	04	H2944_085_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2944	085	0	1	09	04	H2944_085_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2944	114	0	1	09	04	H2944_114_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H2944	114	0	1	09	04	H2944_114_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H2944	114	0	1	09	04	H2944_114_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H2944	114	0	1	09	04	H2944_114_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H2944	114	0	1	09	04	H2944_114_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H2944	124	0	1	09	04	H2944_124_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2944	124	0	1	09	04	H2944_124_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2944	124	0	1	09	04	H2944_124_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2944	124	0	1	09	04	H2944_124_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2944	124	0	1	09	04	H2944_124_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2944	127	0	1	09	04	H2944_127_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2944	127	0	1	09	04	H2944_127_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2944	127	0	1	09	04	H2944_127_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2944	127	0	1	09	04	H2944_127_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2944	127	0	1	09	04	H2944_127_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2944	133	0	1	09	04	H2944_133_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2944	133	0	1	09	04	H2944_133_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2944	133	0	1	09	04	H2944_133_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2944	133	0	1	09	04	H2944_133_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2944	133	0	1	09	04	H2944_133_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2949	012	0	1	01	01	H2949_012_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2949	012	0	1	01	01	H2949_012_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2949	012	0	1	01	01	H2949_012_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2949	012	0	1	01	01	H2949_012_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2949	012	0	1	01	01	H2949_012_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2949	013	0	1	01	01	H2949_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2949	013	0	1	01	01	H2949_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2949	013	0	1	01	01	H2949_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2949	013	0	1	01	01	H2949_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2949	013	0	1	01	01	H2949_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2949	014	0	1	01	01	H2949_014_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2949	014	0	1	01	01	H2949_014_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2949	014	0	1	01	01	H2949_014_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2949	014	0	1	01	01	H2949_014_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2949	014	0	1	01	01	H2949_014_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2949	018	0	1	01	01	H2949_018_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H2949	018	0	1	01	01	H2949_018_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2949	018	0	1	01	01	H2949_018_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H2949	018	0	1	01	01	H2949_018_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2949	018	0	1	01	01	H2949_018_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H2960	004	0	1	01	01	H2960_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2960	004	0	1	01	01	H2960_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2960	004	0	1	01	01	H2960_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2960	004	0	1	01	01	H2960_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2960	004	0	1	01	01	H2960_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2960	004	0	1	01	01	H2960_004_0	7	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2960	010	0	1	01	01	H2960_010_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2960	010	0	1	01	01	H2960_010_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2960	010	0	1	01	01	H2960_010_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2960	010	0	1	01	01	H2960_010_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2960	010	0	1	01	01	H2960_010_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2960	010	0	1	01	01	H2960_010_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2960	012	0	1	01	01	H2960_012_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2960	012	0	1	01	01	H2960_012_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2960	012	0	1	01	01	H2960_012_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2960	012	0	1	01	01	H2960_012_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2960	012	0	1	01	01	H2960_012_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2960	012	0	1	01	01	H2960_012_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2960	018	0	1	01	01	H2960_018_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2960	018	0	1	01	01	H2960_018_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H2960	018	0	1	01	01	H2960_018_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2960	018	0	1	01	01	H2960_018_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2960	018	0	1	01	01	H2960_018_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H2960	018	0	1	01	01	H2960_018_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
H2962	001	0	1	01	01	H2962_001_0	12	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2962	001	0	1	01	01	H2962_001_0	12	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2962	001	0	1	01	01	H2962_001_0	12	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H2962	001	0	1	01	01	H2962_001_0	12	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H2962	002	0	1	01	01	H2962_002_0	11	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2962	002	0	1	01	01	H2962_002_0	11	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2962	002	0	1	01	01	H2962_002_0	11	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H2962	002	0	1	01	01	H2962_002_0	11	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H2962	003	0	1	01	01	H2962_003_0	11	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2962	003	0	1	01	01	H2962_003_0	11	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2962	003	0	1	01	01	H2962_003_0	11	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H2962	003	0	1	01	01	H2962_003_0	11	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H2962	004	0	1	01	01	H2962_004_0	11	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H2962	004	0	1	01	01	H2962_004_0	11	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H2962	004	0	1	01	01	H2962_004_0	11	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H2962	004	0	1	01	01	H2962_004_0	11	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2968	001	0	1	04	01	H2968_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H2968	001	0	1	04	01	H2968_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H2968	001	0	1	04	01	H2968_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H2968	001	0	1	04	01	H2968_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H2968	001	0	1	04	01	H2968_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H2986	001	0	1	01	01	H2986_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H2986	001	0	1	01	01	H2986_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H2986	001	0	1	01	01	H2986_001_0	7	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	001001	1						
H2986	001	0	1	01	01	H2986_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H2986	001	0	1	01	01	H2986_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	001001	1						
H2986	001	0	1	01	01	H2986_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H3018	001	0	1	48	05	H3018_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H3018	001	0	1	48	05	H3018_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000001					1	0.00	0.00
H3018	001	0	1	48	05	H3018_001_0	4	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H3018	001	0	1	48	05	H3018_001_0	4	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H3054	001	0	1	01	01	H3054_001_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	010000	1	2	6.50				
H3054	001	0	1	01	01	H3054_001_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1	1		5			
H3054	001	0	1	01	01	H3054_001_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	100000	1	2	95.00				
H3054	001	0	1	01	01	H3054_001_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000001	1	2	45.00				
H3067	001	0	1	48	05	H3067_001_0	5	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H3067	001	0	1	48	05	H3067_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H3067	001	0	1	48	05	H3067_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H3071	002	0	1	01	01	H3071_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3071	002	0	1	01	01	H3071_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3071	002	0	1	01	01	H3071_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3071	002	0	1	01	01	H3071_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3071	002	0	1	01	01	H3071_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3107	004	0	1	01	01	H3107_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3107	004	0	1	01	01	H3107_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3107	004	0	1	01	01	H3107_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3107	004	0	1	01	01	H3107_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3107	004	0	1	01	01	H3107_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3107	012	0	1	01	01	H3107_012_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3107	012	0	1	01	01	H3107_012_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3107	012	0	1	01	01	H3107_012_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3107	012	0	1	01	01	H3107_012_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3107	012	0	1	01	01	H3107_012_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3107	013	0	1	01	01	H3107_013_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3107	013	0	1	01	01	H3107_013_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3107	013	0	1	01	01	H3107_013_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3107	013	0	1	01	01	H3107_013_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3107	013	0	1	01	01	H3107_013_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3107	014	0	1	01	01	H3107_014_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3107	014	0	1	01	01	H3107_014_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3107	014	0	1	01	01	H3107_014_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3107	014	0	1	01	01	H3107_014_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3107	014	0	1	01	01	H3107_014_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3113	008	0	1	01	01	H3113_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3113	008	0	1	01	01	H3113_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3113	008	0	1	01	01	H3113_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3113	008	0	1	01	01	H3113_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3113	008	0	1	01	01	H3113_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3129	001	0	1	48	05	H3129_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H3129	001	0	1	48	05	H3129_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H3129	001	0	1	48	05	H3129_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H3132	001	0	1	01	01	H3132_001_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand	2	1	2	001001	1						
H3132	001	0	1	01	01	H3132_001_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand	2	2	2	010001	1						
H3132	001	0	1	01	01	H3132_001_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand	2	3	2	100000	1						
H3152	022	0	1	01	01	H3152_022_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3152	022	0	1	01	01	H3152_022_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3152	022	0	1	01	01	H3152_022_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3152	022	0	1	01	01	H3152_022_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3152	022	0	1	01	01	H3152_022_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3152	046	0	1	01	01	H3152_046_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3152	046	0	1	01	01	H3152_046_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3152	046	0	1	01	01	H3152_046_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3152	046	0	1	01	01	H3152_046_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3152	046	0	1	01	01	H3152_046_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3152	077	0	1	01	01	H3152_077_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3152	077	0	1	01	01	H3152_077_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3152	077	0	1	01	01	H3152_077_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3152	077	0	1	01	01	H3152_077_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3152	077	0	1	01	01	H3152_077_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3152	080	0	1	01	01	H3152_080_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H3152	080	0	1	01	01	H3152_080_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H3152	080	0	1	01	01	H3152_080_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H3152	080	0	1	01	01	H3152_080_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H3154	004	0	1	01	01	H3154_004_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3154	004	0	1	01	01	H3154_004_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3154	004	0	1	01	01	H3154_004_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H3154	004	0	1	01	01	H3154_004_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3154	004	0	1	01	01	H3154_004_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3154	022	0	1	01	01	H3154_022_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3154	022	0	1	01	01	H3154_022_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3154	022	0	1	01	01	H3154_022_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3154	022	0	1	01	01	H3154_022_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H3154	022	0	1	01	01	H3154_022_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3154	024	0	1	01	01	H3154_024_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H3154	024	0	1	01	01	H3154_024_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3154	024	0	1	01	01	H3154_024_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3154	024	0	1	01	01	H3154_024_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3154	024	0	1	01	01	H3154_024_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3154	026	0	1	01	01	H3154_026_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3154	026	0	1	01	01	H3154_026_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3154	026	0	1	01	01	H3154_026_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H3154	026	0	1	01	01	H3154_026_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3154	026	0	1	01	01	H3154_026_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3154	027	0	1	01	01	H3154_027_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3154	027	0	1	01	01	H3154_027_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3154	027	0	1	01	01	H3154_027_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3154	027	0	1	01	01	H3154_027_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H3154	027	0	1	01	01	H3154_027_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3154	028	0	1	01	01	H3154_028_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3154	028	0	1	01	01	H3154_028_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3154	028	0	1	01	01	H3154_028_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3154	028	0	1	01	01	H3154_028_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
H3154	028	0	1	01	01	H3154_028_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3156	030	0	1	01	01	H3156_030_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3156	030	0	1	01	01	H3156_030_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3156	030	0	1	01	01	H3156_030_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3156	030	0	1	01	01	H3156_030_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3156	030	0	1	01	01	H3156_030_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3156	034	0	1	01	01	H3156_034_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3156	034	0	1	01	01	H3156_034_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3156	034	0	1	01	01	H3156_034_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3156	034	0	1	01	01	H3156_034_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3156	034	0	1	01	01	H3156_034_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3156	036	0	1	01	01	H3156_036_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3156	036	0	1	01	01	H3156_036_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3156	036	0	1	01	01	H3156_036_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3156	036	0	1	01	01	H3156_036_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3156	036	0	1	01	01	H3156_036_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3204	001	0	1	01	01	H3204_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3204	001	0	1	01	01	H3204_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3204	001	0	1	01	01	H3204_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3204	001	0	1	01	01	H3204_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3204	001	0	1	01	01	H3204_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3204	007	0	1	01	01	H3204_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3204	007	0	1	01	01	H3204_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3204	007	0	1	01	01	H3204_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3204	007	0	1	01	01	H3204_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3204	007	0	1	01	01	H3204_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3206	001	0	1	04	01	H3206_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3206	001	0	1	04	01	H3206_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3206	001	0	1	04	01	H3206_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3206	001	0	1	04	01	H3206_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3206	001	0	1	04	01	H3206_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3206	002	0	1	04	01	H3206_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3206	002	0	1	04	01	H3206_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3206	002	0	1	04	01	H3206_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3206	002	0	1	04	01	H3206_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3206	002	0	1	04	01	H3206_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3233	001	0	1	01	01	H3233_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3233	001	0	1	01	01	H3233_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3233	001	0	1	01	01	H3233_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3233	001	0	1	01	01	H3233_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3233	001	0	1	01	01	H3233_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3237	001	0	1	48	05	H3237_001_0	2	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H3237	001	0	1	48	05	H3237_001_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H3237	001	0	1	48	05	H3237_001_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H3237	002	0	1	48	05	H3237_002_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H3237	002	0	1	48	05	H3237_002_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H3237	002	0	1	48	05	H3237_002_0	2	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H3240	013	0	1	01	01	H3240_013_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3240	013	0	1	01	01	H3240_013_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3240	013	0	1	01	01	H3240_013_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3240	013	0	1	01	01	H3240_013_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3240	013	0	1	01	01	H3240_013_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3240	013	0	1	01	01	H3240_013_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3251	002	0	1	01	01	H3251_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3251	002	0	1	01	01	H3251_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3251	002	0	1	01	01	H3251_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3251	002	0	1	01	01	H3251_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3251	002	0	1	01	01	H3251_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3251	021	0	1	02	01	H3251_021_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3251	021	0	1	02	01	H3251_021_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3251	021	0	1	02	01	H3251_021_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3251	021	0	1	02	01	H3251_021_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3251	021	0	1	02	01	H3251_021_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3305	015	0	1	02	01	H3305_015_0	10	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H3305	015	0	1	02	01	H3305_015_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100100	1						
H3305	015	0	1	02	01	H3305_015_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000101	1						
H3305	015	0	1	02	01	H3305_015_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H3305	015	0	1	02	01	H3305_015_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H3305	015	0	1	02	01	H3305_015_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	010010	1						
H3307	002	0	1	01	01	H3307_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3307	002	0	1	01	01	H3307_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3307	002	0	1	01	01	H3307_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3307	002	0	1	01	01	H3307_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3307	002	0	1	01	01	H3307_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3307	012	0	1	01	01	H3307_012_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3307	012	0	1	01	01	H3307_012_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3307	012	0	1	01	01	H3307_012_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3307	012	0	1	01	01	H3307_012_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3307	012	0	1	01	01	H3307_012_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3307	015	0	1	01	01	H3307_015_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3307	015	0	1	01	01	H3307_015_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3307	015	0	1	01	01	H3307_015_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3307	015	0	1	01	01	H3307_015_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3307	015	0	1	01	01	H3307_015_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3307	023	0	1	01	01	H3307_023_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3307	023	0	1	01	01	H3307_023_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3307	023	0	1	01	01	H3307_023_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3307	023	0	1	01	01	H3307_023_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3307	023	0	1	01	01	H3307_023_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3312	002	0	1	01	01	H3312_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3312	002	0	1	01	01	H3312_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3312	002	0	1	01	01	H3312_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3312	002	0	1	01	01	H3312_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3312	002	0	1	01	01	H3312_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3312	018	0	1	01	01	H3312_018_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3312	018	0	1	01	01	H3312_018_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3312	018	0	1	01	01	H3312_018_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3312	018	0	1	01	01	H3312_018_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3312	018	0	1	01	01	H3312_018_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3312	048	0	1	01	01	H3312_048_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3312	048	0	1	01	01	H3312_048_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3312	048	0	1	01	01	H3312_048_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3312	048	0	1	01	01	H3312_048_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3312	048	0	1	01	01	H3312_048_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3312	060	0	1	01	01	H3312_060_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3312	060	0	1	01	01	H3312_060_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3312	060	0	1	01	01	H3312_060_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3312	060	0	1	01	01	H3312_060_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3312	060	0	1	01	01	H3312_060_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3312	061	0	1	01	01	H3312_061_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3312	061	0	1	01	01	H3312_061_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3312	061	0	1	01	01	H3312_061_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3312	061	0	1	01	01	H3312_061_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3312	061	0	1	01	01	H3312_061_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3327	001	0	1	01	01	H3327_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3327	001	0	1	01	01	H3327_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3327	001	0	1	01	01	H3327_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3327	001	0	1	01	01	H3327_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3327	001	0	1	01	01	H3327_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3327	002	0	1	01	01	H3327_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3327	002	0	1	01	01	H3327_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3327	002	0	1	01	01	H3327_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3327	002	0	1	01	01	H3327_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3327	002	0	1	01	01	H3327_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3327	038	0	1	02	01	H3327_038_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3327	038	0	1	02	01	H3327_038_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3327	038	0	1	02	01	H3327_038_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3327	038	0	1	02	01	H3327_038_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3327	038	0	1	02	01	H3327_038_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3327	040	0	1	01	01	H3327_040_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3327	040	0	1	01	01	H3327_040_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3327	040	0	1	01	01	H3327_040_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3327	040	0	1	01	01	H3327_040_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3327	040	0	1	01	01	H3327_040_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3327	041	0	1	01	01	H3327_041_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3327	041	0	1	01	01	H3327_041_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3327	041	0	1	01	01	H3327_041_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3327	041	0	1	01	01	H3327_041_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3327	041	0	1	01	01	H3327_041_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3328	002	0	1	01	01	H3328_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3328	002	0	1	01	01	H3328_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H3328	002	0	1	01	01	H3328_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3328	002	0	1	01	01	H3328_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3328	002	0	1	01	01	H3328_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3328	003	0	1	02	01	H3328_003_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3328	003	0	1	02	01	H3328_003_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3328	003	0	1	02	01	H3328_003_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3328	003	0	1	02	01	H3328_003_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3328	003	0	1	02	01	H3328_003_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3328	016	0	1	01	01	H3328_016_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H3328	016	0	1	01	01	H3328_016_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3328	016	0	1	01	01	H3328_016_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3328	016	0	1	01	01	H3328_016_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3328	016	0	1	01	01	H3328_016_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3328	017	0	1	01	01	H3328_017_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3328	017	0	1	01	01	H3328_017_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3328	017	0	1	01	01	H3328_017_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3328	017	0	1	01	01	H3328_017_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3328	017	0	1	01	01	H3328_017_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3328	019	0	1	01	01	H3328_019_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3328	019	0	1	01	01	H3328_019_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3328	019	0	1	01	01	H3328_019_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3328	019	0	1	01	01	H3328_019_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3328	019	0	1	01	01	H3328_019_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3330	021	1	1	01	01	H3330_021_1	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	021	1	1	01	01	H3330_021_1	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	021	1	1	01	01	H3330_021_1	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	021	1	1	01	01	H3330_021_1	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	021	1	1	01	01	H3330_021_1	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	021	2	1	01	01	H3330_021_2	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	021	2	1	01	01	H3330_021_2	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	021	2	1	01	01	H3330_021_2	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	021	2	1	01	01	H3330_021_2	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	021	2	1	01	01	H3330_021_2	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	021	3	1	01	01	H3330_021_3	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	021	3	1	01	01	H3330_021_3	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	021	3	1	01	01	H3330_021_3	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	021	3	1	01	01	H3330_021_3	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	021	3	1	01	01	H3330_021_3	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	029	0	1	01	01	H3330_029_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3330	029	0	1	01	01	H3330_029_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3330	029	0	1	01	01	H3330_029_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H3330	029	0	1	01	01	H3330_029_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3330	029	0	1	01	01	H3330_029_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3330	032	1	1	01	01	H3330_032_1	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	032	1	1	01	01	H3330_032_1	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	032	1	1	01	01	H3330_032_1	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	032	1	1	01	01	H3330_032_1	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	032	1	1	01	01	H3330_032_1	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	032	2	1	01	01	H3330_032_2	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	032	2	1	01	01	H3330_032_2	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	032	2	1	01	01	H3330_032_2	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	032	2	1	01	01	H3330_032_2	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	032	2	1	01	01	H3330_032_2	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	032	3	1	01	01	H3330_032_3	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	032	3	1	01	01	H3330_032_3	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	032	3	1	01	01	H3330_032_3	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	032	3	1	01	01	H3330_032_3	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	032	3	1	01	01	H3330_032_3	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	033	1	1	01	01	H3330_033_1	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	033	1	1	01	01	H3330_033_1	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	033	1	1	01	01	H3330_033_1	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	033	1	1	01	01	H3330_033_1	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	033	1	1	01	01	H3330_033_1	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	033	2	1	01	01	H3330_033_2	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	033	2	1	01	01	H3330_033_2	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	033	2	1	01	01	H3330_033_2	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	033	2	1	01	01	H3330_033_2	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	033	2	1	01	01	H3330_033_2	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	033	3	1	01	01	H3330_033_3	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3330	033	3	1	01	01	H3330_033_3	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3330	033	3	1	01	01	H3330_033_3	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3330	033	3	1	01	01	H3330_033_3	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3330	033	3	1	01	01	H3330_033_3	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3330	035	0	1	01	01	H3330_035_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H3330	035	0	1	01	01	H3330_035_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H3330	035	0	1	01	01	H3330_035_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H3330	035	0	1	01	01	H3330_035_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H3330	035	0	1	01	01	H3330_035_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H3335	005	0	1	04	01	H3335_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3335	005	0	1	04	01	H3335_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	005	0	1	04	01	H3335_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	005	0	1	04	01	H3335_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	005	0	1	04	01	H3335_005_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	006	0	1	04	01	H3335_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3335	006	0	1	04	01	H3335_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	006	0	1	04	01	H3335_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	006	0	1	04	01	H3335_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	006	0	1	04	01	H3335_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	014	0	1	04	01	H3335_014_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	014	0	1	04	01	H3335_014_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3335	014	0	1	04	01	H3335_014_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	014	0	1	04	01	H3335_014_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	014	0	1	04	01	H3335_014_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	015	0	1	04	01	H3335_015_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	015	0	1	04	01	H3335_015_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3335	015	0	1	04	01	H3335_015_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	015	0	1	04	01	H3335_015_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	015	0	1	04	01	H3335_015_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	018	0	1	04	01	H3335_018_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3335	018	0	1	04	01	H3335_018_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3335	018	0	1	04	01	H3335_018_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3335	018	0	1	04	01	H3335_018_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3335	018	0	1	04	01	H3335_018_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3335	038	0	1	04	01	H3335_038_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	038	0	1	04	01	H3335_038_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	038	0	1	04	01	H3335_038_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3335	038	0	1	04	01	H3335_038_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	038	0	1	04	01	H3335_038_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	051	0	1	04	01	H3335_051_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	051	0	1	04	01	H3335_051_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	051	0	1	04	01	H3335_051_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3335	051	0	1	04	01	H3335_051_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	051	0	1	04	01	H3335_051_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	052	0	1	04	01	H3335_052_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3335	052	0	1	04	01	H3335_052_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3335	052	0	1	04	01	H3335_052_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3335	052	0	1	04	01	H3335_052_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3335	052	0	1	04	01	H3335_052_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3337	001	0	1	01	01	H3337_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3337	001	0	1	01	01	H3337_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3337	001	0	1	01	01	H3337_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3337	001	0	1	01	01	H3337_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3337	001	0	1	01	01	H3337_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	3						
H3342	019	0	1	04	01	H3342_019_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3342	019	0	1	04	01	H3342_019_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3342	019	0	1	04	01	H3342_019_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3342	019	0	1	04	01	H3342_019_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3342	019	0	1	04	01	H3342_019_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3342	019	0	1	04	01	H3342_019_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3342	020	0	1	04	01	H3342_020_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3342	020	0	1	04	01	H3342_020_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3342	020	0	1	04	01	H3342_020_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3342	020	0	1	04	01	H3342_020_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3342	020	0	1	04	01	H3342_020_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3342	020	0	1	04	01	H3342_020_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3344	005	0	1	04	01	H3344_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3344	005	0	1	04	01	H3344_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3344	005	0	1	04	01	H3344_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H3344	005	0	1	04	01	H3344_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3344	005	0	1	04	01	H3344_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H3347	005	0	1	01	01	H3347_005_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	010000	1						
H3347	005	0	1	01	01	H3347_005_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
H3347	005	0	1	01	01	H3347_005_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
H3347	005	0	1	01	01	H3347_005_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
H3347	012	0	1	01	01	H3347_012_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	010000	1						
H3347	012	0	1	01	01	H3347_012_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
H3347	012	0	1	01	01	H3347_012_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
H3347	012	0	1	01	01	H3347_012_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
H3347	013	0	1	01	01	H3347_013_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H3347	013	0	1	01	01	H3347_013_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	1						
H3347	013	0	1	01	01	H3347_013_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	110000	1						
H3347	013	0	1	01	01	H3347_013_0	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H3351	002	0	1	02	01	H3351_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3351	002	0	1	02	01	H3351_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3351	002	0	1	02	01	H3351_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3351	002	0	1	02	01	H3351_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3351	002	0	1	02	01	H3351_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3351	006	0	1	02	01	H3351_006_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3351	006	0	1	02	01	H3351_006_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3351	006	0	1	02	01	H3351_006_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3351	006	0	1	02	01	H3351_006_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3351	006	0	1	02	01	H3351_006_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3351	010	0	1	01	01	H3351_010_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3351	010	0	1	01	01	H3351_010_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3351	010	0	1	01	01	H3351_010_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3351	010	0	1	01	01	H3351_010_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3351	010	0	1	01	01	H3351_010_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3351	011	0	1	01	01	H3351_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3351	011	0	1	01	01	H3351_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3351	011	0	1	01	01	H3351_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3351	011	0	1	01	01	H3351_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3351	011	0	1	01	01	H3351_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3351	012	0	1	01	01	H3351_012_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3351	012	0	1	01	01	H3351_012_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3351	012	0	1	01	01	H3351_012_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3351	012	0	1	01	01	H3351_012_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3351	012	0	1	01	01	H3351_012_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3351	013	0	1	01	01	H3351_013_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3351	013	0	1	01	01	H3351_013_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H3351	013	0	1	01	01	H3351_013_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3351	013	0	1	01	01	H3351_013_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3351	013	0	1	01	01	H3351_013_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H3359	001	0	1	01	01	H3359_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3359	001	0	1	01	01	H3359_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3359	001	0	1	01	01	H3359_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3359	001	0	1	01	01	H3359_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3359	001	0	1	01	01	H3359_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3359	036	0	1	01	01	H3359_036_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H3359	036	0	1	01	01	H3359_036_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H3359	036	0	1	01	01	H3359_036_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H3359	036	0	1	01	01	H3359_036_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H3361	043	0	1	01	01	H3361_043_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3361	043	0	1	01	01	H3361_043_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3361	043	0	1	01	01	H3361_043_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3361	043	0	1	01	01	H3361_043_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3361	043	0	1	01	01	H3361_043_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3361	065	0	1	01	01	H3361_065_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3361	065	0	1	01	01	H3361_065_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3361	065	0	1	01	01	H3361_065_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3361	065	0	1	01	01	H3361_065_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3361	065	0	1	01	01	H3361_065_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3361	099	0	1	01	01	H3361_099_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3361	099	0	1	01	01	H3361_099_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3361	099	0	1	01	01	H3361_099_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3361	099	0	1	01	01	H3361_099_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3361	099	0	1	01	01	H3361_099_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3361	106	0	1	02	01	H3361_106_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3361	106	0	1	02	01	H3361_106_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3361	106	0	1	02	01	H3361_106_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3361	106	0	1	02	01	H3361_106_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3361	106	0	1	02	01	H3361_106_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3361	109	0	1	01	01	H3361_109_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3361	109	0	1	01	01	H3361_109_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3361	109	0	1	01	01	H3361_109_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3361	109	0	1	01	01	H3361_109_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3361	109	0	1	01	01	H3361_109_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3361	130	0	1	01	01	H3361_130_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3361	130	0	1	01	01	H3361_130_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3361	130	0	1	01	01	H3361_130_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3361	130	0	1	01	01	H3361_130_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3361	130	0	1	01	01	H3361_130_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3361	132	0	1	01	01	H3361_132_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3361	132	0	1	01	01	H3361_132_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3361	132	0	1	01	01	H3361_132_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3361	132	0	1	01	01	H3361_132_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3361	132	0	1	01	01	H3361_132_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3361	133	0	1	01	01	H3361_133_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3361	133	0	1	01	01	H3361_133_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3361	133	0	1	01	01	H3361_133_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3361	133	0	1	01	01	H3361_133_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3361	133	0	1	01	01	H3361_133_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3362	017	0	1	02	01	H3362_017_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3362	017	0	1	02	01	H3362_017_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3362	017	0	1	02	01	H3362_017_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H3362	017	0	1	02	01	H3362_017_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H3362	017	0	1	02	01	H3362_017_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3362	020	0	1	01	01	H3362_020_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3362	020	0	1	01	01	H3362_020_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3362	020	0	1	01	01	H3362_020_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H3362	020	0	1	01	01	H3362_020_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H3362	020	0	1	01	01	H3362_020_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3362	026	0	1	02	01	H3362_026_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3362	026	0	1	02	01	H3362_026_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H3362	026	0	1	02	01	H3362_026_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H3362	026	0	1	02	01	H3362_026_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3362	026	0	1	02	01	H3362_026_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3362	027	0	1	01	01	H3362_027_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3362	027	0	1	01	01	H3362_027_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3362	027	0	1	01	01	H3362_027_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H3362	027	0	1	01	01	H3362_027_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H3362	027	0	1	01	01	H3362_027_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3362	029	0	1	02	01	H3362_029_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3362	029	0	1	02	01	H3362_029_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3362	029	0	1	02	01	H3362_029_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H3362	029	0	1	02	01	H3362_029_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H3362	029	0	1	02	01	H3362_029_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3370	028	0	1	01	01	H3370_028_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3370	028	0	1	01	01	H3370_028_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3370	028	0	1	01	01	H3370_028_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3370	028	0	1	01	01	H3370_028_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3370	028	0	1	01	01	H3370_028_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3370	028	0	1	01	01	H3370_028_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3370	029	1	1	01	01	H3370_029_1	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3370	029	1	1	01	01	H3370_029_1	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3370	029	1	1	01	01	H3370_029_1	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3370	029	1	1	01	01	H3370_029_1	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3370	029	1	1	01	01	H3370_029_1	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3370	029	1	1	01	01	H3370_029_1	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3370	029	2	1	01	01	H3370_029_2	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3370	029	2	1	01	01	H3370_029_2	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3370	029	2	1	01	01	H3370_029_2	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3370	029	2	1	01	01	H3370_029_2	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3370	029	2	1	01	01	H3370_029_2	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3370	029	2	1	01	01	H3370_029_2	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3370	029	3	1	01	01	H3370_029_3	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3370	029	3	1	01	01	H3370_029_3	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3370	029	3	1	01	01	H3370_029_3	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3370	029	3	1	01	01	H3370_029_3	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3370	029	3	1	01	01	H3370_029_3	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3370	029	3	1	01	01	H3370_029_3	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3370	029	4	1	01	01	H3370_029_4	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3370	029	4	1	01	01	H3370_029_4	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3370	029	4	1	01	01	H3370_029_4	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3370	029	4	1	01	01	H3370_029_4	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3370	029	4	1	01	01	H3370_029_4	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3370	029	4	1	01	01	H3370_029_4	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3370	030	0	1	01	01	H3370_030_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3370	030	0	1	01	01	H3370_030_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3370	030	0	1	01	01	H3370_030_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3370	030	0	1	01	01	H3370_030_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3370	030	0	1	01	01	H3370_030_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3370	030	0	1	01	01	H3370_030_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3370	031	0	1	01	01	H3370_031_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3370	031	0	1	01	01	H3370_031_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3370	031	0	1	01	01	H3370_031_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3370	031	0	1	01	01	H3370_031_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3370	031	0	1	01	01	H3370_031_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3370	031	0	1	01	01	H3370_031_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H3370	032	0	1	01	01	H3370_032_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3370	032	0	1	01	01	H3370_032_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3370	032	0	1	01	01	H3370_032_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3370	032	0	1	01	01	H3370_032_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3370	032	0	1	01	01	H3370_032_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3370	032	0	1	01	01	H3370_032_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3379	001	0	1	01	01	H3379_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3379	001	0	1	01	01	H3379_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3379	001	0	1	01	01	H3379_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3379	001	0	1	01	01	H3379_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3379	001	0	1	01	01	H3379_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3384	013	0	1	01	01	H3384_013_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3384	013	0	1	01	01	H3384_013_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3384	013	0	1	01	01	H3384_013_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3384	013	0	1	01	01	H3384_013_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3384	013	0	1	01	01	H3384_013_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3384	019	0	1	01	01	H3384_019_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3384	019	0	1	01	01	H3384_019_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3384	019	0	1	01	01	H3384_019_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3384	019	0	1	01	01	H3384_019_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3384	019	0	1	01	01	H3384_019_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3384	057	0	1	02	01	H3384_057_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3384	057	0	1	02	01	H3384_057_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3384	057	0	1	02	01	H3384_057_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3384	057	0	1	02	01	H3384_057_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3384	057	0	1	02	01	H3384_057_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3384	058	0	1	01	01	H3384_058_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3384	058	0	1	01	01	H3384_058_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3384	058	0	1	01	01	H3384_058_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3384	058	0	1	01	01	H3384_058_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3384	058	0	1	01	01	H3384_058_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3384	059	0	1	02	01	H3384_059_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3384	059	0	1	02	01	H3384_059_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3384	059	0	1	02	01	H3384_059_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3384	059	0	1	02	01	H3384_059_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3384	059	0	1	02	01	H3384_059_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3388	002	0	1	01	01	H3388_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3388	002	0	1	01	01	H3388_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3388	002	0	1	01	01	H3388_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3388	002	0	1	01	01	H3388_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3388	002	0	1	01	01	H3388_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3388	004	0	1	01	01	H3388_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3388	004	0	1	01	01	H3388_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3388	004	0	1	01	01	H3388_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3388	004	0	1	01	01	H3388_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3388	004	0	1	01	01	H3388_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3388	013	0	1	01	01	H3388_013_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3388	013	0	1	01	01	H3388_013_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3388	013	0	1	01	01	H3388_013_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3388	013	0	1	01	01	H3388_013_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3388	013	0	1	01	01	H3388_013_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3404	001	0	1	04	01	H3404_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3404	001	0	1	04	01	H3404_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3404	001	0	1	04	01	H3404_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3404	001	0	1	04	01	H3404_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3404	001	0	1	04	01	H3404_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3404	002	0	1	04	01	H3404_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3404	002	0	1	04	01	H3404_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3404	002	0	1	04	01	H3404_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3404	002	0	1	04	01	H3404_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3404	002	0	1	04	01	H3404_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3421	002	0	1	09	04	H3421_002_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H3421	002	0	1	09	04	H3421_002_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3421	002	0	1	09	04	H3421_002_0	9	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H3421	002	0	1	09	04	H3421_002_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3447	001	0	1	01	01	H3447_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H3447	001	0	1	01	01	H3447_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H3447	001	0	1	01	01	H3447_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H3447	001	0	1	01	01	H3447_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H3447	001	0	1	01	01	H3447_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H3447	001	0	1	01	01	H3447_001_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H3447	003	0	1	01	01	H3447_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H3447	003	0	1	01	01	H3447_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H3447	003	0	1	01	01	H3447_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H3447	003	0	1	01	01	H3447_003_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H3447	003	0	1	01	01	H3447_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H3447	003	0	1	01	01	H3447_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H3447	004	0	1	01	01	H3447_004_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H3447	004	0	1	01	01	H3447_004_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H3447	004	0	1	01	01	H3447_004_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H3447	004	0	1	01	01	H3447_004_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H3447	004	0	1	01	01	H3447_004_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H3447	004	0	1	01	01	H3447_004_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H3447	005	0	1	01	01	H3447_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3447	005	0	1	01	01	H3447_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3447	005	0	1	01	01	H3447_005_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H3447	005	0	1	01	01	H3447_005_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3447	005	0	1	01	01	H3447_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H3447	005	0	1	01	01	H3447_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H3449	005	0	1	01	01	H3449_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3449	005	0	1	01	01	H3449_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3449	005	0	1	01	01	H3449_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3449	005	0	1	01	01	H3449_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3449	005	0	1	01	01	H3449_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3449	013	0	1	01	01	H3449_013_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3449	013	0	1	01	01	H3449_013_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3449	013	0	1	01	01	H3449_013_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3449	013	0	1	01	01	H3449_013_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3449	013	0	1	01	01	H3449_013_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3449	016	0	1	01	01	H3449_016_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3449	016	0	1	01	01	H3449_016_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3449	016	0	1	01	01	H3449_016_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3449	016	0	1	01	01	H3449_016_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3449	016	0	1	01	01	H3449_016_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3456	001	0	1	01	01	H3456_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3456	001	0	1	01	01	H3456_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3456	001	0	1	01	01	H3456_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3456	001	0	1	01	01	H3456_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3456	001	0	1	01	01	H3456_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3456	023	0	1	01	01	H3456_023_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3456	023	0	1	01	01	H3456_023_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3456	023	0	1	01	01	H3456_023_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3456	023	0	1	01	01	H3456_023_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3456	023	0	1	01	01	H3456_023_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3456	026	0	1	01	01	H3456_026_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3456	026	0	1	01	01	H3456_026_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3456	026	0	1	01	01	H3456_026_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3456	026	0	1	01	01	H3456_026_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3456	026	0	1	01	01	H3456_026_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3471	001	0	1	01	01	H3471_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3471	001	0	1	01	01	H3471_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H3471	001	0	1	01	01	H3471_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3471	001	0	1	01	01	H3471_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3471	001	0	1	01	01	H3471_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3471	002	0	1	01	01	H3471_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3471	002	0	1	01	01	H3471_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3471	002	0	1	01	01	H3471_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3471	002	0	1	01	01	H3471_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3471	002	0	1	01	01	H3471_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	100000	1						
H3480	001	0	1	48	05	H3480_001_0	9	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H3480	001	0	1	48	05	H3480_001_0	9	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H3480	001	0	1	48	05	H3480_001_0	9	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H3480	001	0	1	48	05	H3480_001_0	9	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H3528	001	0	1	01	01	H3528_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3528	001	0	1	01	01	H3528_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3528	001	0	1	01	01	H3528_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3528	001	0	1	01	01	H3528_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3528	001	0	1	01	01	H3528_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3528	002	0	1	01	01	H3528_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3528	002	0	1	01	01	H3528_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3528	002	0	1	01	01	H3528_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3528	002	0	1	01	01	H3528_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3528	002	0	1	01	01	H3528_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3528	006	0	1	02	01	H3528_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3528	006	0	1	02	01	H3528_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3528	006	0	1	02	01	H3528_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3528	006	0	1	02	01	H3528_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3528	006	0	1	02	01	H3528_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3528	008	0	1	02	01	H3528_008_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3528	008	0	1	02	01	H3528_008_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3528	008	0	1	02	01	H3528_008_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3528	008	0	1	02	01	H3528_008_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3528	008	0	1	02	01	H3528_008_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	001	0	1	01	01	H3533_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H3533	001	0	1	01	01	H3533_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H3533	001	0	1	01	01	H3533_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3533	001	0	1	01	01	H3533_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H3533	001	0	1	01	01	H3533_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3533	002	0	1	01	01	H3533_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H3533	002	0	1	01	01	H3533_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H3533	002	0	1	01	01	H3533_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H3533	002	0	1	01	01	H3533_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3533	002	0	1	01	01	H3533_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3533	004	0	1	01	01	H3533_004_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3533	004	0	1	01	01	H3533_004_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H3533	004	0	1	01	01	H3533_004_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H3533	004	0	1	01	01	H3533_004_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H3533	004	0	1	01	01	H3533_004_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3533	005	0	1	01	01	H3533_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	005	0	1	01	01	H3533_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	005	0	1	01	01	H3533_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	005	0	1	01	01	H3533_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	005	0	1	01	01	H3533_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	006	0	1	01	01	H3533_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	006	0	1	01	01	H3533_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	006	0	1	01	01	H3533_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	006	0	1	01	01	H3533_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	006	0	1	01	01	H3533_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	007	0	1	01	01	H3533_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	007	0	1	01	01	H3533_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	007	0	1	01	01	H3533_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	007	0	1	01	01	H3533_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	007	0	1	01	01	H3533_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	009	0	1	01	01	H3533_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	009	0	1	01	01	H3533_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	009	0	1	01	01	H3533_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	009	0	1	01	01	H3533_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	009	0	1	01	01	H3533_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	010	0	1	01	01	H3533_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	010	0	1	01	01	H3533_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	010	0	1	01	01	H3533_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	010	0	1	01	01	H3533_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	010	0	1	01	01	H3533_010_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	013	0	1	01	01	H3533_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H3533	013	0	1	01	01	H3533_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3533	013	0	1	01	01	H3533_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3533	013	0	1	01	01	H3533_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H3533	013	0	1	01	01	H3533_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H3533	016	0	1	01	01	H3533_016_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	016	0	1	01	01	H3533_016_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	016	0	1	01	01	H3533_016_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	016	0	1	01	01	H3533_016_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	016	0	1	01	01	H3533_016_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	017	0	1	01	01	H3533_017_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3533	017	0	1	01	01	H3533_017_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	017	0	1	01	01	H3533_017_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	017	0	1	01	01	H3533_017_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	017	0	1	01	01	H3533_017_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	018	0	1	01	01	H3533_018_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H3533	018	0	1	01	01	H3533_018_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H3533	018	0	1	01	01	H3533_018_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H3533	018	0	1	01	01	H3533_018_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3533	018	0	1	01	01	H3533_018_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3533	019	0	1	01	01	H3533_019_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3533	019	0	1	01	01	H3533_019_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3533	019	0	1	01	01	H3533_019_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3533	019	0	1	01	01	H3533_019_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3533	019	0	1	01	01	H3533_019_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H3536	002	0	1	01	01	H3536_002_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H3536	002	0	1	01	01	H3536_002_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H3536	002	0	1	01	01	H3536_002_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H3536	002	0	1	01	01	H3536_002_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H3536	002	0	1	01	01	H3536_002_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H3536	002	0	1	01	01	H3536_002_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H3597	001	0	1	01	01	H3597_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3597	001	0	1	01	01	H3597_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3597	001	0	1	01	01	H3597_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3597	001	0	1	01	01	H3597_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3597	001	0	1	01	01	H3597_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3597	002	0	1	01	01	H3597_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3597	002	0	1	01	01	H3597_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3597	002	0	1	01	01	H3597_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3597	002	0	1	01	01	H3597_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3597	002	0	1	01	01	H3597_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3597	005	0	1	01	01	H3597_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H3597	005	0	1	01	01	H3597_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H3597	005	0	1	01	01	H3597_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H3597	005	0	1	01	01	H3597_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H3623	001	0	1	01	01	H3623_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3623	001	0	1	01	01	H3623_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3623	001	0	1	01	01	H3623_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3623	001	0	1	01	01	H3623_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3623	001	0	1	01	01	H3623_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3623	004	0	1	01	01	H3623_004_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3623	004	0	1	01	01	H3623_004_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3623	004	0	1	01	01	H3623_004_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3623	004	0	1	01	01	H3623_004_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3623	004	0	1	01	01	H3623_004_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3623	018	0	1	01	01	H3623_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3623	018	0	1	01	01	H3623_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3623	018	0	1	01	01	H3623_018_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3623	018	0	1	01	01	H3623_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3623	018	0	1	01	01	H3623_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3623	020	0	1	01	01	H3623_020_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3623	020	0	1	01	01	H3623_020_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3623	020	0	1	01	01	H3623_020_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3623	020	0	1	01	01	H3623_020_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3623	020	0	1	01	01	H3623_020_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3653	004	0	1	01	01	H3653_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H3653	004	0	1	01	01	H3653_004_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	010010	1						
H3653	004	0	1	01	01	H3653_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H3653	004	0	1	01	01	H3653_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H3653	004	0	1	01	01	H3653_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H3653	015	0	1	01	01	H3653_015_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H3653	015	0	1	01	01	H3653_015_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H3653	015	0	1	01	01	H3653_015_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H3653	015	0	1	01	01	H3653_015_0	8	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	010010	1						
H3653	015	0	1	01	01	H3653_015_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H3655	032	0	1	01	01	H3655_032_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3655	032	0	1	01	01	H3655_032_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3655	032	0	1	01	01	H3655_032_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3655	032	0	1	01	01	H3655_032_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3655	032	0	1	01	01	H3655_032_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3655	032	0	1	01	01	H3655_032_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3655	033	0	1	01	01	H3655_033_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3655	033	0	1	01	01	H3655_033_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3655	033	0	1	01	01	H3655_033_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3655	033	0	1	01	01	H3655_033_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3655	033	0	1	01	01	H3655_033_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3655	033	0	1	01	01	H3655_033_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3655	034	0	1	01	01	H3655_034_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H3655	034	0	1	01	01	H3655_034_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H3655	034	0	1	01	01	H3655_034_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H3655	034	0	1	01	01	H3655_034_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H3655	034	0	1	01	01	H3655_034_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H3655	034	0	1	01	01	H3655_034_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H3659	003	0	1	01	01	H3659_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3659	003	0	1	01	01	H3659_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3659	003	0	1	01	01	H3659_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3659	003	0	1	01	01	H3659_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3659	003	0	1	01	01	H3659_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3659	031	0	1	01	01	H3659_031_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3659	031	0	1	01	01	H3659_031_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3659	031	0	1	01	01	H3659_031_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3659	031	0	1	01	01	H3659_031_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3659	031	0	1	01	01	H3659_031_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3659	062	0	1	01	01	H3659_062_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3659	062	0	1	01	01	H3659_062_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3659	062	0	1	01	01	H3659_062_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3659	062	0	1	01	01	H3659_062_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3659	062	0	1	01	01	H3659_062_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3660	028	0	1	02	01	H3660_028_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	028	0	1	02	01	H3660_028_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	028	0	1	02	01	H3660_028_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	028	0	1	02	01	H3660_028_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	028	0	1	02	01	H3660_028_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3660	029	0	1	02	01	H3660_029_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	029	0	1	02	01	H3660_029_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	029	0	1	02	01	H3660_029_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	029	0	1	02	01	H3660_029_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	029	0	1	02	01	H3660_029_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3660	044	0	1	01	01	H3660_044_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	044	0	1	01	01	H3660_044_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	044	0	1	01	01	H3660_044_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	044	0	1	01	01	H3660_044_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3660	044	0	1	01	01	H3660_044_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	047	0	1	01	01	H3660_047_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	047	0	1	01	01	H3660_047_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	047	0	1	01	01	H3660_047_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	047	0	1	01	01	H3660_047_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	047	0	1	01	01	H3660_047_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3660	048	0	1	02	01	H3660_048_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	048	0	1	02	01	H3660_048_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	048	0	1	02	01	H3660_048_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	048	0	1	02	01	H3660_048_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	048	0	1	02	01	H3660_048_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3660	049	0	1	01	01	H3660_049_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	049	0	1	01	01	H3660_049_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	049	0	1	01	01	H3660_049_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	049	0	1	01	01	H3660_049_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	049	0	1	01	01	H3660_049_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3660	050	0	1	01	01	H3660_050_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3660	050	0	1	01	01	H3660_050_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3660	050	0	1	01	01	H3660_050_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3660	050	0	1	01	01	H3660_050_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3660	050	0	1	01	01	H3660_050_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3664	017	0	1	02	01	H3664_017_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3664	017	0	1	02	01	H3664_017_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3664	017	0	1	02	01	H3664_017_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3664	017	0	1	02	01	H3664_017_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3664	017	0	1	02	01	H3664_017_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3664	020	0	1	02	01	H3664_020_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3664	020	0	1	02	01	H3664_020_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3664	020	0	1	02	01	H3664_020_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3664	020	0	1	02	01	H3664_020_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3664	020	0	1	02	01	H3664_020_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3664	021	0	1	02	01	H3664_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3664	021	0	1	02	01	H3664_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3664	021	0	1	02	01	H3664_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3664	021	0	1	02	01	H3664_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3664	021	0	1	02	01	H3664_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3668	005	0	1	01	01	H3668_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3668	005	0	1	01	01	H3668_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3668	005	0	1	01	01	H3668_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3668	005	0	1	01	01	H3668_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3668	005	0	1	01	01	H3668_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3668	011	0	1	01	01	H3668_011_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3668	011	0	1	01	01	H3668_011_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3668	011	0	1	01	01	H3668_011_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3668	011	0	1	01	01	H3668_011_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3668	011	0	1	01	01	H3668_011_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3668	014	0	1	01	01	H3668_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3668	014	0	1	01	01	H3668_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3668	014	0	1	01	01	H3668_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3668	014	0	1	01	01	H3668_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3668	014	0	1	01	01	H3668_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3668	015	0	1	01	01	H3668_015_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3668	015	0	1	01	01	H3668_015_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3668	015	0	1	01	01	H3668_015_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3668	015	0	1	01	01	H3668_015_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3668	015	0	1	01	01	H3668_015_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3668	016	0	1	01	01	H3668_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3668	016	0	1	01	01	H3668_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3668	016	0	1	01	01	H3668_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3668	016	0	1	01	01	H3668_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3668	016	0	1	01	01	H3668_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3668	017	0	1	01	01	H3668_017_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3668	017	0	1	01	01	H3668_017_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3668	017	0	1	01	01	H3668_017_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3668	017	0	1	01	01	H3668_017_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3668	017	0	1	01	01	H3668_017_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3672	013	0	1	01	01	H3672_013_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3672	013	0	1	01	01	H3672_013_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3672	013	0	1	01	01	H3672_013_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3672	013	0	1	01	01	H3672_013_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H3672	018	0	1	01	01	H3672_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3672	018	0	1	01	01	H3672_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3672	018	0	1	01	01	H3672_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3672	018	0	1	01	01	H3672_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H3706	001	0	1	01	01	H3706_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3706	001	0	1	01	01	H3706_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3706	001	0	1	01	01	H3706_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3706	001	0	1	01	01	H3706_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3706	001	0	1	01	01	H3706_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3749	001	0	1	01	01	H3749_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3749	001	0	1	01	01	H3749_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3749	001	0	1	01	01	H3749_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3749	001	0	1	01	01	H3749_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3749	001	0	1	01	01	H3749_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3749	017	0	1	01	01	H3749_017_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3749	017	0	1	01	01	H3749_017_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3749	017	0	1	01	01	H3749_017_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3749	017	0	1	01	01	H3749_017_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3749	017	0	1	01	01	H3749_017_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3749	018	0	1	01	01	H3749_018_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3749	018	0	1	01	01	H3749_018_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3749	018	0	1	01	01	H3749_018_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3749	018	0	1	01	01	H3749_018_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3749	018	0	1	01	01	H3749_018_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3755	001	0	1	01	01	H3755_001_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	100000	1						
H3755	001	0	1	01	01	H3755_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H3755	001	0	1	01	01	H3755_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H3755	001	0	1	01	01	H3755_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H3755	001	0	1	01	01	H3755_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H3755	001	0	1	01	01	H3755_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	100000	1						
H3755	004	0	1	01	01	H3755_004_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H3755	004	0	1	01	01	H3755_004_0	8	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	100000	1						
H3755	004	0	1	01	01	H3755_004_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	100000	1						
H3755	004	0	1	01	01	H3755_004_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H3755	004	0	1	01	01	H3755_004_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H3755	004	0	1	01	01	H3755_004_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H3755	005	0	1	01	01	H3755_005_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	5	2	100000	1						
H3755	005	0	1	01	01	H3755_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	4	2	100000	1						
H3755	005	0	1	01	01	H3755_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	3	2	000001	1						
H3755	005	0	1	01	01	H3755_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	2	2	000100	1						
H3755	005	0	1	01	01	H3755_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	1	2	001000	1						
H3755	005	0	1	01	01	H3755_005_0	8	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Injectable Drugs	4	6	2	100000	1						
H3765	001	0	1	01	01	H3765_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3765	001	0	1	01	01	H3765_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3765	001	0	1	01	01	H3765_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3765	001	0	1	01	01	H3765_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3765	001	0	1	01	01	H3765_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3794	003	0	1	01	01	H3794_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3794	003	0	1	01	01	H3794_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3794	003	0	1	01	01	H3794_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3794	003	0	1	01	01	H3794_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3794	003	0	1	01	01	H3794_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3805	001	0	1	01	01	H3805_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3805	001	0	1	01	01	H3805_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3805	001	0	1	01	01	H3805_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3805	001	0	1	01	01	H3805_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3805	001	0	1	01	01	H3805_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3805	007	0	1	01	01	H3805_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3805	007	0	1	01	01	H3805_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3805	007	0	1	01	01	H3805_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3805	007	0	1	01	01	H3805_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3805	007	0	1	01	01	H3805_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3805	012	0	1	01	01	H3805_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3805	012	0	1	01	01	H3805_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3805	012	0	1	01	01	H3805_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3805	012	0	1	01	01	H3805_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3805	012	0	1	01	01	H3805_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3805	013	0	1	01	01	H3805_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3805	013	0	1	01	01	H3805_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3805	013	0	1	01	01	H3805_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3805	013	0	1	01	01	H3805_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3805	013	0	1	01	01	H3805_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3810	003	0	1	01	01	H3810_003_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3810	003	0	1	01	01	H3810_003_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3810	003	0	1	01	01	H3810_003_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3810	003	0	1	01	01	H3810_003_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3810	003	0	1	01	01	H3810_003_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H3811	002	0	1	01	01	H3811_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3811	002	0	1	01	01	H3811_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3811	002	0	1	01	01	H3811_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3811	002	0	1	01	01	H3811_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000001	1						
H3811	002	0	1	01	01	H3811_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3811	009	0	1	01	01	H3811_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3811	009	0	1	01	01	H3811_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3811	009	0	1	01	01	H3811_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3811	009	0	1	01	01	H3811_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3811	009	0	1	01	01	H3811_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3812	001	0	1	04	01	H3812_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3812	001	0	1	04	01	H3812_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3812	001	0	1	04	01	H3812_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3812	001	0	1	04	01	H3812_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3812	001	0	1	04	01	H3812_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3813	004	0	1	04	01	H3813_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3813	004	0	1	04	01	H3813_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3813	004	0	1	04	01	H3813_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3813	004	0	1	04	01	H3813_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3813	004	0	1	04	01	H3813_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H3813	005	0	1	04	01	H3813_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3813	005	0	1	04	01	H3813_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3813	005	0	1	04	01	H3813_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3813	005	0	1	04	01	H3813_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H3813	005	0	1	04	01	H3813_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3813	006	0	1	04	01	H3813_006_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3813	006	0	1	04	01	H3813_006_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3813	006	0	1	04	01	H3813_006_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3813	006	0	1	04	01	H3813_006_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3813	006	0	1	04	01	H3813_006_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H3815	001	0	1	01	01	H3815_001_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H3815	001	0	1	01	01	H3815_001_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H3815	001	0	1	01	01	H3815_001_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H3815	001	0	1	01	01	H3815_001_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	3						
H3815	001	0	1	01	01	H3815_001_0	13	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	100100	1						
H3815	001	0	1	01	01	H3815_001_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	100100	1						
H3815	006	0	1	01	01	H3815_006_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H3815	006	0	1	01	01	H3815_006_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H3815	006	0	1	01	01	H3815_006_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H3815	006	0	1	01	01	H3815_006_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	100100	1						
H3815	006	0	1	01	01	H3815_006_0	11	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	100100	1						
H3815	006	0	1	01	01	H3815_006_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	3						
H3815	007	0	1	01	01	H3815_007_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	3						
H3815	007	0	1	01	01	H3815_007_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	100100	1						
H3815	007	0	1	01	01	H3815_007_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H3815	007	0	1	01	01	H3815_007_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	100100	1						
H3815	007	0	1	01	01	H3815_007_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H3815	007	0	1	01	01	H3815_007_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H3815	008	0	1	01	01	H3815_008_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H3815	008	0	1	01	01	H3815_008_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	100100	1						
H3815	008	0	1	01	01	H3815_008_0	7	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	100100	1						
H3815	008	0	1	01	01	H3815_008_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	3						
H3815	008	0	1	01	01	H3815_008_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H3815	008	0	1	01	01	H3815_008_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H3817	008	1	1	04	01	H3817_008_1	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3817	008	1	1	04	01	H3817_008_1	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3817	008	1	1	04	01	H3817_008_1	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3817	008	1	1	04	01	H3817_008_1	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3817	008	1	1	04	01	H3817_008_1	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3817	008	2	1	04	01	H3817_008_2	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3817	008	2	1	04	01	H3817_008_2	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3817	008	2	1	04	01	H3817_008_2	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3817	008	2	1	04	01	H3817_008_2	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3817	008	2	1	04	01	H3817_008_2	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3817	008	3	1	04	01	H3817_008_3	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3817	008	3	1	04	01	H3817_008_3	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3817	008	3	1	04	01	H3817_008_3	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3817	008	3	1	04	01	H3817_008_3	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3817	008	3	1	04	01	H3817_008_3	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3817	009	1	1	04	01	H3817_009_1	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3817	009	1	1	04	01	H3817_009_1	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3817	009	1	1	04	01	H3817_009_1	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3817	009	1	1	04	01	H3817_009_1	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3817	009	1	1	04	01	H3817_009_1	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3817	009	2	1	04	01	H3817_009_2	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3817	009	2	1	04	01	H3817_009_2	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3817	009	2	1	04	01	H3817_009_2	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3817	009	2	1	04	01	H3817_009_2	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3817	009	2	1	04	01	H3817_009_2	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3817	009	3	1	04	01	H3817_009_3	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3817	009	3	1	04	01	H3817_009_3	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3817	009	3	1	04	01	H3817_009_3	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3817	009	3	1	04	01	H3817_009_3	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3817	009	3	1	04	01	H3817_009_3	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3818	002	0	1	01	01	H3818_002_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3818	002	0	1	01	01	H3818_002_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3818	002	0	1	01	01	H3818_002_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3818	002	0	1	01	01	H3818_002_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3818	002	0	1	01	01	H3818_002_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3818	003	0	1	01	01	H3818_003_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3818	003	0	1	01	01	H3818_003_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3818	003	0	1	01	01	H3818_003_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H3818	003	0	1	01	01	H3818_003_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H3818	003	0	1	01	01	H3818_003_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001001	1						
H3818	014	0	1	01	01	H3818_014_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3818	014	0	1	01	01	H3818_014_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H3818	014	0	1	01	01	H3818_014_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H3818	014	0	1	01	01	H3818_014_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3818	014	0	1	01	01	H3818_014_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H3822	001	0	1	01	01	H3822_001_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3822	001	0	1	01	01	H3822_001_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3822	001	0	1	01	01	H3822_001_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3822	001	0	1	01	01	H3822_001_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3822	001	0	1	01	01	H3822_001_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3822	002	0	1	01	01	H3822_002_0	16	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3822	002	0	1	01	01	H3822_002_0	16	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3822	002	0	1	01	01	H3822_002_0	16	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3822	002	0	1	01	01	H3822_002_0	16	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3822	002	0	1	01	01	H3822_002_0	16	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3822	003	0	1	01	01	H3822_003_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3822	003	0	1	01	01	H3822_003_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3822	003	0	1	01	01	H3822_003_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3822	003	0	1	01	01	H3822_003_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3822	003	0	1	01	01	H3822_003_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3822	005	0	1	02	01	H3822_005_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3822	005	0	1	02	01	H3822_005_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3822	005	0	1	02	01	H3822_005_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3822	005	0	1	02	01	H3822_005_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3822	005	0	1	02	01	H3822_005_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3822	007	0	1	02	01	H3822_007_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3822	007	0	1	02	01	H3822_007_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3822	007	0	1	02	01	H3822_007_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3822	007	0	1	02	01	H3822_007_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3822	007	0	1	02	01	H3822_007_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3822	008	0	1	02	01	H3822_008_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3822	008	0	1	02	01	H3822_008_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3822	008	0	1	02	01	H3822_008_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3822	008	0	1	02	01	H3822_008_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3822	008	0	1	02	01	H3822_008_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3832	007	0	1	04	01	H3832_007_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3832	007	0	1	04	01	H3832_007_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3832	007	0	1	04	01	H3832_007_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3832	007	0	1	04	01	H3832_007_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3832	007	0	1	04	01	H3832_007_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3832	008	0	1	04	01	H3832_008_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3832	008	0	1	04	01	H3832_008_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3832	008	0	1	04	01	H3832_008_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3832	008	0	1	04	01	H3832_008_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3832	008	0	1	04	01	H3832_008_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3832	009	0	1	04	01	H3832_009_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3832	009	0	1	04	01	H3832_009_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3832	009	0	1	04	01	H3832_009_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H3832	009	0	1	04	01	H3832_009_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H3832	009	0	1	04	01	H3832_009_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3832	010	0	1	04	01	H3832_010_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3832	010	0	1	04	01	H3832_010_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3832	010	0	1	04	01	H3832_010_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3832	010	0	1	04	01	H3832_010_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3832	010	0	1	04	01	H3832_010_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3864	006	0	1	01	01	H3864_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	006	0	1	01	01	H3864_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	006	0	1	01	01	H3864_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	006	0	1	01	01	H3864_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	006	0	1	01	01	H3864_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	014	0	1	01	01	H3864_014_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	014	0	1	01	01	H3864_014_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	014	0	1	01	01	H3864_014_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	014	0	1	01	01	H3864_014_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	014	0	1	01	01	H3864_014_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	015	0	1	01	01	H3864_015_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	015	0	1	01	01	H3864_015_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	015	0	1	01	01	H3864_015_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	015	0	1	01	01	H3864_015_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	015	0	1	01	01	H3864_015_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	016	0	1	01	01	H3864_016_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	016	0	1	01	01	H3864_016_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	016	0	1	01	01	H3864_016_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	016	0	1	01	01	H3864_016_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	016	0	1	01	01	H3864_016_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	019	0	1	01	01	H3864_019_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	019	0	1	01	01	H3864_019_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	019	0	1	01	01	H3864_019_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	019	0	1	01	01	H3864_019_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	019	0	1	01	01	H3864_019_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	020	0	1	01	01	H3864_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	020	0	1	01	01	H3864_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	020	0	1	01	01	H3864_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	020	0	1	01	01	H3864_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	020	0	1	01	01	H3864_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	021	0	1	01	01	H3864_021_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	021	0	1	01	01	H3864_021_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	021	0	1	01	01	H3864_021_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	021	0	1	01	01	H3864_021_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	021	0	1	01	01	H3864_021_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	022	0	1	01	01	H3864_022_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	022	0	1	01	01	H3864_022_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	022	0	1	01	01	H3864_022_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	022	0	1	01	01	H3864_022_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	022	0	1	01	01	H3864_022_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	023	0	1	01	01	H3864_023_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	023	0	1	01	01	H3864_023_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	023	0	1	01	01	H3864_023_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	023	0	1	01	01	H3864_023_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	023	0	1	01	01	H3864_023_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	024	0	1	02	01	H3864_024_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	024	0	1	02	01	H3864_024_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	024	0	1	02	01	H3864_024_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	024	0	1	02	01	H3864_024_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3864	024	0	1	02	01	H3864_024_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	025	0	1	02	01	H3864_025_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3864	025	0	1	02	01	H3864_025_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3864	025	0	1	02	01	H3864_025_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3864	025	0	1	02	01	H3864_025_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3864	025	0	1	02	01	H3864_025_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H3887	003	0	1	02	01	H3887_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3887	003	0	1	02	01	H3887_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3887	003	0	1	02	01	H3887_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3887	003	0	1	02	01	H3887_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3887	003	0	1	02	01	H3887_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3907	006	0	1	01	01	H3907_006_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H3907	006	0	1	01	01	H3907_006_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H3907	006	0	1	01	01	H3907_006_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H3907	006	0	1	01	01	H3907_006_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H3907	006	0	1	01	01	H3907_006_0	8	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H3907	029	0	1	01	01	H3907_029_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H3907	029	0	1	01	01	H3907_029_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H3907	029	0	1	01	01	H3907_029_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H3907	029	0	1	01	01	H3907_029_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H3907	029	0	1	01	01	H3907_029_0	7	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H3907	037	0	1	01	01	H3907_037_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H3907	037	0	1	01	01	H3907_037_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H3907	037	0	1	01	01	H3907_037_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H3907	037	0	1	01	01	H3907_037_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H3907	037	0	1	01	01	H3907_037_0	7	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H3907	039	0	1	01	01	H3907_039_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H3907	039	0	1	01	01	H3907_039_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H3907	039	0	1	01	01	H3907_039_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H3907	039	0	1	01	01	H3907_039_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H3907	039	0	1	01	01	H3907_039_0	6	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H3909	001	0	1	04	01	H3909_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3909	001	0	1	04	01	H3909_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3909	001	0	1	04	01	H3909_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3909	001	0	1	04	01	H3909_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3909	001	0	1	04	01	H3909_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3909	009	0	1	04	01	H3909_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3909	009	0	1	04	01	H3909_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3909	009	0	1	04	01	H3909_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3909	009	0	1	04	01	H3909_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3909	009	0	1	04	01	H3909_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	001	0	1	04	01	H3916_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	001	0	1	04	01	H3916_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	001	0	1	04	01	H3916_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	001	0	1	04	01	H3916_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	001	0	1	04	01	H3916_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	002	0	1	04	01	H3916_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	002	0	1	04	01	H3916_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	002	0	1	04	01	H3916_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	002	0	1	04	01	H3916_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	002	0	1	04	01	H3916_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	005	0	1	04	01	H3916_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	005	0	1	04	01	H3916_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	005	0	1	04	01	H3916_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	005	0	1	04	01	H3916_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	005	0	1	04	01	H3916_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	015	0	1	04	01	H3916_015_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	015	0	1	04	01	H3916_015_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	015	0	1	04	01	H3916_015_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	015	0	1	04	01	H3916_015_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	015	0	1	04	01	H3916_015_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	018	0	1	04	01	H3916_018_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	018	0	1	04	01	H3916_018_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	018	0	1	04	01	H3916_018_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	018	0	1	04	01	H3916_018_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	018	0	1	04	01	H3916_018_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	022	0	1	04	01	H3916_022_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	022	0	1	04	01	H3916_022_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	022	0	1	04	01	H3916_022_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	022	0	1	04	01	H3916_022_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	022	0	1	04	01	H3916_022_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	024	0	1	04	01	H3916_024_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	024	0	1	04	01	H3916_024_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	024	0	1	04	01	H3916_024_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	024	0	1	04	01	H3916_024_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	024	0	1	04	01	H3916_024_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	025	0	1	04	01	H3916_025_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	025	0	1	04	01	H3916_025_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	025	0	1	04	01	H3916_025_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	025	0	1	04	01	H3916_025_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	025	0	1	04	01	H3916_025_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	032	0	1	04	01	H3916_032_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3916	032	0	1	04	01	H3916_032_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	032	0	1	04	01	H3916_032_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	032	0	1	04	01	H3916_032_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	032	0	1	04	01	H3916_032_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	033	0	1	04	01	H3916_033_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3916	033	0	1	04	01	H3916_033_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3916	033	0	1	04	01	H3916_033_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3916	033	0	1	04	01	H3916_033_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3916	033	0	1	04	01	H3916_033_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3921	001	0	1	04	01	H3921_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3921	001	0	1	04	01	H3921_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3921	001	0	1	04	01	H3921_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3921	001	0	1	04	01	H3921_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3921	001	0	1	04	01	H3921_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3921	008	0	1	04	01	H3921_008_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H3921	008	0	1	04	01	H3921_008_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3921	008	0	1	04	01	H3921_008_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3921	008	0	1	04	01	H3921_008_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3921	008	0	1	04	01	H3921_008_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3921	009	0	1	04	01	H3921_009_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3921	009	0	1	04	01	H3921_009_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3921	009	0	1	04	01	H3921_009_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3921	009	0	1	04	01	H3921_009_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3921	009	0	1	04	01	H3921_009_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3923	013	0	1	04	01	H3923_013_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3923	013	0	1	04	01	H3923_013_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3923	013	0	1	04	01	H3923_013_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3923	013	0	1	04	01	H3923_013_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3923	013	0	1	04	01	H3923_013_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3923	017	0	1	04	01	H3923_017_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3923	017	0	1	04	01	H3923_017_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3923	017	0	1	04	01	H3923_017_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3923	017	0	1	04	01	H3923_017_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3923	017	0	1	04	01	H3923_017_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	054	0	1	04	01	H3924_054_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	054	0	1	04	01	H3924_054_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	054	0	1	04	01	H3924_054_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	054	0	1	04	01	H3924_054_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	054	0	1	04	01	H3924_054_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	059	3	1	04	01	H3924_059_3	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	059	3	1	04	01	H3924_059_3	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	059	3	1	04	01	H3924_059_3	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	059	3	1	04	01	H3924_059_3	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	059	3	1	04	01	H3924_059_3	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	059	4	1	04	01	H3924_059_4	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	059	4	1	04	01	H3924_059_4	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	059	4	1	04	01	H3924_059_4	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	059	4	1	04	01	H3924_059_4	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	059	4	1	04	01	H3924_059_4	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	060	3	1	04	01	H3924_060_3	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	060	3	1	04	01	H3924_060_3	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	060	3	1	04	01	H3924_060_3	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	060	3	1	04	01	H3924_060_3	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	060	3	1	04	01	H3924_060_3	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	060	4	1	04	01	H3924_060_4	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	060	4	1	04	01	H3924_060_4	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	060	4	1	04	01	H3924_060_4	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	060	4	1	04	01	H3924_060_4	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	060	4	1	04	01	H3924_060_4	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	061	1	1	04	01	H3924_061_1	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	061	1	1	04	01	H3924_061_1	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	061	1	1	04	01	H3924_061_1	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	061	1	1	04	01	H3924_061_1	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	061	1	1	04	01	H3924_061_1	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	061	2	1	04	01	H3924_061_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	061	2	1	04	01	H3924_061_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	061	2	1	04	01	H3924_061_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	061	2	1	04	01	H3924_061_2	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3924	061	2	1	04	01	H3924_061_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	061	5	1	04	01	H3924_061_5	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3924	061	5	1	04	01	H3924_061_5	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3924	061	5	1	04	01	H3924_061_5	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3924	061	5	1	04	01	H3924_061_5	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3924	061	5	1	04	01	H3924_061_5	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3928	001	0	1	01	01	H3928_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3928	001	0	1	01	01	H3928_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3928	001	0	1	01	01	H3928_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3928	001	0	1	01	01	H3928_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3928	001	0	1	01	01	H3928_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3928	002	0	1	01	01	H3928_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3928	002	0	1	01	01	H3928_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3928	002	0	1	01	01	H3928_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3928	002	0	1	01	01	H3928_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3928	002	0	1	01	01	H3928_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	004	0	1	01	01	H3931_004_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	004	0	1	01	01	H3931_004_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	004	0	1	01	01	H3931_004_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	004	0	1	01	01	H3931_004_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	004	0	1	01	01	H3931_004_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	058	0	1	01	01	H3931_058_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	058	0	1	01	01	H3931_058_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	058	0	1	01	01	H3931_058_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	058	0	1	01	01	H3931_058_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	058	0	1	01	01	H3931_058_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	064	0	1	01	01	H3931_064_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	064	0	1	01	01	H3931_064_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	064	0	1	01	01	H3931_064_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	064	0	1	01	01	H3931_064_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	064	0	1	01	01	H3931_064_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	065	0	1	01	01	H3931_065_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	065	0	1	01	01	H3931_065_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	065	0	1	01	01	H3931_065_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	065	0	1	01	01	H3931_065_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	065	0	1	01	01	H3931_065_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	070	0	1	01	01	H3931_070_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	070	0	1	01	01	H3931_070_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	070	0	1	01	01	H3931_070_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	070	0	1	01	01	H3931_070_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	070	0	1	01	01	H3931_070_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	081	0	1	01	01	H3931_081_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	081	0	1	01	01	H3931_081_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	081	0	1	01	01	H3931_081_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	081	0	1	01	01	H3931_081_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	081	0	1	01	01	H3931_081_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	082	0	1	01	01	H3931_082_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	082	0	1	01	01	H3931_082_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	082	0	1	01	01	H3931_082_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	082	0	1	01	01	H3931_082_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	082	0	1	01	01	H3931_082_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	083	0	1	01	01	H3931_083_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H3931	083	0	1	01	01	H3931_083_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H3931	083	0	1	01	01	H3931_083_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H3931	083	0	1	01	01	H3931_083_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H3931	083	0	1	01	01	H3931_083_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H3931	084	0	1	01	01	H3931_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	084	0	1	01	01	H3931_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	084	0	1	01	01	H3931_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	084	0	1	01	01	H3931_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	084	0	1	01	01	H3931_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	087	0	1	01	01	H3931_087_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	087	0	1	01	01	H3931_087_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	087	0	1	01	01	H3931_087_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	087	0	1	01	01	H3931_087_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	087	0	1	01	01	H3931_087_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	088	0	1	01	01	H3931_088_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	088	0	1	01	01	H3931_088_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	088	0	1	01	01	H3931_088_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	088	0	1	01	01	H3931_088_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	088	0	1	01	01	H3931_088_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	090	0	1	01	01	H3931_090_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3931	090	0	1	01	01	H3931_090_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	090	0	1	01	01	H3931_090_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	090	0	1	01	01	H3931_090_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	090	0	1	01	01	H3931_090_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	091	0	1	01	01	H3931_091_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3931	091	0	1	01	01	H3931_091_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3931	091	0	1	01	01	H3931_091_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3931	091	0	1	01	01	H3931_091_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3931	091	0	1	01	01	H3931_091_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3945	003	0	1	02	01	H3945_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3945	003	0	1	02	01	H3945_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3945	003	0	1	02	01	H3945_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3945	003	0	1	02	01	H3945_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3945	003	0	1	02	01	H3945_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3949	013	0	1	01	01	H3949_013_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3949	013	0	1	01	01	H3949_013_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3949	013	0	1	01	01	H3949_013_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3949	013	0	1	01	01	H3949_013_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3949	013	0	1	01	01	H3949_013_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3949	024	0	1	01	01	H3949_024_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H3949	024	0	1	01	01	H3949_024_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H3949	024	0	1	01	01	H3949_024_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H3949	024	0	1	01	01	H3949_024_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H3949	024	0	1	01	01	H3949_024_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100100	1						
H3949	024	0	1	01	01	H3949_024_0	5	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	010010	1						
H3949	027	0	1	02	01	H3949_027_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3949	027	0	1	02	01	H3949_027_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3949	027	0	1	02	01	H3949_027_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3949	027	0	1	02	01	H3949_027_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3949	027	0	1	02	01	H3949_027_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3949	028	0	1	01	01	H3949_028_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3949	028	0	1	01	01	H3949_028_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3949	028	0	1	01	01	H3949_028_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3949	028	0	1	01	01	H3949_028_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3949	028	0	1	01	01	H3949_028_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3949	029	1	1	01	01	H3949_029_1	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3949	029	1	1	01	01	H3949_029_1	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3949	029	1	1	01	01	H3949_029_1	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3949	029	1	1	01	01	H3949_029_1	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3949	029	1	1	01	01	H3949_029_1	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3949	029	2	1	01	01	H3949_029_2	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3949	029	2	1	01	01	H3949_029_2	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H3949	029	2	1	01	01	H3949_029_2	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3949	029	2	1	01	01	H3949_029_2	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3949	029	2	1	01	01	H3949_029_2	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3952	020	0	1	01	01	H3952_020_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3952	020	0	1	01	01	H3952_020_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3952	020	0	1	01	01	H3952_020_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3952	020	0	1	01	01	H3952_020_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3952	020	0	1	01	01	H3952_020_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3952	045	0	1	01	01	H3952_045_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3952	045	0	1	01	01	H3952_045_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3952	045	0	1	01	01	H3952_045_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3952	045	0	1	01	01	H3952_045_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3952	045	0	1	01	01	H3952_045_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3952	049	0	1	01	01	H3952_049_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3952	049	0	1	01	01	H3952_049_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3952	049	0	1	01	01	H3952_049_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3952	049	0	1	01	01	H3952_049_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3952	049	0	1	01	01	H3952_049_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3952	051	0	1	01	01	H3952_051_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3952	051	0	1	01	01	H3952_051_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3952	051	0	1	01	01	H3952_051_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3952	051	0	1	01	01	H3952_051_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3952	051	0	1	01	01	H3952_051_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3952	052	0	1	01	01	H3952_052_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3952	052	0	1	01	01	H3952_052_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3952	052	0	1	01	01	H3952_052_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3952	052	0	1	01	01	H3952_052_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3952	052	0	1	01	01	H3952_052_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	146	0	1	01	01	H3954_146_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	146	0	1	01	01	H3954_146_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	146	0	1	01	01	H3954_146_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	146	0	1	01	01	H3954_146_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H3954	146	0	1	01	01	H3954_146_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	157	1	1	01	01	H3954_157_1	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	157	1	1	01	01	H3954_157_1	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	157	1	1	01	01	H3954_157_1	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	157	1	1	01	01	H3954_157_1	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	157	1	1	01	01	H3954_157_1	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	157	2	1	01	01	H3954_157_2	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	157	2	1	01	01	H3954_157_2	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	157	2	1	01	01	H3954_157_2	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	157	2	1	01	01	H3954_157_2	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	157	2	1	01	01	H3954_157_2	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	157	3	1	01	01	H3954_157_3	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	157	3	1	01	01	H3954_157_3	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	157	3	1	01	01	H3954_157_3	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	157	3	1	01	01	H3954_157_3	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	157	3	1	01	01	H3954_157_3	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	157	4	1	01	01	H3954_157_4	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	157	4	1	01	01	H3954_157_4	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	157	4	1	01	01	H3954_157_4	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	157	4	1	01	01	H3954_157_4	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	157	4	1	01	01	H3954_157_4	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	157	5	1	01	01	H3954_157_5	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	157	5	1	01	01	H3954_157_5	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	157	5	1	01	01	H3954_157_5	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	157	5	1	01	01	H3954_157_5	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	157	5	1	01	01	H3954_157_5	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	158	1	1	01	01	H3954_158_1	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	158	1	1	01	01	H3954_158_1	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	158	1	1	01	01	H3954_158_1	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	158	1	1	01	01	H3954_158_1	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	158	1	1	01	01	H3954_158_1	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	158	2	1	01	01	H3954_158_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	158	2	1	01	01	H3954_158_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	158	2	1	01	01	H3954_158_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	158	2	1	01	01	H3954_158_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	158	2	1	01	01	H3954_158_2	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	158	3	1	01	01	H3954_158_3	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	158	3	1	01	01	H3954_158_3	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	158	3	1	01	01	H3954_158_3	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	158	3	1	01	01	H3954_158_3	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	158	3	1	01	01	H3954_158_3	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	158	4	1	01	01	H3954_158_4	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	158	4	1	01	01	H3954_158_4	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	158	4	1	01	01	H3954_158_4	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3954	158	4	1	01	01	H3954_158_4	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	158	4	1	01	01	H3954_158_4	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	158	5	1	01	01	H3954_158_5	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3954	158	5	1	01	01	H3954_158_5	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3954	158	5	1	01	01	H3954_158_5	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3954	158	5	1	01	01	H3954_158_5	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3954	158	5	1	01	01	H3954_158_5	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	003	0	1	01	01	H3957_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	003	0	1	01	01	H3957_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	003	0	1	01	01	H3957_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	003	0	1	01	01	H3957_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	003	0	1	01	01	H3957_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	006	0	1	01	01	H3957_006_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	006	0	1	01	01	H3957_006_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	006	0	1	01	01	H3957_006_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	006	0	1	01	01	H3957_006_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	006	0	1	01	01	H3957_006_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	020	0	1	01	01	H3957_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	020	0	1	01	01	H3957_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	020	0	1	01	01	H3957_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	020	0	1	01	01	H3957_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	020	0	1	01	01	H3957_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	021	0	1	01	01	H3957_021_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	021	0	1	01	01	H3957_021_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	021	0	1	01	01	H3957_021_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	021	0	1	01	01	H3957_021_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	021	0	1	01	01	H3957_021_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	031	0	1	01	01	H3957_031_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	031	0	1	01	01	H3957_031_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	031	0	1	01	01	H3957_031_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	031	0	1	01	01	H3957_031_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	031	0	1	01	01	H3957_031_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	032	0	1	01	01	H3957_032_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	032	0	1	01	01	H3957_032_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	032	0	1	01	01	H3957_032_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	032	0	1	01	01	H3957_032_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	032	0	1	01	01	H3957_032_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	038	0	1	01	01	H3957_038_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3957	038	0	1	01	01	H3957_038_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	038	0	1	01	01	H3957_038_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	038	0	1	01	01	H3957_038_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	038	0	1	01	01	H3957_038_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	039	0	1	01	01	H3957_039_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3957	039	0	1	01	01	H3957_039_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3957	039	0	1	01	01	H3957_039_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3957	039	0	1	01	01	H3957_039_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3957	039	0	1	01	01	H3957_039_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	001	0	1	01	01	H3959_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	001	0	1	01	01	H3959_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	001	0	1	01	01	H3959_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	001	0	1	01	01	H3959_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	001	0	1	01	01	H3959_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	002	0	1	01	01	H3959_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	002	0	1	01	01	H3959_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	002	0	1	01	01	H3959_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	002	0	1	01	01	H3959_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	002	0	1	01	01	H3959_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	010	0	1	01	01	H3959_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	010	0	1	01	01	H3959_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	010	0	1	01	01	H3959_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	010	0	1	01	01	H3959_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	010	0	1	01	01	H3959_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	011	0	1	01	01	H3959_011_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	011	0	1	01	01	H3959_011_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	011	0	1	01	01	H3959_011_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	011	0	1	01	01	H3959_011_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	011	0	1	01	01	H3959_011_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	031	0	1	01	01	H3959_031_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	031	0	1	01	01	H3959_031_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	031	0	1	01	01	H3959_031_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	031	0	1	01	01	H3959_031_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	031	0	1	01	01	H3959_031_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	032	0	1	01	01	H3959_032_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	032	0	1	01	01	H3959_032_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	032	0	1	01	01	H3959_032_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	032	0	1	01	01	H3959_032_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	032	0	1	01	01	H3959_032_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	033	0	1	01	01	H3959_033_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	033	0	1	01	01	H3959_033_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	033	0	1	01	01	H3959_033_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	033	0	1	01	01	H3959_033_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	033	0	1	01	01	H3959_033_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	037	0	1	01	01	H3959_037_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	037	0	1	01	01	H3959_037_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	037	0	1	01	01	H3959_037_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	037	0	1	01	01	H3959_037_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	037	0	1	01	01	H3959_037_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	038	0	1	01	01	H3959_038_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	038	0	1	01	01	H3959_038_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	038	0	1	01	01	H3959_038_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3959	038	0	1	01	01	H3959_038_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	038	0	1	01	01	H3959_038_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	039	0	1	01	01	H3959_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3959	039	0	1	01	01	H3959_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3959	039	0	1	01	01	H3959_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3959	039	0	1	01	01	H3959_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H3959	039	0	1	01	01	H3959_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3962	001	0	1	01	01	H3962_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3962	001	0	1	01	01	H3962_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3962	001	0	1	01	01	H3962_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3962	001	0	1	01	01	H3962_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3962	001	0	1	01	01	H3962_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3962	004	0	1	01	01	H3962_004_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3962	004	0	1	01	01	H3962_004_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3962	004	0	1	01	01	H3962_004_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3962	004	0	1	01	01	H3962_004_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3962	004	0	1	01	01	H3962_004_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3962	007	0	1	01	01	H3962_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3962	007	0	1	01	01	H3962_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H3962	007	0	1	01	01	H3962_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H3962	007	0	1	01	01	H3962_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3962	007	0	1	01	01	H3962_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3979	001	0	1	01	01	H3979_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3979	001	0	1	01	01	H3979_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3979	001	0	1	01	01	H3979_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3979	001	0	1	01	01	H3979_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3979	001	0	1	01	01	H3979_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H3979	002	0	1	02	01	H3979_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H3979	002	0	1	02	01	H3979_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H3979	002	0	1	02	01	H3979_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H3979	002	0	1	02	01	H3979_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H3979	002	0	1	02	01	H3979_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4003	009	0	1	01	01	H4003_009_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H4003	009	0	1	01	01	H4003_009_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H4003	009	0	1	01	01	H4003_009_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H4003	009	0	1	01	01	H4003_009_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	001001	1						
H4003	009	0	1	01	01	H4003_009_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	000001	1						
H4003	015	0	1	01	01	H4003_015_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4003	015	0	1	01	01	H4003_015_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4003	015	0	1	01	01	H4003_015_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H4003	015	0	1	01	01	H4003_015_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	001001	1						
H4003	019	0	1	01	01	H4003_019_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4003	019	0	1	01	01	H4003_019_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4003	019	0	1	01	01	H4003_019_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H4003	019	0	1	01	01	H4003_019_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	001001	1						
H4003	027	0	1	02	01	H4003_027_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4003	027	0	1	02	01	H4003_027_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4003	027	0	1	02	01	H4003_027_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	001001	1						
H4003	029	0	1	02	01	H4003_029_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4003	029	0	1	02	01	H4003_029_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4003	029	0	1	02	01	H4003_029_0	9	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H4003	029	0	1	02	01	H4003_029_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	001001	1						
H4003	031	0	1	02	01	H4003_031_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4003	031	0	1	02	01	H4003_031_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4003	031	0	1	02	01	H4003_031_0	9	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H4003	031	0	1	02	01	H4003_031_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	001001	1						
H4004	015	0	1	02	01	H4004_015_0	9	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H4004	015	0	1	02	01	H4004_015_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4004	015	0	1	02	01	H4004_015_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4004	015	0	1	02	01	H4004_015_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	001001	1						
H4004	050	0	1	01	01	H4004_050_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4004	050	0	1	01	01	H4004_050_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4004	050	0	1	01	01	H4004_050_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	001001	1						
H4004	053	0	1	02	01	H4004_053_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4004	053	0	1	02	01	H4004_053_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4004	053	0	1	02	01	H4004_053_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	001001	1						
H4005	004	0	1	04	01	H4005_004_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H4005	004	0	1	04	01	H4005_004_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H4005	004	0	1	04	01	H4005_004_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H4005	004	0	1	04	01	H4005_004_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H4005	004	0	1	04	01	H4005_004_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H4007	005	0	1	01	01	H4007_005_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	010001	1						
H4007	005	0	1	01	01	H4007_005_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4007	005	0	1	01	01	H4007_005_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
H4007	005	0	1	01	01	H4007_005_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
H4007	012	0	1	01	01	H4007_012_0	6	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4007	012	0	1	01	01	H4007_012_0	6	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	1						
H4007	012	0	1	01	01	H4007_012_0	6	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4007	012	0	1	01	01	H4007_012_0	6	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4007	013	0	1	01	01	H4007_013_0	7	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4007	013	0	1	01	01	H4007_013_0	7	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	1						
H4007	013	0	1	01	01	H4007_013_0	7	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4007	013	0	1	01	01	H4007_013_0	7	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4007	016	0	1	01	01	H4007_016_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4007	016	0	1	01	01	H4007_016_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
H4007	016	0	1	01	01	H4007_016_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	010001	1						
H4007	016	0	1	01	01	H4007_016_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
H4011	003	0	1	04	01	H4011_003_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4011	003	0	1	04	01	H4011_003_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4011	003	0	1	04	01	H4011_003_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4011	003	0	1	04	01	H4011_003_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4011	003	0	1	04	01	H4011_003_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4036	008	0	1	04	01	H4036_008_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H4036	008	0	1	04	01	H4036_008_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H4036	008	0	1	04	01	H4036_008_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H4036	008	0	1	04	01	H4036_008_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H4036	008	0	1	04	01	H4036_008_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H4036	008	0	1	04	01	H4036_008_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H4036	009	0	1	04	01	H4036_009_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H4036	009	0	1	04	01	H4036_009_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H4036	009	0	1	04	01	H4036_009_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H4036	009	0	1	04	01	H4036_009_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H4036	009	0	1	04	01	H4036_009_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H4036	009	0	1	04	01	H4036_009_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H4102	001	0	1	01	01	H4102_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4102	001	0	1	01	01	H4102_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4102	001	0	1	01	01	H4102_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4102	001	0	1	01	01	H4102_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4102	001	0	1	01	01	H4102_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4102	030	0	1	01	01	H4102_030_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4102	030	0	1	01	01	H4102_030_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4102	030	0	1	01	01	H4102_030_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4102	030	0	1	01	01	H4102_030_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4102	030	0	1	01	01	H4102_030_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4102	031	0	1	01	01	H4102_031_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4102	031	0	1	01	01	H4102_031_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4102	031	0	1	01	01	H4102_031_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4102	031	0	1	01	01	H4102_031_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4102	031	0	1	01	01	H4102_031_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4102	032	0	1	01	01	H4102_032_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4102	032	0	1	01	01	H4102_032_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4102	032	0	1	01	01	H4102_032_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4102	032	0	1	01	01	H4102_032_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4102	032	0	1	01	01	H4102_032_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4102	033	0	1	01	01	H4102_033_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4102	033	0	1	01	01	H4102_033_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4102	033	0	1	01	01	H4102_033_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4102	033	0	1	01	01	H4102_033_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4102	033	0	1	01	01	H4102_033_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4141	001	0	1	01	01	H4141_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4141	001	0	1	01	01	H4141_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4141	001	0	1	01	01	H4141_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4141	001	0	1	01	01	H4141_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4141	001	0	1	01	01	H4141_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4141	003	0	1	01	01	H4141_003_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H4141	003	0	1	01	01	H4141_003_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H4141	003	0	1	01	01	H4141_003_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H4141	003	0	1	01	01	H4141_003_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4141	003	0	1	01	01	H4141_003_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4141	004	0	1	01	01	H4141_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4141	004	0	1	01	01	H4141_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4141	004	0	1	01	01	H4141_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4141	004	0	1	01	01	H4141_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4141	004	0	1	01	01	H4141_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4141	008	0	1	01	01	H4141_008_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4141	008	0	1	01	01	H4141_008_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4141	008	0	1	01	01	H4141_008_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4141	008	0	1	01	01	H4141_008_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4141	008	0	1	01	01	H4141_008_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4141	009	0	1	01	01	H4141_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H4141	009	0	1	01	01	H4141_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H4141	009	0	1	01	01	H4141_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H4141	009	0	1	01	01	H4141_009_0	5	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H4141	009	0	1	01	01	H4141_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H4141	009	0	1	01	01	H4141_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H4141	010	0	1	01	01	H4141_010_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H4141	010	0	1	01	01	H4141_010_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H4141	010	0	1	01	01	H4141_010_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H4141	010	0	1	01	01	H4141_010_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4141	010	0	1	01	01	H4141_010_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4141	011	0	1	01	01	H4141_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H4141	011	0	1	01	01	H4141_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H4141	011	0	1	01	01	H4141_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H4141	011	0	1	01	01	H4141_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4141	011	0	1	01	01	H4141_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4145	001	0	1	01	01	H4145_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4145	001	0	1	01	01	H4145_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4145	001	0	1	01	01	H4145_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4145	001	0	1	01	01	H4145_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4145	001	0	1	01	01	H4145_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4145	002	0	1	01	01	H4145_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4145	002	0	1	01	01	H4145_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4145	002	0	1	01	01	H4145_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4145	002	0	1	01	01	H4145_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4145	002	0	1	01	01	H4145_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4152	005	0	1	01	01	H4152_005_0	11	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4152	005	0	1	01	01	H4152_005_0	11	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4152	005	0	1	01	01	H4152_005_0	11	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4152	005	0	1	01	01	H4152_005_0	11	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4152	007	0	1	02	01	H4152_007_0	11	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4152	007	0	1	02	01	H4152_007_0	11	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4152	007	0	1	02	01	H4152_007_0	11	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4152	007	0	1	02	01	H4152_007_0	11	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4152	013	0	1	01	01	H4152_013_0	10	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4152	013	0	1	01	01	H4152_013_0	10	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4152	013	0	1	01	01	H4152_013_0	10	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4152	013	0	1	01	01	H4152_013_0	10	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4152	016	0	1	02	01	H4152_016_0	10	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4152	016	0	1	02	01	H4152_016_0	10	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4152	016	0	1	02	01	H4152_016_0	10	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4152	016	0	1	02	01	H4152_016_0	10	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4152	017	0	1	01	01	H4152_017_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4152	017	0	1	01	01	H4152_017_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4152	017	0	1	01	01	H4152_017_0	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4152	017	0	1	01	01	H4152_017_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4152	018	0	1	02	01	H4152_018_0	10	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4152	018	0	1	02	01	H4152_018_0	10	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H4152	018	0	1	02	01	H4152_018_0	10	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4152	018	0	1	02	01	H4152_018_0	10	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H4199	001	0	1	01	01	H4199_001_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	001	0	1	01	01	H4199_001_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	001	0	1	01	01	H4199_001_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	001	0	1	01	01	H4199_001_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	002	0	1	01	01	H4199_002_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	002	0	1	01	01	H4199_002_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	002	0	1	01	01	H4199_002_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	002	0	1	01	01	H4199_002_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	005	0	1	01	01	H4199_005_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	005	0	1	01	01	H4199_005_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	005	0	1	01	01	H4199_005_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	005	0	1	01	01	H4199_005_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	006	0	1	01	01	H4199_006_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3						
H4199	006	0	1	01	01	H4199_006_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H4199	006	0	1	01	01	H4199_006_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3						
H4199	006	0	1	01	01	H4199_006_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H4199	007	0	1	01	01	H4199_007_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	007	0	1	01	01	H4199_007_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	007	0	1	01	01	H4199_007_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	007	0	1	01	01	H4199_007_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	008	0	1	01	01	H4199_008_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	008	0	1	01	01	H4199_008_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	008	0	1	01	01	H4199_008_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	008	0	1	01	01	H4199_008_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	010	0	1	01	01	H4199_010_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	010	0	1	01	01	H4199_010_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	010	0	1	01	01	H4199_010_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	010	0	1	01	01	H4199_010_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	011	0	1	01	01	H4199_011_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H4199	011	0	1	01	01	H4199_011_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H4199	011	0	1	01	01	H4199_011_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3						
H4199	011	0	1	01	01	H4199_011_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3						
H4199	012	0	1	01	01	H4199_012_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	012	0	1	01	01	H4199_012_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	012	0	1	01	01	H4199_012_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	012	0	1	01	01	H4199_012_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	013	0	1	01	01	H4199_013_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	013	0	1	01	01	H4199_013_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	013	0	1	01	01	H4199_013_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	013	0	1	01	01	H4199_013_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	015	0	1	01	01	H4199_015_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	015	0	1	01	01	H4199_015_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	015	0	1	01	01	H4199_015_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	015	0	1	01	01	H4199_015_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	016	0	1	01	01	H4199_016_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H4199	016	0	1	01	01	H4199_016_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H4199	016	0	1	01	01	H4199_016_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3						
H4199	016	0	1	01	01	H4199_016_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3						
H4199	017	0	1	01	01	H4199_017_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	017	0	1	01	01	H4199_017_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	017	0	1	01	01	H4199_017_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	017	0	1	01	01	H4199_017_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	018	0	1	01	01	H4199_018_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	018	0	1	01	01	H4199_018_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	018	0	1	01	01	H4199_018_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	018	0	1	01	01	H4199_018_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	020	0	1	01	01	H4199_020_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3	2	0.00				
H4199	020	0	1	01	01	H4199_020_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3	1		5			
H4199	020	0	1	01	01	H4199_020_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3	1		5			
H4199	020	0	1	01	01	H4199_020_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3	1		5			
H4199	021	0	1	01	01	H4199_021_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	3						
H4199	021	0	1	01	01	H4199_021_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H4199	021	0	1	01	01	H4199_021_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H4199	021	0	1	01	01	H4199_021_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	3						
H4211	001	0	1	01	01	H4211_001_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H4211	001	0	1	01	01	H4211_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H4211	001	0	1	01	01	H4211_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H4211	001	0	1	01	01	H4211_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H4211	001	0	1	01	01	H4211_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H4211	001	0	1	01	01	H4211_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H4211	003	0	1	01	01	H4211_003_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H4211	003	0	1	01	01	H4211_003_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H4211	003	0	1	01	01	H4211_003_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H4211	003	0	1	01	01	H4211_003_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H4211	003	0	1	01	01	H4211_003_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H4211	003	0	1	01	01	H4211_003_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H4213	004	0	1	09	04	H4213_004_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4213	004	0	1	09	04	H4213_004_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4213	004	0	1	09	04	H4213_004_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4213	004	0	1	09	04	H4213_004_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4213	004	0	1	09	04	H4213_004_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4213	005	0	1	09	04	H4213_005_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4213	005	0	1	09	04	H4213_005_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H4213	005	0	1	09	04	H4213_005_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4213	005	0	1	09	04	H4213_005_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4213	005	0	1	09	04	H4213_005_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H4227	001	0	1	01	01	H4227_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H4227	001	0	1	01	01	H4227_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H4227	001	0	1	01	01	H4227_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H4227	001	0	1	01	01	H4227_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H4227	001	0	1	01	01	H4227_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H4227	002	0	1	01	01	H4227_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H4227	002	0	1	01	01	H4227_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H4227	002	0	1	01	01	H4227_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H4227	002	0	1	01	01	H4227_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H4227	002	0	1	01	01	H4227_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H4270	006	0	1	02	01	H4270_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4270	006	0	1	02	01	H4270_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4270	006	0	1	02	01	H4270_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4270	006	0	1	02	01	H4270_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4270	006	0	1	02	01	H4270_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4279	001	0	1	01	01	H4279_001_0	10	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	2	3	2	100000	1						
H4279	001	0	1	01	01	H4279_001_0	10	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	2	4	2	010010	1						
H4279	001	0	1	01	01	H4279_001_0	10	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	2	5	2	010000	1						
H4279	001	0	1	01	01	H4279_001_0	10	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	2	2	2	000001	1						
H4279	001	0	1	01	01	H4279_001_0	10	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	2	1	2	010000	1						
H4346	001	0	1	01	01	H4346_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H4346	001	0	1	01	01	H4346_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H4346	001	0	1	01	01	H4346_001_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	6.60	5			
H4346	001	0	1	01	01	H4346_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H4346	001	0	1	01	01	H4346_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H4346	001	0	1	01	01	H4346_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H4346	005	0	1	01	01	H4346_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H4346	005	0	1	01	01	H4346_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H4346	005	0	1	01	01	H4346_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H4346	005	0	1	01	01	H4346_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H4346	005	0	1	01	01	H4346_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H4346	005	0	1	01	01	H4346_005_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H4346	006	0	1	01	01	H4346_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H4346	006	0	1	01	01	H4346_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H4346	006	0	1	01	01	H4346_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H4346	006	0	1	01	01	H4346_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H4346	006	0	1	01	01	H4346_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H4346	006	0	1	01	01	H4346_006_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H4346	008	0	1	01	01	H4346_008_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1	3	2.65	5			
H4346	008	0	1	01	01	H4346_008_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1	2	0.00				
H4346	008	0	1	01	01	H4346_008_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1	3	6.60	5			
H4346	008	0	1	01	01	H4346_008_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1	3	0.00	0			
H4346	008	0	1	01	01	H4346_008_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1	3	6.60	5			
H4346	008	0	1	01	01	H4346_008_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1	3	6.60	5			
H4346	009	0	1	01	01	H4346_009_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H4346	009	0	1	01	01	H4346_009_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H4346	009	0	1	01	01	H4346_009_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H4346	009	0	1	01	01	H4346_009_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H4346	009	0	1	01	01	H4346_009_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H4346	009	0	1	01	01	H4346_009_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H4407	002	0	1	01	01	H4407_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4407	002	0	1	01	01	H4407_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4407	002	0	1	01	01	H4407_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4407	002	0	1	01	01	H4407_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4407	002	0	1	01	01	H4407_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4454	002	0	1	01	01	H4454_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4454	002	0	1	01	01	H4454_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4454	002	0	1	01	01	H4454_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4454	002	0	1	01	01	H4454_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4454	002	0	1	01	01	H4454_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4454	030	0	1	02	01	H4454_030_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4454	030	0	1	02	01	H4454_030_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4454	030	0	1	02	01	H4454_030_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4454	030	0	1	02	01	H4454_030_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4454	030	0	1	02	01	H4454_030_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4454	031	0	1	01	01	H4454_031_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4454	031	0	1	01	01	H4454_031_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4454	031	0	1	01	01	H4454_031_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4454	031	0	1	01	01	H4454_031_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4454	031	0	1	01	01	H4454_031_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4454	032	0	1	02	01	H4454_032_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4454	032	0	1	02	01	H4454_032_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4454	032	0	1	02	01	H4454_032_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4454	032	0	1	02	01	H4454_032_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4454	032	0	1	02	01	H4454_032_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4454	033	0	1	01	01	H4454_033_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4454	033	0	1	01	01	H4454_033_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4454	033	0	1	01	01	H4454_033_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4454	033	0	1	01	01	H4454_033_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4454	033	0	1	01	01	H4454_033_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4456	010	0	1	01	01	H4456_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4456	010	0	1	01	01	H4456_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4456	010	0	1	01	01	H4456_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4456	010	0	1	01	01	H4456_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4456	010	0	1	01	01	H4456_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4456	013	0	1	01	01	H4456_013_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4456	013	0	1	01	01	H4456_013_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4456	013	0	1	01	01	H4456_013_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4456	013	0	1	01	01	H4456_013_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4456	013	0	1	01	01	H4456_013_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4456	021	0	1	01	01	H4456_021_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4456	021	0	1	01	01	H4456_021_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4456	021	0	1	01	01	H4456_021_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4456	021	0	1	01	01	H4456_021_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4456	021	0	1	01	01	H4456_021_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4456	025	0	1	01	01	H4456_025_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4456	025	0	1	01	01	H4456_025_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4456	025	0	1	01	01	H4456_025_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4456	025	0	1	01	01	H4456_025_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4456	025	0	1	01	01	H4456_025_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4461	018	0	1	01	01	H4461_018_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	018	0	1	01	01	H4461_018_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	018	0	1	01	01	H4461_018_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	018	0	1	01	01	H4461_018_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	018	0	1	01	01	H4461_018_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	022	0	1	01	01	H4461_022_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4461	022	0	1	01	01	H4461_022_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H4461	022	0	1	01	01	H4461_022_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H4461	022	0	1	01	01	H4461_022_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H4461	022	0	1	01	01	H4461_022_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4461	025	0	1	01	01	H4461_025_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	025	0	1	01	01	H4461_025_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	025	0	1	01	01	H4461_025_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	025	0	1	01	01	H4461_025_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	025	0	1	01	01	H4461_025_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	029	0	1	01	01	H4461_029_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H4461	029	0	1	01	01	H4461_029_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H4461	029	0	1	01	01	H4461_029_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H4461	029	0	1	01	01	H4461_029_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H4461	029	0	1	01	01	H4461_029_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4461	030	1	1	01	01	H4461_030_1	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	030	1	1	01	01	H4461_030_1	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	030	1	1	01	01	H4461_030_1	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	030	1	1	01	01	H4461_030_1	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	030	1	1	01	01	H4461_030_1	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	030	2	1	01	01	H4461_030_2	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	030	2	1	01	01	H4461_030_2	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	030	2	1	01	01	H4461_030_2	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	030	2	1	01	01	H4461_030_2	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	030	2	1	01	01	H4461_030_2	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	030	3	1	01	01	H4461_030_3	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	030	3	1	01	01	H4461_030_3	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	030	3	1	01	01	H4461_030_3	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	030	3	1	01	01	H4461_030_3	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	030	3	1	01	01	H4461_030_3	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	031	1	1	01	01	H4461_031_1	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	031	1	1	01	01	H4461_031_1	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	031	1	1	01	01	H4461_031_1	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	031	1	1	01	01	H4461_031_1	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	031	1	1	01	01	H4461_031_1	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	031	2	1	01	01	H4461_031_2	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4461	031	2	1	01	01	H4461_031_2	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	031	2	1	01	01	H4461_031_2	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	031	2	1	01	01	H4461_031_2	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	031	2	1	01	01	H4461_031_2	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	031	3	1	01	01	H4461_031_3	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4461	031	3	1	01	01	H4461_031_3	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4461	031	3	1	01	01	H4461_031_3	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4461	031	3	1	01	01	H4461_031_3	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4461	031	3	1	01	01	H4461_031_3	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4465	001	0	1	48	05	H4465_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H4465	001	0	1	48	05	H4465_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000001					1	0.00	0.00
H4465	001	0	1	48	05	H4465_001_0	4	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H4465	001	0	1	48	05	H4465_001_0	4	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H4506	003	0	1	01	01	H4506_003_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4506	003	0	1	01	01	H4506_003_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4506	003	0	1	01	01	H4506_003_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4506	003	0	1	01	01	H4506_003_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4506	003	0	1	01	01	H4506_003_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4506	029	0	1	02	01	H4506_029_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4506	029	0	1	02	01	H4506_029_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4506	029	0	1	02	01	H4506_029_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4506	029	0	1	02	01	H4506_029_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4506	029	0	1	02	01	H4506_029_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	012	0	1	01	01	H4510_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	012	0	1	01	01	H4510_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	012	0	1	01	01	H4510_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	012	0	1	01	01	H4510_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	012	0	1	01	01	H4510_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	015	0	1	01	01	H4510_015_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	015	0	1	01	01	H4510_015_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	015	0	1	01	01	H4510_015_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	015	0	1	01	01	H4510_015_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	015	0	1	01	01	H4510_015_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	018	0	1	01	01	H4510_018_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	018	0	1	01	01	H4510_018_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	018	0	1	01	01	H4510_018_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	018	0	1	01	01	H4510_018_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	018	0	1	01	01	H4510_018_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	022	0	1	01	01	H4510_022_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	022	0	1	01	01	H4510_022_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	022	0	1	01	01	H4510_022_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	022	0	1	01	01	H4510_022_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	022	0	1	01	01	H4510_022_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	027	0	1	01	01	H4510_027_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	027	0	1	01	01	H4510_027_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	027	0	1	01	01	H4510_027_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	027	0	1	01	01	H4510_027_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	027	0	1	01	01	H4510_027_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	028	0	1	01	01	H4510_028_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	028	0	1	01	01	H4510_028_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	028	0	1	01	01	H4510_028_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	028	0	1	01	01	H4510_028_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	028	0	1	01	01	H4510_028_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	029	0	1	01	01	H4510_029_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	029	0	1	01	01	H4510_029_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	029	0	1	01	01	H4510_029_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	029	0	1	01	01	H4510_029_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	029	0	1	01	01	H4510_029_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	030	0	1	01	01	H4510_030_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	030	0	1	01	01	H4510_030_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	030	0	1	01	01	H4510_030_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	030	0	1	01	01	H4510_030_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	030	0	1	01	01	H4510_030_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4510	032	0	1	01	01	H4510_032_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4510	032	0	1	01	01	H4510_032_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H4510	032	0	1	01	01	H4510_032_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4510	032	0	1	01	01	H4510_032_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H4510	032	0	1	01	01	H4510_032_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4513	024	1	1	01	01	H4513_024_1	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4513	024	1	1	01	01	H4513_024_1	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4513	024	1	1	01	01	H4513_024_1	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4513	024	1	1	01	01	H4513_024_1	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4513	024	1	1	01	01	H4513_024_1	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4513	024	2	1	01	01	H4513_024_2	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4513	024	2	1	01	01	H4513_024_2	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4513	024	2	1	01	01	H4513_024_2	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4513	024	2	1	01	01	H4513_024_2	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4513	024	2	1	01	01	H4513_024_2	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4514	007	0	1	01	01	H4514_007_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4514	007	0	1	01	01	H4514_007_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4514	007	0	1	01	01	H4514_007_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4514	007	0	1	01	01	H4514_007_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4514	007	0	1	01	01	H4514_007_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4522	001	0	1	04	01	H4522_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4522	001	0	1	04	01	H4522_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4522	001	0	1	04	01	H4522_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4522	001	0	1	04	01	H4522_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4522	001	0	1	04	01	H4522_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4523	001	0	1	01	01	H4523_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	001	0	1	01	01	H4523_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	001	0	1	01	01	H4523_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	001	0	1	01	01	H4523_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	005	0	1	01	01	H4523_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4523	005	0	1	01	01	H4523_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4523	005	0	1	01	01	H4523_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H4523	005	0	1	01	01	H4523_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4523	005	0	1	01	01	H4523_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4523	015	0	1	01	01	H4523_015_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	015	0	1	01	01	H4523_015_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	015	0	1	01	01	H4523_015_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	015	0	1	01	01	H4523_015_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	016	0	1	01	01	H4523_016_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	016	0	1	01	01	H4523_016_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	016	0	1	01	01	H4523_016_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	016	0	1	01	01	H4523_016_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	017	0	1	01	01	H4523_017_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	017	0	1	01	01	H4523_017_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	017	0	1	01	01	H4523_017_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	017	0	1	01	01	H4523_017_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	018	0	1	01	01	H4523_018_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	018	0	1	01	01	H4523_018_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	018	0	1	01	01	H4523_018_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	018	0	1	01	01	H4523_018_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	019	0	1	01	01	H4523_019_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	019	0	1	01	01	H4523_019_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	019	0	1	01	01	H4523_019_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	019	0	1	01	01	H4523_019_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	020	0	1	01	01	H4523_020_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	020	0	1	01	01	H4523_020_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4523	020	0	1	01	01	H4523_020_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	020	0	1	01	01	H4523_020_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	021	0	1	01	01	H4523_021_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H4523	021	0	1	01	01	H4523_021_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H4523	021	0	1	01	01	H4523_021_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H4523	021	0	1	01	01	H4523_021_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H4525	001	0	1	01	01	H4525_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4525	001	0	1	01	01	H4525_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4525	001	0	1	01	01	H4525_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4525	001	0	1	01	01	H4525_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4525	002	0	1	01	01	H4525_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4525	002	0	1	01	01	H4525_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4525	002	0	1	01	01	H4525_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4525	002	0	1	01	01	H4525_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4525	010	0	1	01	01	H4525_010_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4525	010	0	1	01	01	H4525_010_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4525	010	0	1	01	01	H4525_010_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4525	010	0	1	01	01	H4525_010_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4525	012	0	1	01	01	H4525_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4525	012	0	1	01	01	H4525_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4525	012	0	1	01	01	H4525_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4525	012	0	1	01	01	H4525_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4525	014	0	1	01	01	H4525_014_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4525	014	0	1	01	01	H4525_014_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4525	014	0	1	01	01	H4525_014_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4525	014	0	1	01	01	H4525_014_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4527	001	0	1	01	01	H4527_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4527	001	0	1	01	01	H4527_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4527	001	0	1	01	01	H4527_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4527	001	0	1	01	01	H4527_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4527	001	0	1	01	01	H4527_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4527	002	0	1	01	01	H4527_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4527	002	0	1	01	01	H4527_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4527	002	0	1	01	01	H4527_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4527	002	0	1	01	01	H4527_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4527	002	0	1	01	01	H4527_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4527	005	0	1	01	01	H4527_005_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4527	005	0	1	01	01	H4527_005_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4527	005	0	1	01	01	H4527_005_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4527	005	0	1	01	01	H4527_005_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4527	005	0	1	01	01	H4527_005_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4527	013	0	1	01	01	H4527_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4527	013	0	1	01	01	H4527_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4527	013	0	1	01	01	H4527_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4527	013	0	1	01	01	H4527_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4527	013	0	1	01	01	H4527_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4528	001	0	1	01	01	H4528_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4528	001	0	1	01	01	H4528_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4528	001	0	1	01	01	H4528_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4528	001	0	1	01	01	H4528_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4528	001	0	1	01	01	H4528_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	001	0	1	18	06	H4564_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	001	0	1	18	06	H4564_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	001	0	1	18	06	H4564_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	001	0	1	18	06	H4564_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	001	0	1	18	06	H4564_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	002	0	1	18	06	H4564_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	002	0	1	18	06	H4564_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	002	0	1	18	06	H4564_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	002	0	1	18	06	H4564_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	002	0	1	18	06	H4564_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	003	0	1	18	06	H4564_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	003	0	1	18	06	H4564_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	003	0	1	18	06	H4564_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	003	0	1	18	06	H4564_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	003	0	1	18	06	H4564_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	004	0	1	18	06	H4564_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	004	0	1	18	06	H4564_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	004	0	1	18	06	H4564_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	004	0	1	18	06	H4564_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	004	0	1	18	06	H4564_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	005	0	1	18	06	H4564_005_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	005	0	1	18	06	H4564_005_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	005	0	1	18	06	H4564_005_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	005	0	1	18	06	H4564_005_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	005	0	1	18	06	H4564_005_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	006	0	1	18	06	H4564_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	006	0	1	18	06	H4564_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	006	0	1	18	06	H4564_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	006	0	1	18	06	H4564_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	006	0	1	18	06	H4564_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	013	0	1	18	06	H4564_013_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4564	013	0	1	18	06	H4564_013_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4564	013	0	1	18	06	H4564_013_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000110	1						
H4564	013	0	1	18	06	H4564_013_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4564	013	0	1	18	06	H4564_013_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H4564	014	0	1	18	06	H4564_014_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4564	014	0	1	18	06	H4564_014_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000110	1						
H4564	014	0	1	18	06	H4564_014_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H4564	014	0	1	18	06	H4564_014_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4564	014	0	1	18	06	H4564_014_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4564	015	0	1	18	06	H4564_015_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4564	015	0	1	18	06	H4564_015_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000110	1						
H4564	015	0	1	18	06	H4564_015_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H4564	015	0	1	18	06	H4564_015_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4564	015	0	1	18	06	H4564_015_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4564	017	0	1	18	06	H4564_017_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	017	0	1	18	06	H4564_017_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	017	0	1	18	06	H4564_017_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	017	0	1	18	06	H4564_017_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	017	0	1	18	06	H4564_017_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	018	0	1	18	06	H4564_018_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4564	018	0	1	18	06	H4564_018_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4564	018	0	1	18	06	H4564_018_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4564	018	0	1	18	06	H4564_018_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4564	018	0	1	18	06	H4564_018_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4564	019	0	1	18	06	H4564_019_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4564	019	0	1	18	06	H4564_019_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000110	1						
H4564	019	0	1	18	06	H4564_019_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4564	019	0	1	18	06	H4564_019_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H4564	019	0	1	18	06	H4564_019_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4590	010	0	1	01	01	H4590_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4590	010	0	1	01	01	H4590_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4590	010	0	1	01	01	H4590_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4590	010	0	1	01	01	H4590_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4590	010	0	1	01	01	H4590_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H4590	012	0	1	01	01	H4590_012_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4590	012	0	1	01	01	H4590_012_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4590	012	0	1	01	01	H4590_012_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4590	012	0	1	01	01	H4590_012_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4590	012	0	1	01	01	H4590_012_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4590	025	0	1	01	01	H4590_025_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4590	025	0	1	01	01	H4590_025_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4590	025	0	1	01	01	H4590_025_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4590	025	0	1	01	01	H4590_025_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4590	025	0	1	01	01	H4590_025_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4590	037	0	1	01	01	H4590_037_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4590	037	0	1	01	01	H4590_037_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4590	037	0	1	01	01	H4590_037_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4590	037	0	1	01	01	H4590_037_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4590	037	0	1	01	01	H4590_037_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H4604	003	0	1	01	01	H4604_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4604	003	0	1	01	01	H4604_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4604	003	0	1	01	01	H4604_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4604	003	0	1	01	01	H4604_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4604	003	0	1	01	01	H4604_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4604	011	0	1	01	01	H4604_011_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4604	011	0	1	01	01	H4604_011_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4604	011	0	1	01	01	H4604_011_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H4604	011	0	1	01	01	H4604_011_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H4604	011	0	1	01	01	H4604_011_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4605	002	0	1	04	01	H4605_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H4605	002	0	1	04	01	H4605_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H4605	002	0	1	04	01	H4605_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H4605	002	0	1	04	01	H4605_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H4605	002	0	1	04	01	H4605_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H4605	004	0	1	04	01	H4605_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4605	004	0	1	04	01	H4605_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4605	004	0	1	04	01	H4605_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4605	004	0	1	04	01	H4605_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4605	004	0	1	04	01	H4605_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4738	002	0	1	04	01	H4738_002_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H4738	002	0	1	04	01	H4738_002_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H4738	002	0	1	04	01	H4738_002_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H4738	002	0	1	04	01	H4738_002_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H4740	001	0	1	48	05	H4740_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H4740	001	0	1	48	05	H4740_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H4740	001	0	1	48	05	H4740_001_0	7	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H4754	004	0	1	04	01	H4754_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4754	004	0	1	04	01	H4754_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4754	004	0	1	04	01	H4754_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4754	004	0	1	04	01	H4754_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4754	004	0	1	04	01	H4754_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H4754	007	0	1	04	01	H4754_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4754	007	0	1	04	01	H4754_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4754	007	0	1	04	01	H4754_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4754	007	0	1	04	01	H4754_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4754	007	0	1	04	01	H4754_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H4754	009	0	1	04	01	H4754_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4754	009	0	1	04	01	H4754_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4754	009	0	1	04	01	H4754_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4754	009	0	1	04	01	H4754_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4754	009	0	1	04	01	H4754_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H4754	011	0	1	04	01	H4754_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4754	011	0	1	04	01	H4754_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4754	011	0	1	04	01	H4754_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4754	011	0	1	04	01	H4754_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4754	011	0	1	04	01	H4754_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	110001	1						
H4866	003	0	1	01	01	H4866_003_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4866	003	0	1	01	01	H4866_003_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4866	003	0	1	01	01	H4866_003_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4866	003	0	1	01	01	H4866_003_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4866	003	0	1	01	01	H4866_003_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	016	1	1	04	01	H4875_016_1	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	016	1	1	04	01	H4875_016_1	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	016	1	1	04	01	H4875_016_1	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	016	1	1	04	01	H4875_016_1	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	016	1	1	04	01	H4875_016_1	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	016	2	1	04	01	H4875_016_2	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	016	2	1	04	01	H4875_016_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	016	2	1	04	01	H4875_016_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	016	2	1	04	01	H4875_016_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	016	2	1	04	01	H4875_016_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	016	3	1	04	01	H4875_016_3	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	016	3	1	04	01	H4875_016_3	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	016	3	1	04	01	H4875_016_3	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	016	3	1	04	01	H4875_016_3	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	016	3	1	04	01	H4875_016_3	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	016	4	1	04	01	H4875_016_4	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	016	4	1	04	01	H4875_016_4	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	016	4	1	04	01	H4875_016_4	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	016	4	1	04	01	H4875_016_4	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	016	4	1	04	01	H4875_016_4	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	016	5	1	04	01	H4875_016_5	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	016	5	1	04	01	H4875_016_5	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	016	5	1	04	01	H4875_016_5	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	016	5	1	04	01	H4875_016_5	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	016	5	1	04	01	H4875_016_5	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	017	1	1	04	01	H4875_017_1	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	017	1	1	04	01	H4875_017_1	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	017	1	1	04	01	H4875_017_1	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	017	1	1	04	01	H4875_017_1	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	017	1	1	04	01	H4875_017_1	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	017	2	1	04	01	H4875_017_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	017	2	1	04	01	H4875_017_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	017	2	1	04	01	H4875_017_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	017	2	1	04	01	H4875_017_2	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	017	2	1	04	01	H4875_017_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	017	3	1	04	01	H4875_017_3	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	017	3	1	04	01	H4875_017_3	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	017	3	1	04	01	H4875_017_3	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	017	3	1	04	01	H4875_017_3	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	017	3	1	04	01	H4875_017_3	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	017	4	1	04	01	H4875_017_4	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	017	4	1	04	01	H4875_017_4	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	017	4	1	04	01	H4875_017_4	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	017	4	1	04	01	H4875_017_4	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	017	4	1	04	01	H4875_017_4	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4875	017	5	1	04	01	H4875_017_5	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4875	017	5	1	04	01	H4875_017_5	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H4875	017	5	1	04	01	H4875_017_5	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4875	017	5	1	04	01	H4875_017_5	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4875	017	5	1	04	01	H4875_017_5	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4876	001	0	1	04	01	H4876_001_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4876	001	0	1	04	01	H4876_001_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H4876	001	0	1	04	01	H4876_001_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H4876	001	0	1	04	01	H4876_001_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H4909	014	0	1	04	01	H4909_014_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H4909	014	0	1	04	01	H4909_014_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H4909	014	0	1	04	01	H4909_014_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H4909	014	0	1	04	01	H4909_014_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H4909	014	0	1	04	01	H4909_014_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H4909	014	0	1	04	01	H4909_014_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H4910	005	0	1	01	01	H4910_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4910	005	0	1	01	01	H4910_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4910	005	0	1	01	01	H4910_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H4910	005	0	1	01	01	H4910_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H4910	005	0	1	01	01	H4910_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H4922	001	0	1	01	01	H4922_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H4922	001	0	1	01	01	H4922_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H4922	001	0	1	01	01	H4922_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H4922	001	0	1	01	01	H4922_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H4922	001	0	1	01	01	H4922_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5005	011	0	1	01	01	H5005_011_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5005	011	0	1	01	01	H5005_011_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5005	011	0	1	01	01	H5005_011_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5005	011	0	1	01	01	H5005_011_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5005	011	0	1	01	01	H5005_011_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5005	019	0	1	01	01	H5005_019_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5005	019	0	1	01	01	H5005_019_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5005	019	0	1	01	01	H5005_019_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5005	019	0	1	01	01	H5005_019_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5005	019	0	1	01	01	H5005_019_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5009	002	0	1	04	01	H5009_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5009	002	0	1	04	01	H5009_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5009	002	0	1	04	01	H5009_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5009	002	0	1	04	01	H5009_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5009	002	0	1	04	01	H5009_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5010	002	0	1	04	01	H5010_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5010	002	0	1	04	01	H5010_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5010	002	0	1	04	01	H5010_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5010	002	0	1	04	01	H5010_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5010	002	0	1	04	01	H5010_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5010	004	0	1	04	01	H5010_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5010	004	0	1	04	01	H5010_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5010	004	0	1	04	01	H5010_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5010	004	0	1	04	01	H5010_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5010	004	0	1	04	01	H5010_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5042	001	0	1	04	01	H5042_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5042	001	0	1	04	01	H5042_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5042	001	0	1	04	01	H5042_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5042	001	0	1	04	01	H5042_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5042	001	0	1	04	01	H5042_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5042	005	0	1	04	01	H5042_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5042	005	0	1	04	01	H5042_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5042	005	0	1	04	01	H5042_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5042	005	0	1	04	01	H5042_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5042	005	0	1	04	01	H5042_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5042	007	0	1	04	01	H5042_007_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5042	007	0	1	04	01	H5042_007_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5042	007	0	1	04	01	H5042_007_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5042	007	0	1	04	01	H5042_007_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5042	007	0	1	04	01	H5042_007_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5048	001	0	1	01	01	H5048_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5048	001	0	1	01	01	H5048_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5048	001	0	1	01	01	H5048_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5048	001	0	1	01	01	H5048_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5048	001	0	1	01	01	H5048_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5048	002	0	1	01	01	H5048_002_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5048	002	0	1	01	01	H5048_002_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010001	1						
H5048	002	0	1	01	01	H5048_002_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5048	002	0	1	01	01	H5048_002_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5048	002	0	1	01	01	H5048_002_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5050	004	0	1	01	01	H5050_004_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5050	004	0	1	01	01	H5050_004_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5050	004	0	1	01	01	H5050_004_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5050	004	0	1	01	01	H5050_004_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5050	004	0	1	01	01	H5050_004_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5050	009	0	1	01	01	H5050_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5050	009	0	1	01	01	H5050_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5050	009	0	1	01	01	H5050_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5050	009	0	1	01	01	H5050_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5050	009	0	1	01	01	H5050_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5050	013	0	1	01	01	H5050_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5050	013	0	1	01	01	H5050_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5050	013	0	1	01	01	H5050_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5050	013	0	1	01	01	H5050_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5050	013	0	1	01	01	H5050_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5050	017	0	1	01	01	H5050_017_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5050	017	0	1	01	01	H5050_017_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5050	017	0	1	01	01	H5050_017_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5050	017	0	1	01	01	H5050_017_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5050	017	0	1	01	01	H5050_017_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5050	018	0	1	01	01	H5050_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5050	018	0	1	01	01	H5050_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5050	018	0	1	01	01	H5050_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5050	018	0	1	01	01	H5050_018_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5050	018	0	1	01	01	H5050_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5050	019	0	1	01	01	H5050_019_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5050	019	0	1	01	01	H5050_019_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5050	019	0	1	01	01	H5050_019_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5050	019	0	1	01	01	H5050_019_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5050	019	0	1	01	01	H5050_019_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5087	001	0	1	01	01	H5087_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	001	0	1	01	01	H5087_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	001	0	1	01	01	H5087_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	001	0	1	01	01	H5087_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	001	0	1	01	01	H5087_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	002	0	1	01	01	H5087_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	002	0	1	01	01	H5087_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	002	0	1	01	01	H5087_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	002	0	1	01	01	H5087_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	002	0	1	01	01	H5087_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	005	0	1	01	01	H5087_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	005	0	1	01	01	H5087_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	005	0	1	01	01	H5087_005_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	005	0	1	01	01	H5087_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	005	0	1	01	01	H5087_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	010	0	1	01	01	H5087_010_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	010	0	1	01	01	H5087_010_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	010	0	1	01	01	H5087_010_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	010	0	1	01	01	H5087_010_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	010	0	1	01	01	H5087_010_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	011	0	1	01	01	H5087_011_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	011	0	1	01	01	H5087_011_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	011	0	1	01	01	H5087_011_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	011	0	1	01	01	H5087_011_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	011	0	1	01	01	H5087_011_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	012	0	1	01	01	H5087_012_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	012	0	1	01	01	H5087_012_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	012	0	1	01	01	H5087_012_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	012	0	1	01	01	H5087_012_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	012	0	1	01	01	H5087_012_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	014	0	1	01	01	H5087_014_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	014	0	1	01	01	H5087_014_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	014	0	1	01	01	H5087_014_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	014	0	1	01	01	H5087_014_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	014	0	1	01	01	H5087_014_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	015	0	1	01	01	H5087_015_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	015	0	1	01	01	H5087_015_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	015	0	1	01	01	H5087_015_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	015	0	1	01	01	H5087_015_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	015	0	1	01	01	H5087_015_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	016	0	1	01	01	H5087_016_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	016	0	1	01	01	H5087_016_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	016	0	1	01	01	H5087_016_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	016	0	1	01	01	H5087_016_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	016	0	1	01	01	H5087_016_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	017	0	1	01	01	H5087_017_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	017	0	1	01	01	H5087_017_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	017	0	1	01	01	H5087_017_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	017	0	1	01	01	H5087_017_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	017	0	1	01	01	H5087_017_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	018	0	1	01	01	H5087_018_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	018	0	1	01	01	H5087_018_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5087	018	0	1	01	01	H5087_018_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	018	0	1	01	01	H5087_018_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	018	0	1	01	01	H5087_018_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	020	0	1	01	01	H5087_020_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5087	020	0	1	01	01	H5087_020_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5087	020	0	1	01	01	H5087_020_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5087	020	0	1	01	01	H5087_020_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5087	020	0	1	01	01	H5087_020_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5106	013	0	1	04	01	H5106_013_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5106	013	0	1	04	01	H5106_013_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5106	013	0	1	04	01	H5106_013_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5106	013	0	1	04	01	H5106_013_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5106	013	0	1	04	01	H5106_013_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5106	027	0	1	04	01	H5106_027_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5106	027	0	1	04	01	H5106_027_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5106	027	0	1	04	01	H5106_027_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5106	027	0	1	04	01	H5106_027_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5106	027	0	1	04	01	H5106_027_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5141	001	0	1	04	01	H5141_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5141	001	0	1	04	01	H5141_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5141	001	0	1	04	01	H5141_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5141	001	0	1	04	01	H5141_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5141	001	0	1	04	01	H5141_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5141	004	0	1	04	01	H5141_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5141	004	0	1	04	01	H5141_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5141	004	0	1	04	01	H5141_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5141	004	0	1	04	01	H5141_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5141	004	0	1	04	01	H5141_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5151	010	0	1	02	01	H5151_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5151	010	0	1	02	01	H5151_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5151	010	0	1	02	01	H5151_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5151	010	0	1	02	01	H5151_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5151	011	1	1	01	01	H5151_011_1	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5151	011	1	1	01	01	H5151_011_1	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5151	011	1	1	01	01	H5151_011_1	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5151	011	1	1	01	01	H5151_011_1	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5151	011	2	1	01	01	H5151_011_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5151	011	2	1	01	01	H5151_011_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5151	011	2	1	01	01	H5151_011_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5151	011	2	1	01	01	H5151_011_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5172	002	0	1	48	05	H5172_002_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H5172	002	0	1	48	05	H5172_002_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H5172	002	0	1	48	05	H5172_002_0	2	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H5172	002	0	1	48	05	H5172_002_0	2	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H5190	001	0	1	01	01	H5190_001_0	7	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H5190	001	0	1	01	01	H5190_001_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H5190	001	0	1	01	01	H5190_001_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H5190	001	0	1	01	01	H5190_001_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H5190	002	0	1	01	01	H5190_002_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H5190	002	0	1	01	01	H5190_002_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H5190	002	0	1	01	01	H5190_002_0	9	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H5190	002	0	1	01	01	H5190_002_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H5190	003	0	1	01	01	H5190_003_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H5190	003	0	1	01	01	H5190_003_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H5190	003	0	1	01	01	H5190_003_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H5190	003	0	1	01	01	H5190_003_0	9	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H5190	004	0	1	01	01	H5190_004_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H5190	004	0	1	01	01	H5190_004_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H5190	004	0	1	01	01	H5190_004_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H5190	004	0	1	01	01	H5190_004_0	8	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H5211	002	0	1	02	01	H5211_002_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000010	1						
H5211	002	0	1	02	01	H5211_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	010010	1						
H5211	002	0	1	02	01	H5211_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1						
H5211	002	0	1	02	01	H5211_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1						
H5211	002	0	1	02	01	H5211_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1						
H5211	002	0	1	02	01	H5211_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1						
H5211	004	0	1	02	01	H5211_004_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000010	1						
H5211	004	0	1	02	01	H5211_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1						
H5211	004	0	1	02	01	H5211_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1						
H5211	004	0	1	02	01	H5211_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1						
H5211	004	0	1	02	01	H5211_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	010010	1						
H5211	004	0	1	02	01	H5211_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1						
H5215	002	0	1	04	01	H5215_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1	3	6.60	5			
H5215	002	0	1	04	01	H5215_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	001100	1	3	2.65	5			
H5215	002	0	1	04	01	H5215_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1	3	2.65	5			
H5215	002	0	1	04	01	H5215_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1	3	6.60	5			
H5215	002	0	1	04	01	H5215_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1	3	6.60	5			
H5215	005	0	1	04	01	H5215_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	001100	1	3	2.65	5			
H5215	005	0	1	04	01	H5215_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1	3	2.65	5			
H5215	005	0	1	04	01	H5215_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1	3	6.60	5			
H5215	005	0	1	04	01	H5215_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1	3	6.60	5			
H5215	005	0	1	04	01	H5215_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1	3	6.60	5			
H5215	007	0	1	04	01	H5215_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1	3	6.60	5			
H5215	007	0	1	04	01	H5215_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1	3	6.60	5			
H5215	007	0	1	04	01	H5215_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1	3	6.60	5			
H5215	007	0	1	04	01	H5215_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	001100	1	3	2.65	5			
H5215	007	0	1	04	01	H5215_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1	3	2.65	5			
H5215	008	0	1	04	01	H5215_008_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	001100	1	3	2.65	5			
H5215	008	0	1	04	01	H5215_008_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1	3	6.60	5			
H5215	008	0	1	04	01	H5215_008_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1	3	2.65	5			
H5215	008	0	1	04	01	H5215_008_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1	3	6.60	5			
H5215	008	0	1	04	01	H5215_008_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1	3	6.60	5			
H5216	001	0	1	04	01	H5216_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5216	001	0	1	04	01	H5216_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5216	001	0	1	04	01	H5216_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5216	001	0	1	04	01	H5216_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5216	001	0	1	04	01	H5216_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5216	003	0	1	04	01	H5216_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5216	003	0	1	04	01	H5216_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5216	003	0	1	04	01	H5216_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5216	003	0	1	04	01	H5216_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5216	003	0	1	04	01	H5216_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5216	006	0	1	04	01	H5216_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5216	006	0	1	04	01	H5216_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5216	006	0	1	04	01	H5216_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5216	006	0	1	04	01	H5216_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5216	006	0	1	04	01	H5216_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5216	009	0	1	04	01	H5216_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5216	009	0	1	04	01	H5216_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5216	009	0	1	04	01	H5216_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5216	009	0	1	04	01	H5216_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5216	009	0	1	04	01	H5216_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5216	010	0	1	04	01	H5216_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5216	010	0	1	04	01	H5216_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5216	010	0	1	04	01	H5216_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5216	010	0	1	04	01	H5216_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5216	010	0	1	04	01	H5216_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5253	004	0	1	01	01	H5253_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5253	004	0	1	01	01	H5253_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5253	004	0	1	01	01	H5253_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5253	004	0	1	01	01	H5253_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5253	004	0	1	01	01	H5253_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5253	011	0	1	01	01	H5253_011_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5253	011	0	1	01	01	H5253_011_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5253	011	0	1	01	01	H5253_011_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5253	011	0	1	01	01	H5253_011_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5253	011	0	1	01	01	H5253_011_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5253	030	0	1	01	01	H5253_030_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5253	030	0	1	01	01	H5253_030_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5253	030	0	1	01	01	H5253_030_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5253	030	0	1	01	01	H5253_030_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5253	030	0	1	01	01	H5253_030_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5262	001	0	1	01	01	H5262_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5262	001	0	1	01	01	H5262_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5262	001	0	1	01	01	H5262_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5262	001	0	1	01	01	H5262_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5262	001	0	1	01	01	H5262_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5262	003	0	1	01	01	H5262_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5262	003	0	1	01	01	H5262_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5262	003	0	1	01	01	H5262_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5262	003	0	1	01	01	H5262_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5262	003	0	1	01	01	H5262_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5280	001	0	1	48	05	H5280_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H5280	001	0	1	48	05	H5280_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H5280	001	0	1	48	05	H5280_001_0	5	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H5294	001	0	1	01	01	H5294_001_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H5294	001	0	1	01	01	H5294_001_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H5294	001	0	1	01	01	H5294_001_0	7	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H5294	001	0	1	01	01	H5294_001_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H5302	003	0	1	02	01	H5302_003_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5302	003	0	1	02	01	H5302_003_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5302	003	0	1	02	01	H5302_003_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5302	003	0	1	02	01	H5302_003_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5302	003	0	1	02	01	H5302_003_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5322	016	0	1	01	01	H5322_016_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5322	016	0	1	01	01	H5322_016_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5322	016	0	1	01	01	H5322_016_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5322	016	0	1	01	01	H5322_016_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5322	016	0	1	01	01	H5322_016_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5322	017	0	1	02	01	H5322_017_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5322	017	0	1	02	01	H5322_017_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5322	017	0	1	02	01	H5322_017_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5322	017	0	1	02	01	H5322_017_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5322	017	0	1	02	01	H5322_017_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5322	019	0	1	02	01	H5322_019_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5322	019	0	1	02	01	H5322_019_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5322	019	0	1	02	01	H5322_019_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5322	019	0	1	02	01	H5322_019_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5322	019	0	1	02	01	H5322_019_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5322	020	0	1	02	01	H5322_020_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5322	020	0	1	02	01	H5322_020_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5322	020	0	1	02	01	H5322_020_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5322	020	0	1	02	01	H5322_020_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5322	020	0	1	02	01	H5322_020_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5322	021	0	1	02	01	H5322_021_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5322	021	0	1	02	01	H5322_021_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5322	021	0	1	02	01	H5322_021_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5322	021	0	1	02	01	H5322_021_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5322	021	0	1	02	01	H5322_021_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5322	023	0	1	02	01	H5322_023_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5322	023	0	1	02	01	H5322_023_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5322	023	0	1	02	01	H5322_023_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5322	023	0	1	02	01	H5322_023_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5322	023	0	1	02	01	H5322_023_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5322	024	0	1	01	01	H5322_024_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5322	024	0	1	01	01	H5322_024_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5322	024	0	1	01	01	H5322_024_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5322	024	0	1	01	01	H5322_024_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5322	024	0	1	01	01	H5322_024_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5355	001	0	1	48	05	H5355_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H5355	001	0	1	48	05	H5355_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H5355	001	0	1	48	05	H5355_001_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H5386	001	0	1	01	01	H5386_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5386	001	0	1	01	01	H5386_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5386	001	0	1	01	01	H5386_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5386	001	0	1	01	01	H5386_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5386	001	0	1	01	01	H5386_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5410	001	0	1	01	01	H5410_001_0	5	Brand	Generic, Brand, Specialty Tier	4	2	2	000010	1	3	6.60	5			
H5410	001	0	1	01	01	H5410_001_0	5	Generic	Generic, Brand, Specialty Tier	4	1	2	010000	3	3	2.65	5			
H5410	001	0	1	01	01	H5410_001_0	5	Specialty Tier	Generic, Brand, Specialty Tier	4	3	2	010010	1	1		5			
H5410	018	0	1	02	01	H5410_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5410	018	0	1	02	01	H5410_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5410	018	0	1	02	01	H5410_018_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5410	018	0	1	02	01	H5410_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5410	018	0	1	02	01	H5410_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5414	019	0	1	01	01	H5414_019_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5414	019	0	1	01	01	H5414_019_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5414	019	0	1	01	01	H5414_019_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5414	019	0	1	01	01	H5414_019_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5414	019	0	1	01	01	H5414_019_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5414	023	0	1	01	01	H5414_023_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5414	023	0	1	01	01	H5414_023_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5414	023	0	1	01	01	H5414_023_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5414	023	0	1	01	01	H5414_023_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5414	023	0	1	01	01	H5414_023_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5414	024	0	1	01	01	H5414_024_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5414	024	0	1	01	01	H5414_024_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5414	024	0	1	01	01	H5414_024_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5414	024	0	1	01	01	H5414_024_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5414	024	0	1	01	01	H5414_024_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5414	025	0	1	01	01	H5414_025_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5414	025	0	1	01	01	H5414_025_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5414	025	0	1	01	01	H5414_025_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5414	025	0	1	01	01	H5414_025_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5414	025	0	1	01	01	H5414_025_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5415	056	0	1	04	01	H5415_056_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5415	056	0	1	04	01	H5415_056_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5415	056	0	1	04	01	H5415_056_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5415	056	0	1	04	01	H5415_056_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5415	056	0	1	04	01	H5415_056_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5415	070	0	1	04	01	H5415_070_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5415	070	0	1	04	01	H5415_070_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5415	070	0	1	04	01	H5415_070_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5415	070	0	1	04	01	H5415_070_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5415	070	0	1	04	01	H5415_070_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5420	001	0	1	01	01	H5420_001_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H5420	001	0	1	01	01	H5420_001_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5420	001	0	1	01	01	H5420_001_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H5420	001	0	1	01	01	H5420_001_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5420	003	0	1	01	01	H5420_003_0	2	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H5420	003	0	1	01	01	H5420_003_0	2	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5420	003	0	1	01	01	H5420_003_0	2	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5420	003	0	1	01	01	H5420_003_0	2	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	3						
H5420	006	0	1	02	01	H5420_006_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
H5420	006	0	1	02	01	H5420_006_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5420	006	0	1	02	01	H5420_006_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5420	006	0	1	02	01	H5420_006_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	010001	1						
H5422	007	0	1	01	01	H5422_007_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5422	007	0	1	01	01	H5422_007_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5422	007	0	1	01	01	H5422_007_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5422	007	0	1	01	01	H5422_007_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5422	007	0	1	01	01	H5422_007_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5422	007	0	1	01	01	H5422_007_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5422	008	0	1	01	01	H5422_008_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5422	008	0	1	01	01	H5422_008_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5422	008	0	1	01	01	H5422_008_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5422	008	0	1	01	01	H5422_008_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5422	008	0	1	01	01	H5422_008_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5422	008	0	1	01	01	H5422_008_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5424	001	0	1	04	01	H5424_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5424	001	0	1	04	01	H5424_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5424	001	0	1	04	01	H5424_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5424	001	0	1	04	01	H5424_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5424	001	0	1	04	01	H5424_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5425	001	0	1	01	01	H5425_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	001	0	1	01	01	H5425_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	001	0	1	01	01	H5425_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	001	0	1	01	01	H5425_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	001	0	1	01	01	H5425_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	001	0	1	01	01	H5425_001_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	004	0	1	01	01	H5425_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	004	0	1	01	01	H5425_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	004	0	1	01	01	H5425_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	004	0	1	01	01	H5425_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	004	0	1	01	01	H5425_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	004	0	1	01	01	H5425_004_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	005	0	1	01	01	H5425_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	005	0	1	01	01	H5425_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	005	0	1	01	01	H5425_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	005	0	1	01	01	H5425_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	005	0	1	01	01	H5425_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	005	0	1	01	01	H5425_005_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	006	0	1	01	01	H5425_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	006	0	1	01	01	H5425_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	006	0	1	01	01	H5425_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	006	0	1	01	01	H5425_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	006	0	1	01	01	H5425_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	006	0	1	01	01	H5425_006_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	007	0	1	01	01	H5425_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	007	0	1	01	01	H5425_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	007	0	1	01	01	H5425_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	007	0	1	01	01	H5425_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	007	0	1	01	01	H5425_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	007	0	1	01	01	H5425_007_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	008	0	1	01	01	H5425_008_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	008	0	1	01	01	H5425_008_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	008	0	1	01	01	H5425_008_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	008	0	1	01	01	H5425_008_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	008	0	1	01	01	H5425_008_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	008	0	1	01	01	H5425_008_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	009	0	1	01	01	H5425_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	009	0	1	01	01	H5425_009_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	009	0	1	01	01	H5425_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	009	0	1	01	01	H5425_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	009	0	1	01	01	H5425_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	009	0	1	01	01	H5425_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	019	0	1	01	01	H5425_019_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	019	0	1	01	01	H5425_019_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	019	0	1	01	01	H5425_019_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	019	0	1	01	01	H5425_019_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	019	0	1	01	01	H5425_019_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	019	0	1	01	01	H5425_019_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	020	0	1	01	01	H5425_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	020	0	1	01	01	H5425_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	020	0	1	01	01	H5425_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	020	0	1	01	01	H5425_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	020	0	1	01	01	H5425_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	020	0	1	01	01	H5425_020_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	028	0	1	01	01	H5425_028_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	028	0	1	01	01	H5425_028_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	028	0	1	01	01	H5425_028_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	028	0	1	01	01	H5425_028_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	028	0	1	01	01	H5425_028_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	028	0	1	01	01	H5425_028_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	033	0	1	01	01	H5425_033_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	033	0	1	01	01	H5425_033_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	033	0	1	01	01	H5425_033_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	033	0	1	01	01	H5425_033_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	033	0	1	01	01	H5425_033_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	033	0	1	01	01	H5425_033_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	034	0	1	01	01	H5425_034_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	034	0	1	01	01	H5425_034_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	034	0	1	01	01	H5425_034_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	034	0	1	01	01	H5425_034_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	034	0	1	01	01	H5425_034_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	034	0	1	01	01	H5425_034_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	046	0	1	01	01	H5425_046_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	046	0	1	01	01	H5425_046_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	046	0	1	01	01	H5425_046_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	046	0	1	01	01	H5425_046_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	046	0	1	01	01	H5425_046_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	046	0	1	01	01	H5425_046_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	047	0	1	01	01	H5425_047_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	047	0	1	01	01	H5425_047_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	047	0	1	01	01	H5425_047_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	047	0	1	01	01	H5425_047_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	047	0	1	01	01	H5425_047_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	047	0	1	01	01	H5425_047_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	048	0	1	01	01	H5425_048_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	048	0	1	01	01	H5425_048_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	048	0	1	01	01	H5425_048_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	048	0	1	01	01	H5425_048_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	048	0	1	01	01	H5425_048_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	048	0	1	01	01	H5425_048_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	050	0	1	01	01	H5425_050_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	050	0	1	01	01	H5425_050_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	050	0	1	01	01	H5425_050_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	050	0	1	01	01	H5425_050_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	050	0	1	01	01	H5425_050_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	050	0	1	01	01	H5425_050_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	051	0	1	01	01	H5425_051_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	051	0	1	01	01	H5425_051_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	051	0	1	01	01	H5425_051_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	051	0	1	01	01	H5425_051_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	051	0	1	01	01	H5425_051_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	051	0	1	01	01	H5425_051_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	052	0	1	01	01	H5425_052_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	052	0	1	01	01	H5425_052_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	052	0	1	01	01	H5425_052_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	052	0	1	01	01	H5425_052_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	052	0	1	01	01	H5425_052_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	052	0	1	01	01	H5425_052_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	053	0	1	01	01	H5425_053_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	053	0	1	01	01	H5425_053_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	053	0	1	01	01	H5425_053_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	053	0	1	01	01	H5425_053_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	053	0	1	01	01	H5425_053_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	053	0	1	01	01	H5425_053_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	054	0	1	01	01	H5425_054_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	054	0	1	01	01	H5425_054_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	054	0	1	01	01	H5425_054_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	054	0	1	01	01	H5425_054_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	054	0	1	01	01	H5425_054_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	054	0	1	01	01	H5425_054_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	055	0	1	01	01	H5425_055_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	055	0	1	01	01	H5425_055_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	055	0	1	01	01	H5425_055_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	055	0	1	01	01	H5425_055_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	055	0	1	01	01	H5425_055_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	055	0	1	01	01	H5425_055_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	056	0	1	01	01	H5425_056_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	056	0	1	01	01	H5425_056_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	056	0	1	01	01	H5425_056_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	056	0	1	01	01	H5425_056_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	056	0	1	01	01	H5425_056_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	056	0	1	01	01	H5425_056_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	059	0	1	01	01	H5425_059_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	059	0	1	01	01	H5425_059_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	059	0	1	01	01	H5425_059_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	059	0	1	01	01	H5425_059_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	059	0	1	01	01	H5425_059_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	059	0	1	01	01	H5425_059_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5425	060	0	1	01	01	H5425_060_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5425	060	0	1	01	01	H5425_060_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5425	060	0	1	01	01	H5425_060_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5425	060	0	1	01	01	H5425_060_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5425	060	0	1	01	01	H5425_060_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5425	060	0	1	01	01	H5425_060_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5427	059	0	1	01	01	H5427_059_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	059	0	1	01	01	H5427_059_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	059	0	1	01	01	H5427_059_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	059	0	1	01	01	H5427_059_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	060	0	1	01	01	H5427_060_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	060	0	1	01	01	H5427_060_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	060	0	1	01	01	H5427_060_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	060	0	1	01	01	H5427_060_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	070	0	1	01	01	H5427_070_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	070	0	1	01	01	H5427_070_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	070	0	1	01	01	H5427_070_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	070	0	1	01	01	H5427_070_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	072	0	1	01	01	H5427_072_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	072	0	1	01	01	H5427_072_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	072	0	1	01	01	H5427_072_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	072	0	1	01	01	H5427_072_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	077	0	1	01	01	H5427_077_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	077	0	1	01	01	H5427_077_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	077	0	1	01	01	H5427_077_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	077	0	1	01	01	H5427_077_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	082	0	1	01	01	H5427_082_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	082	0	1	01	01	H5427_082_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	082	0	1	01	01	H5427_082_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	082	0	1	01	01	H5427_082_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	083	0	1	01	01	H5427_083_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	083	0	1	01	01	H5427_083_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	083	0	1	01	01	H5427_083_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	083	0	1	01	01	H5427_083_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	088	0	1	01	01	H5427_088_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	088	0	1	01	01	H5427_088_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	088	0	1	01	01	H5427_088_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	088	0	1	01	01	H5427_088_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	089	0	1	01	01	H5427_089_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	089	0	1	01	01	H5427_089_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	089	0	1	01	01	H5427_089_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	089	0	1	01	01	H5427_089_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	091	0	1	01	01	H5427_091_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	091	0	1	01	01	H5427_091_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	091	0	1	01	01	H5427_091_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	091	0	1	01	01	H5427_091_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	092	0	1	01	01	H5427_092_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	092	0	1	01	01	H5427_092_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	092	0	1	01	01	H5427_092_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	092	0	1	01	01	H5427_092_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	093	0	1	01	01	H5427_093_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	093	0	1	01	01	H5427_093_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	093	0	1	01	01	H5427_093_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5427	093	0	1	01	01	H5427_093_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	094	0	1	01	01	H5427_094_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5427	094	0	1	01	01	H5427_094_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5427	094	0	1	01	01	H5427_094_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5427	094	0	1	01	01	H5427_094_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5428	001	0	1	01	01	H5428_001_0	5	Brand	Generic, Brand	4	2	2	000010	1						
H5428	001	0	1	01	01	H5428_001_0	5	Generic	Generic, Brand	4	1	2	010000	1						
H5430	001	0	1	01	01	H5430_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5430	001	0	1	01	01	H5430_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5430	001	0	1	01	01	H5430_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5430	001	0	1	01	01	H5430_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5430	001	0	1	01	01	H5430_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5431	001	0	1	01	01	H5431_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	1	2	001000	1						
H5431	001	0	1	01	01	H5431_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	3	2	000001	1						
H5431	001	0	1	01	01	H5431_001_0	7	Supplemental Brand and Generic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	6	2	010010	2						
H5431	001	0	1	01	01	H5431_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	5	2	010010	1						
H5431	001	0	1	01	01	H5431_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	4	2	100000	1						
H5431	001	0	1	01	01	H5431_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	2	2	000100	1						
H5431	006	0	1	01	01	H5431_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	1	2	001000	1						
H5431	006	0	1	01	01	H5431_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	3	2	000001	1						
H5431	006	0	1	01	01	H5431_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	4	2	100000	1						
H5431	006	0	1	01	01	H5431_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	5	2	010010	1						
H5431	006	0	1	01	01	H5431_006_0	7	Supplemental Brand and Generic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	6	2	010010	2						
H5431	006	0	1	01	01	H5431_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	2	2	000100	1						
H5431	011	0	1	02	01	H5431_011_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	2	2	000100	1						
H5431	011	0	1	02	01	H5431_011_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	3	2	000001	1						
H5431	011	0	1	02	01	H5431_011_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	4	2	100000	1						
H5431	011	0	1	02	01	H5431_011_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	5	2	010010	1						
H5431	011	0	1	02	01	H5431_011_0	6	Supplemental Brand and Generic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	6	2	010010	2						
H5431	011	0	1	02	01	H5431_011_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	1	2	001000	1						
H5431	012	0	1	01	01	H5431_012_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	5	2	010010	1						
H5431	012	0	1	01	01	H5431_012_0	6	Supplemental Brand and Generic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	6	2	010010	2						
H5431	012	0	1	01	01	H5431_012_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	4	2	100000	1						
H5431	012	0	1	01	01	H5431_012_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	3	2	000001	1						
H5431	012	0	1	01	01	H5431_012_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	2	2	000100	1						
H5431	012	0	1	01	01	H5431_012_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Supplemental Brand and Generic Drugs	4	1	2	001000	1						
H5433	001	0	1	01	01	H5433_001_0	10	Generic	Generic, Brand	2	1	2	010000	1						
H5433	001	0	1	01	01	H5433_001_0	10	Brand	Generic, Brand	2	2	2	000010	1						
H5434	002	0	1	04	01	H5434_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5434	002	0	1	04	01	H5434_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5434	002	0	1	04	01	H5434_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5434	002	0	1	04	01	H5434_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5434	002	0	1	04	01	H5434_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5435	024	0	1	09	04	H5435_024_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5435	024	0	1	09	04	H5435_024_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5435	024	0	1	09	04	H5435_024_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5435	024	0	1	09	04	H5435_024_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5435	024	0	1	09	04	H5435_024_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5439	001	0	1	04	01	H5439_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5439	001	0	1	04	01	H5439_001_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5439	001	0	1	04	01	H5439_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5439	001	0	1	04	01	H5439_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5439	001	0	1	04	01	H5439_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5439	001	0	1	04	01	H5439_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5439	005	0	1	04	01	H5439_005_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5439	005	0	1	04	01	H5439_005_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5439	005	0	1	04	01	H5439_005_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5439	005	0	1	04	01	H5439_005_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5439	005	0	1	04	01	H5439_005_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5439	005	0	1	04	01	H5439_005_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5439	007	0	1	04	01	H5439_007_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5439	007	0	1	04	01	H5439_007_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5439	007	0	1	04	01	H5439_007_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5439	007	0	1	04	01	H5439_007_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5439	007	0	1	04	01	H5439_007_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5439	007	0	1	04	01	H5439_007_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5441	001	0	1	48	05	H5441_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H5441	001	0	1	48	05	H5441_001_0	7	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H5441	001	0	1	48	05	H5441_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H5471	001	0	1	01	01	H5471_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	001	0	1	01	01	H5471_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	001	0	1	01	01	H5471_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	001	0	1	01	01	H5471_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	001	0	1	01	01	H5471_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	002	0	1	01	01	H5471_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	002	0	1	01	01	H5471_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	002	0	1	01	01	H5471_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	002	0	1	01	01	H5471_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	002	0	1	01	01	H5471_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	004	0	1	01	01	H5471_004_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	004	0	1	01	01	H5471_004_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	004	0	1	01	01	H5471_004_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	004	0	1	01	01	H5471_004_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	004	0	1	01	01	H5471_004_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	007	0	1	01	01	H5471_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	007	0	1	01	01	H5471_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	007	0	1	01	01	H5471_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	007	0	1	01	01	H5471_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	007	0	1	01	01	H5471_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	008	0	1	01	01	H5471_008_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5471	008	0	1	01	01	H5471_008_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	008	0	1	01	01	H5471_008_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	008	0	1	01	01	H5471_008_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	008	0	1	01	01	H5471_008_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	009	0	1	01	01	H5471_009_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	009	0	1	01	01	H5471_009_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	009	0	1	01	01	H5471_009_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	009	0	1	01	01	H5471_009_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	009	0	1	01	01	H5471_009_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	012	0	1	01	01	H5471_012_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	012	0	1	01	01	H5471_012_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	012	0	1	01	01	H5471_012_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	012	0	1	01	01	H5471_012_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	012	0	1	01	01	H5471_012_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	020	0	1	01	01	H5471_020_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	020	0	1	01	01	H5471_020_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	020	0	1	01	01	H5471_020_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	020	0	1	01	01	H5471_020_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	020	0	1	01	01	H5471_020_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	021	0	1	01	01	H5471_021_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	021	0	1	01	01	H5471_021_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	021	0	1	01	01	H5471_021_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	021	0	1	01	01	H5471_021_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5471	021	0	1	01	01	H5471_021_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	022	0	1	01	01	H5471_022_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H5471	022	0	1	01	01	H5471_022_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5471	022	0	1	01	01	H5471_022_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5471	022	0	1	01	01	H5471_022_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5471	022	0	1	01	01	H5471_022_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5475	002	0	1	01	01	H5475_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5475	002	0	1	01	01	H5475_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5475	002	0	1	01	01	H5475_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5475	002	0	1	01	01	H5475_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5475	002	0	1	01	01	H5475_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5507	001	0	1	04	01	H5507_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5507	001	0	1	04	01	H5507_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5507	001	0	1	04	01	H5507_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5507	001	0	1	04	01	H5507_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5507	001	0	1	04	01	H5507_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5508	001	0	1	04	01	H5508_001_0	14	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H5508	001	0	1	04	01	H5508_001_0	14	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H5508	001	0	1	04	01	H5508_001_0	14	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H5508	001	0	1	04	01	H5508_001_0	14	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	000010	1						
H5508	001	0	1	04	01	H5508_001_0	14	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H5508	005	0	1	04	01	H5508_005_0	15	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H5508	005	0	1	04	01	H5508_005_0	15	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H5508	005	0	1	04	01	H5508_005_0	15	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H5508	005	0	1	04	01	H5508_005_0	15	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	000010	1						
H5508	005	0	1	04	01	H5508_005_0	15	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H5508	006	0	1	04	01	H5508_006_0	13	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H5508	006	0	1	04	01	H5508_006_0	13	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H5508	006	0	1	04	01	H5508_006_0	13	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	000010	1						
H5508	006	0	1	04	01	H5508_006_0	13	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H5508	006	0	1	04	01	H5508_006_0	13	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H5509	001	0	1	04	01	H5509_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	001	0	1	04	01	H5509_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	001	0	1	04	01	H5509_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	001	0	1	04	01	H5509_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	001	0	1	04	01	H5509_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	003	0	1	04	01	H5509_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	003	0	1	04	01	H5509_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	003	0	1	04	01	H5509_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	003	0	1	04	01	H5509_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	003	0	1	04	01	H5509_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	010	0	1	04	01	H5509_010_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	010	0	1	04	01	H5509_010_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	010	0	1	04	01	H5509_010_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	010	0	1	04	01	H5509_010_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	010	0	1	04	01	H5509_010_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	011	0	1	04	01	H5509_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	011	0	1	04	01	H5509_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	011	0	1	04	01	H5509_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	011	0	1	04	01	H5509_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	011	0	1	04	01	H5509_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	012	0	1	04	01	H5509_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	012	0	1	04	01	H5509_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	012	0	1	04	01	H5509_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	012	0	1	04	01	H5509_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	012	0	1	04	01	H5509_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	016	0	1	04	01	H5509_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	016	0	1	04	01	H5509_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	016	0	1	04	01	H5509_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	016	0	1	04	01	H5509_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	016	0	1	04	01	H5509_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	017	0	1	04	01	H5509_017_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	017	0	1	04	01	H5509_017_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	017	0	1	04	01	H5509_017_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	017	0	1	04	01	H5509_017_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	017	0	1	04	01	H5509_017_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	018	0	1	04	01	H5509_018_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	018	0	1	04	01	H5509_018_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5509	018	0	1	04	01	H5509_018_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	018	0	1	04	01	H5509_018_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	018	0	1	04	01	H5509_018_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	019	0	1	04	01	H5509_019_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5509	019	0	1	04	01	H5509_019_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5509	019	0	1	04	01	H5509_019_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5509	019	0	1	04	01	H5509_019_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5509	019	0	1	04	01	H5509_019_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5516	001	0	1	04	01	H5516_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5516	001	0	1	04	01	H5516_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5516	001	0	1	04	01	H5516_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5516	001	0	1	04	01	H5516_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5516	001	0	1	04	01	H5516_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5520	002	0	1	04	01	H5520_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	002	0	1	04	01	H5520_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	002	0	1	04	01	H5520_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	002	0	1	04	01	H5520_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	002	0	1	04	01	H5520_002_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	002	0	1	04	01	H5520_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	004	0	1	04	01	H5520_004_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	004	0	1	04	01	H5520_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	004	0	1	04	01	H5520_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	004	0	1	04	01	H5520_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	004	0	1	04	01	H5520_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	004	0	1	04	01	H5520_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	012	1	1	04	01	H5520_012_1	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	012	1	1	04	01	H5520_012_1	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	012	1	1	04	01	H5520_012_1	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	012	1	1	04	01	H5520_012_1	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	012	1	1	04	01	H5520_012_1	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	012	1	1	04	01	H5520_012_1	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	012	2	1	04	01	H5520_012_2	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	012	2	1	04	01	H5520_012_2	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	012	2	1	04	01	H5520_012_2	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	012	2	1	04	01	H5520_012_2	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	012	2	1	04	01	H5520_012_2	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	012	2	1	04	01	H5520_012_2	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	012	3	1	04	01	H5520_012_3	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	012	3	1	04	01	H5520_012_3	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	012	3	1	04	01	H5520_012_3	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	012	3	1	04	01	H5520_012_3	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	012	3	1	04	01	H5520_012_3	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	012	3	1	04	01	H5520_012_3	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	014	0	1	04	01	H5520_014_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	014	0	1	04	01	H5520_014_0	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	014	0	1	04	01	H5520_014_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	014	0	1	04	01	H5520_014_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	014	0	1	04	01	H5520_014_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	014	0	1	04	01	H5520_014_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	015	1	1	04	01	H5520_015_1	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	015	1	1	04	01	H5520_015_1	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	015	1	1	04	01	H5520_015_1	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	015	1	1	04	01	H5520_015_1	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	015	1	1	04	01	H5520_015_1	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	015	1	1	04	01	H5520_015_1	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5520	015	2	1	04	01	H5520_015_2	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5520	015	2	1	04	01	H5520_015_2	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5520	015	2	1	04	01	H5520_015_2	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5520	015	2	1	04	01	H5520_015_2	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5520	015	2	1	04	01	H5520_015_2	2	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H5520	015	2	1	04	01	H5520_015_2	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5521	012	0	1	04	01	H5521_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	012	0	1	04	01	H5521_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	012	0	1	04	01	H5521_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	012	0	1	04	01	H5521_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	012	0	1	04	01	H5521_012_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	013	0	1	04	01	H5521_013_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	013	0	1	04	01	H5521_013_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	013	0	1	04	01	H5521_013_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	013	0	1	04	01	H5521_013_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	013	0	1	04	01	H5521_013_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	015	0	1	04	01	H5521_015_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	015	0	1	04	01	H5521_015_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	015	0	1	04	01	H5521_015_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	015	0	1	04	01	H5521_015_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	015	0	1	04	01	H5521_015_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	016	0	1	04	01	H5521_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	016	0	1	04	01	H5521_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	016	0	1	04	01	H5521_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	016	0	1	04	01	H5521_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	016	0	1	04	01	H5521_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	020	0	1	04	01	H5521_020_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	020	0	1	04	01	H5521_020_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	020	0	1	04	01	H5521_020_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	020	0	1	04	01	H5521_020_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	020	0	1	04	01	H5521_020_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	022	0	1	04	01	H5521_022_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	022	0	1	04	01	H5521_022_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	022	0	1	04	01	H5521_022_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	022	0	1	04	01	H5521_022_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	022	0	1	04	01	H5521_022_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	027	0	1	04	01	H5521_027_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	027	0	1	04	01	H5521_027_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	027	0	1	04	01	H5521_027_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	027	0	1	04	01	H5521_027_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	027	0	1	04	01	H5521_027_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	028	0	1	04	01	H5521_028_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	028	0	1	04	01	H5521_028_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	028	0	1	04	01	H5521_028_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	028	0	1	04	01	H5521_028_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	028	0	1	04	01	H5521_028_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	033	0	1	04	01	H5521_033_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	033	0	1	04	01	H5521_033_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	033	0	1	04	01	H5521_033_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	033	0	1	04	01	H5521_033_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	033	0	1	04	01	H5521_033_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	037	0	1	04	01	H5521_037_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	037	0	1	04	01	H5521_037_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	037	0	1	04	01	H5521_037_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	037	0	1	04	01	H5521_037_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	037	0	1	04	01	H5521_037_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	040	0	1	04	01	H5521_040_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	040	0	1	04	01	H5521_040_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	040	0	1	04	01	H5521_040_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	040	0	1	04	01	H5521_040_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	040	0	1	04	01	H5521_040_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	052	0	1	04	01	H5521_052_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	052	0	1	04	01	H5521_052_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	052	0	1	04	01	H5521_052_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	052	0	1	04	01	H5521_052_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	052	0	1	04	01	H5521_052_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	053	0	1	04	01	H5521_053_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	053	0	1	04	01	H5521_053_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	053	0	1	04	01	H5521_053_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	053	0	1	04	01	H5521_053_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	055	0	1	04	01	H5521_055_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	055	0	1	04	01	H5521_055_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	055	0	1	04	01	H5521_055_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	055	0	1	04	01	H5521_055_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	056	0	1	04	01	H5521_056_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	056	0	1	04	01	H5521_056_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	056	0	1	04	01	H5521_056_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	056	0	1	04	01	H5521_056_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	057	0	1	04	01	H5521_057_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	057	0	1	04	01	H5521_057_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	057	0	1	04	01	H5521_057_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	057	0	1	04	01	H5521_057_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	058	0	1	04	01	H5521_058_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	058	0	1	04	01	H5521_058_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	058	0	1	04	01	H5521_058_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	058	0	1	04	01	H5521_058_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	059	0	1	04	01	H5521_059_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	059	0	1	04	01	H5521_059_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	059	0	1	04	01	H5521_059_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	059	0	1	04	01	H5521_059_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	060	0	1	04	01	H5521_060_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	060	0	1	04	01	H5521_060_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	060	0	1	04	01	H5521_060_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	060	0	1	04	01	H5521_060_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	076	0	1	04	01	H5521_076_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	076	0	1	04	01	H5521_076_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	076	0	1	04	01	H5521_076_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	076	0	1	04	01	H5521_076_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	076	0	1	04	01	H5521_076_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	077	0	1	04	01	H5521_077_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	077	0	1	04	01	H5521_077_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	077	0	1	04	01	H5521_077_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	077	0	1	04	01	H5521_077_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	077	0	1	04	01	H5521_077_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	081	0	1	04	01	H5521_081_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	081	0	1	04	01	H5521_081_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	081	0	1	04	01	H5521_081_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	081	0	1	04	01	H5521_081_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	081	0	1	04	01	H5521_081_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	082	0	1	04	01	H5521_082_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	082	0	1	04	01	H5521_082_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	082	0	1	04	01	H5521_082_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	082	0	1	04	01	H5521_082_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	082	0	1	04	01	H5521_082_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	083	0	1	04	01	H5521_083_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	083	0	1	04	01	H5521_083_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	083	0	1	04	01	H5521_083_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	083	0	1	04	01	H5521_083_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	083	0	1	04	01	H5521_083_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	084	0	1	04	01	H5521_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	084	0	1	04	01	H5521_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	084	0	1	04	01	H5521_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	084	0	1	04	01	H5521_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	084	0	1	04	01	H5521_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	085	0	1	04	01	H5521_085_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	085	0	1	04	01	H5521_085_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	085	0	1	04	01	H5521_085_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	085	0	1	04	01	H5521_085_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	085	0	1	04	01	H5521_085_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	086	0	1	04	01	H5521_086_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	086	0	1	04	01	H5521_086_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	086	0	1	04	01	H5521_086_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	086	0	1	04	01	H5521_086_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	086	0	1	04	01	H5521_086_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	087	0	1	04	01	H5521_087_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	087	0	1	04	01	H5521_087_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	087	0	1	04	01	H5521_087_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	087	0	1	04	01	H5521_087_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	087	0	1	04	01	H5521_087_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	088	0	1	04	01	H5521_088_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	088	0	1	04	01	H5521_088_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	088	0	1	04	01	H5521_088_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	088	0	1	04	01	H5521_088_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	088	0	1	04	01	H5521_088_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	089	0	1	04	01	H5521_089_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	089	0	1	04	01	H5521_089_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	089	0	1	04	01	H5521_089_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	089	0	1	04	01	H5521_089_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	089	0	1	04	01	H5521_089_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	090	0	1	04	01	H5521_090_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	090	0	1	04	01	H5521_090_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	090	0	1	04	01	H5521_090_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	090	0	1	04	01	H5521_090_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	090	0	1	04	01	H5521_090_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	091	0	1	04	01	H5521_091_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	091	0	1	04	01	H5521_091_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	091	0	1	04	01	H5521_091_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	091	0	1	04	01	H5521_091_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	091	0	1	04	01	H5521_091_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	092	0	1	04	01	H5521_092_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	092	0	1	04	01	H5521_092_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	092	0	1	04	01	H5521_092_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	092	0	1	04	01	H5521_092_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	093	0	1	04	01	H5521_093_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	093	0	1	04	01	H5521_093_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	093	0	1	04	01	H5521_093_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	093	0	1	04	01	H5521_093_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	093	0	1	04	01	H5521_093_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	094	0	1	04	01	H5521_094_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H5521	094	0	1	04	01	H5521_094_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H5521	094	0	1	04	01	H5521_094_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H5521	094	0	1	04	01	H5521_094_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H5521	095	0	1	04	01	H5521_095_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	095	0	1	04	01	H5521_095_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	095	0	1	04	01	H5521_095_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	095	0	1	04	01	H5521_095_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5521	095	0	1	04	01	H5521_095_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	098	0	1	04	01	H5521_098_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5521	098	0	1	04	01	H5521_098_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5521	098	0	1	04	01	H5521_098_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5521	098	0	1	04	01	H5521_098_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5521	098	0	1	04	01	H5521_098_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	001	0	1	04	01	H5522_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	001	0	1	04	01	H5522_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	001	0	1	04	01	H5522_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	001	0	1	04	01	H5522_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	001	0	1	04	01	H5522_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	002	0	1	04	01	H5522_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	002	0	1	04	01	H5522_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	002	0	1	04	01	H5522_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	002	0	1	04	01	H5522_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	002	0	1	04	01	H5522_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	004	0	1	04	01	H5522_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	004	0	1	04	01	H5522_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	004	0	1	04	01	H5522_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	004	0	1	04	01	H5522_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	004	0	1	04	01	H5522_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	005	0	1	04	01	H5522_005_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	005	0	1	04	01	H5522_005_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	005	0	1	04	01	H5522_005_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	005	0	1	04	01	H5522_005_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	005	0	1	04	01	H5522_005_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	013	0	1	04	01	H5522_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	013	0	1	04	01	H5522_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	013	0	1	04	01	H5522_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	013	0	1	04	01	H5522_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	013	0	1	04	01	H5522_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	014	0	1	04	01	H5522_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	014	0	1	04	01	H5522_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	014	0	1	04	01	H5522_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	014	0	1	04	01	H5522_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	014	0	1	04	01	H5522_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	015	0	1	04	01	H5522_015_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	015	0	1	04	01	H5522_015_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	015	0	1	04	01	H5522_015_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	015	0	1	04	01	H5522_015_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	015	0	1	04	01	H5522_015_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	017	0	1	04	01	H5522_017_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5522	017	0	1	04	01	H5522_017_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	017	0	1	04	01	H5522_017_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	017	0	1	04	01	H5522_017_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	017	0	1	04	01	H5522_017_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	018	0	1	04	01	H5522_018_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5522	018	0	1	04	01	H5522_018_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5522	018	0	1	04	01	H5522_018_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5522	018	0	1	04	01	H5522_018_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5522	018	0	1	04	01	H5522_018_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	004	0	1	04	01	H5525_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	004	0	1	04	01	H5525_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	004	0	1	04	01	H5525_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	004	0	1	04	01	H5525_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	004	0	1	04	01	H5525_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	005	0	1	04	01	H5525_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	005	0	1	04	01	H5525_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	005	0	1	04	01	H5525_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	005	0	1	04	01	H5525_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	005	0	1	04	01	H5525_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	006	0	1	04	01	H5525_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	006	0	1	04	01	H5525_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	006	0	1	04	01	H5525_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	006	0	1	04	01	H5525_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	006	0	1	04	01	H5525_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	007	0	1	04	01	H5525_007_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	007	0	1	04	01	H5525_007_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	007	0	1	04	01	H5525_007_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	007	0	1	04	01	H5525_007_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	007	0	1	04	01	H5525_007_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	008	0	1	04	01	H5525_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	008	0	1	04	01	H5525_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	008	0	1	04	01	H5525_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	008	0	1	04	01	H5525_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	008	0	1	04	01	H5525_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	009	0	1	04	01	H5525_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	009	0	1	04	01	H5525_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	009	0	1	04	01	H5525_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	009	0	1	04	01	H5525_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	009	0	1	04	01	H5525_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	015	0	1	04	01	H5525_015_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	015	0	1	04	01	H5525_015_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	015	0	1	04	01	H5525_015_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	015	0	1	04	01	H5525_015_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	015	0	1	04	01	H5525_015_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	017	0	1	04	01	H5525_017_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	017	0	1	04	01	H5525_017_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	017	0	1	04	01	H5525_017_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	017	0	1	04	01	H5525_017_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	017	0	1	04	01	H5525_017_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	020	0	1	04	01	H5525_020_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	020	0	1	04	01	H5525_020_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	020	0	1	04	01	H5525_020_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	020	0	1	04	01	H5525_020_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	020	0	1	04	01	H5525_020_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	021	0	1	04	01	H5525_021_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	021	0	1	04	01	H5525_021_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	021	0	1	04	01	H5525_021_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	021	0	1	04	01	H5525_021_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	021	0	1	04	01	H5525_021_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	022	0	1	04	01	H5525_022_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	022	0	1	04	01	H5525_022_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	022	0	1	04	01	H5525_022_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	022	0	1	04	01	H5525_022_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	022	0	1	04	01	H5525_022_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	023	0	1	04	01	H5525_023_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	023	0	1	04	01	H5525_023_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	023	0	1	04	01	H5525_023_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	023	0	1	04	01	H5525_023_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	023	0	1	04	01	H5525_023_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	024	0	1	04	01	H5525_024_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	024	0	1	04	01	H5525_024_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	024	0	1	04	01	H5525_024_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	024	0	1	04	01	H5525_024_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	024	0	1	04	01	H5525_024_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	025	0	1	04	01	H5525_025_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	025	0	1	04	01	H5525_025_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	025	0	1	04	01	H5525_025_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	025	0	1	04	01	H5525_025_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	025	0	1	04	01	H5525_025_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	026	0	1	04	01	H5525_026_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	026	0	1	04	01	H5525_026_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	026	0	1	04	01	H5525_026_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	026	0	1	04	01	H5525_026_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	026	0	1	04	01	H5525_026_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5525	027	0	1	04	01	H5525_027_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H5525	027	0	1	04	01	H5525_027_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H5525	027	0	1	04	01	H5525_027_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H5525	027	0	1	04	01	H5525_027_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5525	027	0	1	04	01	H5525_027_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5525	029	0	1	04	01	H5525_029_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5525	029	0	1	04	01	H5525_029_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5525	029	0	1	04	01	H5525_029_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5525	029	0	1	04	01	H5525_029_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5525	029	0	1	04	01	H5525_029_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5526	004	0	1	04	01	H5526_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5526	004	0	1	04	01	H5526_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5526	004	0	1	04	01	H5526_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5526	004	0	1	04	01	H5526_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5526	004	0	1	04	01	H5526_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5526	014	0	1	04	01	H5526_014_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5526	014	0	1	04	01	H5526_014_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5526	014	0	1	04	01	H5526_014_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5526	014	0	1	04	01	H5526_014_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5526	014	0	1	04	01	H5526_014_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5526	016	0	1	04	01	H5526_016_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5526	016	0	1	04	01	H5526_016_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5526	016	0	1	04	01	H5526_016_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5526	016	0	1	04	01	H5526_016_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5526	016	0	1	04	01	H5526_016_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5526	017	0	1	04	01	H5526_017_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5526	017	0	1	04	01	H5526_017_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5526	017	0	1	04	01	H5526_017_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5526	017	0	1	04	01	H5526_017_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5526	017	0	1	04	01	H5526_017_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5528	018	0	1	04	01	H5528_018_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H5528	018	0	1	04	01	H5528_018_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H5528	018	0	1	04	01	H5528_018_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H5528	018	0	1	04	01	H5528_018_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H5528	018	0	1	04	01	H5528_018_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H5528	022	0	1	04	01	H5528_022_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5528	022	0	1	04	01	H5528_022_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5528	022	0	1	04	01	H5528_022_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5528	022	0	1	04	01	H5528_022_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5528	022	0	1	04	01	H5528_022_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5528	023	0	1	04	01	H5528_023_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5528	023	0	1	04	01	H5528_023_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5528	023	0	1	04	01	H5528_023_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5528	023	0	1	04	01	H5528_023_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5528	023	0	1	04	01	H5528_023_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5528	024	0	1	04	01	H5528_024_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5528	024	0	1	04	01	H5528_024_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5528	024	0	1	04	01	H5528_024_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5528	024	0	1	04	01	H5528_024_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5528	024	0	1	04	01	H5528_024_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5528	025	0	1	04	01	H5528_025_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5528	025	0	1	04	01	H5528_025_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5528	025	0	1	04	01	H5528_025_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5528	025	0	1	04	01	H5528_025_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5528	025	0	1	04	01	H5528_025_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5528	026	0	1	04	01	H5528_026_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5528	026	0	1	04	01	H5528_026_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5528	026	0	1	04	01	H5528_026_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5528	026	0	1	04	01	H5528_026_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5528	026	0	1	04	01	H5528_026_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5529	008	1	1	04	01	H5529_008_1	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5529	008	1	1	04	01	H5529_008_1	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5529	008	1	1	04	01	H5529_008_1	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5529	008	1	1	04	01	H5529_008_1	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5529	008	1	1	04	01	H5529_008_1	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5529	008	1	1	04	01	H5529_008_1	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5529	008	2	1	04	01	H5529_008_2	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5529	008	2	1	04	01	H5529_008_2	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5529	008	2	1	04	01	H5529_008_2	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5529	008	2	1	04	01	H5529_008_2	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5529	008	2	1	04	01	H5529_008_2	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5529	008	2	1	04	01	H5529_008_2	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5529	009	1	1	04	01	H5529_009_1	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5529	009	1	1	04	01	H5529_009_1	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5529	009	1	1	04	01	H5529_009_1	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5529	009	1	1	04	01	H5529_009_1	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5529	009	1	1	04	01	H5529_009_1	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5529	009	1	1	04	01	H5529_009_1	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5529	009	2	1	04	01	H5529_009_2	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5529	009	2	1	04	01	H5529_009_2	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5529	009	2	1	04	01	H5529_009_2	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5529	009	2	1	04	01	H5529_009_2	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5529	009	2	1	04	01	H5529_009_2	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5529	009	2	1	04	01	H5529_009_2	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5530	006	1	1	04	01	H5530_006_1	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5530	006	1	1	04	01	H5530_006_1	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5530	006	1	1	04	01	H5530_006_1	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5530	006	1	1	04	01	H5530_006_1	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5530	006	1	1	04	01	H5530_006_1	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5530	006	1	1	04	01	H5530_006_1	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5530	006	2	1	04	01	H5530_006_2	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5530	006	2	1	04	01	H5530_006_2	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5530	006	2	1	04	01	H5530_006_2	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5530	006	2	1	04	01	H5530_006_2	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5530	006	2	1	04	01	H5530_006_2	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5530	006	2	1	04	01	H5530_006_2	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5532	001	0	1	04	01	H5532_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5532	001	0	1	04	01	H5532_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5532	001	0	1	04	01	H5532_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5532	001	0	1	04	01	H5532_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5532	001	0	1	04	01	H5532_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5533	003	0	1	04	01	H5533_003_0	5	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H5533	003	0	1	04	01	H5533_003_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H5533	003	0	1	04	01	H5533_003_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H5533	003	0	1	04	01	H5533_003_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H5533	003	0	1	04	01	H5533_003_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H5533	005	0	1	04	01	H5533_005_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H5533	005	0	1	04	01	H5533_005_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H5533	005	0	1	04	01	H5533_005_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H5533	005	0	1	04	01	H5533_005_0	5	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H5533	005	0	1	04	01	H5533_005_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H5533	006	0	1	04	01	H5533_006_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	010010	1						
H5533	006	0	1	04	01	H5533_006_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H5533	006	0	1	04	01	H5533_006_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H5533	006	0	1	04	01	H5533_006_0	6	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H5533	006	0	1	04	01	H5533_006_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H5549	004	0	1	01	01	H5549_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5549	004	0	1	01	01	H5549_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5549	004	0	1	01	01	H5549_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5549	004	0	1	01	01	H5549_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5549	004	0	1	01	01	H5549_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	012	0	1	02	01	H5576_012_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	012	0	1	02	01	H5576_012_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	012	0	1	02	01	H5576_012_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	012	0	1	02	01	H5576_012_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	012	0	1	02	01	H5576_012_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	016	1	1	02	01	H5576_016_1	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	016	1	1	02	01	H5576_016_1	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	016	1	1	02	01	H5576_016_1	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	016	1	1	02	01	H5576_016_1	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	016	1	1	02	01	H5576_016_1	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	016	2	1	02	01	H5576_016_2	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	016	2	1	02	01	H5576_016_2	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	016	2	1	02	01	H5576_016_2	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	016	2	1	02	01	H5576_016_2	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	016	2	1	02	01	H5576_016_2	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	017	1	1	02	01	H5576_017_1	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	017	1	1	02	01	H5576_017_1	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	017	1	1	02	01	H5576_017_1	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	017	1	1	02	01	H5576_017_1	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	017	1	1	02	01	H5576_017_1	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	017	2	1	02	01	H5576_017_2	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	017	2	1	02	01	H5576_017_2	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	017	2	1	02	01	H5576_017_2	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	017	2	1	02	01	H5576_017_2	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	017	2	1	02	01	H5576_017_2	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	018	1	1	02	01	H5576_018_1	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5576	018	1	1	02	01	H5576_018_1	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	018	1	1	02	01	H5576_018_1	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	018	1	1	02	01	H5576_018_1	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	018	1	1	02	01	H5576_018_1	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	018	2	1	02	01	H5576_018_2	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5576	018	2	1	02	01	H5576_018_2	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5576	018	2	1	02	01	H5576_018_2	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5576	018	2	1	02	01	H5576_018_2	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5576	018	2	1	02	01	H5576_018_2	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5577	005	0	1	01	01	H5577_005_0	10	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H5577	005	0	1	01	01	H5577_005_0	10	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H5577	005	0	1	01	01	H5577_005_0	10	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5577	005	0	1	01	01	H5577_005_0	10	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110001	1						
H5577	008	0	1	02	01	H5577_008_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5577	008	0	1	02	01	H5577_008_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5577	008	0	1	02	01	H5577_008_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
H5577	008	0	1	02	01	H5577_008_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5577	008	0	1	02	01	H5577_008_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5591	001	0	1	02	01	H5591_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5591	001	0	1	02	01	H5591_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5591	001	0	1	02	01	H5591_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H5591	001	0	1	02	01	H5591_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5591	001	0	1	02	01	H5591_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5591	005	0	1	02	01	H5591_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5591	005	0	1	02	01	H5591_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H5591	005	0	1	02	01	H5591_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5591	005	0	1	02	01	H5591_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5591	005	0	1	02	01	H5591_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5591	006	1	1	02	01	H5591_006_1	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5591	006	1	1	02	01	H5591_006_1	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5591	006	1	1	02	01	H5591_006_1	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H5591	006	1	1	02	01	H5591_006_1	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5591	006	1	1	02	01	H5591_006_1	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5591	006	2	1	02	01	H5591_006_2	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5591	006	2	1	02	01	H5591_006_2	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5591	006	2	1	02	01	H5591_006_2	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5591	006	2	1	02	01	H5591_006_2	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5591	006	2	1	02	01	H5591_006_2	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001001	1						
H5594	001	0	1	02	01	H5594_001_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	001	0	1	02	01	H5594_001_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	001	0	1	02	01	H5594_001_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	001	0	1	02	01	H5594_001_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	002	0	1	02	01	H5594_002_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	002	0	1	02	01	H5594_002_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	002	0	1	02	01	H5594_002_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	002	0	1	02	01	H5594_002_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	016	0	1	01	01	H5594_016_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	016	0	1	01	01	H5594_016_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	016	0	1	01	01	H5594_016_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	016	0	1	01	01	H5594_016_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	017	0	1	01	01	H5594_017_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	017	0	1	01	01	H5594_017_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	017	0	1	01	01	H5594_017_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	017	0	1	01	01	H5594_017_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	019	0	1	02	01	H5594_019_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	019	0	1	02	01	H5594_019_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	019	0	1	02	01	H5594_019_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	019	0	1	02	01	H5594_019_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	022	0	1	02	01	H5594_022_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	022	0	1	02	01	H5594_022_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	022	0	1	02	01	H5594_022_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	022	0	1	02	01	H5594_022_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	026	0	1	02	01	H5594_026_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	026	0	1	02	01	H5594_026_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	026	0	1	02	01	H5594_026_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	026	0	1	02	01	H5594_026_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	028	0	1	02	01	H5594_028_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	028	0	1	02	01	H5594_028_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	028	0	1	02	01	H5594_028_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	028	0	1	02	01	H5594_028_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	029	0	1	02	01	H5594_029_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	029	0	1	02	01	H5594_029_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	029	0	1	02	01	H5594_029_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	029	0	1	02	01	H5594_029_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	030	0	1	02	01	H5594_030_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	030	0	1	02	01	H5594_030_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	030	0	1	02	01	H5594_030_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	030	0	1	02	01	H5594_030_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	031	0	1	02	01	H5594_031_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	031	0	1	02	01	H5594_031_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	031	0	1	02	01	H5594_031_0	9	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	031	0	1	02	01	H5594_031_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5594	032	0	1	02	01	H5594_032_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H5594	032	0	1	02	01	H5594_032_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5594	032	0	1	02	01	H5594_032_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H5594	032	0	1	02	01	H5594_032_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5608	002	0	1	01	01	H5608_002_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5608	002	0	1	01	01	H5608_002_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5608	002	0	1	01	01	H5608_002_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H5608	002	0	1	01	01	H5608_002_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H5608	002	0	1	01	01	H5608_002_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	000010	1						
H5609	001	0	1	01	01	H5609_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5609	001	0	1	01	01	H5609_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5609	001	0	1	01	01	H5609_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5609	001	0	1	01	01	H5609_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5609	001	0	1	01	01	H5609_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5609	004	0	1	01	01	H5609_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5609	004	0	1	01	01	H5609_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5609	004	0	1	01	01	H5609_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5609	004	0	1	01	01	H5609_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5609	004	0	1	01	01	H5609_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5619	001	0	1	01	01	H5619_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5619	001	0	1	01	01	H5619_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5619	001	0	1	01	01	H5619_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5619	001	0	1	01	01	H5619_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5619	001	0	1	01	01	H5619_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5619	003	0	1	01	01	H5619_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5619	003	0	1	01	01	H5619_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5619	003	0	1	01	01	H5619_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H5619	003	0	1	01	01	H5619_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H5619	003	0	1	01	01	H5619_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H5619	007	0	1	01	01	H5619_007_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5619	007	0	1	01	01	H5619_007_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5619	007	0	1	01	01	H5619_007_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5619	007	0	1	01	01	H5619_007_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5619	007	0	1	01	01	H5619_007_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5619	009	0	1	01	01	H5619_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5619	009	0	1	01	01	H5619_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5619	009	0	1	01	01	H5619_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H5619	009	0	1	01	01	H5619_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H5619	009	0	1	01	01	H5619_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H5619	011	0	1	01	01	H5619_011_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H5619	011	0	1	01	01	H5619_011_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H5619	011	0	1	01	01	H5619_011_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H5619	011	0	1	01	01	H5619_011_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5619	011	0	1	01	01	H5619_011_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5628	001	0	1	01	01	H5628_001_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H5628	001	0	1	01	01	H5628_001_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5628	001	0	1	01	01	H5628_001_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H5628	001	0	1	01	01	H5628_001_0	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5628	007	0	1	01	01	H5628_007_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H5628	007	0	1	01	01	H5628_007_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5628	007	0	1	01	01	H5628_007_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H5628	007	0	1	01	01	H5628_007_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5649	001	0	1	01	01	H5649_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5649	001	0	1	01	01	H5649_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5649	001	0	1	01	01	H5649_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	3						
H5649	001	0	1	01	01	H5649_001_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5649	001	0	1	01	01	H5649_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5649	001	0	1	01	01	H5649_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5649	002	0	1	01	01	H5649_002_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5649	002	0	1	01	01	H5649_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	3						
H5649	002	0	1	01	01	H5649_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5649	002	0	1	01	01	H5649_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5649	002	0	1	01	01	H5649_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5649	002	0	1	01	01	H5649_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5649	004	0	1	01	01	H5649_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5649	004	0	1	01	01	H5649_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5649	004	0	1	01	01	H5649_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5649	004	0	1	01	01	H5649_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	3						
H5649	004	0	1	01	01	H5649_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5649	004	0	1	01	01	H5649_004_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5649	005	0	1	01	01	H5649_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5649	005	0	1	01	01	H5649_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	3						
H5649	005	0	1	01	01	H5649_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5649	005	0	1	01	01	H5649_005_0	5	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5649	005	0	1	01	01	H5649_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5649	005	0	1	01	01	H5649_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5652	001	0	1	02	01	H5652_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5652	001	0	1	02	01	H5652_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5652	001	0	1	02	01	H5652_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5652	001	0	1	02	01	H5652_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5652	001	0	1	02	01	H5652_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5652	003	0	1	02	01	H5652_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5652	003	0	1	02	01	H5652_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5652	003	0	1	02	01	H5652_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5652	003	0	1	02	01	H5652_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5652	003	0	1	02	01	H5652_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5652	004	0	1	02	01	H5652_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5652	004	0	1	02	01	H5652_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5652	004	0	1	02	01	H5652_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5652	004	0	1	02	01	H5652_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5652	004	0	1	02	01	H5652_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5652	006	0	1	02	01	H5652_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5652	006	0	1	02	01	H5652_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5652	006	0	1	02	01	H5652_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5652	006	0	1	02	01	H5652_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5652	006	0	1	02	01	H5652_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5656	001	0	1	01	01	H5656_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5656	001	0	1	01	01	H5656_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5656	001	0	1	01	01	H5656_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5656	001	0	1	01	01	H5656_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5656	001	0	1	01	01	H5656_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5685	001	0	1	01	01	H5685_001_0	6	Brand	Generic, Brand	4	2	2	000010	1						
H5685	001	0	1	01	01	H5685_001_0	6	Generic	Generic, Brand	4	1	2	010000	1						
H5698	028	0	1	01	01	H5698_028_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5698	028	0	1	01	01	H5698_028_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5698	028	0	1	01	01	H5698_028_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5698	028	0	1	01	01	H5698_028_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5698	028	0	1	01	01	H5698_028_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5698	062	0	1	01	01	H5698_062_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5698	062	0	1	01	01	H5698_062_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5698	062	0	1	01	01	H5698_062_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5698	062	0	1	01	01	H5698_062_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5698	062	0	1	01	01	H5698_062_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5698	063	0	1	01	01	H5698_063_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5698	063	0	1	01	01	H5698_063_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5698	063	0	1	01	01	H5698_063_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5698	063	0	1	01	01	H5698_063_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5698	063	0	1	01	01	H5698_063_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5698	128	0	1	01	01	H5698_128_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5698	128	0	1	01	01	H5698_128_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5698	128	0	1	01	01	H5698_128_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5698	128	0	1	01	01	H5698_128_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5698	128	0	1	01	01	H5698_128_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5698	134	0	1	01	01	H5698_134_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5698	134	0	1	01	01	H5698_134_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5698	134	0	1	01	01	H5698_134_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5698	134	0	1	01	01	H5698_134_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5698	134	0	1	01	01	H5698_134_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5698	140	0	1	01	01	H5698_140_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5698	140	0	1	01	01	H5698_140_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5698	140	0	1	01	01	H5698_140_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5698	140	0	1	01	01	H5698_140_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5698	140	0	1	01	01	H5698_140_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5698	158	0	1	01	01	H5698_158_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5698	158	0	1	01	01	H5698_158_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5698	158	0	1	01	01	H5698_158_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5698	158	0	1	01	01	H5698_158_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5698	158	0	1	01	01	H5698_158_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5698	159	0	1	01	01	H5698_159_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5698	159	0	1	01	01	H5698_159_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5698	159	0	1	01	01	H5698_159_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5698	159	0	1	01	01	H5698_159_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5698	159	0	1	01	01	H5698_159_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5698	198	0	1	02	01	H5698_198_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5698	198	0	1	02	01	H5698_198_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5698	198	0	1	02	01	H5698_198_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5698	198	0	1	02	01	H5698_198_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5698	198	0	1	02	01	H5698_198_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5698	199	0	1	02	01	H5698_199_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5698	199	0	1	02	01	H5698_199_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5698	199	0	1	02	01	H5698_199_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5698	199	0	1	02	01	H5698_199_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5698	199	0	1	02	01	H5698_199_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5698	200	0	1	01	01	H5698_200_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5698	200	0	1	01	01	H5698_200_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5698	200	0	1	01	01	H5698_200_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5698	200	0	1	01	01	H5698_200_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5698	200	0	1	01	01	H5698_200_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5746	015	1	1	01	01	H5746_015_1	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5746	015	1	1	01	01	H5746_015_1	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5746	015	1	1	01	01	H5746_015_1	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5746	015	1	1	01	01	H5746_015_1	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5746	015	1	1	01	01	H5746_015_1	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5746	015	1	1	01	01	H5746_015_1	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5746	015	2	1	01	01	H5746_015_2	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5746	015	2	1	01	01	H5746_015_2	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5746	015	2	1	01	01	H5746_015_2	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5746	015	2	1	01	01	H5746_015_2	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5746	015	2	1	01	01	H5746_015_2	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5746	015	2	1	01	01	H5746_015_2	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5749	001	0	1	02	01	H5749_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5749	001	0	1	02	01	H5749_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5749	001	0	1	02	01	H5749_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5749	001	0	1	02	01	H5749_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H5749	001	0	1	02	01	H5749_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H5774	005	0	1	01	01	H5774_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H5774	005	0	1	01	01	H5774_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5774	005	0	1	01	01	H5774_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5774	005	0	1	01	01	H5774_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5774	005	0	1	01	01	H5774_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5774	008	0	1	01	01	H5774_008_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5774	008	0	1	01	01	H5774_008_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5774	008	0	1	01	01	H5774_008_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H5774	008	0	1	01	01	H5774_008_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5774	008	0	1	01	01	H5774_008_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5774	009	0	1	01	01	H5774_009_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5774	009	0	1	01	01	H5774_009_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5774	009	0	1	01	01	H5774_009_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5774	009	0	1	01	01	H5774_009_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H5774	009	0	1	01	01	H5774_009_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5774	019	0	1	01	01	H5774_019_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H5774	019	0	1	01	01	H5774_019_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H5774	019	0	1	01	01	H5774_019_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H5774	019	0	1	01	01	H5774_019_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H5774	019	0	1	01	01	H5774_019_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	100100	1						
H5774	022	0	1	01	01	H5774_022_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5774	022	0	1	01	01	H5774_022_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5774	022	0	1	01	01	H5774_022_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5774	022	0	1	01	01	H5774_022_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5774	022	0	1	01	01	H5774_022_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H5779	002	0	1	01	01	H5779_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5779	002	0	1	01	01	H5779_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5779	002	0	1	01	01	H5779_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5779	002	0	1	01	01	H5779_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5779	002	0	1	01	01	H5779_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5786	002	0	1	01	01	H5786_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5786	002	0	1	01	01	H5786_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5786	002	0	1	01	01	H5786_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5786	002	0	1	01	01	H5786_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5786	002	0	1	01	01	H5786_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H5793	001	0	1	01	01	H5793_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5793	001	0	1	01	01	H5793_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5793	001	0	1	01	01	H5793_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5793	001	0	1	01	01	H5793_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5793	001	0	1	01	01	H5793_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5793	008	0	1	01	01	H5793_008_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5793	008	0	1	01	01	H5793_008_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5793	008	0	1	01	01	H5793_008_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5793	008	0	1	01	01	H5793_008_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5793	008	0	1	01	01	H5793_008_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5793	010	0	1	01	01	H5793_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5793	010	0	1	01	01	H5793_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5793	010	0	1	01	01	H5793_010_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5793	010	0	1	01	01	H5793_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5793	010	0	1	01	01	H5793_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5810	001	0	1	01	01	H5810_001_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H5810	001	0	1	01	01	H5810_001_0	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5810	001	0	1	01	01	H5810_001_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H5810	001	0	1	01	01	H5810_001_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5813	003	0	1	01	01	H5813_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5813	003	0	1	01	01	H5813_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5813	003	0	1	01	01	H5813_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5813	003	0	1	01	01	H5813_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5813	003	0	1	01	01	H5813_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5813	006	0	1	01	01	H5813_006_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5813	006	0	1	01	01	H5813_006_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5813	006	0	1	01	01	H5813_006_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5813	006	0	1	01	01	H5813_006_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5813	006	0	1	01	01	H5813_006_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5817	009	0	1	01	01	H5817_009_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	009	0	1	01	01	H5817_009_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	009	0	1	01	01	H5817_009_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	009	0	1	01	01	H5817_009_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	009	0	1	01	01	H5817_009_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	009	0	1	01	01	H5817_009_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	018	0	1	01	01	H5817_018_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	018	0	1	01	01	H5817_018_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	018	0	1	01	01	H5817_018_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	018	0	1	01	01	H5817_018_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	018	0	1	01	01	H5817_018_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	018	0	1	01	01	H5817_018_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	019	0	1	01	01	H5817_019_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	019	0	1	01	01	H5817_019_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	019	0	1	01	01	H5817_019_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	019	0	1	01	01	H5817_019_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	019	0	1	01	01	H5817_019_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	019	0	1	01	01	H5817_019_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	1	1	01	01	H5817_020_1	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	1	1	01	01	H5817_020_1	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	020	1	1	01	01	H5817_020_1	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	020	1	1	01	01	H5817_020_1	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	020	1	1	01	01	H5817_020_1	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	020	1	1	01	01	H5817_020_1	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	020	2	1	01	01	H5817_020_2	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	020	2	1	01	01	H5817_020_2	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	2	1	01	01	H5817_020_2	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	020	2	1	01	01	H5817_020_2	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	020	2	1	01	01	H5817_020_2	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	020	2	1	01	01	H5817_020_2	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	020	3	1	01	01	H5817_020_3	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	3	1	01	01	H5817_020_3	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	020	3	1	01	01	H5817_020_3	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	020	3	1	01	01	H5817_020_3	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	020	3	1	01	01	H5817_020_3	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	020	3	1	01	01	H5817_020_3	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	020	4	1	01	01	H5817_020_4	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	020	4	1	01	01	H5817_020_4	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	4	1	01	01	H5817_020_4	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	020	4	1	01	01	H5817_020_4	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	020	4	1	01	01	H5817_020_4	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	020	4	1	01	01	H5817_020_4	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	020	5	1	01	01	H5817_020_5	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	5	1	01	01	H5817_020_5	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	020	5	1	01	01	H5817_020_5	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	020	5	1	01	01	H5817_020_5	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	020	5	1	01	01	H5817_020_5	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	020	5	1	01	01	H5817_020_5	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5817	020	6	1	01	01	H5817_020_6	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5817	020	6	1	01	01	H5817_020_6	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5817	020	6	1	01	01	H5817_020_6	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5817	020	6	1	01	01	H5817_020_6	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H5817	020	6	1	01	01	H5817_020_6	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H5817	020	6	1	01	01	H5817_020_6	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H5826	008	0	1	01	01	H5826_008_0	15	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5826	008	0	1	01	01	H5826_008_0	15	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5826	008	0	1	01	01	H5826_008_0	15	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	010010	1						
H5826	009	0	1	01	01	H5826_009_0	12	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5826	009	0	1	01	01	H5826_009_0	12	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5826	009	0	1	01	01	H5826_009_0	12	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	010010	1						
H5826	010	0	1	01	01	H5826_010_0	15	Preferred Generic	Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5826	010	0	1	01	01	H5826_010_0	15	Preferred Brand	Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5826	010	0	1	01	01	H5826_010_0	15	Specialty Tier	Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	010010	1						
H5832	001	0	1	01	01	H5832_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5832	001	0	1	01	01	H5832_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5832	001	0	1	01	01	H5832_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H5832	001	0	1	01	01	H5832_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5832	001	0	1	01	01	H5832_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5852	001	0	1	01	01	H5852_001_0	6	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand	2	2	2	010001	1						
H5852	001	0	1	01	01	H5852_001_0	6	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand	2	3	2	100000	1						
H5852	001	0	1	01	01	H5852_001_0	6	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand	2	1	2	001001	1						
H5854	007	0	1	01	01	H5854_007_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5854	007	0	1	01	01	H5854_007_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5854	007	0	1	01	01	H5854_007_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5854	007	0	1	01	01	H5854_007_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5854	007	0	1	01	01	H5854_007_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5854	007	0	1	01	01	H5854_007_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5854	008	0	1	01	01	H5854_008_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5854	008	0	1	01	01	H5854_008_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5854	008	0	1	01	01	H5854_008_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5854	008	0	1	01	01	H5854_008_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5854	008	0	1	01	01	H5854_008_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5854	008	0	1	01	01	H5854_008_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5854	009	0	1	01	01	H5854_009_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H5854	009	0	1	01	01	H5854_009_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H5854	009	0	1	01	01	H5854_009_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H5854	009	0	1	01	01	H5854_009_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H5854	009	0	1	01	01	H5854_009_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H5854	009	0	1	01	01	H5854_009_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H5883	002	1	1	02	01	H5883_002_1	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	002	1	1	02	01	H5883_002_1	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	002	1	1	02	01	H5883_002_1	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	002	1	1	02	01	H5883_002_1	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	002	1	1	02	01	H5883_002_1	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	002	2	1	02	01	H5883_002_2	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	002	2	1	02	01	H5883_002_2	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	002	2	1	02	01	H5883_002_2	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	002	2	1	02	01	H5883_002_2	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	002	2	1	02	01	H5883_002_2	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	002	3	1	02	01	H5883_002_3	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	002	3	1	02	01	H5883_002_3	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	002	3	1	02	01	H5883_002_3	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	002	3	1	02	01	H5883_002_3	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	002	3	1	02	01	H5883_002_3	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	002	4	1	02	01	H5883_002_4	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	002	4	1	02	01	H5883_002_4	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	002	4	1	02	01	H5883_002_4	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	002	4	1	02	01	H5883_002_4	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	002	4	1	02	01	H5883_002_4	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	002	7	1	02	01	H5883_002_7	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	002	7	1	02	01	H5883_002_7	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	002	7	1	02	01	H5883_002_7	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	002	7	1	02	01	H5883_002_7	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	002	7	1	02	01	H5883_002_7	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	003	1	1	02	01	H5883_003_1	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	003	1	1	02	01	H5883_003_1	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	003	1	1	02	01	H5883_003_1	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	003	1	1	02	01	H5883_003_1	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	003	1	1	02	01	H5883_003_1	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	003	2	1	02	01	H5883_003_2	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	003	2	1	02	01	H5883_003_2	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	003	2	1	02	01	H5883_003_2	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	003	2	1	02	01	H5883_003_2	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	003	2	1	02	01	H5883_003_2	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	003	3	1	02	01	H5883_003_3	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	003	3	1	02	01	H5883_003_3	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	003	3	1	02	01	H5883_003_3	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	003	3	1	02	01	H5883_003_3	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	003	3	1	02	01	H5883_003_3	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	003	4	1	02	01	H5883_003_4	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	003	4	1	02	01	H5883_003_4	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	003	4	1	02	01	H5883_003_4	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	003	4	1	02	01	H5883_003_4	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	003	4	1	02	01	H5883_003_4	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	003	5	1	02	01	H5883_003_5	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	003	5	1	02	01	H5883_003_5	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	003	5	1	02	01	H5883_003_5	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	003	5	1	02	01	H5883_003_5	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	003	5	1	02	01	H5883_003_5	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	006	0	1	01	01	H5883_006_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	006	0	1	01	01	H5883_006_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	006	0	1	01	01	H5883_006_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	006	0	1	01	01	H5883_006_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	006	0	1	01	01	H5883_006_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5883	007	0	1	01	01	H5883_007_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5883	007	0	1	01	01	H5883_007_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5883	007	0	1	01	01	H5883_007_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5883	007	0	1	01	01	H5883_007_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5883	007	0	1	01	01	H5883_007_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5887	001	0	1	01	01	H5887_001_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5887	001	0	1	01	01	H5887_001_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5887	001	0	1	01	01	H5887_001_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5887	001	0	1	01	01	H5887_001_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5887	001	0	1	01	01	H5887_001_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5887	007	0	1	01	01	H5887_007_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5887	007	0	1	01	01	H5887_007_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5887	007	0	1	01	01	H5887_007_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5887	007	0	1	01	01	H5887_007_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5887	007	0	1	01	01	H5887_007_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5887	010	0	1	01	01	H5887_010_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H5887	010	0	1	01	01	H5887_010_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H5887	010	0	1	01	01	H5887_010_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H5887	010	0	1	01	01	H5887_010_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H5887	010	0	1	01	01	H5887_010_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H5887	012	0	1	01	01	H5887_012_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5887	012	0	1	01	01	H5887_012_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5887	012	0	1	01	01	H5887_012_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5887	012	0	1	01	01	H5887_012_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5887	012	0	1	01	01	H5887_012_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5887	013	0	1	01	01	H5887_013_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5887	013	0	1	01	01	H5887_013_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5887	013	0	1	01	01	H5887_013_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5887	013	0	1	01	01	H5887_013_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5887	013	0	1	01	01	H5887_013_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5926	001	0	1	01	01	H5926_001_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H5926	001	0	1	01	01	H5926_001_0	7	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H5926	001	0	1	01	01	H5926_001_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H5926	001	0	1	01	01	H5926_001_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H5928	001	0	1	01	01	H5928_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	001	0	1	01	01	H5928_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	001	0	1	01	01	H5928_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	001	0	1	01	01	H5928_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	001	0	1	01	01	H5928_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	004	0	1	01	01	H5928_004_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	004	0	1	01	01	H5928_004_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	004	0	1	01	01	H5928_004_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	004	0	1	01	01	H5928_004_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	004	0	1	01	01	H5928_004_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	005	0	1	01	01	H5928_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	005	0	1	01	01	H5928_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	005	0	1	01	01	H5928_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	005	0	1	01	01	H5928_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	005	0	1	01	01	H5928_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	010	0	1	01	01	H5928_010_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	010	0	1	01	01	H5928_010_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	010	0	1	01	01	H5928_010_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	010	0	1	01	01	H5928_010_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	010	0	1	01	01	H5928_010_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	012	0	1	01	01	H5928_012_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	012	0	1	01	01	H5928_012_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	012	0	1	01	01	H5928_012_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	012	0	1	01	01	H5928_012_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	012	0	1	01	01	H5928_012_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	016	0	1	01	01	H5928_016_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	016	0	1	01	01	H5928_016_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	016	0	1	01	01	H5928_016_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	016	0	1	01	01	H5928_016_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	016	0	1	01	01	H5928_016_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	020	0	1	01	01	H5928_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	020	0	1	01	01	H5928_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	020	0	1	01	01	H5928_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	020	0	1	01	01	H5928_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	020	0	1	01	01	H5928_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	022	0	1	01	01	H5928_022_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	022	0	1	01	01	H5928_022_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	022	0	1	01	01	H5928_022_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	022	0	1	01	01	H5928_022_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	022	0	1	01	01	H5928_022_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	024	0	1	01	01	H5928_024_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	024	0	1	01	01	H5928_024_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	024	0	1	01	01	H5928_024_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	024	0	1	01	01	H5928_024_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	024	0	1	01	01	H5928_024_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	025	0	1	01	01	H5928_025_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	025	0	1	01	01	H5928_025_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	025	0	1	01	01	H5928_025_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	025	0	1	01	01	H5928_025_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	025	0	1	01	01	H5928_025_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	037	0	1	01	01	H5928_037_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	037	0	1	01	01	H5928_037_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	037	0	1	01	01	H5928_037_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	037	0	1	01	01	H5928_037_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	037	0	1	01	01	H5928_037_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	038	0	1	01	01	H5928_038_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	038	0	1	01	01	H5928_038_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	038	0	1	01	01	H5928_038_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	038	0	1	01	01	H5928_038_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	038	0	1	01	01	H5928_038_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	042	0	1	01	01	H5928_042_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	042	0	1	01	01	H5928_042_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	042	0	1	01	01	H5928_042_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	042	0	1	01	01	H5928_042_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	042	0	1	01	01	H5928_042_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	044	0	1	01	01	H5928_044_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	044	0	1	01	01	H5928_044_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	044	0	1	01	01	H5928_044_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	044	0	1	01	01	H5928_044_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5928	044	0	1	01	01	H5928_044_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	046	0	1	01	01	H5928_046_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5928	046	0	1	01	01	H5928_046_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5928	046	0	1	01	01	H5928_046_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5928	046	0	1	01	01	H5928_046_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5928	046	0	1	01	01	H5928_046_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5932	007	0	1	01	01	H5932_007_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5932	007	0	1	01	01	H5932_007_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5932	007	0	1	01	01	H5932_007_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5932	007	0	1	01	01	H5932_007_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5932	007	0	1	01	01	H5932_007_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5932	007	0	1	01	01	H5932_007_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5932	008	0	1	01	01	H5932_008_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5932	008	0	1	01	01	H5932_008_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5932	008	0	1	01	01	H5932_008_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5932	008	0	1	01	01	H5932_008_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5932	008	0	1	01	01	H5932_008_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5932	008	0	1	01	01	H5932_008_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5938	001	0	1	01	01	H5938_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5938	001	0	1	01	01	H5938_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5938	001	0	1	01	01	H5938_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5938	001	0	1	01	01	H5938_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5938	001	0	1	01	01	H5938_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5938	006	0	1	01	01	H5938_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5938	006	0	1	01	01	H5938_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5938	006	0	1	01	01	H5938_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5938	006	0	1	01	01	H5938_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5938	006	0	1	01	01	H5938_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5943	001	0	1	02	01	H5943_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H5943	001	0	1	02	01	H5943_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H5943	001	0	1	02	01	H5943_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H5943	001	0	1	02	01	H5943_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H5943	001	0	1	02	01	H5943_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H5943	001	0	1	02	01	H5943_001_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H5945	001	0	1	01	01	H5945_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5945	001	0	1	01	01	H5945_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5945	001	0	1	01	01	H5945_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H5945	001	0	1	01	01	H5945_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5945	001	0	1	01	01	H5945_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5945	002	0	1	01	01	H5945_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H5945	002	0	1	01	01	H5945_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5945	002	0	1	01	01	H5945_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H5945	002	0	1	01	01	H5945_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5945	002	0	1	01	01	H5945_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5970	001	0	1	04	01	H5970_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H5970	001	0	1	04	01	H5970_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H5970	001	0	1	04	01	H5970_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H5970	001	0	1	04	01	H5970_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H5970	001	0	1	04	01	H5970_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H5970	002	0	1	04	01	H5970_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5970	002	0	1	04	01	H5970_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5970	002	0	1	04	01	H5970_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5970	002	0	1	04	01	H5970_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5970	002	0	1	04	01	H5970_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5970	004	0	1	04	01	H5970_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5970	004	0	1	04	01	H5970_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5970	004	0	1	04	01	H5970_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5970	004	0	1	04	01	H5970_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5970	004	0	1	04	01	H5970_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5970	008	0	1	04	01	H5970_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5970	008	0	1	04	01	H5970_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5970	008	0	1	04	01	H5970_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5970	008	0	1	04	01	H5970_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5970	008	0	1	04	01	H5970_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5970	010	0	1	04	01	H5970_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H5970	010	0	1	04	01	H5970_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5970	010	0	1	04	01	H5970_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H5970	010	0	1	04	01	H5970_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H5970	010	0	1	04	01	H5970_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5985	001	0	1	01	01	H5985_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5985	001	0	1	01	01	H5985_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5985	001	0	1	01	01	H5985_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5985	001	0	1	01	01	H5985_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5985	001	0	1	01	01	H5985_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100101	1						
H5985	005	0	1	01	01	H5985_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5985	005	0	1	01	01	H5985_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5985	005	0	1	01	01	H5985_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100101	1						
H5985	005	0	1	01	01	H5985_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5985	005	0	1	01	01	H5985_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H5989	002	0	1	01	01	H5989_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	3	2	2	000100	1						
H5989	002	0	1	01	01	H5989_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	3	3	2	100001	1						
H5989	002	0	1	01	01	H5989_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	3	1	2	001000	1						
H5989	002	0	1	01	01	H5989_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	3	4	2	010010	1						
H5991	001	0	1	01	01	H5991_001_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H5991	001	0	1	01	01	H5991_001_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H5991	001	0	1	01	01	H5991_001_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H5991	001	0	1	01	01	H5991_001_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H5991	001	0	1	01	01	H5991_001_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
H5991	002	0	1	01	01	H5991_002_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
H5991	002	0	1	01	01	H5991_002_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H5991	002	0	1	01	01	H5991_002_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H5991	002	0	1	01	01	H5991_002_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H5991	002	0	1	01	01	H5991_002_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H5991	003	0	1	01	01	H5991_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5991	003	0	1	01	01	H5991_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5991	003	0	1	01	01	H5991_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5991	003	0	1	01	01	H5991_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5991	003	0	1	01	01	H5991_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5991	004	0	1	01	01	H5991_004_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5991	004	0	1	01	01	H5991_004_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5991	004	0	1	01	01	H5991_004_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5991	004	0	1	01	01	H5991_004_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5991	004	0	1	01	01	H5991_004_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H5991	005	0	1	01	01	H5991_005_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H5991	005	0	1	01	01	H5991_005_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H5991	005	0	1	01	01	H5991_005_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H5991	005	0	1	01	01	H5991_005_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H5991	005	0	1	01	01	H5991_005_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6080	001	0	1	48	05	H6080_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H6080	001	0	1	48	05	H6080_001_0	3	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H6080	001	0	1	48	05	H6080_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H6181	007	0	1	01	01	H6181_007_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H6181	007	0	1	01	01	H6181_007_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H6181	007	0	1	01	01	H6181_007_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H6181	007	0	1	01	01	H6181_007_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H6181	007	0	1	01	01	H6181_007_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H6181	007	0	1	01	01	H6181_007_0	8	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H6181	009	0	1	01	01	H6181_009_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H6181	009	0	1	01	01	H6181_009_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H6181	009	0	1	01	01	H6181_009_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H6181	009	0	1	01	01	H6181_009_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H6181	009	0	1	01	01	H6181_009_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H6181	009	0	1	01	01	H6181_009_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H6229	005	0	1	48	05	H6229_005_0	8	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010000					2	0.00	0.00
H6229	005	0	1	48	05	H6229_005_0	8	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010010					1	0.00	0.00
H6229	005	0	1	48	05	H6229_005_0	8	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	010010					1	0.00	0.00
H6229	005	0	1	48	05	H6229_005_0	8	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H6229	006	0	1	48	05	H6229_006_0	8	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	010010					1	0.00	0.00
H6229	006	0	1	48	05	H6229_006_0	8	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H6229	006	0	1	48	05	H6229_006_0	8	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010000					2	0.00	0.00
H6229	006	0	1	48	05	H6229_006_0	8	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010010					1	0.00	0.00
H6229	007	0	1	48	05	H6229_007_0	8	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010010					1	0.00	0.00
H6229	007	0	1	48	05	H6229_007_0	8	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	010010					1	0.00	0.00
H6229	007	0	1	48	05	H6229_007_0	8	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010000					2	0.00	0.00
H6229	007	0	1	48	05	H6229_007_0	8	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H6237	003	1	1	01	01	H6237_003_1	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6237	003	1	1	01	01	H6237_003_1	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6237	003	1	1	01	01	H6237_003_1	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6237	003	1	1	01	01	H6237_003_1	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6237	003	1	1	01	01	H6237_003_1	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6237	003	2	1	01	01	H6237_003_2	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6237	003	2	1	01	01	H6237_003_2	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6237	003	2	1	01	01	H6237_003_2	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6237	003	2	1	01	01	H6237_003_2	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6237	003	2	1	01	01	H6237_003_2	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6263	001	0	1	48	05	H6263_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H6263	001	0	1	48	05	H6263_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H6263	001	0	1	48	05	H6263_001_0	5	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H6263	001	0	1	48	05	H6263_001_0	5	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H6298	001	0	1	01	01	H6298_001_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6298	001	0	1	01	01	H6298_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6298	001	0	1	01	01	H6298_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6298	001	0	1	01	01	H6298_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6298	001	0	1	01	01	H6298_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6298	001	0	1	01	01	H6298_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6298	002	0	1	01	01	H6298_002_0	10	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6298	002	0	1	01	01	H6298_002_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6298	002	0	1	01	01	H6298_002_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6298	002	0	1	01	01	H6298_002_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6298	002	0	1	01	01	H6298_002_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6298	002	0	1	01	01	H6298_002_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6298	003	0	1	01	01	H6298_003_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6298	003	0	1	01	01	H6298_003_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6298	003	0	1	01	01	H6298_003_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6298	003	0	1	01	01	H6298_003_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6298	003	0	1	01	01	H6298_003_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6298	003	0	1	01	01	H6298_003_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6298	004	0	1	01	01	H6298_004_0	12	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6298	004	0	1	01	01	H6298_004_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6298	004	0	1	01	01	H6298_004_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6298	004	0	1	01	01	H6298_004_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6298	004	0	1	01	01	H6298_004_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6298	004	0	1	01	01	H6298_004_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6306	002	0	1	01	01	H6306_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6306	002	0	1	01	01	H6306_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6306	002	0	1	01	01	H6306_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6306	002	0	1	01	01	H6306_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6306	002	0	1	01	01	H6306_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6308	001	0	1	48	05	H6308_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H6308	001	0	1	48	05	H6308_001_0	7	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H6308	001	0	1	48	05	H6308_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H6328	001	0	1	04	01	H6328_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6328	001	0	1	04	01	H6328_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6328	001	0	1	04	01	H6328_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6328	001	0	1	04	01	H6328_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6328	001	0	1	04	01	H6328_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6328	002	0	1	04	01	H6328_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6328	002	0	1	04	01	H6328_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6328	002	0	1	04	01	H6328_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6328	002	0	1	04	01	H6328_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6328	002	0	1	04	01	H6328_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6328	003	0	1	04	01	H6328_003_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6328	003	0	1	04	01	H6328_003_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6328	003	0	1	04	01	H6328_003_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6328	003	0	1	04	01	H6328_003_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6328	003	0	1	04	01	H6328_003_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6360	001	0	1	18	06	H6360_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6360	001	0	1	18	06	H6360_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6360	001	0	1	18	06	H6360_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6360	001	0	1	18	06	H6360_001_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6360	001	0	1	18	06	H6360_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6360	001	0	1	18	06	H6360_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6360	002	0	1	18	06	H6360_002_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6360	002	0	1	18	06	H6360_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6360	002	0	1	18	06	H6360_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6360	002	0	1	18	06	H6360_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6360	002	0	1	18	06	H6360_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6360	002	0	1	18	06	H6360_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6360	006	0	1	18	06	H6360_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1						
H6360	006	0	1	18	06	H6360_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1						
H6360	006	0	1	18	06	H6360_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1						
H6360	006	0	1	18	06	H6360_006_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1						
H6360	006	0	1	18	06	H6360_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1						
H6360	006	0	1	18	06	H6360_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1						
H6360	009	0	2	18	06	H6360_009_0	4	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1						
H6360	009	0	2	18	06	H6360_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1						
H6360	009	0	2	18	06	H6360_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6360	009	0	2	18	06	H6360_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6360	009	0	2	18	06	H6360_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6360	009	0	2	18	06	H6360_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6360	010	0	1	18	06	H6360_010_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	3	2	000001	1						
H6360	010	0	1	18	06	H6360_010_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	2	2	000100	1						
H6360	010	0	1	18	06	H6360_010_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	1	2	001000	1						
H6360	010	0	1	18	06	H6360_010_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	4	2	100000	1						
H6360	010	0	1	18	06	H6360_010_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	5	2	100001	1						
H6360	010	0	1	18	06	H6360_010_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	3	6	2	000001	1						
H6435	001	0	1	48	05	H6435_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H6435	001	0	1	48	05	H6435_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H6435	001	0	1	48	05	H6435_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H6528	006	0	1	04	01	H6528_006_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6528	006	0	1	04	01	H6528_006_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H6528	006	0	1	04	01	H6528_006_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H6528	006	0	1	04	01	H6528_006_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H6528	006	0	1	04	01	H6528_006_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H6528	016	0	1	04	01	H6528_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H6528	016	0	1	04	01	H6528_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6528	016	0	1	04	01	H6528_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H6528	016	0	1	04	01	H6528_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H6528	016	0	1	04	01	H6528_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H6528	029	0	1	04	01	H6528_029_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H6528	029	0	1	04	01	H6528_029_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H6528	029	0	1	04	01	H6528_029_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H6528	029	0	1	04	01	H6528_029_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H6528	029	0	1	04	01	H6528_029_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6528	030	0	1	04	01	H6528_030_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H6528	030	0	1	04	01	H6528_030_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6528	030	0	1	04	01	H6528_030_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H6528	030	0	1	04	01	H6528_030_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H6528	030	0	1	04	01	H6528_030_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H6560	001	0	1	01	01	H6560_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6560	001	0	1	01	01	H6560_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6560	001	0	1	01	01	H6560_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6560	001	0	1	01	01	H6560_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H6560	001	0	1	01	01	H6560_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6560	002	0	1	01	01	H6560_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6560	002	0	1	01	01	H6560_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6560	002	0	1	01	01	H6560_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H6560	002	0	1	01	01	H6560_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6560	002	0	1	01	01	H6560_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6560	003	0	1	01	01	H6560_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6560	003	0	1	01	01	H6560_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6560	003	0	1	01	01	H6560_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6560	003	0	1	01	01	H6560_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H6560	003	0	1	01	01	H6560_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6560	004	0	1	01	01	H6560_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6560	004	0	1	01	01	H6560_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6560	004	0	1	01	01	H6560_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6560	004	0	1	01	01	H6560_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6560	004	0	1	01	01	H6560_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H6609	001	0	1	04	01	H6609_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	001	0	1	04	01	H6609_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	001	0	1	04	01	H6609_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	001	0	1	04	01	H6609_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	001	0	1	04	01	H6609_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	003	0	1	04	01	H6609_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	003	0	1	04	01	H6609_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	003	0	1	04	01	H6609_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	003	0	1	04	01	H6609_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	003	0	1	04	01	H6609_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	005	0	1	04	01	H6609_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	005	0	1	04	01	H6609_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	005	0	1	04	01	H6609_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	005	0	1	04	01	H6609_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	005	0	1	04	01	H6609_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	009	0	1	04	01	H6609_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	009	0	1	04	01	H6609_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	009	0	1	04	01	H6609_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	009	0	1	04	01	H6609_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	009	0	1	04	01	H6609_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	013	0	1	04	01	H6609_013_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	013	0	1	04	01	H6609_013_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	013	0	1	04	01	H6609_013_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	013	0	1	04	01	H6609_013_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	013	0	1	04	01	H6609_013_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	017	0	1	04	01	H6609_017_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	017	0	1	04	01	H6609_017_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	017	0	1	04	01	H6609_017_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	017	0	1	04	01	H6609_017_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	017	0	1	04	01	H6609_017_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	019	0	1	04	01	H6609_019_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	019	0	1	04	01	H6609_019_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	019	0	1	04	01	H6609_019_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	019	0	1	04	01	H6609_019_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	019	0	1	04	01	H6609_019_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	029	0	1	04	01	H6609_029_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	029	0	1	04	01	H6609_029_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	029	0	1	04	01	H6609_029_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	029	0	1	04	01	H6609_029_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	029	0	1	04	01	H6609_029_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	074	0	1	04	01	H6609_074_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	074	0	1	04	01	H6609_074_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	074	0	1	04	01	H6609_074_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	074	0	1	04	01	H6609_074_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	074	0	1	04	01	H6609_074_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	075	0	1	04	01	H6609_075_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	075	0	1	04	01	H6609_075_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	075	0	1	04	01	H6609_075_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	075	0	1	04	01	H6609_075_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	075	0	1	04	01	H6609_075_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	077	0	1	04	01	H6609_077_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	077	0	1	04	01	H6609_077_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	077	0	1	04	01	H6609_077_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	077	0	1	04	01	H6609_077_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	077	0	1	04	01	H6609_077_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	078	0	1	04	01	H6609_078_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	078	0	1	04	01	H6609_078_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	078	0	1	04	01	H6609_078_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	078	0	1	04	01	H6609_078_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	078	0	1	04	01	H6609_078_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	080	0	1	04	01	H6609_080_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	080	0	1	04	01	H6609_080_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	080	0	1	04	01	H6609_080_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	080	0	1	04	01	H6609_080_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	080	0	1	04	01	H6609_080_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	081	0	1	04	01	H6609_081_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	081	0	1	04	01	H6609_081_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	081	0	1	04	01	H6609_081_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	081	0	1	04	01	H6609_081_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	081	0	1	04	01	H6609_081_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	082	0	1	04	01	H6609_082_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	082	0	1	04	01	H6609_082_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	082	0	1	04	01	H6609_082_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	082	0	1	04	01	H6609_082_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	082	0	1	04	01	H6609_082_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	083	0	1	04	01	H6609_083_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	083	0	1	04	01	H6609_083_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	083	0	1	04	01	H6609_083_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	083	0	1	04	01	H6609_083_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	083	0	1	04	01	H6609_083_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	084	0	1	04	01	H6609_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	084	0	1	04	01	H6609_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	084	0	1	04	01	H6609_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	084	0	1	04	01	H6609_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	084	0	1	04	01	H6609_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	085	0	1	04	01	H6609_085_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	085	0	1	04	01	H6609_085_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	085	0	1	04	01	H6609_085_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	085	0	1	04	01	H6609_085_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	085	0	1	04	01	H6609_085_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	086	0	1	04	01	H6609_086_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	086	0	1	04	01	H6609_086_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	086	0	1	04	01	H6609_086_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	086	0	1	04	01	H6609_086_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	086	0	1	04	01	H6609_086_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	088	0	1	04	01	H6609_088_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	088	0	1	04	01	H6609_088_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	088	0	1	04	01	H6609_088_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	088	0	1	04	01	H6609_088_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	088	0	1	04	01	H6609_088_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	089	0	1	04	01	H6609_089_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	089	0	1	04	01	H6609_089_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	089	0	1	04	01	H6609_089_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	089	0	1	04	01	H6609_089_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	089	0	1	04	01	H6609_089_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	090	0	1	04	01	H6609_090_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	090	0	1	04	01	H6609_090_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	090	0	1	04	01	H6609_090_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	090	0	1	04	01	H6609_090_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	090	0	1	04	01	H6609_090_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	091	0	1	04	01	H6609_091_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	091	0	1	04	01	H6609_091_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	091	0	1	04	01	H6609_091_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	091	0	1	04	01	H6609_091_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	091	0	1	04	01	H6609_091_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	092	0	1	04	01	H6609_092_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	092	0	1	04	01	H6609_092_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	092	0	1	04	01	H6609_092_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	092	0	1	04	01	H6609_092_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	092	0	1	04	01	H6609_092_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	095	0	1	04	01	H6609_095_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	095	0	1	04	01	H6609_095_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	095	0	1	04	01	H6609_095_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	095	0	1	04	01	H6609_095_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	095	0	1	04	01	H6609_095_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	096	0	1	04	01	H6609_096_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	096	0	1	04	01	H6609_096_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	096	0	1	04	01	H6609_096_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	096	0	1	04	01	H6609_096_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	096	0	1	04	01	H6609_096_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	097	0	1	04	01	H6609_097_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	097	0	1	04	01	H6609_097_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	097	0	1	04	01	H6609_097_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	097	0	1	04	01	H6609_097_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	097	0	1	04	01	H6609_097_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	098	0	1	04	01	H6609_098_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	098	0	1	04	01	H6609_098_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	098	0	1	04	01	H6609_098_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	098	0	1	04	01	H6609_098_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	098	0	1	04	01	H6609_098_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	099	0	1	04	01	H6609_099_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	099	0	1	04	01	H6609_099_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	099	0	1	04	01	H6609_099_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	099	0	1	04	01	H6609_099_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	099	0	1	04	01	H6609_099_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	100	0	1	04	01	H6609_100_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	100	0	1	04	01	H6609_100_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	100	0	1	04	01	H6609_100_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	100	0	1	04	01	H6609_100_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	100	0	1	04	01	H6609_100_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	101	0	1	04	01	H6609_101_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	101	0	1	04	01	H6609_101_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	101	0	1	04	01	H6609_101_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	101	0	1	04	01	H6609_101_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	101	0	1	04	01	H6609_101_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	102	0	1	04	01	H6609_102_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	102	0	1	04	01	H6609_102_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	102	0	1	04	01	H6609_102_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	102	0	1	04	01	H6609_102_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	102	0	1	04	01	H6609_102_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	103	0	1	04	01	H6609_103_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	103	0	1	04	01	H6609_103_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	103	0	1	04	01	H6609_103_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	103	0	1	04	01	H6609_103_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	103	0	1	04	01	H6609_103_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	104	0	1	04	01	H6609_104_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	104	0	1	04	01	H6609_104_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	104	0	1	04	01	H6609_104_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	104	0	1	04	01	H6609_104_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	104	0	1	04	01	H6609_104_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	105	0	1	04	01	H6609_105_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	105	0	1	04	01	H6609_105_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	105	0	1	04	01	H6609_105_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	105	0	1	04	01	H6609_105_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	105	0	1	04	01	H6609_105_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	106	0	1	04	01	H6609_106_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	106	0	1	04	01	H6609_106_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	106	0	1	04	01	H6609_106_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	106	0	1	04	01	H6609_106_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	106	0	1	04	01	H6609_106_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	107	0	1	04	01	H6609_107_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	107	0	1	04	01	H6609_107_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	107	0	1	04	01	H6609_107_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	107	0	1	04	01	H6609_107_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	107	0	1	04	01	H6609_107_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	108	0	1	04	01	H6609_108_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	108	0	1	04	01	H6609_108_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	108	0	1	04	01	H6609_108_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	108	0	1	04	01	H6609_108_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	108	0	1	04	01	H6609_108_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	109	0	1	04	01	H6609_109_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	109	0	1	04	01	H6609_109_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	109	0	1	04	01	H6609_109_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	109	0	1	04	01	H6609_109_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	109	0	1	04	01	H6609_109_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	110	0	1	04	01	H6609_110_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	110	0	1	04	01	H6609_110_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	110	0	1	04	01	H6609_110_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	110	0	1	04	01	H6609_110_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	110	0	1	04	01	H6609_110_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	112	0	1	04	01	H6609_112_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	112	0	1	04	01	H6609_112_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	112	0	1	04	01	H6609_112_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	112	0	1	04	01	H6609_112_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	112	0	1	04	01	H6609_112_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	113	0	1	04	01	H6609_113_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	113	0	1	04	01	H6609_113_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	113	0	1	04	01	H6609_113_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	113	0	1	04	01	H6609_113_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	113	0	1	04	01	H6609_113_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	114	0	1	04	01	H6609_114_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	114	0	1	04	01	H6609_114_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	114	0	1	04	01	H6609_114_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	114	0	1	04	01	H6609_114_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	114	0	1	04	01	H6609_114_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	115	0	1	04	01	H6609_115_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	115	0	1	04	01	H6609_115_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	115	0	1	04	01	H6609_115_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	115	0	1	04	01	H6609_115_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	115	0	1	04	01	H6609_115_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	116	0	1	04	01	H6609_116_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	116	0	1	04	01	H6609_116_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	116	0	1	04	01	H6609_116_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	116	0	1	04	01	H6609_116_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	116	0	1	04	01	H6609_116_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	117	0	1	04	01	H6609_117_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	117	0	1	04	01	H6609_117_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	117	0	1	04	01	H6609_117_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	117	0	1	04	01	H6609_117_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	117	0	1	04	01	H6609_117_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	118	0	1	04	01	H6609_118_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	118	0	1	04	01	H6609_118_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	118	0	1	04	01	H6609_118_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	118	0	1	04	01	H6609_118_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	118	0	1	04	01	H6609_118_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	119	0	1	04	01	H6609_119_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	119	0	1	04	01	H6609_119_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	119	0	1	04	01	H6609_119_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	119	0	1	04	01	H6609_119_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	119	0	1	04	01	H6609_119_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	120	0	1	04	01	H6609_120_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	120	0	1	04	01	H6609_120_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	120	0	1	04	01	H6609_120_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	120	0	1	04	01	H6609_120_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	120	0	1	04	01	H6609_120_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	121	0	1	04	01	H6609_121_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	121	0	1	04	01	H6609_121_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	121	0	1	04	01	H6609_121_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	121	0	1	04	01	H6609_121_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	121	0	1	04	01	H6609_121_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	122	0	1	04	01	H6609_122_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	122	0	1	04	01	H6609_122_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	122	0	1	04	01	H6609_122_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	122	0	1	04	01	H6609_122_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	122	0	1	04	01	H6609_122_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	123	0	1	04	01	H6609_123_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	123	0	1	04	01	H6609_123_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	123	0	1	04	01	H6609_123_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	123	0	1	04	01	H6609_123_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	123	0	1	04	01	H6609_123_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	124	0	1	04	01	H6609_124_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	124	0	1	04	01	H6609_124_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	124	0	1	04	01	H6609_124_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	124	0	1	04	01	H6609_124_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	124	0	1	04	01	H6609_124_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	125	0	1	04	01	H6609_125_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	125	0	1	04	01	H6609_125_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	125	0	1	04	01	H6609_125_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	125	0	1	04	01	H6609_125_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	125	0	1	04	01	H6609_125_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	126	0	1	04	01	H6609_126_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	126	0	1	04	01	H6609_126_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	126	0	1	04	01	H6609_126_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	126	0	1	04	01	H6609_126_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	126	0	1	04	01	H6609_126_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	127	0	1	04	01	H6609_127_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	127	0	1	04	01	H6609_127_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	127	0	1	04	01	H6609_127_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	127	0	1	04	01	H6609_127_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	127	0	1	04	01	H6609_127_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	128	0	1	04	01	H6609_128_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	128	0	1	04	01	H6609_128_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	128	0	1	04	01	H6609_128_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	128	0	1	04	01	H6609_128_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	128	0	1	04	01	H6609_128_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	129	0	1	04	01	H6609_129_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	129	0	1	04	01	H6609_129_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	129	0	1	04	01	H6609_129_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	129	0	1	04	01	H6609_129_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	129	0	1	04	01	H6609_129_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	130	0	1	04	01	H6609_130_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	130	0	1	04	01	H6609_130_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	130	0	1	04	01	H6609_130_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	130	0	1	04	01	H6609_130_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	130	0	1	04	01	H6609_130_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	131	0	1	04	01	H6609_131_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	131	0	1	04	01	H6609_131_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	131	0	1	04	01	H6609_131_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	131	0	1	04	01	H6609_131_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	131	0	1	04	01	H6609_131_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	132	0	1	04	01	H6609_132_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6609	132	0	1	04	01	H6609_132_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6609	132	0	1	04	01	H6609_132_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6609	132	0	1	04	01	H6609_132_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6609	132	0	1	04	01	H6609_132_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6609	133	0	1	04	01	H6609_133_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	133	0	1	04	01	H6609_133_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	133	0	1	04	01	H6609_133_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	133	0	1	04	01	H6609_133_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	133	0	1	04	01	H6609_133_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	134	0	1	04	01	H6609_134_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	134	0	1	04	01	H6609_134_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	134	0	1	04	01	H6609_134_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	134	0	1	04	01	H6609_134_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	134	0	1	04	01	H6609_134_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	135	0	1	04	01	H6609_135_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	135	0	1	04	01	H6609_135_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	135	0	1	04	01	H6609_135_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	135	0	1	04	01	H6609_135_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	135	0	1	04	01	H6609_135_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	136	0	1	04	01	H6609_136_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	136	0	1	04	01	H6609_136_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	136	0	1	04	01	H6609_136_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	136	0	1	04	01	H6609_136_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	136	0	1	04	01	H6609_136_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	137	0	1	04	01	H6609_137_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	137	0	1	04	01	H6609_137_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	137	0	1	04	01	H6609_137_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	137	0	1	04	01	H6609_137_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	137	0	1	04	01	H6609_137_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	138	0	1	04	01	H6609_138_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	138	0	1	04	01	H6609_138_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	138	0	1	04	01	H6609_138_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	138	0	1	04	01	H6609_138_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	138	0	1	04	01	H6609_138_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6609	140	0	1	04	01	H6609_140_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6609	140	0	1	04	01	H6609_140_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6609	140	0	1	04	01	H6609_140_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6609	140	0	1	04	01	H6609_140_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6609	140	0	1	04	01	H6609_140_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6622	001	0	1	01	01	H6622_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6622	001	0	1	01	01	H6622_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6622	001	0	1	01	01	H6622_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6622	001	0	1	01	01	H6622_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6622	001	0	1	01	01	H6622_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6622	002	0	1	01	01	H6622_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6622	002	0	1	01	01	H6622_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6622	002	0	1	01	01	H6622_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6622	002	0	1	01	01	H6622_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6622	002	0	1	01	01	H6622_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6622	003	0	1	01	01	H6622_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6622	003	0	1	01	01	H6622_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6622	003	0	1	01	01	H6622_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6622	003	0	1	01	01	H6622_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6622	003	0	1	01	01	H6622_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6622	004	0	1	01	01	H6622_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6622	004	0	1	01	01	H6622_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6622	004	0	1	01	01	H6622_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6622	004	0	1	01	01	H6622_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6622	004	0	1	01	01	H6622_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6622	005	0	1	01	01	H6622_005_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6622	005	0	1	01	01	H6622_005_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6622	005	0	1	01	01	H6622_005_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6622	005	0	1	01	01	H6622_005_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6622	005	0	1	01	01	H6622_005_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6622	007	0	1	01	01	H6622_007_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H6622	007	0	1	01	01	H6622_007_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H6622	007	0	1	01	01	H6622_007_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H6622	007	0	1	01	01	H6622_007_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H6622	007	0	1	01	01	H6622_007_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H6743	001	0	1	04	01	H6743_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	001	0	1	04	01	H6743_001_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	001	0	1	04	01	H6743_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	001	0	1	04	01	H6743_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	001	0	1	04	01	H6743_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	001	0	1	04	01	H6743_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	003	0	1	04	01	H6743_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	003	0	1	04	01	H6743_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	003	0	1	04	01	H6743_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	003	0	1	04	01	H6743_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	003	0	1	04	01	H6743_003_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	003	0	1	04	01	H6743_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	004	0	1	04	01	H6743_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	004	0	1	04	01	H6743_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	004	0	1	04	01	H6743_004_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	004	0	1	04	01	H6743_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	004	0	1	04	01	H6743_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	004	0	1	04	01	H6743_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	005	0	1	04	01	H6743_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	005	0	1	04	01	H6743_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	005	0	1	04	01	H6743_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	005	0	1	04	01	H6743_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	005	0	1	04	01	H6743_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	005	0	1	04	01	H6743_005_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	007	0	1	04	01	H6743_007_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	007	0	1	04	01	H6743_007_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	007	0	1	04	01	H6743_007_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	007	0	1	04	01	H6743_007_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	007	0	1	04	01	H6743_007_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	007	0	1	04	01	H6743_007_0	5	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	014	0	1	04	01	H6743_014_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	014	0	1	04	01	H6743_014_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	014	0	1	04	01	H6743_014_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	014	0	1	04	01	H6743_014_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	014	0	1	04	01	H6743_014_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	014	0	1	04	01	H6743_014_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	016	0	1	04	01	H6743_016_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	016	0	1	04	01	H6743_016_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	016	0	1	04	01	H6743_016_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	016	0	1	04	01	H6743_016_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	016	0	1	04	01	H6743_016_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	016	0	1	04	01	H6743_016_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6743	017	0	1	04	01	H6743_017_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H6743	017	0	1	04	01	H6743_017_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H6743	017	0	1	04	01	H6743_017_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H6743	017	0	1	04	01	H6743_017_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H6743	017	0	1	04	01	H6743_017_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H6743	017	0	1	04	01	H6743_017_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H6745	001	0	1	01	01	H6745_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6745	001	0	1	01	01	H6745_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	000010	1						
H6745	001	0	1	01	01	H6745_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6745	001	0	1	01	01	H6745_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6745	003	0	1	01	01	H6745_003_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1	1		5			
H6745	003	0	1	01	01	H6745_003_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1	1		5			
H6745	003	0	1	01	01	H6745_003_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	100001	1	1		5			
H6745	003	0	1	01	01	H6745_003_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1	1		5			
H6745	003	0	1	01	01	H6745_003_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1	2	0.00				
H6750	001	0	1	01	01	H6750_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H6750	001	0	1	01	01	H6750_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H6750	001	0	1	01	01	H6750_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H6750	001	0	1	01	01	H6750_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6750	001	0	1	01	01	H6750_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H6750	002	0	1	01	01	H6750_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	3						
H6750	002	0	1	01	01	H6750_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	3						
H6750	002	0	1	01	01	H6750_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6750	002	0	1	01	01	H6750_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	3						
H6750	002	0	1	01	01	H6750_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	3						
H6751	001	0	1	48	05	H6751_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs	4	1	2	010000					3	0.00	0.00
H6751	001	0	1	48	05	H6751_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs	4	2	2	000010					1	0.00	0.00
H6786	002	0	1	04	01	H6786_002_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H6786	002	0	1	04	01	H6786_002_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H6786	002	0	1	04	01	H6786_002_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H6786	002	0	1	04	01	H6786_002_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H6786	002	0	1	04	01	H6786_002_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H6786	002	0	1	04	01	H6786_002_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H6801	002	0	1	01	01	H6801_002_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6801	002	0	1	01	01	H6801_002_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6801	002	0	1	01	01	H6801_002_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6801	002	0	1	01	01	H6801_002_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H6801	002	0	1	01	01	H6801_002_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6801	006	0	1	02	01	H6801_006_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6801	006	0	1	02	01	H6801_006_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6801	006	0	1	02	01	H6801_006_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6801	006	0	1	02	01	H6801_006_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H6801	006	0	1	02	01	H6801_006_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6815	001	0	1	01	01	H6815_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H6815	001	0	1	01	01	H6815_001_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H6815	001	0	1	01	01	H6815_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H6815	001	0	1	01	01	H6815_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H6815	001	0	1	01	01	H6815_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H6815	001	0	1	01	01	H6815_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H6815	002	0	1	01	01	H6815_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H6815	002	0	1	01	01	H6815_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H6815	002	0	1	01	01	H6815_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H6815	002	0	1	01	01	H6815_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H6815	002	0	1	01	01	H6815_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H6815	002	0	1	01	01	H6815_002_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H6859	001	0	1	01	01	H6859_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6859	001	0	1	01	01	H6859_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6859	001	0	1	01	01	H6859_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6859	001	0	1	01	01	H6859_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6859	001	0	1	01	01	H6859_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6859	003	0	1	01	01	H6859_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6859	003	0	1	01	01	H6859_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6859	003	0	1	01	01	H6859_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6859	003	0	1	01	01	H6859_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6859	003	0	1	01	01	H6859_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6859	004	0	1	01	01	H6859_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6859	004	0	1	01	01	H6859_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6859	004	0	1	01	01	H6859_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6859	004	0	1	01	01	H6859_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6859	004	0	1	01	01	H6859_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6859	007	0	1	01	01	H6859_007_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H6859	007	0	1	01	01	H6859_007_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H6859	007	0	1	01	01	H6859_007_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H6859	007	0	1	01	01	H6859_007_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6859	007	0	1	01	01	H6859_007_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6864	001	0	1	02	01	H6864_001_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H6864	001	0	1	02	01	H6864_001_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H6864	001	0	1	02	01	H6864_001_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H6864	001	0	1	02	01	H6864_001_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H6864	001	0	1	02	01	H6864_001_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
H6923	001	0	1	01	01	H6923_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6923	001	0	1	01	01	H6923_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H6923	001	0	1	01	01	H6923_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H6923	001	0	1	01	01	H6923_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6923	001	0	1	01	01	H6923_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6923	005	0	1	01	01	H6923_005_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	1	2	001000	1						
H6923	005	0	1	01	01	H6923_005_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	2	2	000100	1						
H6923	005	0	1	01	01	H6923_005_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	3	2	010001	1						
H6923	005	0	1	01	01	H6923_005_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand	4	4	2	110000	1						
H6951	002	0	1	04	01	H6951_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6951	002	0	1	04	01	H6951_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6951	002	0	1	04	01	H6951_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6951	002	0	1	04	01	H6951_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6951	002	0	1	04	01	H6951_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6951	003	0	1	04	01	H6951_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6951	003	0	1	04	01	H6951_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6951	003	0	1	04	01	H6951_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6951	003	0	1	04	01	H6951_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H6951	003	0	1	04	01	H6951_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6972	001	0	1	01	01	H6972_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H6972	001	0	1	01	01	H6972_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H6972	001	0	1	01	01	H6972_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H6972	001	0	1	01	01	H6972_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H6972	001	0	1	01	01	H6972_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H6974	001	0	1	48	05	H6974_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H6974	001	0	1	48	05	H6974_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H6974	001	0	1	48	05	H6974_001_0	5	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H6974	001	0	1	48	05	H6974_001_0	5	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H6988	001	0	1	01	01	H6988_001_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H6988	001	0	1	01	01	H6988_001_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H6988	001	0	1	01	01	H6988_001_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H6988	001	0	1	01	01	H6988_001_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110001	1						
H7006	001	0	1	04	01	H7006_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H7006	001	0	1	04	01	H7006_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H7006	001	0	1	04	01	H7006_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H7006	001	0	1	04	01	H7006_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H7006	001	0	1	04	01	H7006_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H7006	001	0	1	04	01	H7006_001_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H7006	003	0	1	04	01	H7006_003_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H7006	003	0	1	04	01	H7006_003_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H7006	003	0	1	04	01	H7006_003_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H7006	003	0	1	04	01	H7006_003_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H7006	003	0	1	04	01	H7006_003_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H7006	003	0	1	04	01	H7006_003_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H7006	005	0	1	04	01	H7006_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H7006	005	0	1	04	01	H7006_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H7006	005	0	1	04	01	H7006_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1						
H7006	005	0	1	04	01	H7006_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1						
H7006	005	0	1	04	01	H7006_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100100	1						
H7006	005	0	1	04	01	H7006_005_0	6	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H7020	001	0	1	01	01	H7020_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7020	001	0	1	01	01	H7020_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7020	001	0	1	01	01	H7020_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7020	001	0	1	01	01	H7020_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H7020	001	0	1	01	01	H7020_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7115	001	0	1	01	01	H7115_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7115	001	0	1	01	01	H7115_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7115	001	0	1	01	01	H7115_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7115	001	0	1	01	01	H7115_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7115	001	0	1	01	01	H7115_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7149	001	0	1	01	01	H7149_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7149	001	0	1	01	01	H7149_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7149	001	0	1	01	01	H7149_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7149	001	0	1	01	01	H7149_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7149	001	0	1	01	01	H7149_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7149	004	0	1	01	01	H7149_004_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7149	004	0	1	01	01	H7149_004_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7149	004	0	1	01	01	H7149_004_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7149	004	0	1	01	01	H7149_004_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7149	004	0	1	01	01	H7149_004_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7149	005	0	1	01	01	H7149_005_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7149	005	0	1	01	01	H7149_005_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7149	005	0	1	01	01	H7149_005_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7149	005	0	1	01	01	H7149_005_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7149	005	0	1	01	01	H7149_005_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7172	001	0	1	48	05	H7172_001_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H7172	001	0	1	48	05	H7172_001_0	2	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H7172	001	0	1	48	05	H7172_001_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H7173	001	0	1	01	01	H7173_001_0	7	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H7173	001	0	1	01	01	H7173_001_0	7	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H7173	001	0	1	01	01	H7173_001_0	7	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H7173	001	0	1	01	01	H7173_001_0	7	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H7187	003	0	1	01	01	H7187_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H7187	003	0	1	01	01	H7187_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H7187	003	0	1	01	01	H7187_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H7187	003	0	1	01	01	H7187_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H7187	003	0	1	01	01	H7187_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H7187	009	0	1	01	01	H7187_009_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H7187	009	0	1	01	01	H7187_009_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H7187	009	0	1	01	01	H7187_009_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H7187	009	0	1	01	01	H7187_009_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H7187	009	0	1	01	01	H7187_009_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H7187	010	0	1	01	01	H7187_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H7187	010	0	1	01	01	H7187_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H7187	010	0	1	01	01	H7187_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H7187	010	0	1	01	01	H7187_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H7187	010	0	1	01	01	H7187_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H7187	011	0	1	01	01	H7187_011_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H7187	011	0	1	01	01	H7187_011_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H7187	011	0	1	01	01	H7187_011_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H7187	011	0	1	01	01	H7187_011_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H7187	011	0	1	01	01	H7187_011_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H7200	006	0	1	01	01	H7200_006_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H7200	006	0	1	01	01	H7200_006_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H7200	006	0	1	01	01	H7200_006_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H7200	006	0	1	01	01	H7200_006_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H7200	006	0	1	01	01	H7200_006_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H7200	006	0	1	01	01	H7200_006_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H7200	007	0	1	01	01	H7200_007_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H7200	007	0	1	01	01	H7200_007_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H7200	007	0	1	01	01	H7200_007_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H7200	007	0	1	01	01	H7200_007_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H7200	007	0	1	01	01	H7200_007_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H7200	007	0	1	01	01	H7200_007_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H7220	003	0	1	01	01	H7220_003_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7220	003	0	1	01	01	H7220_003_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7220	003	0	1	01	01	H7220_003_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7220	003	0	1	01	01	H7220_003_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7220	003	0	1	01	01	H7220_003_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H7220	004	0	1	02	01	H7220_004_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7220	004	0	1	02	01	H7220_004_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7220	004	0	1	02	01	H7220_004_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7220	004	0	1	02	01	H7220_004_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7220	004	0	1	02	01	H7220_004_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H7245	001	0	1	01	01	H7245_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H7245	001	0	1	01	01	H7245_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H7245	001	0	1	01	01	H7245_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H7245	001	0	1	01	01	H7245_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H7245	001	0	1	01	01	H7245_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H7245	001	0	1	01	01	H7245_001_0	12	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H7245	002	0	1	02	01	H7245_002_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H7245	002	0	1	02	01	H7245_002_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H7245	002	0	1	02	01	H7245_002_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H7245	002	0	1	02	01	H7245_002_0	10	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H7245	002	0	1	02	01	H7245_002_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H7245	002	0	1	02	01	H7245_002_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H7245	003	0	1	01	01	H7245_003_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H7245	003	0	1	01	01	H7245_003_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H7245	003	0	1	01	01	H7245_003_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H7245	003	0	1	01	01	H7245_003_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H7245	003	0	1	01	01	H7245_003_0	7	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H7245	003	0	1	01	01	H7245_003_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H7245	004	0	1	02	01	H7245_004_0	13	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H7245	004	0	1	02	01	H7245_004_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H7245	004	0	1	02	01	H7245_004_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H7245	004	0	1	02	01	H7245_004_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H7245	004	0	1	02	01	H7245_004_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H7245	004	0	1	02	01	H7245_004_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H7301	002	0	1	04	01	H7301_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7301	002	0	1	04	01	H7301_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7301	002	0	1	04	01	H7301_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7301	002	0	1	04	01	H7301_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7301	002	0	1	04	01	H7301_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7301	006	0	1	04	01	H7301_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7301	006	0	1	04	01	H7301_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7301	006	0	1	04	01	H7301_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7301	006	0	1	04	01	H7301_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7301	006	0	1	04	01	H7301_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7301	007	0	1	04	01	H7301_007_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7301	007	0	1	04	01	H7301_007_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7301	007	0	1	04	01	H7301_007_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7301	007	0	1	04	01	H7301_007_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7301	007	0	1	04	01	H7301_007_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7301	008	0	1	04	01	H7301_008_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7301	008	0	1	04	01	H7301_008_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7301	008	0	1	04	01	H7301_008_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7301	008	0	1	04	01	H7301_008_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7301	008	0	1	04	01	H7301_008_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7419	001	0	1	48	05	H7419_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare OTC Drugs	4	1	2	011100					1	0.00	0.00
H7419	001	0	1	48	05	H7419_001_0	4	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H7419	001	0	1	48	05	H7419_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare OTC Drugs	4	2	2	100011					1	0.00	0.00
H7542	001	0	1	48	05	H7542_001_0	3	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H7542	001	0	1	48	05	H7542_001_0	3	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	3.40	3.40
H7542	001	0	1	48	05	H7542_001_0	3	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	3.40	3.40
H7542	001	0	1	48	05	H7542_001_0	3	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H7678	001	0	1	01	01	H7678_001_0	9	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H7678	001	0	1	01	01	H7678_001_0	9	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H7678	001	0	1	01	01	H7678_001_0	9	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H7678	001	0	1	01	01	H7678_001_0	9	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H7680	001	0	1	01	01	H7680_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7680	001	0	1	01	01	H7680_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7680	001	0	1	01	01	H7680_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7680	001	0	1	01	01	H7680_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H7680	001	0	1	01	01	H7680_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7680	002	0	1	01	01	H7680_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7680	002	0	1	01	01	H7680_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7680	002	0	1	01	01	H7680_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7680	002	0	1	01	01	H7680_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7680	002	0	1	01	01	H7680_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H7728	002	0	1	04	01	H7728_002_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H7728	002	0	1	04	01	H7728_002_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H7728	002	0	1	04	01	H7728_002_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H7728	002	0	1	04	01	H7728_002_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H7728	002	0	1	04	01	H7728_002_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H7728	002	0	1	04	01	H7728_002_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H7787	001	0	1	04	01	H7787_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7787	001	0	1	04	01	H7787_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7787	001	0	1	04	01	H7787_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7787	001	0	1	04	01	H7787_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H7787	001	0	1	04	01	H7787_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7811	002	0	1	01	01	H7811_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7811	002	0	1	01	01	H7811_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7811	002	0	1	01	01	H7811_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7811	002	0	1	01	01	H7811_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H7811	002	0	1	01	01	H7811_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7844	001	0	1	48	05	H7844_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H7844	001	0	1	48	05	H7844_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H7844	001	0	1	48	05	H7844_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H7885	001	0	1	48	05	H7885_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H7885	001	0	1	48	05	H7885_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H7885	001	0	1	48	05	H7885_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H7890	001	0	1	48	05	H7890_001_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H7890	001	0	1	48	05	H7890_001_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H7890	001	0	1	48	05	H7890_001_0	2	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H7890	001	0	1	48	05	H7890_001_0	2	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H7903	001	0	1	01	01	H7903_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7903	001	0	1	01	01	H7903_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7903	001	0	1	01	01	H7903_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H7903	001	0	1	01	01	H7903_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7903	001	0	1	01	01	H7903_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7908	001	0	1	01	01	H7908_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7908	001	0	1	01	01	H7908_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7908	001	0	1	01	01	H7908_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7908	001	0	1	01	01	H7908_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7908	001	0	1	01	01	H7908_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	008	0	1	04	01	H7917_008_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	008	0	1	04	01	H7917_008_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	008	0	1	04	01	H7917_008_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	008	0	1	04	01	H7917_008_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	008	0	1	04	01	H7917_008_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	009	0	1	04	01	H7917_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	009	0	1	04	01	H7917_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	009	0	1	04	01	H7917_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	009	0	1	04	01	H7917_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	009	0	1	04	01	H7917_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	010	0	1	04	01	H7917_010_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	010	0	1	04	01	H7917_010_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	010	0	1	04	01	H7917_010_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	010	0	1	04	01	H7917_010_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	010	0	1	04	01	H7917_010_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	011	0	1	04	01	H7917_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	011	0	1	04	01	H7917_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	011	0	1	04	01	H7917_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	011	0	1	04	01	H7917_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	011	0	1	04	01	H7917_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	012	0	1	04	01	H7917_012_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	012	0	1	04	01	H7917_012_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	012	0	1	04	01	H7917_012_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	012	0	1	04	01	H7917_012_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	012	0	1	04	01	H7917_012_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	013	0	1	04	01	H7917_013_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	013	0	1	04	01	H7917_013_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	013	0	1	04	01	H7917_013_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	013	0	1	04	01	H7917_013_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	013	0	1	04	01	H7917_013_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	014	0	1	04	01	H7917_014_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	014	0	1	04	01	H7917_014_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	014	0	1	04	01	H7917_014_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	014	0	1	04	01	H7917_014_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	014	0	1	04	01	H7917_014_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	015	0	1	04	01	H7917_015_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	015	0	1	04	01	H7917_015_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	015	0	1	04	01	H7917_015_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	015	0	1	04	01	H7917_015_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	015	0	1	04	01	H7917_015_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	030	0	1	04	01	H7917_030_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	030	0	1	04	01	H7917_030_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	030	0	1	04	01	H7917_030_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	030	0	1	04	01	H7917_030_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	030	0	1	04	01	H7917_030_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	031	0	1	04	01	H7917_031_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	031	0	1	04	01	H7917_031_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	031	0	1	04	01	H7917_031_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	031	0	1	04	01	H7917_031_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	031	0	1	04	01	H7917_031_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	032	0	1	04	01	H7917_032_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	032	0	1	04	01	H7917_032_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	032	0	1	04	01	H7917_032_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	032	0	1	04	01	H7917_032_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7917	032	0	1	04	01	H7917_032_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	033	0	1	04	01	H7917_033_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7917	033	0	1	04	01	H7917_033_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7917	033	0	1	04	01	H7917_033_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7917	033	0	1	04	01	H7917_033_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7917	033	0	1	04	01	H7917_033_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H7949	001	0	1	01	01	H7949_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7949	001	0	1	01	01	H7949_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7949	001	0	1	01	01	H7949_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H7949	001	0	1	01	01	H7949_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H7949	001	0	1	01	01	H7949_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H7960	001	0	1	01	01	H7960_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H7960	001	0	1	01	01	H7960_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H7960	001	0	1	01	01	H7960_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H7960	001	0	1	01	01	H7960_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H7960	001	0	1	01	01	H7960_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100101	1						
H8016	001	0	1	48	05	H8016_001_0	2	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H8016	001	0	1	48	05	H8016_001_0	2	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H8016	001	0	1	48	05	H8016_001_0	2	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8026	001	0	1	48	05	H8026_001_0	11	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8026	001	0	1	48	05	H8026_001_0	11	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	001001					1	0.00	0.00
H8026	001	0	1	48	05	H8026_001_0	11	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H8029	001	0	1	48	05	H8029_001_0	6	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	011100					2	0.00	0.00
H8029	001	0	1	48	05	H8029_001_0	6	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	011100					1	0.00	0.00
H8029	001	0	1	48	05	H8029_001_0	6	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	100011					1	0.00	0.00
H8046	001	0	1	48	05	H8046_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8046	001	0	1	48	05	H8046_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H8046	001	0	1	48	05	H8046_001_0	5	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H8056	001	0	1	48	05	H8056_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H8056	001	0	1	48	05	H8056_001_0	5	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H8056	001	0	1	48	05	H8056_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8064	002	0	1	04	01	H8064_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8064	002	0	1	04	01	H8064_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H8064	002	0	1	04	01	H8064_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8064	002	0	1	04	01	H8064_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8064	002	0	1	04	01	H8064_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8091	002	0	1	04	01	H8091_002_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8091	002	0	1	04	01	H8091_002_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8091	002	0	1	04	01	H8091_002_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8091	002	0	1	04	01	H8091_002_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8091	002	0	1	04	01	H8091_002_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8091	004	0	1	04	01	H8091_004_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8091	004	0	1	04	01	H8091_004_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8091	004	0	1	04	01	H8091_004_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8091	004	0	1	04	01	H8091_004_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8091	004	0	1	04	01	H8091_004_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8130	001	0	1	01	01	H8130_001_0	11	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H8130	001	0	1	01	01	H8130_001_0	11	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8130	001	0	1	01	01	H8130_001_0	11	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H8130	001	0	1	01	01	H8130_001_0	11	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8133	001	0	1	01	01	H8133_001_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8133	001	0	1	01	01	H8133_001_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8133	001	0	1	01	01	H8133_001_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H8133	001	0	1	01	01	H8133_001_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8133	001	0	1	01	01	H8133_001_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8145	003	0	1	09	04	H8145_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	003	0	1	09	04	H8145_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	003	0	1	09	04	H8145_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	003	0	1	09	04	H8145_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	003	0	1	09	04	H8145_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	004	0	1	09	04	H8145_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	004	0	1	09	04	H8145_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	004	0	1	09	04	H8145_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	004	0	1	09	04	H8145_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	004	0	1	09	04	H8145_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	005	0	1	09	04	H8145_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	005	0	1	09	04	H8145_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	005	0	1	09	04	H8145_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	005	0	1	09	04	H8145_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	005	0	1	09	04	H8145_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	006	0	1	09	04	H8145_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	006	0	1	09	04	H8145_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	006	0	1	09	04	H8145_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	006	0	1	09	04	H8145_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	006	0	1	09	04	H8145_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	008	0	1	09	04	H8145_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	008	0	1	09	04	H8145_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	008	0	1	09	04	H8145_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	008	0	1	09	04	H8145_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	008	0	1	09	04	H8145_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	011	0	1	09	04	H8145_011_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	011	0	1	09	04	H8145_011_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	011	0	1	09	04	H8145_011_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	011	0	1	09	04	H8145_011_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	011	0	1	09	04	H8145_011_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	012	0	1	09	04	H8145_012_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	012	0	1	09	04	H8145_012_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	012	0	1	09	04	H8145_012_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	012	0	1	09	04	H8145_012_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	012	0	1	09	04	H8145_012_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	020	0	1	09	04	H8145_020_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	020	0	1	09	04	H8145_020_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	020	0	1	09	04	H8145_020_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	020	0	1	09	04	H8145_020_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	020	0	1	09	04	H8145_020_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	021	0	1	09	04	H8145_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	021	0	1	09	04	H8145_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	021	0	1	09	04	H8145_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	021	0	1	09	04	H8145_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	021	0	1	09	04	H8145_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	032	0	1	09	04	H8145_032_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	032	0	1	09	04	H8145_032_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	032	0	1	09	04	H8145_032_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	032	0	1	09	04	H8145_032_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	032	0	1	09	04	H8145_032_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	051	0	1	09	04	H8145_051_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8145	051	0	1	09	04	H8145_051_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8145	051	0	1	09	04	H8145_051_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8145	051	0	1	09	04	H8145_051_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8145	051	0	1	09	04	H8145_051_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8145	052	0	1	09	04	H8145_052_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	052	0	1	09	04	H8145_052_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	052	0	1	09	04	H8145_052_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	052	0	1	09	04	H8145_052_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	052	0	1	09	04	H8145_052_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	053	0	1	09	04	H8145_053_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	053	0	1	09	04	H8145_053_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	053	0	1	09	04	H8145_053_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	053	0	1	09	04	H8145_053_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	053	0	1	09	04	H8145_053_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	061	0	1	09	04	H8145_061_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	061	0	1	09	04	H8145_061_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	061	0	1	09	04	H8145_061_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	061	0	1	09	04	H8145_061_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	061	0	1	09	04	H8145_061_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	063	0	1	09	04	H8145_063_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	063	0	1	09	04	H8145_063_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	063	0	1	09	04	H8145_063_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	063	0	1	09	04	H8145_063_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	063	0	1	09	04	H8145_063_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	069	0	1	09	04	H8145_069_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8145	069	0	1	09	04	H8145_069_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8145	069	0	1	09	04	H8145_069_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8145	069	0	1	09	04	H8145_069_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8145	069	0	1	09	04	H8145_069_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8145	075	0	1	09	04	H8145_075_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8145	075	0	1	09	04	H8145_075_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8145	075	0	1	09	04	H8145_075_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8145	075	0	1	09	04	H8145_075_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8145	075	0	1	09	04	H8145_075_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8145	078	0	1	09	04	H8145_078_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	078	0	1	09	04	H8145_078_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	078	0	1	09	04	H8145_078_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	078	0	1	09	04	H8145_078_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	078	0	1	09	04	H8145_078_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	084	0	1	09	04	H8145_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	084	0	1	09	04	H8145_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	084	0	1	09	04	H8145_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	084	0	1	09	04	H8145_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	084	0	1	09	04	H8145_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	087	0	1	09	04	H8145_087_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8145	087	0	1	09	04	H8145_087_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8145	087	0	1	09	04	H8145_087_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8145	087	0	1	09	04	H8145_087_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8145	087	0	1	09	04	H8145_087_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8145	089	0	1	09	04	H8145_089_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8145	089	0	1	09	04	H8145_089_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8145	089	0	1	09	04	H8145_089_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8145	089	0	1	09	04	H8145_089_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8145	089	0	1	09	04	H8145_089_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8145	091	0	1	09	04	H8145_091_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8145	091	0	1	09	04	H8145_091_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8145	091	0	1	09	04	H8145_091_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8145	091	0	1	09	04	H8145_091_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8145	091	0	1	09	04	H8145_091_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8145	093	0	1	09	04	H8145_093_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	093	0	1	09	04	H8145_093_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	093	0	1	09	04	H8145_093_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	093	0	1	09	04	H8145_093_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	093	0	1	09	04	H8145_093_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	103	0	1	09	04	H8145_103_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	103	0	1	09	04	H8145_103_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	103	0	1	09	04	H8145_103_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	103	0	1	09	04	H8145_103_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	103	0	1	09	04	H8145_103_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	104	0	1	09	04	H8145_104_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	104	0	1	09	04	H8145_104_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	104	0	1	09	04	H8145_104_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	104	0	1	09	04	H8145_104_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	104	0	1	09	04	H8145_104_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	122	0	1	09	04	H8145_122_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	122	0	1	09	04	H8145_122_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	122	0	1	09	04	H8145_122_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	122	0	1	09	04	H8145_122_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	122	0	1	09	04	H8145_122_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	123	0	1	09	04	H8145_123_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	123	0	1	09	04	H8145_123_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	123	0	1	09	04	H8145_123_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	123	0	1	09	04	H8145_123_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	123	0	1	09	04	H8145_123_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	125	0	1	09	04	H8145_125_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	125	0	1	09	04	H8145_125_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8145	125	0	1	09	04	H8145_125_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	125	0	1	09	04	H8145_125_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	125	0	1	09	04	H8145_125_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	154	0	1	09	04	H8145_154_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8145	154	0	1	09	04	H8145_154_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8145	154	0	1	09	04	H8145_154_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8145	154	0	1	09	04	H8145_154_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8145	154	0	1	09	04	H8145_154_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8146	001	0	1	01	01	H8146_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	001	0	1	01	01	H8146_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	001	0	1	01	01	H8146_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	001	0	1	01	01	H8146_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	001	0	1	01	01	H8146_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	002	0	1	01	01	H8146_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	002	0	1	01	01	H8146_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	002	0	1	01	01	H8146_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	002	0	1	01	01	H8146_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	002	0	1	01	01	H8146_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	003	0	1	01	01	H8146_003_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	003	0	1	01	01	H8146_003_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	003	0	1	01	01	H8146_003_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	003	0	1	01	01	H8146_003_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	003	0	1	01	01	H8146_003_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	004	0	1	01	01	H8146_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	004	0	1	01	01	H8146_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	004	0	1	01	01	H8146_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	004	0	1	01	01	H8146_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	004	0	1	01	01	H8146_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	005	0	1	01	01	H8146_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	005	0	1	01	01	H8146_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	005	0	1	01	01	H8146_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	005	0	1	01	01	H8146_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	005	0	1	01	01	H8146_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	006	0	1	01	01	H8146_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	006	0	1	01	01	H8146_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	006	0	1	01	01	H8146_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	006	0	1	01	01	H8146_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	006	0	1	01	01	H8146_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	007	0	1	01	01	H8146_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	007	0	1	01	01	H8146_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	007	0	1	01	01	H8146_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	007	0	1	01	01	H8146_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	007	0	1	01	01	H8146_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	008	0	1	01	01	H8146_008_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	008	0	1	01	01	H8146_008_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	008	0	1	01	01	H8146_008_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	008	0	1	01	01	H8146_008_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	008	0	1	01	01	H8146_008_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	009	0	1	01	01	H8146_009_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	009	0	1	01	01	H8146_009_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	009	0	1	01	01	H8146_009_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	009	0	1	01	01	H8146_009_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	009	0	1	01	01	H8146_009_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	010	0	1	01	01	H8146_010_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	010	0	1	01	01	H8146_010_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	010	0	1	01	01	H8146_010_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	010	0	1	01	01	H8146_010_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	010	0	1	01	01	H8146_010_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	011	0	1	01	01	H8146_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	011	0	1	01	01	H8146_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	011	0	1	01	01	H8146_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	011	0	1	01	01	H8146_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	011	0	1	01	01	H8146_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	012	0	1	01	01	H8146_012_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	012	0	1	01	01	H8146_012_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	012	0	1	01	01	H8146_012_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	012	0	1	01	01	H8146_012_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	012	0	1	01	01	H8146_012_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	013	0	1	01	01	H8146_013_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8146	013	0	1	01	01	H8146_013_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	013	0	1	01	01	H8146_013_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	013	0	1	01	01	H8146_013_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	013	0	1	01	01	H8146_013_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	014	0	1	01	01	H8146_014_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8146	014	0	1	01	01	H8146_014_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8146	014	0	1	01	01	H8146_014_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8146	014	0	1	01	01	H8146_014_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8146	014	0	1	01	01	H8146_014_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8150	001	0	1	48	05	H8150_001_0	8	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	100000					2	0.00	0.00
H8150	001	0	1	48	05	H8150_001_0	8	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	100000					2	0.00	0.00
H8150	001	0	1	48	05	H8150_001_0	8	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	001001					1	0.00	0.00
H8150	001	0	1	48	05	H8150_001_0	8	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H8170	001	0	1	01	01	H8170_001_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H8170	001	0	1	01	01	H8170_001_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8170	001	0	1	01	01	H8170_001_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H8170	001	0	1	01	01	H8170_001_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H8170	002	0	1	01	01	H8170_002_0	7	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H8170	002	0	1	01	01	H8170_002_0	7	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H8170	002	0	1	01	01	H8170_002_0	7	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8170	002	0	1	01	01	H8170_002_0	7	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H8189	001	0	1	01	01	H8189_001_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	3	2	100000	1						
H8189	001	0	1	01	01	H8189_001_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	2	2	000001	1						
H8189	001	0	1	01	01	H8189_001_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	1	2	010000	1						
H8189	001	0	1	01	01	H8189_001_0	6	Injectable Drugs	Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs	4	4	2	000001	1						
H8213	001	0	1	48	05	H8213_001_0	8	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	000010					2	0.00	0.00
H8213	001	0	1	48	05	H8213_001_0	8	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H8213	001	0	1	48	05	H8213_001_0	8	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8237	001	0	1	01	01	H8237_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8237	001	0	1	01	01	H8237_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8237	001	0	1	01	01	H8237_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8237	001	0	1	01	01	H8237_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H8237	001	0	1	01	01	H8237_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8258	001	0	1	48	05	H8258_001_0	5	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H8258	001	0	1	48	05	H8258_001_0	5	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H8258	001	0	1	48	05	H8258_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H8258	001	0	1	48	05	H8258_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H8266	001	0	1	01	01	H8266_001_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	3						
H8266	001	0	1	01	01	H8266_001_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H8266	001	0	1	01	01	H8266_001_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8266	001	0	1	01	01	H8266_001_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H8266	002	0	1	01	01	H8266_002_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1	1		5			
H8266	002	0	1	01	01	H8266_002_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	100000	1	2	95.00				
H8266	002	0	1	01	01	H8266_002_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000001	1	2	45.00				
H8266	002	0	1	01	01	H8266_002_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	010000	1	2	6.00				
H8393	001	0	1	04	01	H8393_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8393	001	0	1	04	01	H8393_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8393	001	0	1	04	01	H8393_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8393	001	0	1	04	01	H8393_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8393	001	0	1	04	01	H8393_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8417	001	0	1	48	05	H8417_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010010					1	0.00	0.00
H8417	001	0	1	48	05	H8417_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	010010					1	0.00	0.00
H8417	001	0	1	48	05	H8417_001_0	5	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010000					2	0.00	0.00
H8417	001	0	1	48	05	H8417_001_0	5	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010000					2	0.00	0.00
H8420	001	0	1	48	05	H8420_001_0	6	Generic Drugs	Generic Drugs, Brand Drugs	4	1	2	010000					3	0.00	0.00
H8420	001	0	1	48	05	H8420_001_0	6	Brand Drugs	Generic Drugs, Brand Drugs	4	2	2	000010					3	0.00	0.00
H8432	002	0	1	01	01	H8432_002_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H8432	002	0	1	01	01	H8432_002_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H8432	002	0	1	01	01	H8432_002_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H8432	002	0	1	01	01	H8432_002_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H8432	002	0	1	01	01	H8432_002_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H8432	002	0	1	01	01	H8432_002_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H8432	003	0	1	01	01	H8432_003_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H8432	003	0	1	01	01	H8432_003_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H8432	003	0	1	01	01	H8432_003_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H8432	003	0	1	01	01	H8432_003_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H8432	003	0	1	01	01	H8432_003_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H8432	003	0	1	01	01	H8432_003_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H8452	001	0	1	48	05	H8452_001_0	6	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H8452	001	0	1	48	05	H8452_001_0	6	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H8452	001	0	1	48	05	H8452_001_0	6	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H8452	001	0	1	48	05	H8452_001_0	6	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H8490	001	0	1	48	05	H8490_001_0	5	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H8490	001	0	1	48	05	H8490_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000001					1	0.00	0.00
H8490	001	0	1	48	05	H8490_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H8490	001	0	1	48	05	H8490_001_0	5	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	000010					2	0.00	0.00
H8506	001	0	1	01	01	H8506_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8506	001	0	1	01	01	H8506_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8506	001	0	1	01	01	H8506_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8506	001	0	1	01	01	H8506_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H8506	001	0	1	01	01	H8506_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100000	1						
H8552	020	0	1	04	01	H8552_020_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H8552	020	0	1	04	01	H8552_020_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H8552	020	0	1	04	01	H8552_020_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H8552	020	0	1	04	01	H8552_020_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H8552	020	0	1	04	01	H8552_020_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H8552	020	0	1	04	01	H8552_020_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H8552	021	0	1	04	01	H8552_021_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H8552	021	0	1	04	01	H8552_021_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H8552	021	0	1	04	01	H8552_021_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H8552	021	0	1	04	01	H8552_021_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H8552	021	0	1	04	01	H8552_021_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H8552	021	0	1	04	01	H8552_021_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H8552	022	0	1	04	01	H8552_022_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H8552	022	0	1	04	01	H8552_022_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H8552	022	0	1	04	01	H8552_022_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H8552	022	0	1	04	01	H8552_022_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H8552	022	0	1	04	01	H8552_022_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H8552	022	0	1	04	01	H8552_022_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H8552	024	0	1	04	01	H8552_024_0	16	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H8552	024	0	1	04	01	H8552_024_0	16	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H8552	024	0	1	04	01	H8552_024_0	16	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H8552	024	0	1	04	01	H8552_024_0	16	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H8552	024	0	1	04	01	H8552_024_0	16	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H8552	024	0	1	04	01	H8552_024_0	16	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H8552	027	0	1	04	01	H8552_027_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H8552	027	0	1	04	01	H8552_027_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H8552	027	0	1	04	01	H8552_027_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H8552	027	0	1	04	01	H8552_027_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H8552	027	0	1	04	01	H8552_027_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H8552	027	0	1	04	01	H8552_027_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H8554	001	0	1	01	01	H8554_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100101	1						
H8554	001	0	1	01	01	H8554_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8554	001	0	1	01	01	H8554_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8554	001	0	1	01	01	H8554_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8554	001	0	1	01	01	H8554_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H8578	001	0	1	01	01	H8578_001_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	001	0	1	01	01	H8578_001_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8578	001	0	1	01	01	H8578_001_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	001	0	1	01	01	H8578_001_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	004	0	1	01	01	H8578_004_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	004	0	1	01	01	H8578_004_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	004	0	1	01	01	H8578_004_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8578	004	0	1	01	01	H8578_004_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	007	0	1	01	01	H8578_007_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	007	0	1	01	01	H8578_007_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	007	0	1	01	01	H8578_007_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8578	007	0	1	01	01	H8578_007_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	010	0	1	02	01	H8578_010_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	010	0	1	02	01	H8578_010_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	010	0	1	02	01	H8578_010_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	010	0	1	02	01	H8578_010_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8578	012	0	1	01	01	H8578_012_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	012	0	1	01	01	H8578_012_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	012	0	1	01	01	H8578_012_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	012	0	1	01	01	H8578_012_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	3						
H8578	013	0	1	01	01	H8578_013_0	4	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8578	013	0	1	01	01	H8578_013_0	4	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	013	0	1	01	01	H8578_013_0	4	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	013	0	1	01	01	H8578_013_0	4	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	014	0	1	01	01	H8578_014_0	4	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8578	014	0	1	01	01	H8578_014_0	4	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	014	0	1	01	01	H8578_014_0	4	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	014	0	1	01	01	H8578_014_0	4	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	015	0	1	02	01	H8578_015_0	6	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H8578	015	0	1	02	01	H8578_015_0	6	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	3						
H8578	015	0	1	02	01	H8578_015_0	6	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H8578	015	0	1	02	01	H8578_015_0	6	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100001	3						
H8604	007	1	1	04	01	H8604_007_1	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8604	007	1	1	04	01	H8604_007_1	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8604	007	1	1	04	01	H8604_007_1	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H8604	007	1	1	04	01	H8604_007_1	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8604	007	2	1	04	01	H8604_007_2	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	4	2	010010	1						
H8604	007	2	1	04	01	H8604_007_2	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8604	007	2	1	04	01	H8604_007_2	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8604	007	2	1	04	01	H8604_007_2	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8634	001	0	1	04	01	H8634_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8634	001	0	1	04	01	H8634_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8634	001	0	1	04	01	H8634_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8634	001	0	1	04	01	H8634_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8634	001	0	1	04	01	H8634_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H8634	002	0	1	04	01	H8634_002_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H8634	002	0	1	04	01	H8634_002_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8634	002	0	1	04	01	H8634_002_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8634	002	0	1	04	01	H8634_002_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8634	002	0	1	04	01	H8634_002_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8634	003	0	1	04	01	H8634_003_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8634	003	0	1	04	01	H8634_003_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8634	003	0	1	04	01	H8634_003_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H8634	003	0	1	04	01	H8634_003_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8634	003	0	1	04	01	H8634_003_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8634	004	0	1	04	01	H8634_004_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8634	004	0	1	04	01	H8634_004_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8634	004	0	1	04	01	H8634_004_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H8634	004	0	1	04	01	H8634_004_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8634	004	0	1	04	01	H8634_004_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8634	005	0	1	04	01	H8634_005_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8634	005	0	1	04	01	H8634_005_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
H8634	005	0	1	04	01	H8634_005_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8634	005	0	1	04	01	H8634_005_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8634	005	0	1	04	01	H8634_005_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8649	003	0	1	01	01	H8649_003_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8649	003	0	1	01	01	H8649_003_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8649	003	0	1	01	01	H8649_003_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8649	003	0	1	01	01	H8649_003_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8649	003	0	1	01	01	H8649_003_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8677	001	0	1	48	05	H8677_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8677	001	0	1	48	05	H8677_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H8677	001	0	1	48	05	H8677_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H8677	002	0	1	48	05	H8677_002_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H8677	002	0	1	48	05	H8677_002_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H8677	002	0	1	48	05	H8677_002_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H8748	002	0	1	01	01	H8748_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
H8748	002	0	1	01	01	H8748_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H8748	002	0	1	01	01	H8748_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H8748	002	0	1	01	01	H8748_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H8748	002	0	1	01	01	H8748_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8764	001	0	1	01	01	H8764_001_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H8764	001	0	1	01	01	H8764_001_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8764	001	0	1	01	01	H8764_001_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8764	001	0	1	01	01	H8764_001_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8764	001	0	1	01	01	H8764_001_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8764	002	0	1	02	01	H8764_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8764	002	0	1	02	01	H8764_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8764	002	0	1	02	01	H8764_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H8764	002	0	1	02	01	H8764_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H8764	002	0	1	02	01	H8764_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8764	003	0	1	01	01	H8764_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H8764	003	0	1	01	01	H8764_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H8764	003	0	1	01	01	H8764_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H8764	003	0	1	01	01	H8764_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H8764	003	0	1	01	01	H8764_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8822	004	0	1	01	01	H8822_004_0	12	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	010000	1						
H8822	004	0	1	01	01	H8822_004_0	12	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000001	1						
H8822	004	0	1	01	01	H8822_004_0	12	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	100000	1						
H8822	004	0	1	01	01	H8822_004_0	12	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	000010	1						
H8822	004	0	1	01	01	H8822_004_0	12	Select Care Drugs	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010000	1						
H8851	001	0	1	48	05	H8851_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H8851	001	0	1	48	05	H8851_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H8851	001	0	1	48	05	H8851_001_0	7	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H8851	001	0	1	48	05	H8851_001_0	7	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H8908	001	0	1	01	01	H8908_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8908	001	0	1	01	01	H8908_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8908	001	0	1	01	01	H8908_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8908	001	0	1	01	01	H8908_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8908	001	0	1	01	01	H8908_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	001	0	1	01	01	H8953_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	001	0	1	01	01	H8953_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	001	0	1	01	01	H8953_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	001	0	1	01	01	H8953_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	001	0	1	01	01	H8953_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	002	0	1	01	01	H8953_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	002	0	1	01	01	H8953_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	002	0	1	01	01	H8953_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	002	0	1	01	01	H8953_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	002	0	1	01	01	H8953_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	003	0	1	01	01	H8953_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	003	0	1	01	01	H8953_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	003	0	1	01	01	H8953_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	003	0	1	01	01	H8953_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	003	0	1	01	01	H8953_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	005	0	1	01	01	H8953_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	005	0	1	01	01	H8953_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	005	0	1	01	01	H8953_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	005	0	1	01	01	H8953_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	005	0	1	01	01	H8953_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	006	0	1	01	01	H8953_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	006	0	1	01	01	H8953_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	006	0	1	01	01	H8953_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	006	0	1	01	01	H8953_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	006	0	1	01	01	H8953_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	007	0	1	01	01	H8953_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8953	007	0	1	01	01	H8953_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8953	007	0	1	01	01	H8953_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8953	007	0	1	01	01	H8953_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8953	007	0	1	01	01	H8953_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8953	009	0	1	01	01	H8953_009_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	009	0	1	01	01	H8953_009_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	009	0	1	01	01	H8953_009_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	009	0	1	01	01	H8953_009_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	009	0	1	01	01	H8953_009_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	010	0	1	01	01	H8953_010_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
H8953	010	0	1	01	01	H8953_010_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H8953	010	0	1	01	01	H8953_010_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
H8953	010	0	1	01	01	H8953_010_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8953	010	0	1	01	01	H8953_010_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8953	011	0	1	01	01	H8953_011_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H8953	011	0	1	01	01	H8953_011_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H8953	011	0	1	01	01	H8953_011_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H8953	011	0	1	01	01	H8953_011_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H8953	011	0	1	01	01	H8953_011_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H8953	011	0	1	01	01	H8953_011_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H8953	012	0	1	01	01	H8953_012_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001010	1						
H8953	012	0	1	01	01	H8953_012_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000101	1						
H8953	012	0	1	01	01	H8953_012_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H8953	012	0	1	01	01	H8953_012_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	110000	1						
H8953	012	0	1	01	01	H8953_012_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H8953	012	0	1	01	01	H8953_012_0	3	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	010010	1						
H8953	014	0	1	01	01	H8953_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
H8953	014	0	1	01	01	H8953_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
H8953	014	0	1	01	01	H8953_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H8953	014	0	1	01	01	H8953_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
H8953	014	0	1	01	01	H8953_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H8980	002	0	1	04	01	H8980_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8980	002	0	1	04	01	H8980_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8980	002	0	1	04	01	H8980_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8980	002	0	1	04	01	H8980_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8980	002	0	1	04	01	H8980_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8980	004	0	1	04	01	H8980_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8980	004	0	1	04	01	H8980_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8980	004	0	1	04	01	H8980_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8980	004	0	1	04	01	H8980_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8980	004	0	1	04	01	H8980_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8980	005	0	1	04	01	H8980_005_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8980	005	0	1	04	01	H8980_005_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8980	005	0	1	04	01	H8980_005_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8980	005	0	1	04	01	H8980_005_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8980	005	0	1	04	01	H8980_005_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8980	006	0	1	04	01	H8980_006_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H8980	006	0	1	04	01	H8980_006_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H8980	006	0	1	04	01	H8980_006_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H8980	006	0	1	04	01	H8980_006_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H8980	006	0	1	04	01	H8980_006_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H8991	017	0	1	01	01	H8991_017_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H8991	017	0	1	01	01	H8991_017_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H8991	017	0	1	01	01	H8991_017_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H8991	017	0	1	01	01	H8991_017_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H8991	017	0	1	01	01	H8991_017_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H8991	017	0	1	01	01	H8991_017_0	10	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H8991	028	0	1	01	01	H8991_028_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H8991	028	0	1	01	01	H8991_028_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H8991	028	0	1	01	01	H8991_028_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000101	1						
H8991	028	0	1	01	01	H8991_028_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100100	1						
H8991	028	0	1	01	01	H8991_028_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H8991	028	0	1	01	01	H8991_028_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	001000	1						
H9001	013	0	1	02	01	H9001_013_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	013	0	1	02	01	H9001_013_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	013	0	1	02	01	H9001_013_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	013	0	1	02	01	H9001_013_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	013	0	1	02	01	H9001_013_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	015	0	1	01	01	H9001_015_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	015	0	1	01	01	H9001_015_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	015	0	1	01	01	H9001_015_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	015	0	1	01	01	H9001_015_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	015	0	1	01	01	H9001_015_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	019	0	1	01	01	H9001_019_0	7	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand	3	2	2	000001	1						
H9001	019	0	1	01	01	H9001_019_0	7	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand	3	3	2	100000	1						
H9001	019	0	1	01	01	H9001_019_0	7	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand	3	1	2	001000	1						
H9001	030	1	1	01	01	H9001_030_1	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	030	1	1	01	01	H9001_030_1	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	030	1	1	01	01	H9001_030_1	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	030	1	1	01	01	H9001_030_1	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	030	1	1	01	01	H9001_030_1	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	030	2	1	01	01	H9001_030_2	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	030	2	1	01	01	H9001_030_2	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	030	2	1	01	01	H9001_030_2	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	030	2	1	01	01	H9001_030_2	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	030	2	1	01	01	H9001_030_2	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	030	4	1	01	01	H9001_030_4	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	030	4	1	01	01	H9001_030_4	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	030	4	1	01	01	H9001_030_4	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	030	4	1	01	01	H9001_030_4	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	030	4	1	01	01	H9001_030_4	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	030	5	1	01	01	H9001_030_5	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	030	5	1	01	01	H9001_030_5	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	030	5	1	01	01	H9001_030_5	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	030	5	1	01	01	H9001_030_5	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	030	5	1	01	01	H9001_030_5	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	031	1	1	01	01	H9001_031_1	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	031	1	1	01	01	H9001_031_1	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	031	1	1	01	01	H9001_031_1	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	031	1	1	01	01	H9001_031_1	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	031	1	1	01	01	H9001_031_1	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	031	2	1	01	01	H9001_031_2	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	031	2	1	01	01	H9001_031_2	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	031	2	1	01	01	H9001_031_2	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	031	2	1	01	01	H9001_031_2	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	031	2	1	01	01	H9001_031_2	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	031	4	1	01	01	H9001_031_4	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	031	4	1	01	01	H9001_031_4	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	031	4	1	01	01	H9001_031_4	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	031	4	1	01	01	H9001_031_4	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	031	4	1	01	01	H9001_031_4	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	031	6	1	01	01	H9001_031_6	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	031	6	1	01	01	H9001_031_6	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	031	6	1	01	01	H9001_031_6	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	031	6	1	01	01	H9001_031_6	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	031	6	1	01	01	H9001_031_6	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	032	1	1	01	01	H9001_032_1	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	032	1	1	01	01	H9001_032_1	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	032	1	1	01	01	H9001_032_1	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	032	1	1	01	01	H9001_032_1	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	032	1	1	01	01	H9001_032_1	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	032	2	1	01	01	H9001_032_2	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	032	2	1	01	01	H9001_032_2	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	032	2	1	01	01	H9001_032_2	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	032	2	1	01	01	H9001_032_2	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	032	2	1	01	01	H9001_032_2	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	032	4	1	01	01	H9001_032_4	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	032	4	1	01	01	H9001_032_4	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	032	4	1	01	01	H9001_032_4	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	032	4	1	01	01	H9001_032_4	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	032	4	1	01	01	H9001_032_4	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	032	5	1	01	01	H9001_032_5	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	032	5	1	01	01	H9001_032_5	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	032	5	1	01	01	H9001_032_5	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	032	5	1	01	01	H9001_032_5	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	032	5	1	01	01	H9001_032_5	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	032	6	1	01	01	H9001_032_6	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	032	6	1	01	01	H9001_032_6	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	032	6	1	01	01	H9001_032_6	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	032	6	1	01	01	H9001_032_6	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9001	032	6	1	01	01	H9001_032_6	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	033	0	1	02	01	H9001_033_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9001	033	0	1	02	01	H9001_033_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	100100	1						
H9001	033	0	1	02	01	H9001_033_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9001	033	0	1	02	01	H9001_033_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9001	033	0	1	02	01	H9001_033_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9003	001	0	1	01	01	H9003_001_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H9003	001	0	1	01	01	H9003_001_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	15.00				
H9003	001	0	1	01	01	H9003_001_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	15.00				
H9003	001	0	1	01	01	H9003_001_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	15.00				
H9003	001	0	1	01	01	H9003_001_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H9003	001	0	1	01	01	H9003_001_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H9003	006	0	1	01	01	H9003_006_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1	2	5.00				
H9003	006	0	1	01	01	H9003_006_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	000001	1	2	0.00				
H9003	006	0	1	01	01	H9003_006_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	100001	1	2	15.00				
H9003	006	0	1	01	01	H9003_006_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1	2	5.00				
H9003	006	0	1	01	01	H9003_006_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000001	1	2	15.00				
H9003	006	0	1	01	01	H9003_006_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100000	1	2	15.00				
H9047	001	0	1	01	01	H9047_001_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	2	2	000100	1						
H9047	001	0	1	01	01	H9047_001_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	1	2	001000	1						
H9047	001	0	1	01	01	H9047_001_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	6	2	010010	1						
H9047	001	0	1	01	01	H9047_001_0	10	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	5	2	010010	1						
H9047	001	0	1	01	01	H9047_001_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	4	2	100000	1						
H9047	001	0	1	01	01	H9047_001_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	3	2	000001	1						
H9047	013	0	2	01	01	H9047_013_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H9047	013	0	2	01	01	H9047_013_0	11	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H9047	013	0	2	01	01	H9047_013_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H9047	013	0	2	01	01	H9047_013_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H9047	013	0	2	01	01	H9047_013_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H9047	013	0	2	01	01	H9047_013_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H9047	024	0	1	02	01	H9047_024_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H9047	024	0	1	02	01	H9047_024_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H9047	024	0	1	02	01	H9047_024_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H9047	024	0	1	02	01	H9047_024_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H9047	024	0	1	02	01	H9047_024_0	13	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H9047	024	0	1	02	01	H9047_024_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H9047	037	0	1	02	01	H9047_037_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	2	2	000100	1						
H9047	037	0	1	02	01	H9047_037_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	1	2	001000	1						
H9047	037	0	1	02	01	H9047_037_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	3	2	000001	1						
H9047	037	0	1	02	01	H9047_037_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	6	2	010010	1						
H9047	037	0	1	02	01	H9047_037_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	5	2	010010	1						
H9047	037	0	1	02	01	H9047_037_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	4	2	100000	1						
H9047	038	0	1	02	01	H9047_038_0	9	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
H9047	038	0	1	02	01	H9047_038_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
H9047	038	0	1	02	01	H9047_038_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	000001	1						
H9047	038	0	1	02	01	H9047_038_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	100000	1						
H9047	038	0	1	02	01	H9047_038_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
H9047	038	0	1	02	01	H9047_038_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
H9047	039	0	1	02	01	H9047_039_0	10	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	5	2	010010	1						
H9047	039	0	1	02	01	H9047_039_0	10	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	4	2	100000	1						
H9047	039	0	1	02	01	H9047_039_0	10	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	3	2	000001	1						
H9047	039	0	1	02	01	H9047_039_0	10	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	2	2	000100	1						
H9047	039	0	1	02	01	H9047_039_0	10	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	6	2	010010	1						
H9047	039	0	1	02	01	H9047_039_0	10	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	3	1	2	001000	1						
H9104	006	0	1	01	01	H9104_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9104	006	0	1	01	01	H9104_006_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9104	006	0	1	01	01	H9104_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9104	006	0	1	01	01	H9104_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9104	006	0	1	01	01	H9104_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9104	006	0	1	01	01	H9104_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9110	002	0	1	01	01	H9110_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9110	002	0	1	01	01	H9110_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9110	002	0	1	01	01	H9110_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9110	002	0	1	01	01	H9110_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9110	002	0	1	01	01	H9110_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9115	001	0	1	48	05	H9115_001_0	6	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H9115	001	0	1	48	05	H9115_001_0	6	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H9115	001	0	1	48	05	H9115_001_0	6	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H9122	001	0	1	01	01	H9122_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9122	001	0	1	01	01	H9122_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9122	001	0	1	01	01	H9122_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9122	001	0	1	01	01	H9122_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9122	001	0	1	01	01	H9122_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	003	0	1	01	01	H9190_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9190	003	0	1	01	01	H9190_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9190	003	0	1	01	01	H9190_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9190	003	0	1	01	01	H9190_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9190	003	0	1	01	01	H9190_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9190	003	0	1	01	01	H9190_003_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9190	004	0	1	01	01	H9190_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9190	004	0	1	01	01	H9190_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9190	004	0	1	01	01	H9190_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9190	004	0	1	01	01	H9190_004_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9190	004	0	1	01	01	H9190_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9190	004	0	1	01	01	H9190_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9190	005	0	1	01	01	H9190_005_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	005	0	1	01	01	H9190_005_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	005	0	1	01	01	H9190_005_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	005	0	1	01	01	H9190_005_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	005	0	1	01	01	H9190_005_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	006	0	1	01	01	H9190_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	006	0	1	01	01	H9190_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	006	0	1	01	01	H9190_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	006	0	1	01	01	H9190_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	006	0	1	01	01	H9190_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	009	0	1	01	01	H9190_009_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9190	009	0	1	01	01	H9190_009_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9190	009	0	1	01	01	H9190_009_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9190	009	0	1	01	01	H9190_009_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9190	009	0	1	01	01	H9190_009_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9190	009	0	1	01	01	H9190_009_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9190	010	0	1	01	01	H9190_010_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9190	010	0	1	01	01	H9190_010_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9190	010	0	1	01	01	H9190_010_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9190	010	0	1	01	01	H9190_010_0	6	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9190	010	0	1	01	01	H9190_010_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9190	010	0	1	01	01	H9190_010_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9190	011	0	1	01	01	H9190_011_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	011	0	1	01	01	H9190_011_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	011	0	1	01	01	H9190_011_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	011	0	1	01	01	H9190_011_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	011	0	1	01	01	H9190_011_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	012	0	1	01	01	H9190_012_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	012	0	1	01	01	H9190_012_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	012	0	1	01	01	H9190_012_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	012	0	1	01	01	H9190_012_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	012	0	1	01	01	H9190_012_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	015	0	1	01	01	H9190_015_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9190	015	0	1	01	01	H9190_015_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9190	015	0	1	01	01	H9190_015_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9190	015	0	1	01	01	H9190_015_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9190	015	0	1	01	01	H9190_015_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9190	015	0	1	01	01	H9190_015_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9190	016	0	1	01	01	H9190_016_0	7	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9190	016	0	1	01	01	H9190_016_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9190	016	0	1	01	01	H9190_016_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9190	016	0	1	01	01	H9190_016_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9190	016	0	1	01	01	H9190_016_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9190	016	0	1	01	01	H9190_016_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9190	017	0	1	01	01	H9190_017_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	017	0	1	01	01	H9190_017_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	017	0	1	01	01	H9190_017_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	017	0	1	01	01	H9190_017_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	017	0	1	01	01	H9190_017_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	018	0	1	01	01	H9190_018_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	018	0	1	01	01	H9190_018_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	018	0	1	01	01	H9190_018_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	018	0	1	01	01	H9190_018_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	018	0	1	01	01	H9190_018_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	019	0	1	01	01	H9190_019_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	019	0	1	01	01	H9190_019_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	019	0	1	01	01	H9190_019_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	019	0	1	01	01	H9190_019_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	019	0	1	01	01	H9190_019_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	020	0	1	01	01	H9190_020_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9190	020	0	1	01	01	H9190_020_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	020	0	1	01	01	H9190_020_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	020	0	1	01	01	H9190_020_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	020	0	1	01	01	H9190_020_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	021	0	1	01	01	H9190_021_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9190	021	0	1	01	01	H9190_021_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9190	021	0	1	01	01	H9190_021_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9190	021	0	1	01	01	H9190_021_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9190	021	0	1	01	01	H9190_021_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9207	002	0	1	01	01	H9207_002_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H9207	002	0	1	01	01	H9207_002_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H9207	002	0	1	01	01	H9207_002_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H9207	002	0	1	01	01	H9207_002_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H9207	003	0	1	01	01	H9207_003_0	8	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
H9207	003	0	1	01	01	H9207_003_0	8	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
H9207	003	0	1	01	01	H9207_003_0	8	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
H9207	003	0	1	01	01	H9207_003_0	8	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
H9208	001	0	1	01	01	H9208_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9208	001	0	1	01	01	H9208_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9208	001	0	1	01	01	H9208_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9208	001	0	1	01	01	H9208_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9208	001	0	1	01	01	H9208_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H9208	002	0	1	01	01	H9208_002_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9208	002	0	1	01	01	H9208_002_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9208	002	0	1	01	01	H9208_002_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H9208	002	0	1	01	01	H9208_002_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9208	002	0	1	01	01	H9208_002_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9264	001	0	1	48	05	H9264_001_0	4	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H9264	001	0	1	48	05	H9264_001_0	4	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H9264	001	0	1	48	05	H9264_001_0	4	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H9285	001	0	1	01	01	H9285_001_0	8	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H9285	001	0	1	01	01	H9285_001_0	8	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H9285	001	0	1	01	01	H9285_001_0	8	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H9285	001	0	1	01	01	H9285_001_0	8	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H9285	003	0	1	01	01	H9285_003_0	9	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H9285	003	0	1	01	01	H9285_003_0	9	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	3						
H9285	003	0	1	01	01	H9285_003_0	9	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	3						
H9285	003	0	1	01	01	H9285_003_0	9	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
H9302	003	0	1	01	01	H9302_003_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9302	003	0	1	01	01	H9302_003_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9302	003	0	1	01	01	H9302_003_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9302	003	0	1	01	01	H9302_003_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H9302	003	0	1	01	01	H9302_003_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9302	007	0	1	01	01	H9302_007_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9302	007	0	1	01	01	H9302_007_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9302	007	0	1	01	01	H9302_007_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9302	007	0	1	01	01	H9302_007_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9302	007	0	1	01	01	H9302_007_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H9302	011	0	1	01	01	H9302_011_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9302	011	0	1	01	01	H9302_011_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9302	011	0	1	01	01	H9302_011_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9302	011	0	1	01	01	H9302_011_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9302	011	0	1	01	01	H9302_011_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H9345	001	0	1	48	05	H9345_001_0	7	Non-Medicare Rx Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	3	2	010010					2	0.00	0.00
H9345	001	0	1	48	05	H9345_001_0	7	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	2	2	000010					1	0.00	0.00
H9345	001	0	1	48	05	H9345_001_0	7	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	1	2	010000					1	0.00	0.00
H9345	001	0	1	48	05	H9345_001_0	7	Non-Medicare OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx Drugs, Non-Medicare OTC Drugs	4	4	2	010010					2	0.00	0.00
H9385	002	0	1	01	01	H9385_002_0	9	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	6	2	000010	1						
H9385	002	0	1	01	01	H9385_002_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	4	2	100000	1						
H9385	002	0	1	01	01	H9385_002_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	3	2	000001	1						
H9385	002	0	1	01	01	H9385_002_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	2	2	000100	1						
H9385	002	0	1	01	01	H9385_002_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	1	2	001000	1						
H9385	002	0	1	01	01	H9385_002_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	4	5	2	010010	1						
H9412	003	0	1	04	01	H9412_003_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9412	003	0	1	04	01	H9412_003_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9412	003	0	1	04	01	H9412_003_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9412	003	0	1	04	01	H9412_003_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9412	003	0	1	04	01	H9412_003_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9487	001	0	1	48	05	H9487_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H9487	001	0	1	48	05	H9487_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H9487	001	0	1	48	05	H9487_001_0	5	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H9492	001	0	1	01	01	H9492_001_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	000010	1						
H9492	001	0	1	01	01	H9492_001_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9492	001	0	1	01	01	H9492_001_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9492	001	0	1	01	01	H9492_001_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9492	001	0	1	01	01	H9492_001_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9525	003	0	1	01	01	H9525_003_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9525	003	0	1	01	01	H9525_003_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9525	003	0	1	01	01	H9525_003_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9525	003	0	1	01	01	H9525_003_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9525	003	0	1	01	01	H9525_003_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9525	003	0	1	01	01	H9525_003_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9525	004	0	1	01	01	H9525_004_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9525	004	0	1	01	01	H9525_004_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9525	004	0	1	01	01	H9525_004_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9525	004	0	1	01	01	H9525_004_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9525	004	0	1	01	01	H9525_004_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9525	004	0	1	01	01	H9525_004_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9525	005	0	1	01	01	H9525_005_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9525	005	0	1	01	01	H9525_005_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9525	005	0	1	01	01	H9525_005_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9525	005	0	1	01	01	H9525_005_0	11	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9525	005	0	1	01	01	H9525_005_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9525	005	0	1	01	01	H9525_005_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9572	001	1	1	04	01	H9572_001_1	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	001	1	1	04	01	H9572_001_1	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	001	1	1	04	01	H9572_001_1	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	001	1	1	04	01	H9572_001_1	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	001	1	1	04	01	H9572_001_1	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	001	2	1	04	01	H9572_001_2	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	001	2	1	04	01	H9572_001_2	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	001	2	1	04	01	H9572_001_2	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	001	2	1	04	01	H9572_001_2	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	001	2	1	04	01	H9572_001_2	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	001	3	1	04	01	H9572_001_3	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	001	3	1	04	01	H9572_001_3	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	001	3	1	04	01	H9572_001_3	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	001	3	1	04	01	H9572_001_3	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	001	3	1	04	01	H9572_001_3	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	001	4	1	04	01	H9572_001_4	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	001	4	1	04	01	H9572_001_4	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	001	4	1	04	01	H9572_001_4	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	001	4	1	04	01	H9572_001_4	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	001	4	1	04	01	H9572_001_4	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	001	6	1	04	01	H9572_001_6	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	001	6	1	04	01	H9572_001_6	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	001	6	1	04	01	H9572_001_6	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	001	6	1	04	01	H9572_001_6	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	001	6	1	04	01	H9572_001_6	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	003	1	1	04	01	H9572_003_1	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	003	1	1	04	01	H9572_003_1	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	003	1	1	04	01	H9572_003_1	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	003	1	1	04	01	H9572_003_1	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	003	1	1	04	01	H9572_003_1	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	003	2	1	04	01	H9572_003_2	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	003	2	1	04	01	H9572_003_2	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	003	2	1	04	01	H9572_003_2	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	003	2	1	04	01	H9572_003_2	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	003	2	1	04	01	H9572_003_2	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	003	3	1	04	01	H9572_003_3	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	003	3	1	04	01	H9572_003_3	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	003	3	1	04	01	H9572_003_3	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	003	3	1	04	01	H9572_003_3	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	003	3	1	04	01	H9572_003_3	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	003	4	1	04	01	H9572_003_4	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	003	4	1	04	01	H9572_003_4	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	003	4	1	04	01	H9572_003_4	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	003	4	1	04	01	H9572_003_4	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	003	4	1	04	01	H9572_003_4	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9572	003	6	1	04	01	H9572_003_6	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9572	003	6	1	04	01	H9572_003_6	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9572	003	6	1	04	01	H9572_003_6	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9572	003	6	1	04	01	H9572_003_6	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9572	003	6	1	04	01	H9572_003_6	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9615	007	0	1	04	01	H9615_007_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H9615	007	0	1	04	01	H9615_007_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H9615	007	0	1	04	01	H9615_007_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000101	1						
H9615	007	0	1	04	01	H9615_007_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100100	1						
H9615	007	0	1	04	01	H9615_007_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	010010	1						
H9615	007	0	1	04	01	H9615_007_0	7	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H9689	001	0	1	01	01	H9689_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
H9689	001	0	1	01	01	H9689_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
H9689	001	0	1	01	01	H9689_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	100000	1						
H9689	001	0	1	01	01	H9689_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
H9689	001	0	1	01	01	H9689_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
H9699	001	0	1	01	01	H9699_001_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9699	001	0	1	01	01	H9699_001_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H9699	001	0	1	01	01	H9699_001_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9699	001	0	1	01	01	H9699_001_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9699	001	0	1	01	01	H9699_001_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9712	001	0	1	48	05	H9712_001_0	5	Brand Drugs	Generic Drugs, Brand Drugs	4	2	2	000010					3	0.00	0.00
H9712	001	0	1	48	05	H9712_001_0	5	Generic Drugs	Generic Drugs, Brand Drugs	4	1	2	010000					3	0.00	0.00
H9725	001	0	1	01	01	H9725_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
H9725	001	0	1	01	01	H9725_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9725	001	0	1	01	01	H9725_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9725	001	0	1	01	01	H9725_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9725	001	0	1	01	01	H9725_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9730	002	0	1	02	01	H9730_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9730	002	0	1	02	01	H9730_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9730	002	0	1	02	01	H9730_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9730	002	0	1	02	01	H9730_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9730	002	0	1	02	01	H9730_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9730	003	0	1	01	01	H9730_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
H9730	003	0	1	01	01	H9730_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H9730	003	0	1	01	01	H9730_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H9730	003	0	1	01	01	H9730_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
H9730	003	0	1	01	01	H9730_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H9795	001	0	1	48	05	H9795_001_0	9	Non-Medicare Rx/OTC Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	3	2	010010					2	0.00	0.00
H9795	001	0	1	48	05	H9795_001_0	9	Brand Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	2	2	000010					1	0.00	0.00
H9795	001	0	1	48	05	H9795_001_0	9	Generic Drugs	Generic Drugs, Brand Drugs, Non-Medicare Rx/OTC Drugs	4	1	2	010000					1	0.00	0.00
H9834	001	0	1	01	01	H9834_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H9834	001	0	1	01	01	H9834_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H9834	001	0	1	01	01	H9834_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H9834	001	0	1	01	01	H9834_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H9834	001	0	1	01	01	H9834_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H9834	003	0	1	01	01	H9834_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
H9834	003	0	1	01	01	H9834_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
H9834	003	0	1	01	01	H9834_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
H9834	003	0	1	01	01	H9834_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
H9834	003	0	1	01	01	H9834_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
H9847	001	0	1	04	01	H9847_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9847	001	0	1	04	01	H9847_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9847	001	0	1	04	01	H9847_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H9847	001	0	1	04	01	H9847_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H9847	001	0	1	04	01	H9847_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9847	005	0	1	04	01	H9847_005_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9847	005	0	1	04	01	H9847_005_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9847	005	0	1	04	01	H9847_005_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
H9847	005	0	1	04	01	H9847_005_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
H9847	005	0	1	04	01	H9847_005_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9857	001	0	1	01	01	H9857_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9857	001	0	1	01	01	H9857_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9857	001	0	1	01	01	H9857_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9857	001	0	1	01	01	H9857_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9857	001	0	1	01	01	H9857_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9859	002	0	1	02	01	H9859_002_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	010010	1						
H9859	002	0	1	02	01	H9859_002_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100100	1						
H9859	002	0	1	02	01	H9859_002_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000101	1						
H9859	002	0	1	02	01	H9859_002_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H9859	002	0	1	02	01	H9859_002_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H9859	002	0	1	02	01	H9859_002_0	8	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H9859	013	0	1	02	01	H9859_013_0	9	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	5	2	010010	1						
H9859	013	0	1	02	01	H9859_013_0	9	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	4	2	100100	1						
H9859	013	0	1	02	01	H9859_013_0	9	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	3	2	000101	1						
H9859	013	0	1	02	01	H9859_013_0	9	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	2	2	000100	1						
H9859	013	0	1	02	01	H9859_013_0	9	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	1	2	001000	1						
H9859	013	0	1	02	01	H9859_013_0	9	Vaccines	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Vaccines	4	6	2	010010	1						
H9886	003	0	1	01	01	H9886_003_0	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9886	003	0	1	01	01	H9886_003_0	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9886	003	0	1	01	01	H9886_003_0	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9886	003	0	1	01	01	H9886_003_0	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9886	003	0	1	01	01	H9886_003_0	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9886	003	0	1	01	01	H9886_003_0	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9886	004	0	1	01	01	H9886_004_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9886	004	0	1	01	01	H9886_004_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9886	004	0	1	01	01	H9886_004_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9886	004	0	1	01	01	H9886_004_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9886	004	0	1	01	01	H9886_004_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9886	004	0	1	01	01	H9886_004_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9915	001	0	1	01	01	H9915_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9915	001	0	1	01	01	H9915_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9915	001	0	1	01	01	H9915_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9915	001	0	1	01	01	H9915_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9915	001	0	1	01	01	H9915_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9915	007	0	1	01	01	H9915_007_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H9915	007	0	1	01	01	H9915_007_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H9915	007	0	1	01	01	H9915_007_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H9915	007	0	1	01	01	H9915_007_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H9915	007	0	1	01	01	H9915_007_0	5	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	010010	1						
H9915	007	0	1	01	01	H9915_007_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H9915	008	0	1	01	01	H9915_008_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
H9915	008	0	1	01	01	H9915_008_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
H9915	008	0	1	01	01	H9915_008_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
H9915	008	0	1	01	01	H9915_008_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
H9915	008	0	1	01	01	H9915_008_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
H9915	010	0	1	01	01	H9915_010_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
H9915	010	0	1	01	01	H9915_010_0	6	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	010010	1						
H9915	010	0	1	01	01	H9915_010_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	010010	1						
H9915	010	0	1	01	01	H9915_010_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
H9915	010	0	1	01	01	H9915_010_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
H9915	010	0	1	01	01	H9915_010_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
H9947	005	1	1	04	01	H9947_005_1	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9947	005	1	1	04	01	H9947_005_1	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9947	005	1	1	04	01	H9947_005_1	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9947	005	1	1	04	01	H9947_005_1	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9947	005	1	1	04	01	H9947_005_1	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9947	005	1	1	04	01	H9947_005_1	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9947	005	2	1	04	01	H9947_005_2	13	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9947	005	2	1	04	01	H9947_005_2	13	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9947	005	2	1	04	01	H9947_005_2	13	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9947	005	2	1	04	01	H9947_005_2	13	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9947	005	2	1	04	01	H9947_005_2	13	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9947	005	2	1	04	01	H9947_005_2	13	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9954	002	0	1	01	01	H9954_002_0	14	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9954	002	0	1	01	01	H9954_002_0	14	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9954	002	0	1	01	01	H9954_002_0	14	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9954	002	0	1	01	01	H9954_002_0	14	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9954	002	0	1	01	01	H9954_002_0	14	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9954	002	0	1	01	01	H9954_002_0	14	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9954	004	0	1	01	01	H9954_004_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9954	004	0	1	01	01	H9954_004_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9954	004	0	1	01	01	H9954_004_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9954	004	0	1	01	01	H9954_004_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9954	004	0	1	01	01	H9954_004_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9954	004	0	1	01	01	H9954_004_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
H9954	005	0	1	01	01	H9954_005_0	15	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
H9954	005	0	1	01	01	H9954_005_0	15	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
H9954	005	0	1	01	01	H9954_005_0	15	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
H9954	005	0	1	01	01	H9954_005_0	15	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
H9954	005	0	1	01	01	H9954_005_0	15	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
H9954	005	0	1	01	01	H9954_005_0	15	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
R3332	001	0	1	31	11	R3332_001_0	11	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
R3332	001	0	1	31	11	R3332_001_0	11	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R3332	001	0	1	31	11	R3332_001_0	11	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R3332	001	0	1	31	11	R3332_001_0	11	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R3332	001	0	1	31	11	R3332_001_0	11	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	101101	1						
R3444	009	0	1	31	11	R3444_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R3444	009	0	1	31	11	R3444_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R3444	009	0	1	31	11	R3444_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R3444	009	0	1	31	11	R3444_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R3444	009	0	1	31	11	R3444_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R3444	012	0	1	31	11	R3444_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R3444	012	0	1	31	11	R3444_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R3444	012	0	1	31	11	R3444_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R3444	012	0	1	31	11	R3444_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R3444	012	0	1	31	11	R3444_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R5287	001	0	1	31	11	R5287_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R5287	001	0	1	31	11	R5287_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R5287	001	0	1	31	11	R5287_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R5287	001	0	1	31	11	R5287_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R5287	001	0	1	31	11	R5287_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5342	001	0	1	31	11	R5342_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R5342	001	0	1	31	11	R5342_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R5342	001	0	1	31	11	R5342_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R5342	001	0	1	31	11	R5342_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R5342	001	0	1	31	11	R5342_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	001	0	1	31	11	R5826_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	001	0	1	31	11	R5826_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	001	0	1	31	11	R5826_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	001	0	1	31	11	R5826_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	001	0	1	31	11	R5826_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	002	0	1	31	11	R5826_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	002	0	1	31	11	R5826_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	002	0	1	31	11	R5826_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	002	0	1	31	11	R5826_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	002	0	1	31	11	R5826_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	005	0	1	31	11	R5826_005_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
R5826	005	0	1	31	11	R5826_005_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
R5826	005	0	1	31	11	R5826_005_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
R5826	005	0	1	31	11	R5826_005_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
R5826	005	0	1	31	11	R5826_005_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
R5826	007	0	1	31	11	R5826_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	007	0	1	31	11	R5826_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	007	0	1	31	11	R5826_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	007	0	1	31	11	R5826_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	007	0	1	31	11	R5826_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	008	0	1	31	11	R5826_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	008	0	1	31	11	R5826_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	008	0	1	31	11	R5826_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	008	0	1	31	11	R5826_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	008	0	1	31	11	R5826_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	011	0	1	31	11	R5826_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	011	0	1	31	11	R5826_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	011	0	1	31	11	R5826_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	011	0	1	31	11	R5826_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	011	0	1	31	11	R5826_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	012	0	1	31	11	R5826_012_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
R5826	012	0	1	31	11	R5826_012_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
R5826	012	0	1	31	11	R5826_012_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
R5826	012	0	1	31	11	R5826_012_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
R5826	012	0	1	31	11	R5826_012_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
R5826	014	0	1	31	11	R5826_014_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	014	0	1	31	11	R5826_014_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	014	0	1	31	11	R5826_014_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	014	0	1	31	11	R5826_014_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	014	0	1	31	11	R5826_014_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	074	0	1	31	11	R5826_074_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	074	0	1	31	11	R5826_074_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	074	0	1	31	11	R5826_074_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	074	0	1	31	11	R5826_074_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	074	0	1	31	11	R5826_074_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	077	0	1	31	11	R5826_077_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	077	0	1	31	11	R5826_077_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	077	0	1	31	11	R5826_077_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	077	0	1	31	11	R5826_077_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	077	0	1	31	11	R5826_077_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	079	0	1	31	11	R5826_079_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
R5826	079	0	1	31	11	R5826_079_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001010	1						
R5826	079	0	1	31	11	R5826_079_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
R5826	079	0	1	31	11	R5826_079_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R5826	079	0	1	31	11	R5826_079_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
R5826	091	0	1	31	11	R5826_091_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
R5826	091	0	1	31	11	R5826_091_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
R5826	091	0	1	31	11	R5826_091_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
R5826	091	0	1	31	11	R5826_091_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
R5826	091	0	1	31	11	R5826_091_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
R5941	014	0	1	31	11	R5941_014_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
R5941	014	0	1	31	11	R5941_014_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
R5941	014	0	1	31	11	R5941_014_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
R5941	014	0	1	31	11	R5941_014_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
R5941	014	0	1	31	11	R5941_014_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
R5941	014	0	1	31	11	R5941_014_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
R5941	015	0	1	31	11	R5941_015_0	12	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	4	2	100100	1						
R5941	015	0	1	31	11	R5941_015_0	12	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	3	2	000101	1						
R5941	015	0	1	31	11	R5941_015_0	12	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	2	2	000100	1						
R5941	015	0	1	31	11	R5941_015_0	12	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	1	2	001000	1						
R5941	015	0	1	31	11	R5941_015_0	12	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	5	2	010010	1						
R5941	015	0	1	31	11	R5941_015_0	12	Select Care Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Care Drugs	3	6	2	001000	1						
R6801	008	0	1	31	11	R6801_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
R6801	008	0	1	31	11	R6801_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
R6801	008	0	1	31	11	R6801_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
R6801	008	0	1	31	11	R6801_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
R6801	008	0	1	31	11	R6801_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
R6801	009	0	1	31	11	R6801_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R6801	009	0	1	31	11	R6801_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R6801	009	0	1	31	11	R6801_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R6801	009	0	1	31	11	R6801_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R6801	009	0	1	31	11	R6801_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R6801	012	0	1	31	11	R6801_012_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R6801	012	0	1	31	11	R6801_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R6801	012	0	1	31	11	R6801_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R6801	012	0	1	31	11	R6801_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R6801	012	0	1	31	11	R6801_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R7444	001	0	1	31	11	R7444_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R7444	001	0	1	31	11	R7444_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R7444	001	0	1	31	11	R7444_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R7444	001	0	1	31	11	R7444_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R7444	001	0	1	31	11	R7444_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R9896	009	0	1	31	11	R9896_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R9896	009	0	1	31	11	R9896_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R9896	009	0	1	31	11	R9896_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R9896	009	0	1	31	11	R9896_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
R9896	009	0	1	31	11	R9896_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R9896	012	0	1	31	11	R9896_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
R9896	012	0	1	31	11	R9896_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
R9896	012	0	1	31	11	R9896_012_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
R9896	012	0	1	31	11	R9896_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
R9896	012	0	1	31	11	R9896_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S0064	001	0		29	10	S0064_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	001	0		29	10	S0064_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	001	0		29	10	S0064_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	001	0		29	10	S0064_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	001	0		29	10	S0064_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	002	0		29	10	S0064_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	002	0		29	10	S0064_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	002	0		29	10	S0064_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	002	0		29	10	S0064_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	002	0		29	10	S0064_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	003	0		29	10	S0064_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	003	0		29	10	S0064_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	003	0		29	10	S0064_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	003	0		29	10	S0064_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	003	0		29	10	S0064_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	004	0		29	10	S0064_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	004	0		29	10	S0064_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	004	0		29	10	S0064_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	004	0		29	10	S0064_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	004	0		29	10	S0064_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	005	0		29	10	S0064_005_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	005	0		29	10	S0064_005_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	005	0		29	10	S0064_005_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	005	0		29	10	S0064_005_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	005	0		29	10	S0064_005_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	006	0		29	10	S0064_006_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	006	0		29	10	S0064_006_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	006	0		29	10	S0064_006_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	006	0		29	10	S0064_006_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	006	0		29	10	S0064_006_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	007	0		29	10	S0064_007_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	007	0		29	10	S0064_007_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	007	0		29	10	S0064_007_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	007	0		29	10	S0064_007_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	007	0		29	10	S0064_007_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	008	0		29	10	S0064_008_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	008	0		29	10	S0064_008_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	008	0		29	10	S0064_008_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	008	0		29	10	S0064_008_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	008	0		29	10	S0064_008_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	009	0		29	10	S0064_009_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	009	0		29	10	S0064_009_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	009	0		29	10	S0064_009_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	009	0		29	10	S0064_009_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	009	0		29	10	S0064_009_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	010	0		29	10	S0064_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	010	0		29	10	S0064_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	010	0		29	10	S0064_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	010	0		29	10	S0064_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	010	0		29	10	S0064_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	011	0		29	10	S0064_011_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	011	0		29	10	S0064_011_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	011	0		29	10	S0064_011_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	011	0		29	10	S0064_011_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	011	0		29	10	S0064_011_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	012	0		29	10	S0064_012_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	012	0		29	10	S0064_012_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	012	0		29	10	S0064_012_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	012	0		29	10	S0064_012_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	012	0		29	10	S0064_012_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	013	0		29	10	S0064_013_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	013	0		29	10	S0064_013_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	013	0		29	10	S0064_013_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	013	0		29	10	S0064_013_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	013	0		29	10	S0064_013_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	014	0		29	10	S0064_014_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	014	0		29	10	S0064_014_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	014	0		29	10	S0064_014_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	014	0		29	10	S0064_014_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	014	0		29	10	S0064_014_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	015	0		29	10	S0064_015_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	015	0		29	10	S0064_015_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	015	0		29	10	S0064_015_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	015	0		29	10	S0064_015_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	015	0		29	10	S0064_015_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	016	0		29	10	S0064_016_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	016	0		29	10	S0064_016_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	016	0		29	10	S0064_016_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	016	0		29	10	S0064_016_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	016	0		29	10	S0064_016_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	017	0		29	10	S0064_017_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	017	0		29	10	S0064_017_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	017	0		29	10	S0064_017_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	017	0		29	10	S0064_017_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	017	0		29	10	S0064_017_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	018	0		29	10	S0064_018_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	018	0		29	10	S0064_018_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	018	0		29	10	S0064_018_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	018	0		29	10	S0064_018_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	018	0		29	10	S0064_018_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	019	0		29	10	S0064_019_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	019	0		29	10	S0064_019_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	019	0		29	10	S0064_019_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	019	0		29	10	S0064_019_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	019	0		29	10	S0064_019_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	020	0		29	10	S0064_020_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	020	0		29	10	S0064_020_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	020	0		29	10	S0064_020_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	020	0		29	10	S0064_020_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	020	0		29	10	S0064_020_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	021	0		29	10	S0064_021_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	021	0		29	10	S0064_021_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	021	0		29	10	S0064_021_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	021	0		29	10	S0064_021_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	021	0		29	10	S0064_021_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	022	0		29	10	S0064_022_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	022	0		29	10	S0064_022_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	022	0		29	10	S0064_022_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	022	0		29	10	S0064_022_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	022	0		29	10	S0064_022_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	023	0		29	10	S0064_023_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	023	0		29	10	S0064_023_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	023	0		29	10	S0064_023_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	023	0		29	10	S0064_023_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	023	0		29	10	S0064_023_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	024	0		29	10	S0064_024_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	024	0		29	10	S0064_024_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	024	0		29	10	S0064_024_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	024	0		29	10	S0064_024_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	024	0		29	10	S0064_024_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	025	0		29	10	S0064_025_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	025	0		29	10	S0064_025_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	025	0		29	10	S0064_025_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	025	0		29	10	S0064_025_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	025	0		29	10	S0064_025_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	026	0		29	10	S0064_026_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	026	0		29	10	S0064_026_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	026	0		29	10	S0064_026_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	026	0		29	10	S0064_026_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	026	0		29	10	S0064_026_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	027	0		29	10	S0064_027_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	027	0		29	10	S0064_027_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	027	0		29	10	S0064_027_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	027	0		29	10	S0064_027_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	027	0		29	10	S0064_027_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	028	0		29	10	S0064_028_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	028	0		29	10	S0064_028_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	028	0		29	10	S0064_028_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	028	0		29	10	S0064_028_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	028	0		29	10	S0064_028_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	029	0		29	10	S0064_029_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	029	0		29	10	S0064_029_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	029	0		29	10	S0064_029_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	029	0		29	10	S0064_029_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	029	0		29	10	S0064_029_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	030	0		29	10	S0064_030_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	030	0		29	10	S0064_030_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	030	0		29	10	S0064_030_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	030	0		29	10	S0064_030_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	030	0		29	10	S0064_030_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	031	0		29	10	S0064_031_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	031	0		29	10	S0064_031_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	031	0		29	10	S0064_031_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	031	0		29	10	S0064_031_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	031	0		29	10	S0064_031_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	032	0		29	10	S0064_032_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	032	0		29	10	S0064_032_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	032	0		29	10	S0064_032_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	032	0		29	10	S0064_032_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	032	0		29	10	S0064_032_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	033	0		29	10	S0064_033_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	033	0		29	10	S0064_033_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	033	0		29	10	S0064_033_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	033	0		29	10	S0064_033_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	033	0		29	10	S0064_033_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	034	0		29	10	S0064_034_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	034	0		29	10	S0064_034_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	034	0		29	10	S0064_034_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	034	0		29	10	S0064_034_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	034	0		29	10	S0064_034_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0064	035	0		29	10	S0064_035_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S0064	035	0		29	10	S0064_035_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S0064	035	0		29	10	S0064_035_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S0064	035	0		29	10	S0064_035_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S0064	035	0		29	10	S0064_035_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	001	0		29	10	S0522_001_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	001	0		29	10	S0522_001_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	001	0		29	10	S0522_001_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	001	0		29	10	S0522_001_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	001	0		29	10	S0522_001_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	002	0		29	10	S0522_002_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	002	0		29	10	S0522_002_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	002	0		29	10	S0522_002_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	002	0		29	10	S0522_002_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	002	0		29	10	S0522_002_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	004	0		29	10	S0522_004_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	004	0		29	10	S0522_004_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	004	0		29	10	S0522_004_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	004	0		29	10	S0522_004_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	004	0		29	10	S0522_004_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	006	0		29	10	S0522_006_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	006	0		29	10	S0522_006_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	006	0		29	10	S0522_006_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	006	0		29	10	S0522_006_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	006	0		29	10	S0522_006_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	008	0		29	10	S0522_008_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	008	0		29	10	S0522_008_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	008	0		29	10	S0522_008_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	008	0		29	10	S0522_008_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	008	0		29	10	S0522_008_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	010	0		29	10	S0522_010_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	010	0		29	10	S0522_010_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	010	0		29	10	S0522_010_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	010	0		29	10	S0522_010_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	010	0		29	10	S0522_010_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	012	0		29	10	S0522_012_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	012	0		29	10	S0522_012_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	012	0		29	10	S0522_012_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	012	0		29	10	S0522_012_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	012	0		29	10	S0522_012_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	014	0		29	10	S0522_014_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	014	0		29	10	S0522_014_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	014	0		29	10	S0522_014_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	014	0		29	10	S0522_014_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	014	0		29	10	S0522_014_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	016	0		29	10	S0522_016_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	016	0		29	10	S0522_016_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	016	0		29	10	S0522_016_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	016	0		29	10	S0522_016_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	016	0		29	10	S0522_016_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	018	0		29	10	S0522_018_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	018	0		29	10	S0522_018_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	018	0		29	10	S0522_018_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	018	0		29	10	S0522_018_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	018	0		29	10	S0522_018_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	020	0		29	10	S0522_020_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	020	0		29	10	S0522_020_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	020	0		29	10	S0522_020_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	020	0		29	10	S0522_020_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	020	0		29	10	S0522_020_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	022	0		29	10	S0522_022_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	022	0		29	10	S0522_022_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	022	0		29	10	S0522_022_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	022	0		29	10	S0522_022_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	022	0		29	10	S0522_022_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	024	0		29	10	S0522_024_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	024	0		29	10	S0522_024_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	024	0		29	10	S0522_024_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	024	0		29	10	S0522_024_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	024	0		29	10	S0522_024_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	026	0		29	10	S0522_026_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	026	0		29	10	S0522_026_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	026	0		29	10	S0522_026_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	026	0		29	10	S0522_026_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	026	0		29	10	S0522_026_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	028	0		29	10	S0522_028_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	028	0		29	10	S0522_028_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	028	0		29	10	S0522_028_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	028	0		29	10	S0522_028_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	028	0		29	10	S0522_028_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	030	0		29	10	S0522_030_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	030	0		29	10	S0522_030_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	030	0		29	10	S0522_030_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	030	0		29	10	S0522_030_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	030	0		29	10	S0522_030_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	032	0		29	10	S0522_032_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	032	0		29	10	S0522_032_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	032	0		29	10	S0522_032_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	032	0		29	10	S0522_032_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	032	0		29	10	S0522_032_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	034	0		29	10	S0522_034_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	034	0		29	10	S0522_034_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	034	0		29	10	S0522_034_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	034	0		29	10	S0522_034_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	034	0		29	10	S0522_034_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	036	0		29	10	S0522_036_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	036	0		29	10	S0522_036_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	036	0		29	10	S0522_036_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	036	0		29	10	S0522_036_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	036	0		29	10	S0522_036_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	037	0		29	10	S0522_037_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	037	0		29	10	S0522_037_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	037	0		29	10	S0522_037_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	037	0		29	10	S0522_037_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	037	0		29	10	S0522_037_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	038	0		29	10	S0522_038_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	038	0		29	10	S0522_038_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	038	0		29	10	S0522_038_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	038	0		29	10	S0522_038_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	038	0		29	10	S0522_038_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	039	0		29	10	S0522_039_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	039	0		29	10	S0522_039_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	039	0		29	10	S0522_039_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	039	0		29	10	S0522_039_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	039	0		29	10	S0522_039_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	040	0		29	10	S0522_040_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	040	0		29	10	S0522_040_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	040	0		29	10	S0522_040_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	040	0		29	10	S0522_040_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	040	0		29	10	S0522_040_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	041	0		29	10	S0522_041_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	041	0		29	10	S0522_041_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	041	0		29	10	S0522_041_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	041	0		29	10	S0522_041_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	041	0		29	10	S0522_041_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	042	0		29	10	S0522_042_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	042	0		29	10	S0522_042_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	042	0		29	10	S0522_042_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	042	0		29	10	S0522_042_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	042	0		29	10	S0522_042_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	043	0		29	10	S0522_043_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	043	0		29	10	S0522_043_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	043	0		29	10	S0522_043_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	043	0		29	10	S0522_043_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	043	0		29	10	S0522_043_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	044	0		29	10	S0522_044_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	044	0		29	10	S0522_044_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	044	0		29	10	S0522_044_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	044	0		29	10	S0522_044_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	044	0		29	10	S0522_044_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	045	0		29	10	S0522_045_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	045	0		29	10	S0522_045_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	045	0		29	10	S0522_045_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	045	0		29	10	S0522_045_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	045	0		29	10	S0522_045_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	046	0		29	10	S0522_046_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	046	0		29	10	S0522_046_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	046	0		29	10	S0522_046_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	046	0		29	10	S0522_046_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	046	0		29	10	S0522_046_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	047	0		29	10	S0522_047_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0522	047	0		29	10	S0522_047_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0522	047	0		29	10	S0522_047_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S0522	047	0		29	10	S0522_047_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0522	047	0		29	10	S0522_047_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0522	048	0		29	10	S0522_048_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	048	0		29	10	S0522_048_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	048	0		29	10	S0522_048_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	048	0		29	10	S0522_048_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	048	0		29	10	S0522_048_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	049	0		29	10	S0522_049_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	049	0		29	10	S0522_049_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	049	0		29	10	S0522_049_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	049	0		29	10	S0522_049_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	049	0		29	10	S0522_049_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	050	0		29	10	S0522_050_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	050	0		29	10	S0522_050_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	050	0		29	10	S0522_050_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	050	0		29	10	S0522_050_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	050	0		29	10	S0522_050_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	051	0		29	10	S0522_051_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	051	0		29	10	S0522_051_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	051	0		29	10	S0522_051_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	051	0		29	10	S0522_051_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	051	0		29	10	S0522_051_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	052	0		29	10	S0522_052_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	052	0		29	10	S0522_052_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	052	0		29	10	S0522_052_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	052	0		29	10	S0522_052_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	052	0		29	10	S0522_052_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	053	0		29	10	S0522_053_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	053	0		29	10	S0522_053_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	053	0		29	10	S0522_053_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	053	0		29	10	S0522_053_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	053	0		29	10	S0522_053_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	054	0		29	10	S0522_054_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	054	0		29	10	S0522_054_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	054	0		29	10	S0522_054_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	054	0		29	10	S0522_054_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	054	0		29	10	S0522_054_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	055	0		29	10	S0522_055_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	055	0		29	10	S0522_055_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	055	0		29	10	S0522_055_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	055	0		29	10	S0522_055_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	055	0		29	10	S0522_055_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	056	0		29	10	S0522_056_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	056	0		29	10	S0522_056_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	056	0		29	10	S0522_056_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	056	0		29	10	S0522_056_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	056	0		29	10	S0522_056_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	057	0		29	10	S0522_057_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	057	0		29	10	S0522_057_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	057	0		29	10	S0522_057_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	057	0		29	10	S0522_057_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	057	0		29	10	S0522_057_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	058	0		29	10	S0522_058_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	058	0		29	10	S0522_058_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	058	0		29	10	S0522_058_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	058	0		29	10	S0522_058_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	058	0		29	10	S0522_058_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	059	0		29	10	S0522_059_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	059	0		29	10	S0522_059_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	059	0		29	10	S0522_059_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	059	0		29	10	S0522_059_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	059	0		29	10	S0522_059_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	060	0		29	10	S0522_060_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	060	0		29	10	S0522_060_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	060	0		29	10	S0522_060_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	060	0		29	10	S0522_060_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	060	0		29	10	S0522_060_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	061	0		29	10	S0522_061_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	061	0		29	10	S0522_061_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	061	0		29	10	S0522_061_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	061	0		29	10	S0522_061_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	061	0		29	10	S0522_061_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	062	0		29	10	S0522_062_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	062	0		29	10	S0522_062_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	062	0		29	10	S0522_062_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	062	0		29	10	S0522_062_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	062	0		29	10	S0522_062_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	063	0		29	10	S0522_063_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	063	0		29	10	S0522_063_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	063	0		29	10	S0522_063_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	063	0		29	10	S0522_063_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	063	0		29	10	S0522_063_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	064	0		29	10	S0522_064_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	064	0		29	10	S0522_064_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	064	0		29	10	S0522_064_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	064	0		29	10	S0522_064_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	064	0		29	10	S0522_064_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	065	0		29	10	S0522_065_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	065	0		29	10	S0522_065_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	065	0		29	10	S0522_065_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	065	0		29	10	S0522_065_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	065	0		29	10	S0522_065_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	066	0		29	10	S0522_066_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	066	0		29	10	S0522_066_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	066	0		29	10	S0522_066_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	066	0		29	10	S0522_066_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	066	0		29	10	S0522_066_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	067	0		29	10	S0522_067_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	067	0		29	10	S0522_067_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	067	0		29	10	S0522_067_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	067	0		29	10	S0522_067_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	067	0		29	10	S0522_067_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	068	0		29	10	S0522_068_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	068	0		29	10	S0522_068_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	068	0		29	10	S0522_068_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	068	0		29	10	S0522_068_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	068	0		29	10	S0522_068_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	069	0		29	10	S0522_069_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	069	0		29	10	S0522_069_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	069	0		29	10	S0522_069_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	069	0		29	10	S0522_069_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	069	0		29	10	S0522_069_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	070	0		29	10	S0522_070_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	070	0		29	10	S0522_070_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	070	0		29	10	S0522_070_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	070	0		29	10	S0522_070_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	070	0		29	10	S0522_070_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	071	0		29	10	S0522_071_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	071	0		29	10	S0522_071_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	071	0		29	10	S0522_071_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	071	0		29	10	S0522_071_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	071	0		29	10	S0522_071_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	072	0		29	10	S0522_072_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	072	0		29	10	S0522_072_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	072	0		29	10	S0522_072_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	072	0		29	10	S0522_072_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	072	0		29	10	S0522_072_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	073	0		29	10	S0522_073_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	073	0		29	10	S0522_073_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	073	0		29	10	S0522_073_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	073	0		29	10	S0522_073_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	073	0		29	10	S0522_073_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	074	0		29	10	S0522_074_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	074	0		29	10	S0522_074_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	074	0		29	10	S0522_074_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	074	0		29	10	S0522_074_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	074	0		29	10	S0522_074_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	075	0		29	10	S0522_075_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	075	0		29	10	S0522_075_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	075	0		29	10	S0522_075_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	075	0		29	10	S0522_075_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	075	0		29	10	S0522_075_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	076	0		29	10	S0522_076_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0522	076	0		29	10	S0522_076_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	076	0		29	10	S0522_076_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	076	0		29	10	S0522_076_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	076	0		29	10	S0522_076_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	077	0		29	10	S0522_077_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S0522	077	0		29	10	S0522_077_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S0522	077	0		29	10	S0522_077_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S0522	077	0		29	10	S0522_077_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S0522	077	0		29	10	S0522_077_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S0962	001	0		29	10	S0962_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S0962	001	0		29	10	S0962_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S0962	001	0		29	10	S0962_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S0962	001	0		29	10	S0962_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S0962	001	0		29	10	S0962_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S1030	001	0		29	10	S1030_001_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S1030	001	0		29	10	S1030_001_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S1030	001	0		29	10	S1030_001_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S1030	001	0		29	10	S1030_001_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S1030	001	0		29	10	S1030_001_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S1030	006	0		29	10	S1030_006_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S1030	006	0		29	10	S1030_006_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S1030	006	0		29	10	S1030_006_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S1030	006	0		29	10	S1030_006_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S1030	006	0		29	10	S1030_006_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S1140	001	0		29	10	S1140_001_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S1140	001	0		29	10	S1140_001_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S1140	001	0		29	10	S1140_001_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S1140	001	0		29	10	S1140_001_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S1140	001	0		29	10	S1140_001_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S1140	002	0		29	10	S1140_002_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S1140	002	0		29	10	S1140_002_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S1140	002	0		29	10	S1140_002_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S1140	002	0		29	10	S1140_002_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S1140	002	0		29	10	S1140_002_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S2468	003	0		29	10	S2468_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	2	6	2	010010	1						
S2468	003	0		29	10	S2468_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	2	1	2	001000	1						
S2468	003	0		29	10	S2468_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	2	4	2	110000	1						
S2468	003	0		29	10	S2468_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	2	3	2	010001	1						
S2468	003	0		29	10	S2468_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	2	2	2	000100	1						
S2468	003	0		29	10	S2468_003_0	2	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	2	5	2	010010	1						
S2468	004	0		29	10	S2468_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	1	2	001000	1						
S2468	004	0		29	10	S2468_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	2	2	000100	1						
S2468	004	0		29	10	S2468_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	3	2	010001	1						
S2468	004	0		29	10	S2468_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	4	2	110000	1						
S2468	004	0		29	10	S2468_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	6	2	010010	1						
S2468	004	0		29	10	S2468_004_0	3	Injectable Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Injectable Drugs, Specialty Tier	4	5	2	010010	1						
S2505	001	0		29	10	S2505_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2505	001	0		29	10	S2505_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2505	001	0		29	10	S2505_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S2505	001	0		29	10	S2505_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S2505	001	0		29	10	S2505_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S2505	003	0		29	10	S2505_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S2505	003	0		29	10	S2505_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2505	003	0		29	10	S2505_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2505	003	0		29	10	S2505_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S2505	003	0		29	10	S2505_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S2505	005	0		29	10	S2505_005_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S2505	005	0		29	10	S2505_005_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S2505	005	0		29	10	S2505_005_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S2505	005	0		29	10	S2505_005_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2505	005	0		29	10	S2505_005_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2505	007	0		29	10	S2505_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2505	007	0		29	10	S2505_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S2505	007	0		29	10	S2505_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S2505	007	0		29	10	S2505_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2505	007	0		29	10	S2505_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S2505	009	0		29	10	S2505_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S2505	009	0		29	10	S2505_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S2505	009	0		29	10	S2505_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2505	009	0		29	10	S2505_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2505	009	0		29	10	S2505_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S2505	010	0		29	10	S2505_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S2505	010	0		29	10	S2505_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S2505	010	0		29	10	S2505_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S2505	010	0		29	10	S2505_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2505	010	0		29	10	S2505_010_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2874	001	0		29	10	S2874_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S2874	001	0		29	10	S2874_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S2874	001	0		29	10	S2874_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S2874	001	0		29	10	S2874_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S2874	001	0		29	10	S2874_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S2874	004	0		29	10	S2874_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S2874	004	0		29	10	S2874_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S2874	004	0		29	10	S2874_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S2874	004	0		29	10	S2874_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S2874	004	0		29	10	S2874_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S2893	001	0		29	10	S2893_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S2893	001	0		29	10	S2893_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S2893	001	0		29	10	S2893_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S2893	001	0		29	10	S2893_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S2893	001	0		29	10	S2893_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S2893	003	0		29	10	S2893_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S2893	003	0		29	10	S2893_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S2893	003	0		29	10	S2893_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S2893	003	0		29	10	S2893_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S2893	003	0		29	10	S2893_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S3440	004	0		29	10	S3440_004_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S3440	004	0		29	10	S3440_004_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S3440	004	0		29	10	S3440_004_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	000010	1						
S3440	004	0		29	10	S3440_004_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
S3440	004	0		29	10	S3440_004_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S4054	001	0		29	10	S4054_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	2	1	2	001000	1						
S4054	001	0		29	10	S4054_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	2	2	2	000100	1						
S4054	001	0		29	10	S4054_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	2	3	2	000001	1						
S4054	001	0		29	10	S4054_001_0	2	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	2	6	2	000010	1						
S4054	001	0		29	10	S4054_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	2	5	2	010010	1						
S4054	001	0		29	10	S4054_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	2	4	2	100000	1						
S4054	002	0		29	10	S4054_002_0	1	Select Diabetic Drugs	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	6	2	000010	1						
S4054	002	0		29	10	S4054_002_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	3	2	000001	1						
S4054	002	0		29	10	S4054_002_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	4	2	100000	1						
S4054	002	0		29	10	S4054_002_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	5	2	000010	1						
S4054	002	0		29	10	S4054_002_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	2	2	000100	1						
S4054	002	0		29	10	S4054_002_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier, Select Diabetic Drugs	4	1	2	001000	1						
S4219	003	0		29	10	S4219_003_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S4219	003	0		29	10	S4219_003_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S4219	003	0		29	10	S4219_003_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S4219	003	0		29	10	S4219_003_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	100000	1						
S4219	003	0		29	10	S4219_003_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S4802	012	0		29	10	S4802_012_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S4802	012	0		29	10	S4802_012_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S4802	012	0		29	10	S4802_012_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S4802	012	0		29	10	S4802_012_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S4802	012	0		29	10	S4802_012_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S4802	013	0		29	10	S4802_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S4802	013	0		29	10	S4802_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S4802	013	0		29	10	S4802_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S4802	013	0		29	10	S4802_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S4802	013	0		29	10	S4802_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S4802	014	0		29	10	S4802_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S4802	014	0		29	10	S4802_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S4802	014	0		29	10	S4802_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S4802	014	0		29	10	S4802_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S4802	014	0		29	10	S4802_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S4802	020	0		29	10	S4802_020_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S4802	020	0		29	10	S4802_020_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S4802	020	0		29	10	S4802_020_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S4802	020	0		29	10	S4802_020_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S4802	020	0		29	10	S4802_020_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S4802	021	0		29	10	S4802_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S4802	021	0		29	10	S4802_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S4802	021	0		29	10	S4802_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S4802	021	0		29	10	S4802_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S4802	021	0		29	10	S4802_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5540	002	0		29	10	S5540_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5540	002	0		29	10	S5540_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5540	002	0		29	10	S5540_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5540	002	0		29	10	S5540_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5540	002	0		29	10	S5540_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5540	004	0		29	10	S5540_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5540	004	0		29	10	S5540_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5540	004	0		29	10	S5540_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5540	004	0		29	10	S5540_004_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5540	004	0		29	10	S5540_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5552	003	0		29	10	S5552_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5552	003	0		29	10	S5552_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5552	003	0		29	10	S5552_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5552	003	0		29	10	S5552_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5552	003	0		29	10	S5552_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5552	004	0		29	10	S5552_004_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5552	004	0		29	10	S5552_004_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5552	004	0		29	10	S5552_004_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5552	004	0		29	10	S5552_004_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5552	004	0		29	10	S5552_004_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5552	005	0		29	10	S5552_005_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5552	005	0		29	10	S5552_005_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5552	005	0		29	10	S5552_005_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5552	005	0		29	10	S5552_005_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5552	005	0		29	10	S5552_005_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5569	006	0		29	10	S5569_006_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5569	006	0		29	10	S5569_006_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5569	006	0		29	10	S5569_006_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5569	006	0		29	10	S5569_006_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5569	006	0		29	10	S5569_006_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5569	008	0		29	10	S5569_008_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5569	008	0		29	10	S5569_008_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5569	008	0		29	10	S5569_008_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5569	008	0		29	10	S5569_008_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5569	008	0		29	10	S5569_008_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5580	003	0		29	10	S5580_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5580	003	0		29	10	S5580_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5580	003	0		29	10	S5580_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5580	003	0		29	10	S5580_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5580	003	0		29	10	S5580_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5580	006	0		29	10	S5580_006_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5580	006	0		29	10	S5580_006_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5580	006	0		29	10	S5580_006_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5580	006	0		29	10	S5580_006_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5580	006	0		29	10	S5580_006_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5580	007	0		29	10	S5580_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5580	007	0		29	10	S5580_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5580	007	0		29	10	S5580_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5580	007	0		29	10	S5580_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5580	007	0		29	10	S5580_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5584	001	0		29	10	S5584_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5584	001	0		29	10	S5584_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5584	001	0		29	10	S5584_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5584	001	0		29	10	S5584_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
S5584	001	0		29	10	S5584_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5584	002	0		29	10	S5584_002_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5584	002	0		29	10	S5584_002_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5584	002	0		29	10	S5584_002_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5584	002	0		29	10	S5584_002_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5584	002	0		29	10	S5584_002_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5593	002	0		29	10	S5593_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5593	002	0		29	10	S5593_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5593	002	0		29	10	S5593_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5593	002	0		29	10	S5593_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S5593	002	0		29	10	S5593_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5593	003	0		29	10	S5593_003_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5593	003	0		29	10	S5593_003_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5593	003	0		29	10	S5593_003_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5593	003	0		29	10	S5593_003_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5593	003	0		29	10	S5593_003_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	001	0		29	10	S5596_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	001	0		29	10	S5596_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	001	0		29	10	S5596_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	001	0		29	10	S5596_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	001	0		29	10	S5596_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	003	0		29	10	S5596_003_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	003	0		29	10	S5596_003_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	003	0		29	10	S5596_003_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	003	0		29	10	S5596_003_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	003	0		29	10	S5596_003_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	005	0		29	10	S5596_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	005	0		29	10	S5596_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	005	0		29	10	S5596_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	005	0		29	10	S5596_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	005	0		29	10	S5596_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	006	0		29	10	S5596_006_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	006	0		29	10	S5596_006_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	006	0		29	10	S5596_006_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	006	0		29	10	S5596_006_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	006	0		29	10	S5596_006_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	007	0		29	10	S5596_007_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	007	0		29	10	S5596_007_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	007	0		29	10	S5596_007_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	007	0		29	10	S5596_007_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	007	0		29	10	S5596_007_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	009	0		29	10	S5596_009_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	009	0		29	10	S5596_009_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	009	0		29	10	S5596_009_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	009	0		29	10	S5596_009_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	009	0		29	10	S5596_009_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	010	0		29	10	S5596_010_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	010	0		29	10	S5596_010_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	010	0		29	10	S5596_010_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	010	0		29	10	S5596_010_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	010	0		29	10	S5596_010_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	011	0		29	10	S5596_011_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	011	0		29	10	S5596_011_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	011	0		29	10	S5596_011_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	011	0		29	10	S5596_011_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	011	0		29	10	S5596_011_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	013	0		29	10	S5596_013_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	013	0		29	10	S5596_013_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	013	0		29	10	S5596_013_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	013	0		29	10	S5596_013_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	013	0		29	10	S5596_013_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	014	0		29	10	S5596_014_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	014	0		29	10	S5596_014_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	014	0		29	10	S5596_014_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	014	0		29	10	S5596_014_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	014	0		29	10	S5596_014_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	015	0		29	10	S5596_015_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	015	0		29	10	S5596_015_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	015	0		29	10	S5596_015_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	015	0		29	10	S5596_015_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	015	0		29	10	S5596_015_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	017	0		29	10	S5596_017_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	017	0		29	10	S5596_017_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	017	0		29	10	S5596_017_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	017	0		29	10	S5596_017_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	017	0		29	10	S5596_017_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	018	0		29	10	S5596_018_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	018	0		29	10	S5596_018_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	018	0		29	10	S5596_018_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	018	0		29	10	S5596_018_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	018	0		29	10	S5596_018_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	019	0		29	10	S5596_019_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	019	0		29	10	S5596_019_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	019	0		29	10	S5596_019_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	019	0		29	10	S5596_019_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	019	0		29	10	S5596_019_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	033	0		29	10	S5596_033_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	033	0		29	10	S5596_033_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	033	0		29	10	S5596_033_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	033	0		29	10	S5596_033_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	033	0		29	10	S5596_033_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	034	0		29	10	S5596_034_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	034	0		29	10	S5596_034_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	034	0		29	10	S5596_034_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	034	0		29	10	S5596_034_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	034	0		29	10	S5596_034_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	035	0		29	10	S5596_035_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	035	0		29	10	S5596_035_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	035	0		29	10	S5596_035_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	035	0		29	10	S5596_035_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	035	0		29	10	S5596_035_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	043	0		29	10	S5596_043_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	043	0		29	10	S5596_043_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	043	0		29	10	S5596_043_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	043	0		29	10	S5596_043_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	043	0		29	10	S5596_043_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	044	0		29	10	S5596_044_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	044	0		29	10	S5596_044_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	044	0		29	10	S5596_044_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	044	0		29	10	S5596_044_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	044	0		29	10	S5596_044_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	045	0		29	10	S5596_045_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	045	0		29	10	S5596_045_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	045	0		29	10	S5596_045_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	045	0		29	10	S5596_045_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	045	0		29	10	S5596_045_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	046	0		29	10	S5596_046_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	046	0		29	10	S5596_046_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	046	0		29	10	S5596_046_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	046	0		29	10	S5596_046_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	046	0		29	10	S5596_046_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	056	0		29	10	S5596_056_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	056	0		29	10	S5596_056_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	056	0		29	10	S5596_056_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	056	0		29	10	S5596_056_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	056	0		29	10	S5596_056_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	057	0		29	10	S5596_057_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	057	0		29	10	S5596_057_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	057	0		29	10	S5596_057_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	057	0		29	10	S5596_057_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	057	0		29	10	S5596_057_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	058	0		29	10	S5596_058_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	058	0		29	10	S5596_058_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	058	0		29	10	S5596_058_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	058	0		29	10	S5596_058_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	058	0		29	10	S5596_058_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	059	0		29	10	S5596_059_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	059	0		29	10	S5596_059_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	059	0		29	10	S5596_059_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	059	0		29	10	S5596_059_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	059	0		29	10	S5596_059_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	060	0		29	10	S5596_060_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	060	0		29	10	S5596_060_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	060	0		29	10	S5596_060_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	060	0		29	10	S5596_060_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	060	0		29	10	S5596_060_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	061	0		29	10	S5596_061_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	061	0		29	10	S5596_061_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	061	0		29	10	S5596_061_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	061	0		29	10	S5596_061_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	061	0		29	10	S5596_061_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	062	0		29	10	S5596_062_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5596	062	0		29	10	S5596_062_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5596	062	0		29	10	S5596_062_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5596	062	0		29	10	S5596_062_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5596	062	0		29	10	S5596_062_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5596	063	0		29	10	S5596_063_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	063	0		29	10	S5596_063_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	063	0		29	10	S5596_063_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	063	0		29	10	S5596_063_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	063	0		29	10	S5596_063_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5596	064	0		29	10	S5596_064_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5596	064	0		29	10	S5596_064_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5596	064	0		29	10	S5596_064_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5596	064	0		29	10	S5596_064_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5596	064	0		29	10	S5596_064_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5601	002	0		29	10	S5601_002_0	5	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	002	0		29	10	S5601_002_0	5	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	002	0		29	10	S5601_002_0	5	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	002	0		29	10	S5601_002_0	5	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	003	0		29	10	S5601_003_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	003	0		29	10	S5601_003_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	003	0		29	10	S5601_003_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	003	0		29	10	S5601_003_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	004	0		29	10	S5601_004_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	004	0		29	10	S5601_004_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	004	0		29	10	S5601_004_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	004	0		29	10	S5601_004_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	005	0		29	10	S5601_005_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	005	0		29	10	S5601_005_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	005	0		29	10	S5601_005_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	005	0		29	10	S5601_005_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	006	0		29	10	S5601_006_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	006	0		29	10	S5601_006_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	006	0		29	10	S5601_006_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	006	0		29	10	S5601_006_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	007	0		29	10	S5601_007_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	007	0		29	10	S5601_007_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	007	0		29	10	S5601_007_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	007	0		29	10	S5601_007_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	008	0		29	10	S5601_008_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	008	0		29	10	S5601_008_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	008	0		29	10	S5601_008_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	008	0		29	10	S5601_008_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	009	0		29	10	S5601_009_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	009	0		29	10	S5601_009_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	009	0		29	10	S5601_009_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	009	0		29	10	S5601_009_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	010	0		29	10	S5601_010_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	010	0		29	10	S5601_010_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	010	0		29	10	S5601_010_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	010	0		29	10	S5601_010_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	011	0		29	10	S5601_011_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	011	0		29	10	S5601_011_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	011	0		29	10	S5601_011_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	011	0		29	10	S5601_011_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	012	0		29	10	S5601_012_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	012	0		29	10	S5601_012_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	012	0		29	10	S5601_012_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	012	0		29	10	S5601_012_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	013	0		29	10	S5601_013_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	013	0		29	10	S5601_013_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	013	0		29	10	S5601_013_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	013	0		29	10	S5601_013_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	014	0		29	10	S5601_014_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	014	0		29	10	S5601_014_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	014	0		29	10	S5601_014_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	014	0		29	10	S5601_014_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	015	0		29	10	S5601_015_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	015	0		29	10	S5601_015_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	015	0		29	10	S5601_015_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	015	0		29	10	S5601_015_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	016	0		29	10	S5601_016_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	016	0		29	10	S5601_016_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	016	0		29	10	S5601_016_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	016	0		29	10	S5601_016_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	017	0		29	10	S5601_017_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	017	0		29	10	S5601_017_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	017	0		29	10	S5601_017_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	017	0		29	10	S5601_017_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	018	0		29	10	S5601_018_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	018	0		29	10	S5601_018_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	018	0		29	10	S5601_018_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	018	0		29	10	S5601_018_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	019	0		29	10	S5601_019_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	019	0		29	10	S5601_019_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	019	0		29	10	S5601_019_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	019	0		29	10	S5601_019_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	020	0		29	10	S5601_020_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	020	0		29	10	S5601_020_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	020	0		29	10	S5601_020_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	020	0		29	10	S5601_020_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	021	0		29	10	S5601_021_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	021	0		29	10	S5601_021_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	021	0		29	10	S5601_021_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	021	0		29	10	S5601_021_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	022	0		29	10	S5601_022_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	022	0		29	10	S5601_022_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	022	0		29	10	S5601_022_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	022	0		29	10	S5601_022_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	023	0		29	10	S5601_023_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	023	0		29	10	S5601_023_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	023	0		29	10	S5601_023_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	023	0		29	10	S5601_023_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	024	0		29	10	S5601_024_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	024	0		29	10	S5601_024_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	024	0		29	10	S5601_024_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	024	0		29	10	S5601_024_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	025	0		29	10	S5601_025_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	025	0		29	10	S5601_025_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	025	0		29	10	S5601_025_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	025	0		29	10	S5601_025_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	026	0		29	10	S5601_026_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	026	0		29	10	S5601_026_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	026	0		29	10	S5601_026_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	026	0		29	10	S5601_026_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	027	0		29	10	S5601_027_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	027	0		29	10	S5601_027_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	027	0		29	10	S5601_027_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	027	0		29	10	S5601_027_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	028	0		29	10	S5601_028_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	028	0		29	10	S5601_028_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	028	0		29	10	S5601_028_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	028	0		29	10	S5601_028_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	029	0		29	10	S5601_029_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	029	0		29	10	S5601_029_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	029	0		29	10	S5601_029_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	029	0		29	10	S5601_029_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	030	0		29	10	S5601_030_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	030	0		29	10	S5601_030_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	030	0		29	10	S5601_030_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	030	0		29	10	S5601_030_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	031	0		29	10	S5601_031_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	031	0		29	10	S5601_031_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	031	0		29	10	S5601_031_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	031	0		29	10	S5601_031_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	032	0		29	10	S5601_032_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	032	0		29	10	S5601_032_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	032	0		29	10	S5601_032_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	032	0		29	10	S5601_032_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	033	0		29	10	S5601_033_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	033	0		29	10	S5601_033_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	033	0		29	10	S5601_033_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	033	0		29	10	S5601_033_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	034	0		29	10	S5601_034_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	034	0		29	10	S5601_034_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	034	0		29	10	S5601_034_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	034	0		29	10	S5601_034_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	035	0		29	10	S5601_035_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	035	0		29	10	S5601_035_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	035	0		29	10	S5601_035_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	035	0		29	10	S5601_035_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	036	0		29	10	S5601_036_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	036	0		29	10	S5601_036_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	036	0		29	10	S5601_036_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	036	0		29	10	S5601_036_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	037	0		29	10	S5601_037_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	037	0		29	10	S5601_037_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	037	0		29	10	S5601_037_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	037	0		29	10	S5601_037_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	038	0		29	10	S5601_038_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	038	0		29	10	S5601_038_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	038	0		29	10	S5601_038_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	038	0		29	10	S5601_038_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	040	0		29	10	S5601_040_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	040	0		29	10	S5601_040_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	040	0		29	10	S5601_040_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	040	0		29	10	S5601_040_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	041	0		29	10	S5601_041_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	041	0		29	10	S5601_041_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	041	0		29	10	S5601_041_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	041	0		29	10	S5601_041_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	042	0		29	10	S5601_042_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	042	0		29	10	S5601_042_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	042	0		29	10	S5601_042_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	042	0		29	10	S5601_042_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	044	0		29	10	S5601_044_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	044	0		29	10	S5601_044_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	044	0		29	10	S5601_044_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	044	0		29	10	S5601_044_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	045	0		29	10	S5601_045_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	045	0		29	10	S5601_045_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	045	0		29	10	S5601_045_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	045	0		29	10	S5601_045_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	046	0		29	10	S5601_046_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	046	0		29	10	S5601_046_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	046	0		29	10	S5601_046_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	046	0		29	10	S5601_046_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	048	0		29	10	S5601_048_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	048	0		29	10	S5601_048_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	048	0		29	10	S5601_048_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	048	0		29	10	S5601_048_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	049	0		29	10	S5601_049_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	049	0		29	10	S5601_049_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	049	0		29	10	S5601_049_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	049	0		29	10	S5601_049_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	050	0		29	10	S5601_050_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	050	0		29	10	S5601_050_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	050	0		29	10	S5601_050_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	050	0		29	10	S5601_050_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	051	0		29	10	S5601_051_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	051	0		29	10	S5601_051_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	051	0		29	10	S5601_051_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	051	0		29	10	S5601_051_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	052	0		29	10	S5601_052_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	052	0		29	10	S5601_052_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	052	0		29	10	S5601_052_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	052	0		29	10	S5601_052_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	053	0		29	10	S5601_053_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	053	0		29	10	S5601_053_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	053	0		29	10	S5601_053_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	053	0		29	10	S5601_053_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	054	0		29	10	S5601_054_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	054	0		29	10	S5601_054_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	054	0		29	10	S5601_054_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	054	0		29	10	S5601_054_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	055	0		29	10	S5601_055_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	055	0		29	10	S5601_055_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	055	0		29	10	S5601_055_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	055	0		29	10	S5601_055_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	056	0		29	10	S5601_056_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	056	0		29	10	S5601_056_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	056	0		29	10	S5601_056_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	056	0		29	10	S5601_056_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	057	0		29	10	S5601_057_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	057	0		29	10	S5601_057_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	057	0		29	10	S5601_057_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	057	0		29	10	S5601_057_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	058	0		29	10	S5601_058_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	058	0		29	10	S5601_058_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	058	0		29	10	S5601_058_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	058	0		29	10	S5601_058_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	059	0		29	10	S5601_059_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	059	0		29	10	S5601_059_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	059	0		29	10	S5601_059_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	059	0		29	10	S5601_059_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	060	0		29	10	S5601_060_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	060	0		29	10	S5601_060_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	060	0		29	10	S5601_060_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	060	0		29	10	S5601_060_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	061	0		29	10	S5601_061_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	061	0		29	10	S5601_061_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	061	0		29	10	S5601_061_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	061	0		29	10	S5601_061_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	062	0		29	10	S5601_062_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	062	0		29	10	S5601_062_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	062	0		29	10	S5601_062_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	062	0		29	10	S5601_062_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	063	0		29	10	S5601_063_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	063	0		29	10	S5601_063_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	063	0		29	10	S5601_063_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	063	0		29	10	S5601_063_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	064	0		29	10	S5601_064_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	064	0		29	10	S5601_064_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	064	0		29	10	S5601_064_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	064	0		29	10	S5601_064_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	065	0		29	10	S5601_065_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	065	0		29	10	S5601_065_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	065	0		29	10	S5601_065_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	065	0		29	10	S5601_065_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	066	0		29	10	S5601_066_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000101	1						
S5601	066	0		29	10	S5601_066_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	100100	1						
S5601	066	0		29	10	S5601_066_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	010010	1						
S5601	066	0		29	10	S5601_066_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	010001	1						
S5601	067	0		29	10	S5601_067_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	067	0		29	10	S5601_067_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	067	0		29	10	S5601_067_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	067	0		29	10	S5601_067_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	068	0		29	10	S5601_068_0	4	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	100100	1						
S5601	068	0		29	10	S5601_068_0	4	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S5601	068	0		29	10	S5601_068_0	4	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5601	068	0		29	10	S5601_068_0	4	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	010001	1						
S5601	107	0		29	10	S5601_107_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	107	0		29	10	S5601_107_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	107	0		29	10	S5601_107_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	107	0		29	10	S5601_107_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	108	0		29	10	S5601_108_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	108	0		29	10	S5601_108_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	108	0		29	10	S5601_108_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5601	108	0		29	10	S5601_108_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	109	0		29	10	S5601_109_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010001	1						
S5601	109	0		29	10	S5601_109_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100100	1						
S5601	109	0		29	10	S5601_109_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5601	109	0		29	10	S5601_109_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5609	001	0		29	10	S5609_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5609	001	0		29	10	S5609_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5609	001	0		29	10	S5609_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5609	001	0		29	10	S5609_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
S5609	001	0		29	10	S5609_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5609	002	0		29	10	S5609_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5609	002	0		29	10	S5609_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5609	002	0		29	10	S5609_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5609	002	0		29	10	S5609_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5609	002	0		29	10	S5609_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	003	0		29	10	S5617_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	003	0		29	10	S5617_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	003	0		29	10	S5617_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	003	0		29	10	S5617_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	003	0		29	10	S5617_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	008	0		29	10	S5617_008_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	008	0		29	10	S5617_008_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	008	0		29	10	S5617_008_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	008	0		29	10	S5617_008_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	008	0		29	10	S5617_008_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	013	0		29	10	S5617_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	013	0		29	10	S5617_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	013	0		29	10	S5617_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	013	0		29	10	S5617_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	013	0		29	10	S5617_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	018	0		29	10	S5617_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	018	0		29	10	S5617_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	018	0		29	10	S5617_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	018	0		29	10	S5617_018_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	018	0		29	10	S5617_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	053	0		29	10	S5617_053_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	053	0		29	10	S5617_053_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	053	0		29	10	S5617_053_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	053	0		29	10	S5617_053_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	053	0		29	10	S5617_053_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	068	0		29	10	S5617_068_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	068	0		29	10	S5617_068_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	068	0		29	10	S5617_068_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	068	0		29	10	S5617_068_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	068	0		29	10	S5617_068_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	088	0		29	10	S5617_088_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	088	0		29	10	S5617_088_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	088	0		29	10	S5617_088_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	088	0		29	10	S5617_088_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	088	0		29	10	S5617_088_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	103	0		29	10	S5617_103_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	103	0		29	10	S5617_103_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	103	0		29	10	S5617_103_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	103	0		29	10	S5617_103_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	103	0		29	10	S5617_103_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	108	0		29	10	S5617_108_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	108	0		29	10	S5617_108_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	108	0		29	10	S5617_108_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	108	0		29	10	S5617_108_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	108	0		29	10	S5617_108_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	113	0		29	10	S5617_113_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	113	0		29	10	S5617_113_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	113	0		29	10	S5617_113_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	113	0		29	10	S5617_113_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	113	0		29	10	S5617_113_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	118	0		29	10	S5617_118_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	118	0		29	10	S5617_118_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	118	0		29	10	S5617_118_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	118	0		29	10	S5617_118_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	118	0		29	10	S5617_118_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	123	0		29	10	S5617_123_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	123	0		29	10	S5617_123_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	123	0		29	10	S5617_123_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	123	0		29	10	S5617_123_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	123	0		29	10	S5617_123_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	128	0		29	10	S5617_128_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	128	0		29	10	S5617_128_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	128	0		29	10	S5617_128_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	128	0		29	10	S5617_128_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	128	0		29	10	S5617_128_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	133	0		29	10	S5617_133_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	133	0		29	10	S5617_133_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	133	0		29	10	S5617_133_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	133	0		29	10	S5617_133_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	133	0		29	10	S5617_133_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	138	0		29	10	S5617_138_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	138	0		29	10	S5617_138_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	138	0		29	10	S5617_138_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	138	0		29	10	S5617_138_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	138	0		29	10	S5617_138_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	143	0		29	10	S5617_143_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	143	0		29	10	S5617_143_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	143	0		29	10	S5617_143_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	143	0		29	10	S5617_143_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	143	0		29	10	S5617_143_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	148	0		29	10	S5617_148_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	148	0		29	10	S5617_148_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	148	0		29	10	S5617_148_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	148	0		29	10	S5617_148_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	148	0		29	10	S5617_148_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	153	0		29	10	S5617_153_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	153	0		29	10	S5617_153_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	153	0		29	10	S5617_153_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	153	0		29	10	S5617_153_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	153	0		29	10	S5617_153_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	158	0		29	10	S5617_158_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	158	0		29	10	S5617_158_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	158	0		29	10	S5617_158_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	158	0		29	10	S5617_158_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	158	0		29	10	S5617_158_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	163	0		29	10	S5617_163_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	163	0		29	10	S5617_163_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	163	0		29	10	S5617_163_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	163	0		29	10	S5617_163_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	163	0		29	10	S5617_163_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	172	0		29	10	S5617_172_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	172	0		29	10	S5617_172_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	172	0		29	10	S5617_172_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	172	0		29	10	S5617_172_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	172	0		29	10	S5617_172_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	176	0		29	10	S5617_176_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	176	0		29	10	S5617_176_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	176	0		29	10	S5617_176_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	176	0		29	10	S5617_176_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	176	0		29	10	S5617_176_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	177	0		29	10	S5617_177_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	177	0		29	10	S5617_177_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	177	0		29	10	S5617_177_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	177	0		29	10	S5617_177_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	177	0		29	10	S5617_177_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	178	0		29	10	S5617_178_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	178	0		29	10	S5617_178_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	178	0		29	10	S5617_178_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	178	0		29	10	S5617_178_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	178	0		29	10	S5617_178_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	179	0		29	10	S5617_179_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	179	0		29	10	S5617_179_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	179	0		29	10	S5617_179_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	179	0		29	10	S5617_179_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	179	0		29	10	S5617_179_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	181	0		29	10	S5617_181_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	181	0		29	10	S5617_181_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	181	0		29	10	S5617_181_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	181	0		29	10	S5617_181_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	181	0		29	10	S5617_181_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	182	0		29	10	S5617_182_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	182	0		29	10	S5617_182_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	182	0		29	10	S5617_182_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	182	0		29	10	S5617_182_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	182	0		29	10	S5617_182_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	183	0		29	10	S5617_183_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	183	0		29	10	S5617_183_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	183	0		29	10	S5617_183_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	183	0		29	10	S5617_183_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	183	0		29	10	S5617_183_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	184	0		29	10	S5617_184_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	184	0		29	10	S5617_184_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	184	0		29	10	S5617_184_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	184	0		29	10	S5617_184_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	184	0		29	10	S5617_184_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	185	0		29	10	S5617_185_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	185	0		29	10	S5617_185_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	185	0		29	10	S5617_185_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	185	0		29	10	S5617_185_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	185	0		29	10	S5617_185_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	187	0		29	10	S5617_187_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	187	0		29	10	S5617_187_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	187	0		29	10	S5617_187_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	187	0		29	10	S5617_187_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	187	0		29	10	S5617_187_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	188	0		29	10	S5617_188_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	188	0		29	10	S5617_188_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	188	0		29	10	S5617_188_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	188	0		29	10	S5617_188_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	188	0		29	10	S5617_188_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	189	0		29	10	S5617_189_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	189	0		29	10	S5617_189_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	189	0		29	10	S5617_189_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	189	0		29	10	S5617_189_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	189	0		29	10	S5617_189_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	192	0		29	10	S5617_192_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	192	0		29	10	S5617_192_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	192	0		29	10	S5617_192_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	192	0		29	10	S5617_192_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	192	0		29	10	S5617_192_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	195	0		29	10	S5617_195_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	195	0		29	10	S5617_195_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	195	0		29	10	S5617_195_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	195	0		29	10	S5617_195_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	195	0		29	10	S5617_195_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	198	0		29	10	S5617_198_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	198	0		29	10	S5617_198_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	198	0		29	10	S5617_198_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	198	0		29	10	S5617_198_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	198	0		29	10	S5617_198_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	214	0		29	10	S5617_214_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	214	0		29	10	S5617_214_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	214	0		29	10	S5617_214_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	214	0		29	10	S5617_214_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	214	0		29	10	S5617_214_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	215	0		29	10	S5617_215_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	215	0		29	10	S5617_215_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	215	0		29	10	S5617_215_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	215	0		29	10	S5617_215_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	215	0		29	10	S5617_215_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	216	0		29	10	S5617_216_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	216	0		29	10	S5617_216_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	216	0		29	10	S5617_216_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	216	0		29	10	S5617_216_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	216	0		29	10	S5617_216_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	217	0		29	10	S5617_217_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	217	0		29	10	S5617_217_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	217	0		29	10	S5617_217_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	217	0		29	10	S5617_217_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	217	0		29	10	S5617_217_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	218	0		29	10	S5617_218_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	218	0		29	10	S5617_218_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	218	0		29	10	S5617_218_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	218	0		29	10	S5617_218_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	218	0		29	10	S5617_218_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	219	0		29	10	S5617_219_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	219	0		29	10	S5617_219_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	219	0		29	10	S5617_219_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	219	0		29	10	S5617_219_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	219	0		29	10	S5617_219_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	220	0		29	10	S5617_220_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	220	0		29	10	S5617_220_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	220	0		29	10	S5617_220_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	220	0		29	10	S5617_220_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	220	0		29	10	S5617_220_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	221	0		29	10	S5617_221_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	221	0		29	10	S5617_221_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	221	0		29	10	S5617_221_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	221	0		29	10	S5617_221_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	221	0		29	10	S5617_221_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	222	0		29	10	S5617_222_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	222	0		29	10	S5617_222_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	222	0		29	10	S5617_222_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	222	0		29	10	S5617_222_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	222	0		29	10	S5617_222_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	223	0		29	10	S5617_223_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	223	0		29	10	S5617_223_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	223	0		29	10	S5617_223_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	223	0		29	10	S5617_223_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	223	0		29	10	S5617_223_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	224	0		29	10	S5617_224_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	224	0		29	10	S5617_224_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	224	0		29	10	S5617_224_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	224	0		29	10	S5617_224_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	224	0		29	10	S5617_224_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	225	0		29	10	S5617_225_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	225	0		29	10	S5617_225_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	225	0		29	10	S5617_225_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	225	0		29	10	S5617_225_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	225	0		29	10	S5617_225_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	226	0		29	10	S5617_226_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	226	0		29	10	S5617_226_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	226	0		29	10	S5617_226_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	226	0		29	10	S5617_226_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	226	0		29	10	S5617_226_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	227	0		29	10	S5617_227_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5617	227	0		29	10	S5617_227_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5617	227	0		29	10	S5617_227_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5617	227	0		29	10	S5617_227_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5617	227	0		29	10	S5617_227_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5617	228	0		29	10	S5617_228_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	228	0		29	10	S5617_228_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	228	0		29	10	S5617_228_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	228	0		29	10	S5617_228_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	228	0		29	10	S5617_228_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	229	0		29	10	S5617_229_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	229	0		29	10	S5617_229_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	229	0		29	10	S5617_229_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	229	0		29	10	S5617_229_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	229	0		29	10	S5617_229_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	230	0		29	10	S5617_230_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	230	0		29	10	S5617_230_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	230	0		29	10	S5617_230_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	230	0		29	10	S5617_230_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	230	0		29	10	S5617_230_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	231	0		29	10	S5617_231_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	231	0		29	10	S5617_231_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	231	0		29	10	S5617_231_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	231	0		29	10	S5617_231_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	231	0		29	10	S5617_231_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	232	0		29	10	S5617_232_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	232	0		29	10	S5617_232_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	232	0		29	10	S5617_232_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	232	0		29	10	S5617_232_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	232	0		29	10	S5617_232_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	233	0		29	10	S5617_233_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	233	0		29	10	S5617_233_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	233	0		29	10	S5617_233_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	233	0		29	10	S5617_233_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	233	0		29	10	S5617_233_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	234	0		29	10	S5617_234_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	234	0		29	10	S5617_234_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	234	0		29	10	S5617_234_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	234	0		29	10	S5617_234_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	234	0		29	10	S5617_234_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	235	0		29	10	S5617_235_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	235	0		29	10	S5617_235_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	235	0		29	10	S5617_235_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	235	0		29	10	S5617_235_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	235	0		29	10	S5617_235_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	236	0		29	10	S5617_236_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	236	0		29	10	S5617_236_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	236	0		29	10	S5617_236_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	236	0		29	10	S5617_236_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	236	0		29	10	S5617_236_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	237	0		29	10	S5617_237_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	237	0		29	10	S5617_237_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	237	0		29	10	S5617_237_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	237	0		29	10	S5617_237_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	237	0		29	10	S5617_237_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	238	0		29	10	S5617_238_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	238	0		29	10	S5617_238_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	238	0		29	10	S5617_238_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	238	0		29	10	S5617_238_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	238	0		29	10	S5617_238_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	239	0		29	10	S5617_239_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	239	0		29	10	S5617_239_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	239	0		29	10	S5617_239_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	239	0		29	10	S5617_239_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	239	0		29	10	S5617_239_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	240	0		29	10	S5617_240_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	240	0		29	10	S5617_240_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	240	0		29	10	S5617_240_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	240	0		29	10	S5617_240_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	240	0		29	10	S5617_240_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	241	0		29	10	S5617_241_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	241	0		29	10	S5617_241_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	241	0		29	10	S5617_241_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	241	0		29	10	S5617_241_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	241	0		29	10	S5617_241_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	242	0		29	10	S5617_242_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	242	0		29	10	S5617_242_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	242	0		29	10	S5617_242_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	242	0		29	10	S5617_242_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	242	0		29	10	S5617_242_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	243	0		29	10	S5617_243_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	243	0		29	10	S5617_243_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	243	0		29	10	S5617_243_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	243	0		29	10	S5617_243_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	243	0		29	10	S5617_243_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	244	0		29	10	S5617_244_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	244	0		29	10	S5617_244_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	244	0		29	10	S5617_244_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	244	0		29	10	S5617_244_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	244	0		29	10	S5617_244_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	245	0		29	10	S5617_245_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	245	0		29	10	S5617_245_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	245	0		29	10	S5617_245_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	245	0		29	10	S5617_245_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	245	0		29	10	S5617_245_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	246	0		29	10	S5617_246_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	246	0		29	10	S5617_246_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	246	0		29	10	S5617_246_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	246	0		29	10	S5617_246_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	246	0		29	10	S5617_246_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	247	0		29	10	S5617_247_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	247	0		29	10	S5617_247_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	247	0		29	10	S5617_247_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	247	0		29	10	S5617_247_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	247	0		29	10	S5617_247_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	248	0		29	10	S5617_248_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	248	0		29	10	S5617_248_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	248	0		29	10	S5617_248_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	248	0		29	10	S5617_248_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	248	0		29	10	S5617_248_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	249	0		29	10	S5617_249_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	249	0		29	10	S5617_249_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	249	0		29	10	S5617_249_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	249	0		29	10	S5617_249_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	249	0		29	10	S5617_249_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	250	0		29	10	S5617_250_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	250	0		29	10	S5617_250_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	250	0		29	10	S5617_250_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	250	0		29	10	S5617_250_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	250	0		29	10	S5617_250_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	251	0		29	10	S5617_251_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	251	0		29	10	S5617_251_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	251	0		29	10	S5617_251_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	251	0		29	10	S5617_251_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	251	0		29	10	S5617_251_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	252	0		29	10	S5617_252_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	252	0		29	10	S5617_252_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	252	0		29	10	S5617_252_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	252	0		29	10	S5617_252_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	252	0		29	10	S5617_252_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	253	0		29	10	S5617_253_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	253	0		29	10	S5617_253_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	253	0		29	10	S5617_253_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	253	0		29	10	S5617_253_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	253	0		29	10	S5617_253_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	254	0		29	10	S5617_254_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	254	0		29	10	S5617_254_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	254	0		29	10	S5617_254_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	254	0		29	10	S5617_254_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	254	0		29	10	S5617_254_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	255	0		29	10	S5617_255_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	255	0		29	10	S5617_255_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	255	0		29	10	S5617_255_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	255	0		29	10	S5617_255_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	255	0		29	10	S5617_255_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	256	0		29	10	S5617_256_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	256	0		29	10	S5617_256_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	256	0		29	10	S5617_256_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	256	0		29	10	S5617_256_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	256	0		29	10	S5617_256_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	257	0		29	10	S5617_257_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	257	0		29	10	S5617_257_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	257	0		29	10	S5617_257_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	257	0		29	10	S5617_257_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	257	0		29	10	S5617_257_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	258	0		29	10	S5617_258_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	258	0		29	10	S5617_258_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	258	0		29	10	S5617_258_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	258	0		29	10	S5617_258_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	258	0		29	10	S5617_258_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	259	0		29	10	S5617_259_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	259	0		29	10	S5617_259_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	259	0		29	10	S5617_259_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	259	0		29	10	S5617_259_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	259	0		29	10	S5617_259_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	260	0		29	10	S5617_260_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	260	0		29	10	S5617_260_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	260	0		29	10	S5617_260_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	260	0		29	10	S5617_260_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	260	0		29	10	S5617_260_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	261	0		29	10	S5617_261_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	261	0		29	10	S5617_261_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	261	0		29	10	S5617_261_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	261	0		29	10	S5617_261_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	261	0		29	10	S5617_261_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	262	0		29	10	S5617_262_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	262	0		29	10	S5617_262_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	262	0		29	10	S5617_262_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	262	0		29	10	S5617_262_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	262	0		29	10	S5617_262_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	263	0		29	10	S5617_263_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	263	0		29	10	S5617_263_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	263	0		29	10	S5617_263_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	263	0		29	10	S5617_263_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	263	0		29	10	S5617_263_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	264	0		29	10	S5617_264_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	264	0		29	10	S5617_264_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	264	0		29	10	S5617_264_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	264	0		29	10	S5617_264_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	264	0		29	10	S5617_264_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	265	0		29	10	S5617_265_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	265	0		29	10	S5617_265_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	265	0		29	10	S5617_265_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	265	0		29	10	S5617_265_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	265	0		29	10	S5617_265_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	266	0		29	10	S5617_266_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	266	0		29	10	S5617_266_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	266	0		29	10	S5617_266_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	266	0		29	10	S5617_266_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	266	0		29	10	S5617_266_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	267	0		29	10	S5617_267_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	267	0		29	10	S5617_267_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	267	0		29	10	S5617_267_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	267	0		29	10	S5617_267_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	267	0		29	10	S5617_267_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	268	0		29	10	S5617_268_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	268	0		29	10	S5617_268_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	268	0		29	10	S5617_268_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	268	0		29	10	S5617_268_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	268	0		29	10	S5617_268_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	269	0		29	10	S5617_269_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	269	0		29	10	S5617_269_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	269	0		29	10	S5617_269_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	269	0		29	10	S5617_269_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	269	0		29	10	S5617_269_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	270	0		29	10	S5617_270_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	270	0		29	10	S5617_270_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	270	0		29	10	S5617_270_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	270	0		29	10	S5617_270_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	270	0		29	10	S5617_270_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	271	0		29	10	S5617_271_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	271	0		29	10	S5617_271_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	271	0		29	10	S5617_271_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	271	0		29	10	S5617_271_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	271	0		29	10	S5617_271_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	272	0		29	10	S5617_272_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	272	0		29	10	S5617_272_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	272	0		29	10	S5617_272_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	272	0		29	10	S5617_272_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	272	0		29	10	S5617_272_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	273	0		29	10	S5617_273_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	273	0		29	10	S5617_273_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	273	0		29	10	S5617_273_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	273	0		29	10	S5617_273_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	273	0		29	10	S5617_273_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	274	0		29	10	S5617_274_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	274	0		29	10	S5617_274_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	274	0		29	10	S5617_274_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	274	0		29	10	S5617_274_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	274	0		29	10	S5617_274_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	275	0		29	10	S5617_275_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	275	0		29	10	S5617_275_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	275	0		29	10	S5617_275_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	275	0		29	10	S5617_275_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	275	0		29	10	S5617_275_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	276	0		29	10	S5617_276_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	276	0		29	10	S5617_276_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	276	0		29	10	S5617_276_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	276	0		29	10	S5617_276_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	276	0		29	10	S5617_276_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	277	0		29	10	S5617_277_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	277	0		29	10	S5617_277_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	277	0		29	10	S5617_277_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	277	0		29	10	S5617_277_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	277	0		29	10	S5617_277_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	278	0		29	10	S5617_278_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	278	0		29	10	S5617_278_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	278	0		29	10	S5617_278_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	278	0		29	10	S5617_278_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5617	278	0		29	10	S5617_278_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	279	0		29	10	S5617_279_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5617	279	0		29	10	S5617_279_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5617	279	0		29	10	S5617_279_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5617	279	0		29	10	S5617_279_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5617	279	0		29	10	S5617_279_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	104	0		29	10	S5660_104_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	104	0		29	10	S5660_104_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	104	0		29	10	S5660_104_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	104	0		29	10	S5660_104_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	104	0		29	10	S5660_104_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	105	0		29	10	S5660_105_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	105	0		29	10	S5660_105_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	105	0		29	10	S5660_105_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	105	0		29	10	S5660_105_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	105	0		29	10	S5660_105_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	106	0		29	10	S5660_106_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	106	0		29	10	S5660_106_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	106	0		29	10	S5660_106_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	106	0		29	10	S5660_106_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	106	0		29	10	S5660_106_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	107	0		29	10	S5660_107_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	107	0		29	10	S5660_107_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	107	0		29	10	S5660_107_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	107	0		29	10	S5660_107_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	107	0		29	10	S5660_107_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	108	0		29	10	S5660_108_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	108	0		29	10	S5660_108_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	108	0		29	10	S5660_108_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	108	0		29	10	S5660_108_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	108	0		29	10	S5660_108_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	109	0		29	10	S5660_109_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	109	0		29	10	S5660_109_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	109	0		29	10	S5660_109_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	109	0		29	10	S5660_109_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	109	0		29	10	S5660_109_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	110	0		29	10	S5660_110_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	110	0		29	10	S5660_110_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	110	0		29	10	S5660_110_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	110	0		29	10	S5660_110_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	110	0		29	10	S5660_110_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	111	0		29	10	S5660_111_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	111	0		29	10	S5660_111_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	111	0		29	10	S5660_111_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	111	0		29	10	S5660_111_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	111	0		29	10	S5660_111_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	112	0		29	10	S5660_112_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	112	0		29	10	S5660_112_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	112	0		29	10	S5660_112_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	112	0		29	10	S5660_112_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	112	0		29	10	S5660_112_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	113	0		29	10	S5660_113_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	113	0		29	10	S5660_113_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	113	0		29	10	S5660_113_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	113	0		29	10	S5660_113_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	113	0		29	10	S5660_113_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	114	0		29	10	S5660_114_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	114	0		29	10	S5660_114_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	114	0		29	10	S5660_114_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	114	0		29	10	S5660_114_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	114	0		29	10	S5660_114_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	115	0		29	10	S5660_115_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	115	0		29	10	S5660_115_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	115	0		29	10	S5660_115_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	115	0		29	10	S5660_115_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	115	0		29	10	S5660_115_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	116	0		29	10	S5660_116_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	116	0		29	10	S5660_116_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	116	0		29	10	S5660_116_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	116	0		29	10	S5660_116_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	116	0		29	10	S5660_116_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	117	0		29	10	S5660_117_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	117	0		29	10	S5660_117_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	117	0		29	10	S5660_117_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	117	0		29	10	S5660_117_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	117	0		29	10	S5660_117_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	118	0		29	10	S5660_118_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	118	0		29	10	S5660_118_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	118	0		29	10	S5660_118_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	118	0		29	10	S5660_118_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	118	0		29	10	S5660_118_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	119	0		29	10	S5660_119_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	119	0		29	10	S5660_119_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	119	0		29	10	S5660_119_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	119	0		29	10	S5660_119_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	119	0		29	10	S5660_119_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	120	0		29	10	S5660_120_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	120	0		29	10	S5660_120_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	120	0		29	10	S5660_120_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	120	0		29	10	S5660_120_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	120	0		29	10	S5660_120_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	121	0		29	10	S5660_121_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	121	0		29	10	S5660_121_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	121	0		29	10	S5660_121_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	121	0		29	10	S5660_121_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	121	0		29	10	S5660_121_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	122	0		29	10	S5660_122_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	122	0		29	10	S5660_122_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	122	0		29	10	S5660_122_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	122	0		29	10	S5660_122_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	122	0		29	10	S5660_122_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	123	0		29	10	S5660_123_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	123	0		29	10	S5660_123_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	123	0		29	10	S5660_123_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	123	0		29	10	S5660_123_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	123	0		29	10	S5660_123_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	124	0		29	10	S5660_124_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	124	0		29	10	S5660_124_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	124	0		29	10	S5660_124_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	124	0		29	10	S5660_124_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	124	0		29	10	S5660_124_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	125	0		29	10	S5660_125_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	125	0		29	10	S5660_125_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	125	0		29	10	S5660_125_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	125	0		29	10	S5660_125_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	125	0		29	10	S5660_125_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	126	0		29	10	S5660_126_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	126	0		29	10	S5660_126_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	126	0		29	10	S5660_126_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	126	0		29	10	S5660_126_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	126	0		29	10	S5660_126_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	127	0		29	10	S5660_127_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	127	0		29	10	S5660_127_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	127	0		29	10	S5660_127_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	127	0		29	10	S5660_127_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	127	0		29	10	S5660_127_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	128	0		29	10	S5660_128_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	128	0		29	10	S5660_128_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	128	0		29	10	S5660_128_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	128	0		29	10	S5660_128_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	128	0		29	10	S5660_128_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	129	0		29	10	S5660_129_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	129	0		29	10	S5660_129_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	129	0		29	10	S5660_129_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	129	0		29	10	S5660_129_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	129	0		29	10	S5660_129_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	130	0		29	10	S5660_130_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	130	0		29	10	S5660_130_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	130	0		29	10	S5660_130_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	130	0		29	10	S5660_130_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	130	0		29	10	S5660_130_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	131	0		29	10	S5660_131_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	131	0		29	10	S5660_131_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	131	0		29	10	S5660_131_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	131	0		29	10	S5660_131_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	131	0		29	10	S5660_131_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	132	0		29	10	S5660_132_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	132	0		29	10	S5660_132_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	132	0		29	10	S5660_132_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	132	0		29	10	S5660_132_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	132	0		29	10	S5660_132_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	133	0		29	10	S5660_133_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	133	0		29	10	S5660_133_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	133	0		29	10	S5660_133_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	133	0		29	10	S5660_133_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	133	0		29	10	S5660_133_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	134	0		29	10	S5660_134_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	134	0		29	10	S5660_134_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	134	0		29	10	S5660_134_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	134	0		29	10	S5660_134_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	134	0		29	10	S5660_134_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	135	0		29	10	S5660_135_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	135	0		29	10	S5660_135_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	135	0		29	10	S5660_135_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	135	0		29	10	S5660_135_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	135	0		29	10	S5660_135_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	136	0		29	10	S5660_136_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	136	0		29	10	S5660_136_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	136	0		29	10	S5660_136_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	136	0		29	10	S5660_136_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	136	0		29	10	S5660_136_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	137	0		29	10	S5660_137_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5660	137	0		29	10	S5660_137_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5660	137	0		29	10	S5660_137_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5660	137	0		29	10	S5660_137_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5660	137	0		29	10	S5660_137_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5660	172	0		29	10	S5660_172_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	172	0		29	10	S5660_172_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	172	0		29	10	S5660_172_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	172	0		29	10	S5660_172_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	172	0		29	10	S5660_172_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	176	0		29	10	S5660_176_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	176	0		29	10	S5660_176_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	176	0		29	10	S5660_176_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	176	0		29	10	S5660_176_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	176	0		29	10	S5660_176_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	180	0		29	10	S5660_180_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	180	0		29	10	S5660_180_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	180	0		29	10	S5660_180_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	180	0		29	10	S5660_180_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	180	0		29	10	S5660_180_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	181	0		29	10	S5660_181_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	181	0		29	10	S5660_181_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	181	0		29	10	S5660_181_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	181	0		29	10	S5660_181_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	181	0		29	10	S5660_181_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	182	0		29	10	S5660_182_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	182	0		29	10	S5660_182_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	182	0		29	10	S5660_182_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	182	0		29	10	S5660_182_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	182	0		29	10	S5660_182_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	183	0		29	10	S5660_183_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	183	0		29	10	S5660_183_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	183	0		29	10	S5660_183_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	183	0		29	10	S5660_183_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	183	0		29	10	S5660_183_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	184	0		29	10	S5660_184_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	184	0		29	10	S5660_184_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	184	0		29	10	S5660_184_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	184	0		29	10	S5660_184_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	184	0		29	10	S5660_184_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	185	0		29	10	S5660_185_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	185	0		29	10	S5660_185_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	185	0		29	10	S5660_185_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	185	0		29	10	S5660_185_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	185	0		29	10	S5660_185_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	186	0		29	10	S5660_186_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	186	0		29	10	S5660_186_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	186	0		29	10	S5660_186_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	186	0		29	10	S5660_186_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	186	0		29	10	S5660_186_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	187	0		29	10	S5660_187_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	187	0		29	10	S5660_187_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	187	0		29	10	S5660_187_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	187	0		29	10	S5660_187_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	187	0		29	10	S5660_187_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	190	0		29	10	S5660_190_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	190	0		29	10	S5660_190_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	190	0		29	10	S5660_190_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	190	0		29	10	S5660_190_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	190	0		29	10	S5660_190_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	192	0		29	10	S5660_192_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	192	0		29	10	S5660_192_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	192	0		29	10	S5660_192_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	192	0		29	10	S5660_192_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	192	0		29	10	S5660_192_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	194	0		29	10	S5660_194_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	194	0		29	10	S5660_194_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	194	0		29	10	S5660_194_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	194	0		29	10	S5660_194_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	194	0		29	10	S5660_194_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	195	0		29	10	S5660_195_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	195	0		29	10	S5660_195_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	195	0		29	10	S5660_195_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	195	0		29	10	S5660_195_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	195	0		29	10	S5660_195_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	196	0		29	10	S5660_196_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	196	0		29	10	S5660_196_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	196	0		29	10	S5660_196_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	196	0		29	10	S5660_196_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	196	0		29	10	S5660_196_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	197	0		29	10	S5660_197_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	197	0		29	10	S5660_197_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	197	0		29	10	S5660_197_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	197	0		29	10	S5660_197_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	197	0		29	10	S5660_197_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	198	0		29	10	S5660_198_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	198	0		29	10	S5660_198_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	198	0		29	10	S5660_198_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	198	0		29	10	S5660_198_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	198	0		29	10	S5660_198_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	199	0		29	10	S5660_199_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	199	0		29	10	S5660_199_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	199	0		29	10	S5660_199_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	199	0		29	10	S5660_199_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	199	0		29	10	S5660_199_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	202	0		29	10	S5660_202_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	202	0		29	10	S5660_202_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	202	0		29	10	S5660_202_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	202	0		29	10	S5660_202_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	202	0		29	10	S5660_202_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	203	0		29	10	S5660_203_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	203	0		29	10	S5660_203_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	203	0		29	10	S5660_203_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	203	0		29	10	S5660_203_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	203	0		29	10	S5660_203_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	204	0		29	10	S5660_204_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	204	0		29	10	S5660_204_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	204	0		29	10	S5660_204_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	204	0		29	10	S5660_204_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	204	0		29	10	S5660_204_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	205	0		29	10	S5660_205_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	205	0		29	10	S5660_205_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	205	0		29	10	S5660_205_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	205	0		29	10	S5660_205_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	205	0		29	10	S5660_205_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	206	0		29	10	S5660_206_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	206	0		29	10	S5660_206_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	206	0		29	10	S5660_206_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	206	0		29	10	S5660_206_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	206	0		29	10	S5660_206_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	207	0		29	10	S5660_207_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	207	0		29	10	S5660_207_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	207	0		29	10	S5660_207_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	207	0		29	10	S5660_207_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	207	0		29	10	S5660_207_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	208	0		29	10	S5660_208_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	208	0		29	10	S5660_208_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	208	0		29	10	S5660_208_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	208	0		29	10	S5660_208_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	208	0		29	10	S5660_208_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	209	0		29	10	S5660_209_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	209	0		29	10	S5660_209_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	209	0		29	10	S5660_209_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	209	0		29	10	S5660_209_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	209	0		29	10	S5660_209_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	210	0		29	10	S5660_210_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	210	0		29	10	S5660_210_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	210	0		29	10	S5660_210_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	210	0		29	10	S5660_210_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	210	0		29	10	S5660_210_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	211	0		29	10	S5660_211_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	211	0		29	10	S5660_211_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	211	0		29	10	S5660_211_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	211	0		29	10	S5660_211_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	211	0		29	10	S5660_211_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	212	0		29	10	S5660_212_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	212	0		29	10	S5660_212_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	212	0		29	10	S5660_212_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	212	0		29	10	S5660_212_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	212	0		29	10	S5660_212_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	213	0		29	10	S5660_213_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	213	0		29	10	S5660_213_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	213	0		29	10	S5660_213_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	213	0		29	10	S5660_213_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	213	0		29	10	S5660_213_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	214	0		29	10	S5660_214_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	214	0		29	10	S5660_214_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	214	0		29	10	S5660_214_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	214	0		29	10	S5660_214_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	214	0		29	10	S5660_214_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	215	0		29	10	S5660_215_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	215	0		29	10	S5660_215_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	215	0		29	10	S5660_215_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	215	0		29	10	S5660_215_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	215	0		29	10	S5660_215_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	216	0		29	10	S5660_216_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	216	0		29	10	S5660_216_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	216	0		29	10	S5660_216_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	216	0		29	10	S5660_216_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	216	0		29	10	S5660_216_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5660	217	0		29	10	S5660_217_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5660	217	0		29	10	S5660_217_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5660	217	0		29	10	S5660_217_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5660	217	0		29	10	S5660_217_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5660	217	0		29	10	S5660_217_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	001	0		29	10	S5715_001_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	001	0		29	10	S5715_001_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	001	0		29	10	S5715_001_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	001	0		29	10	S5715_001_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	001	0		29	10	S5715_001_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	002	0		29	10	S5715_002_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	002	0		29	10	S5715_002_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	002	0		29	10	S5715_002_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	002	0		29	10	S5715_002_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	002	0		29	10	S5715_002_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	003	0		29	10	S5715_003_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	003	0		29	10	S5715_003_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	003	0		29	10	S5715_003_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	003	0		29	10	S5715_003_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	003	0		29	10	S5715_003_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	004	0		29	10	S5715_004_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	004	0		29	10	S5715_004_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	004	0		29	10	S5715_004_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	004	0		29	10	S5715_004_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	004	0		29	10	S5715_004_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	005	0		29	10	S5715_005_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	005	0		29	10	S5715_005_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	005	0		29	10	S5715_005_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	005	0		29	10	S5715_005_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	005	0		29	10	S5715_005_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	006	0		29	10	S5715_006_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	006	0		29	10	S5715_006_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	006	0		29	10	S5715_006_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	006	0		29	10	S5715_006_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	006	0		29	10	S5715_006_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	010	0		29	10	S5715_010_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	010	0		29	10	S5715_010_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	010	0		29	10	S5715_010_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	010	0		29	10	S5715_010_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	010	0		29	10	S5715_010_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	011	0		29	10	S5715_011_0	6	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5715	011	0		29	10	S5715_011_0	6	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5715	011	0		29	10	S5715_011_0	6	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5715	011	0		29	10	S5715_011_0	6	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5715	011	0		29	10	S5715_011_0	6	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5715	012	0		29	10	S5715_012_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5715	012	0		29	10	S5715_012_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5715	012	0		29	10	S5715_012_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5715	012	0		29	10	S5715_012_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5715	012	0		29	10	S5715_012_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5715	013	0		29	10	S5715_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5715	013	0		29	10	S5715_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5715	013	0		29	10	S5715_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5715	013	0		29	10	S5715_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5715	013	0		29	10	S5715_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5715	014	0		29	10	S5715_014_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5715	014	0		29	10	S5715_014_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5715	014	0		29	10	S5715_014_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5715	014	0		29	10	S5715_014_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5715	014	0		29	10	S5715_014_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5715	015	0		29	10	S5715_015_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5715	015	0		29	10	S5715_015_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5715	015	0		29	10	S5715_015_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5715	015	0		29	10	S5715_015_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5715	015	0		29	10	S5715_015_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5726	013	0		29	10	S5726_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5726	013	0		29	10	S5726_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5726	013	0		29	10	S5726_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000101	1						
S5726	013	0		29	10	S5726_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5726	013	0		29	10	S5726_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5726	014	0		29	10	S5726_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5726	014	0		29	10	S5726_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5726	014	0		29	10	S5726_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5726	014	0		29	10	S5726_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5726	014	0		29	10	S5726_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5726	015	0		29	10	S5726_015_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5726	015	0		29	10	S5726_015_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5726	015	0		29	10	S5726_015_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5726	015	0		29	10	S5726_015_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5726	015	0		29	10	S5726_015_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5743	001	0		29	10	S5743_001_0	8	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5743	001	0		29	10	S5743_001_0	8	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5743	001	0		29	10	S5743_001_0	8	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5743	001	0		29	10	S5743_001_0	8	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5743	001	0		29	10	S5743_001_0	8	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5743	004	0		29	10	S5743_004_0	7	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5743	004	0		29	10	S5743_004_0	7	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5743	004	0		29	10	S5743_004_0	7	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5743	004	0		29	10	S5743_004_0	7	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5743	004	0		29	10	S5743_004_0	7	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5743	007	0		29	10	S5743_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5743	007	0		29	10	S5743_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5743	007	0		29	10	S5743_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5743	007	0		29	10	S5743_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5743	007	0		29	10	S5743_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5753	006	0		29	10	S5753_006_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5753	006	0		29	10	S5753_006_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5753	006	0		29	10	S5753_006_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5753	006	0		29	10	S5753_006_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
S5753	006	0		29	10	S5753_006_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5753	007	0		29	10	S5753_007_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5753	007	0		29	10	S5753_007_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5753	007	0		29	10	S5753_007_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5753	007	0		29	10	S5753_007_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5753	007	0		29	10	S5753_007_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	006	0		29	10	S5755_006_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	006	0		29	10	S5755_006_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	006	0		29	10	S5755_006_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	006	0		29	10	S5755_006_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	006	0		29	10	S5755_006_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	007	0		29	10	S5755_007_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	007	0		29	10	S5755_007_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	007	0		29	10	S5755_007_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	007	0		29	10	S5755_007_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	007	0		29	10	S5755_007_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	008	0		29	10	S5755_008_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	008	0		29	10	S5755_008_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	008	0		29	10	S5755_008_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	008	0		29	10	S5755_008_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	008	0		29	10	S5755_008_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	009	0		29	10	S5755_009_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	009	0		29	10	S5755_009_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	009	0		29	10	S5755_009_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	009	0		29	10	S5755_009_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	009	0		29	10	S5755_009_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	010	0		29	10	S5755_010_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	010	0		29	10	S5755_010_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	010	0		29	10	S5755_010_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	010	0		29	10	S5755_010_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	010	0		29	10	S5755_010_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	011	0		29	10	S5755_011_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	011	0		29	10	S5755_011_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	011	0		29	10	S5755_011_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	011	0		29	10	S5755_011_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	011	0		29	10	S5755_011_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	012	0		29	10	S5755_012_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	012	0		29	10	S5755_012_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	012	0		29	10	S5755_012_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	012	0		29	10	S5755_012_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	012	0		29	10	S5755_012_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	013	0		29	10	S5755_013_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	013	0		29	10	S5755_013_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	013	0		29	10	S5755_013_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	013	0		29	10	S5755_013_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	013	0		29	10	S5755_013_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	014	0		29	10	S5755_014_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	014	0		29	10	S5755_014_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	014	0		29	10	S5755_014_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	014	0		29	10	S5755_014_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	014	0		29	10	S5755_014_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	015	0		29	10	S5755_015_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	015	0		29	10	S5755_015_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	015	0		29	10	S5755_015_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	015	0		29	10	S5755_015_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	015	0		29	10	S5755_015_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	016	0		29	10	S5755_016_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	016	0		29	10	S5755_016_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	016	0		29	10	S5755_016_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	016	0		29	10	S5755_016_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	016	0		29	10	S5755_016_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	017	0		29	10	S5755_017_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	017	0		29	10	S5755_017_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	017	0		29	10	S5755_017_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	017	0		29	10	S5755_017_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	017	0		29	10	S5755_017_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	018	0		29	10	S5755_018_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	018	0		29	10	S5755_018_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	018	0		29	10	S5755_018_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	018	0		29	10	S5755_018_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	018	0		29	10	S5755_018_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	020	0		29	10	S5755_020_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	020	0		29	10	S5755_020_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	020	0		29	10	S5755_020_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	020	0		29	10	S5755_020_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	020	0		29	10	S5755_020_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	021	0		29	10	S5755_021_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	021	0		29	10	S5755_021_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	021	0		29	10	S5755_021_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	021	0		29	10	S5755_021_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	021	0		29	10	S5755_021_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	022	0		29	10	S5755_022_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	022	0		29	10	S5755_022_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	022	0		29	10	S5755_022_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	022	0		29	10	S5755_022_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	022	0		29	10	S5755_022_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	023	0		29	10	S5755_023_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	023	0		29	10	S5755_023_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	023	0		29	10	S5755_023_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	023	0		29	10	S5755_023_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	023	0		29	10	S5755_023_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	024	0		29	10	S5755_024_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	024	0		29	10	S5755_024_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	024	0		29	10	S5755_024_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	024	0		29	10	S5755_024_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	024	0		29	10	S5755_024_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	025	0		29	10	S5755_025_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	025	0		29	10	S5755_025_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	025	0		29	10	S5755_025_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	025	0		29	10	S5755_025_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	025	0		29	10	S5755_025_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	026	0		29	10	S5755_026_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	026	0		29	10	S5755_026_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	026	0		29	10	S5755_026_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	026	0		29	10	S5755_026_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	026	0		29	10	S5755_026_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	028	0		29	10	S5755_028_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	028	0		29	10	S5755_028_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	028	0		29	10	S5755_028_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	028	0		29	10	S5755_028_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	028	0		29	10	S5755_028_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	029	0		29	10	S5755_029_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	029	0		29	10	S5755_029_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	029	0		29	10	S5755_029_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	029	0		29	10	S5755_029_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	029	0		29	10	S5755_029_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	030	0		29	10	S5755_030_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	030	0		29	10	S5755_030_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	030	0		29	10	S5755_030_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	030	0		29	10	S5755_030_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	030	0		29	10	S5755_030_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	031	0		29	10	S5755_031_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	031	0		29	10	S5755_031_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	031	0		29	10	S5755_031_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	031	0		29	10	S5755_031_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	031	0		29	10	S5755_031_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	032	0		29	10	S5755_032_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	032	0		29	10	S5755_032_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	032	0		29	10	S5755_032_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	032	0		29	10	S5755_032_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	032	0		29	10	S5755_032_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	033	0		29	10	S5755_033_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	033	0		29	10	S5755_033_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	033	0		29	10	S5755_033_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	033	0		29	10	S5755_033_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	033	0		29	10	S5755_033_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	034	0		29	10	S5755_034_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	034	0		29	10	S5755_034_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	034	0		29	10	S5755_034_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	034	0		29	10	S5755_034_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	034	0		29	10	S5755_034_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	035	0		29	10	S5755_035_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	035	0		29	10	S5755_035_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	035	0		29	10	S5755_035_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	035	0		29	10	S5755_035_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	035	0		29	10	S5755_035_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	038	0		29	10	S5755_038_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	038	0		29	10	S5755_038_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	038	0		29	10	S5755_038_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	038	0		29	10	S5755_038_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	038	0		29	10	S5755_038_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	039	0		29	10	S5755_039_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	039	0		29	10	S5755_039_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	039	0		29	10	S5755_039_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	039	0		29	10	S5755_039_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	039	0		29	10	S5755_039_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	073	0		29	10	S5755_073_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	073	0		29	10	S5755_073_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	073	0		29	10	S5755_073_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	073	0		29	10	S5755_073_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	073	0		29	10	S5755_073_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	074	0		29	10	S5755_074_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	074	0		29	10	S5755_074_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	074	0		29	10	S5755_074_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	074	0		29	10	S5755_074_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	074	0		29	10	S5755_074_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	075	0		29	10	S5755_075_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	075	0		29	10	S5755_075_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	075	0		29	10	S5755_075_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	075	0		29	10	S5755_075_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	075	0		29	10	S5755_075_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	076	0		29	10	S5755_076_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	076	0		29	10	S5755_076_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	076	0		29	10	S5755_076_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	076	0		29	10	S5755_076_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	076	0		29	10	S5755_076_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	077	0		29	10	S5755_077_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	077	0		29	10	S5755_077_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	077	0		29	10	S5755_077_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	077	0		29	10	S5755_077_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	077	0		29	10	S5755_077_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	078	0		29	10	S5755_078_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	078	0		29	10	S5755_078_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	078	0		29	10	S5755_078_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	078	0		29	10	S5755_078_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	078	0		29	10	S5755_078_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	079	0		29	10	S5755_079_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	079	0		29	10	S5755_079_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	079	0		29	10	S5755_079_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	079	0		29	10	S5755_079_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	079	0		29	10	S5755_079_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	080	0		29	10	S5755_080_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	080	0		29	10	S5755_080_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	080	0		29	10	S5755_080_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	080	0		29	10	S5755_080_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	080	0		29	10	S5755_080_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	081	0		29	10	S5755_081_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	081	0		29	10	S5755_081_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	081	0		29	10	S5755_081_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	081	0		29	10	S5755_081_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	081	0		29	10	S5755_081_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	082	0		29	10	S5755_082_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	082	0		29	10	S5755_082_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	082	0		29	10	S5755_082_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	082	0		29	10	S5755_082_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	082	0		29	10	S5755_082_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	083	0		29	10	S5755_083_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	083	0		29	10	S5755_083_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	083	0		29	10	S5755_083_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	083	0		29	10	S5755_083_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	083	0		29	10	S5755_083_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	084	0		29	10	S5755_084_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	084	0		29	10	S5755_084_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	084	0		29	10	S5755_084_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	084	0		29	10	S5755_084_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	084	0		29	10	S5755_084_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	085	0		29	10	S5755_085_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	085	0		29	10	S5755_085_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	085	0		29	10	S5755_085_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	085	0		29	10	S5755_085_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	085	0		29	10	S5755_085_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	086	0		29	10	S5755_086_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	086	0		29	10	S5755_086_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	086	0		29	10	S5755_086_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	086	0		29	10	S5755_086_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	086	0		29	10	S5755_086_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	087	0		29	10	S5755_087_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	087	0		29	10	S5755_087_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	087	0		29	10	S5755_087_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	087	0		29	10	S5755_087_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	087	0		29	10	S5755_087_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	088	0		29	10	S5755_088_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	088	0		29	10	S5755_088_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	088	0		29	10	S5755_088_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	088	0		29	10	S5755_088_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	088	0		29	10	S5755_088_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	089	0		29	10	S5755_089_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	089	0		29	10	S5755_089_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	089	0		29	10	S5755_089_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	089	0		29	10	S5755_089_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	089	0		29	10	S5755_089_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	091	0		29	10	S5755_091_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	091	0		29	10	S5755_091_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	091	0		29	10	S5755_091_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	091	0		29	10	S5755_091_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	091	0		29	10	S5755_091_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	092	0		29	10	S5755_092_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	092	0		29	10	S5755_092_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	092	0		29	10	S5755_092_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	092	0		29	10	S5755_092_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	092	0		29	10	S5755_092_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	093	0		29	10	S5755_093_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	093	0		29	10	S5755_093_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	093	0		29	10	S5755_093_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	093	0		29	10	S5755_093_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	093	0		29	10	S5755_093_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	094	0		29	10	S5755_094_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	094	0		29	10	S5755_094_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	094	0		29	10	S5755_094_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	094	0		29	10	S5755_094_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	094	0		29	10	S5755_094_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	095	0		29	10	S5755_095_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	095	0		29	10	S5755_095_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	095	0		29	10	S5755_095_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	095	0		29	10	S5755_095_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	095	0		29	10	S5755_095_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	096	0		29	10	S5755_096_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	096	0		29	10	S5755_096_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	096	0		29	10	S5755_096_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	096	0		29	10	S5755_096_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	096	0		29	10	S5755_096_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	097	0		29	10	S5755_097_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	097	0		29	10	S5755_097_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	097	0		29	10	S5755_097_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	097	0		29	10	S5755_097_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	097	0		29	10	S5755_097_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	098	0		29	10	S5755_098_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	098	0		29	10	S5755_098_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	098	0		29	10	S5755_098_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	098	0		29	10	S5755_098_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	098	0		29	10	S5755_098_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	099	0		29	10	S5755_099_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	099	0		29	10	S5755_099_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	099	0		29	10	S5755_099_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	099	0		29	10	S5755_099_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	099	0		29	10	S5755_099_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	100	0		29	10	S5755_100_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	100	0		29	10	S5755_100_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	100	0		29	10	S5755_100_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	100	0		29	10	S5755_100_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	100	0		29	10	S5755_100_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	101	0		29	10	S5755_101_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	101	0		29	10	S5755_101_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	101	0		29	10	S5755_101_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	101	0		29	10	S5755_101_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	101	0		29	10	S5755_101_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	102	0		29	10	S5755_102_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	102	0		29	10	S5755_102_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	102	0		29	10	S5755_102_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	102	0		29	10	S5755_102_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	102	0		29	10	S5755_102_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	103	0		29	10	S5755_103_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5755	103	0		29	10	S5755_103_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5755	103	0		29	10	S5755_103_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5755	103	0		29	10	S5755_103_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5755	103	0		29	10	S5755_103_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5755	106	0		29	10	S5755_106_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	106	0		29	10	S5755_106_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	106	0		29	10	S5755_106_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	106	0		29	10	S5755_106_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	106	0		29	10	S5755_106_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	107	0		29	10	S5755_107_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	107	0		29	10	S5755_107_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	107	0		29	10	S5755_107_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	107	0		29	10	S5755_107_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	107	0		29	10	S5755_107_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	108	0		29	10	S5755_108_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	108	0		29	10	S5755_108_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	108	0		29	10	S5755_108_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	108	0		29	10	S5755_108_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	108	0		29	10	S5755_108_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	109	0		29	10	S5755_109_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	109	0		29	10	S5755_109_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	109	0		29	10	S5755_109_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	109	0		29	10	S5755_109_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	109	0		29	10	S5755_109_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	110	0		29	10	S5755_110_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	110	0		29	10	S5755_110_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	110	0		29	10	S5755_110_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	110	0		29	10	S5755_110_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	110	0		29	10	S5755_110_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	111	0		29	10	S5755_111_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	111	0		29	10	S5755_111_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	111	0		29	10	S5755_111_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	111	0		29	10	S5755_111_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	111	0		29	10	S5755_111_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	112	0		29	10	S5755_112_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	112	0		29	10	S5755_112_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	112	0		29	10	S5755_112_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	112	0		29	10	S5755_112_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	112	0		29	10	S5755_112_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	113	0		29	10	S5755_113_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	113	0		29	10	S5755_113_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	113	0		29	10	S5755_113_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	113	0		29	10	S5755_113_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	113	0		29	10	S5755_113_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	114	0		29	10	S5755_114_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	114	0		29	10	S5755_114_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	114	0		29	10	S5755_114_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	114	0		29	10	S5755_114_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	114	0		29	10	S5755_114_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	115	0		29	10	S5755_115_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	115	0		29	10	S5755_115_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	115	0		29	10	S5755_115_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	115	0		29	10	S5755_115_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	115	0		29	10	S5755_115_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	116	0		29	10	S5755_116_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	116	0		29	10	S5755_116_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	116	0		29	10	S5755_116_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	116	0		29	10	S5755_116_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	116	0		29	10	S5755_116_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	117	0		29	10	S5755_117_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	117	0		29	10	S5755_117_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	117	0		29	10	S5755_117_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	117	0		29	10	S5755_117_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	117	0		29	10	S5755_117_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	118	0		29	10	S5755_118_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	118	0		29	10	S5755_118_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	118	0		29	10	S5755_118_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	118	0		29	10	S5755_118_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	118	0		29	10	S5755_118_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	119	0		29	10	S5755_119_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	119	0		29	10	S5755_119_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	119	0		29	10	S5755_119_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	119	0		29	10	S5755_119_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	119	0		29	10	S5755_119_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	120	0		29	10	S5755_120_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	120	0		29	10	S5755_120_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	120	0		29	10	S5755_120_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	120	0		29	10	S5755_120_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	120	0		29	10	S5755_120_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	121	0		29	10	S5755_121_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	121	0		29	10	S5755_121_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	121	0		29	10	S5755_121_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	121	0		29	10	S5755_121_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	121	0		29	10	S5755_121_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	122	0		29	10	S5755_122_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	122	0		29	10	S5755_122_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	122	0		29	10	S5755_122_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	122	0		29	10	S5755_122_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	122	0		29	10	S5755_122_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	123	0		29	10	S5755_123_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	123	0		29	10	S5755_123_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	123	0		29	10	S5755_123_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	123	0		29	10	S5755_123_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	123	0		29	10	S5755_123_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	124	0		29	10	S5755_124_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	124	0		29	10	S5755_124_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	124	0		29	10	S5755_124_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	124	0		29	10	S5755_124_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	124	0		29	10	S5755_124_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	125	0		29	10	S5755_125_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	125	0		29	10	S5755_125_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	125	0		29	10	S5755_125_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	125	0		29	10	S5755_125_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	125	0		29	10	S5755_125_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	126	0		29	10	S5755_126_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	126	0		29	10	S5755_126_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	126	0		29	10	S5755_126_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	126	0		29	10	S5755_126_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	126	0		29	10	S5755_126_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	127	0		29	10	S5755_127_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	127	0		29	10	S5755_127_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	127	0		29	10	S5755_127_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	127	0		29	10	S5755_127_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	127	0		29	10	S5755_127_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	128	0		29	10	S5755_128_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	128	0		29	10	S5755_128_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	128	0		29	10	S5755_128_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	128	0		29	10	S5755_128_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	128	0		29	10	S5755_128_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	129	0		29	10	S5755_129_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	129	0		29	10	S5755_129_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	129	0		29	10	S5755_129_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	129	0		29	10	S5755_129_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	129	0		29	10	S5755_129_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	130	0		29	10	S5755_130_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	130	0		29	10	S5755_130_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	130	0		29	10	S5755_130_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	130	0		29	10	S5755_130_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	130	0		29	10	S5755_130_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	131	0		29	10	S5755_131_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	131	0		29	10	S5755_131_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	131	0		29	10	S5755_131_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	131	0		29	10	S5755_131_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	131	0		29	10	S5755_131_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	132	0		29	10	S5755_132_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	132	0		29	10	S5755_132_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	132	0		29	10	S5755_132_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	132	0		29	10	S5755_132_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	132	0		29	10	S5755_132_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	133	0		29	10	S5755_133_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	133	0		29	10	S5755_133_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	133	0		29	10	S5755_133_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	133	0		29	10	S5755_133_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	133	0		29	10	S5755_133_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5755	134	0		29	10	S5755_134_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5755	134	0		29	10	S5755_134_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5755	134	0		29	10	S5755_134_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5755	134	0		29	10	S5755_134_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5755	134	0		29	10	S5755_134_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	125	0		29	10	S5768_125_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	125	0		29	10	S5768_125_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	125	0		29	10	S5768_125_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	125	0		29	10	S5768_125_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	125	0		29	10	S5768_125_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	126	0		29	10	S5768_126_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	126	0		29	10	S5768_126_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	126	0		29	10	S5768_126_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	126	0		29	10	S5768_126_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	126	0		29	10	S5768_126_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	127	0		29	10	S5768_127_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	127	0		29	10	S5768_127_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	127	0		29	10	S5768_127_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	127	0		29	10	S5768_127_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	127	0		29	10	S5768_127_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	128	0		29	10	S5768_128_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	128	0		29	10	S5768_128_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	128	0		29	10	S5768_128_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	128	0		29	10	S5768_128_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	128	0		29	10	S5768_128_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	129	0		29	10	S5768_129_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	129	0		29	10	S5768_129_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	129	0		29	10	S5768_129_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	129	0		29	10	S5768_129_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	129	0		29	10	S5768_129_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	130	0		29	10	S5768_130_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	130	0		29	10	S5768_130_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	130	0		29	10	S5768_130_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	130	0		29	10	S5768_130_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	130	0		29	10	S5768_130_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	131	0		29	10	S5768_131_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	131	0		29	10	S5768_131_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	131	0		29	10	S5768_131_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	131	0		29	10	S5768_131_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	131	0		29	10	S5768_131_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	132	0		29	10	S5768_132_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	132	0		29	10	S5768_132_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	132	0		29	10	S5768_132_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	132	0		29	10	S5768_132_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	132	0		29	10	S5768_132_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	133	0		29	10	S5768_133_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	133	0		29	10	S5768_133_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	133	0		29	10	S5768_133_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	133	0		29	10	S5768_133_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	133	0		29	10	S5768_133_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	134	0		29	10	S5768_134_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	134	0		29	10	S5768_134_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	134	0		29	10	S5768_134_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	134	0		29	10	S5768_134_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	134	0		29	10	S5768_134_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	135	0		29	10	S5768_135_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	135	0		29	10	S5768_135_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	135	0		29	10	S5768_135_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	135	0		29	10	S5768_135_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	135	0		29	10	S5768_135_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	136	0		29	10	S5768_136_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	136	0		29	10	S5768_136_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	136	0		29	10	S5768_136_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	136	0		29	10	S5768_136_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	136	0		29	10	S5768_136_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	137	0		29	10	S5768_137_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	137	0		29	10	S5768_137_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	137	0		29	10	S5768_137_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	137	0		29	10	S5768_137_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	137	0		29	10	S5768_137_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	138	0		29	10	S5768_138_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	138	0		29	10	S5768_138_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	138	0		29	10	S5768_138_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	138	0		29	10	S5768_138_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	138	0		29	10	S5768_138_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	139	0		29	10	S5768_139_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	139	0		29	10	S5768_139_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	139	0		29	10	S5768_139_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	139	0		29	10	S5768_139_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	139	0		29	10	S5768_139_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	140	0		29	10	S5768_140_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	140	0		29	10	S5768_140_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	140	0		29	10	S5768_140_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	140	0		29	10	S5768_140_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	140	0		29	10	S5768_140_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	141	0		29	10	S5768_141_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	141	0		29	10	S5768_141_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	141	0		29	10	S5768_141_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	141	0		29	10	S5768_141_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	141	0		29	10	S5768_141_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	142	0		29	10	S5768_142_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	142	0		29	10	S5768_142_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	142	0		29	10	S5768_142_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	142	0		29	10	S5768_142_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	142	0		29	10	S5768_142_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	143	0		29	10	S5768_143_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	143	0		29	10	S5768_143_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	143	0		29	10	S5768_143_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	143	0		29	10	S5768_143_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	143	0		29	10	S5768_143_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	144	0		29	10	S5768_144_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	144	0		29	10	S5768_144_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	144	0		29	10	S5768_144_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	144	0		29	10	S5768_144_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	144	0		29	10	S5768_144_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	145	0		29	10	S5768_145_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	145	0		29	10	S5768_145_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	145	0		29	10	S5768_145_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	145	0		29	10	S5768_145_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	145	0		29	10	S5768_145_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	146	0		29	10	S5768_146_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	146	0		29	10	S5768_146_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	146	0		29	10	S5768_146_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	146	0		29	10	S5768_146_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	146	0		29	10	S5768_146_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	147	0		29	10	S5768_147_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	147	0		29	10	S5768_147_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	147	0		29	10	S5768_147_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	147	0		29	10	S5768_147_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	147	0		29	10	S5768_147_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	148	0		29	10	S5768_148_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	148	0		29	10	S5768_148_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	148	0		29	10	S5768_148_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	148	0		29	10	S5768_148_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	148	0		29	10	S5768_148_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	149	0		29	10	S5768_149_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	149	0		29	10	S5768_149_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	149	0		29	10	S5768_149_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	149	0		29	10	S5768_149_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	149	0		29	10	S5768_149_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	150	0		29	10	S5768_150_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	150	0		29	10	S5768_150_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	150	0		29	10	S5768_150_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	150	0		29	10	S5768_150_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	150	0		29	10	S5768_150_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	151	0		29	10	S5768_151_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	151	0		29	10	S5768_151_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	151	0		29	10	S5768_151_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	151	0		29	10	S5768_151_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	151	0		29	10	S5768_151_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	152	0		29	10	S5768_152_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	152	0		29	10	S5768_152_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	152	0		29	10	S5768_152_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	152	0		29	10	S5768_152_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	152	0		29	10	S5768_152_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	153	0		29	10	S5768_153_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	153	0		29	10	S5768_153_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	153	0		29	10	S5768_153_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	153	0		29	10	S5768_153_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	153	0		29	10	S5768_153_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	154	0		29	10	S5768_154_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	154	0		29	10	S5768_154_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	154	0		29	10	S5768_154_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	154	0		29	10	S5768_154_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	154	0		29	10	S5768_154_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	155	0		29	10	S5768_155_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	155	0		29	10	S5768_155_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	155	0		29	10	S5768_155_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	155	0		29	10	S5768_155_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	155	0		29	10	S5768_155_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	164	0		29	10	S5768_164_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	164	0		29	10	S5768_164_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	164	0		29	10	S5768_164_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	164	0		29	10	S5768_164_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	164	0		29	10	S5768_164_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	165	0		29	10	S5768_165_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	165	0		29	10	S5768_165_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	165	0		29	10	S5768_165_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	165	0		29	10	S5768_165_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	165	0		29	10	S5768_165_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	166	0		29	10	S5768_166_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	166	0		29	10	S5768_166_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	166	0		29	10	S5768_166_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	166	0		29	10	S5768_166_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	166	0		29	10	S5768_166_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	167	0		29	10	S5768_167_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	167	0		29	10	S5768_167_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	167	0		29	10	S5768_167_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	167	0		29	10	S5768_167_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	167	0		29	10	S5768_167_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	168	0		29	10	S5768_168_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	168	0		29	10	S5768_168_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	168	0		29	10	S5768_168_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	168	0		29	10	S5768_168_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	168	0		29	10	S5768_168_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	169	0		29	10	S5768_169_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	169	0		29	10	S5768_169_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	169	0		29	10	S5768_169_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	169	0		29	10	S5768_169_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	169	0		29	10	S5768_169_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	170	0		29	10	S5768_170_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	170	0		29	10	S5768_170_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	170	0		29	10	S5768_170_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	170	0		29	10	S5768_170_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	170	0		29	10	S5768_170_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	171	0		29	10	S5768_171_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	171	0		29	10	S5768_171_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	171	0		29	10	S5768_171_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	171	0		29	10	S5768_171_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	171	0		29	10	S5768_171_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	172	0		29	10	S5768_172_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	172	0		29	10	S5768_172_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	172	0		29	10	S5768_172_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	172	0		29	10	S5768_172_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	172	0		29	10	S5768_172_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	173	0		29	10	S5768_173_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	173	0		29	10	S5768_173_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	173	0		29	10	S5768_173_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	173	0		29	10	S5768_173_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	173	0		29	10	S5768_173_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	174	0		29	10	S5768_174_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	174	0		29	10	S5768_174_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	174	0		29	10	S5768_174_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	174	0		29	10	S5768_174_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	174	0		29	10	S5768_174_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	175	0		29	10	S5768_175_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	175	0		29	10	S5768_175_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	175	0		29	10	S5768_175_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	175	0		29	10	S5768_175_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	175	0		29	10	S5768_175_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	176	0		29	10	S5768_176_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	176	0		29	10	S5768_176_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	176	0		29	10	S5768_176_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	176	0		29	10	S5768_176_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	176	0		29	10	S5768_176_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	177	0		29	10	S5768_177_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	177	0		29	10	S5768_177_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	177	0		29	10	S5768_177_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	177	0		29	10	S5768_177_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	177	0		29	10	S5768_177_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	178	0		29	10	S5768_178_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	178	0		29	10	S5768_178_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	178	0		29	10	S5768_178_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	178	0		29	10	S5768_178_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	178	0		29	10	S5768_178_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	179	0		29	10	S5768_179_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	179	0		29	10	S5768_179_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	179	0		29	10	S5768_179_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	179	0		29	10	S5768_179_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	179	0		29	10	S5768_179_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	180	0		29	10	S5768_180_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	180	0		29	10	S5768_180_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	180	0		29	10	S5768_180_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	180	0		29	10	S5768_180_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	180	0		29	10	S5768_180_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	181	0		29	10	S5768_181_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	181	0		29	10	S5768_181_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	181	0		29	10	S5768_181_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	181	0		29	10	S5768_181_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	181	0		29	10	S5768_181_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	182	0		29	10	S5768_182_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	182	0		29	10	S5768_182_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	182	0		29	10	S5768_182_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	182	0		29	10	S5768_182_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	182	0		29	10	S5768_182_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	183	0		29	10	S5768_183_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	183	0		29	10	S5768_183_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	183	0		29	10	S5768_183_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	183	0		29	10	S5768_183_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	183	0		29	10	S5768_183_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	184	0		29	10	S5768_184_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	184	0		29	10	S5768_184_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	184	0		29	10	S5768_184_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	184	0		29	10	S5768_184_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	184	0		29	10	S5768_184_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	185	0		29	10	S5768_185_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	185	0		29	10	S5768_185_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	185	0		29	10	S5768_185_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	185	0		29	10	S5768_185_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	185	0		29	10	S5768_185_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	186	0		29	10	S5768_186_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	186	0		29	10	S5768_186_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	186	0		29	10	S5768_186_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	186	0		29	10	S5768_186_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	186	0		29	10	S5768_186_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	187	0		29	10	S5768_187_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	187	0		29	10	S5768_187_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	187	0		29	10	S5768_187_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	187	0		29	10	S5768_187_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	187	0		29	10	S5768_187_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	188	0		29	10	S5768_188_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	188	0		29	10	S5768_188_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	188	0		29	10	S5768_188_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	188	0		29	10	S5768_188_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	188	0		29	10	S5768_188_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	189	0		29	10	S5768_189_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	189	0		29	10	S5768_189_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	189	0		29	10	S5768_189_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	189	0		29	10	S5768_189_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	189	0		29	10	S5768_189_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	190	0		29	10	S5768_190_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	190	0		29	10	S5768_190_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	190	0		29	10	S5768_190_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	190	0		29	10	S5768_190_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	190	0		29	10	S5768_190_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	191	0		29	10	S5768_191_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	191	0		29	10	S5768_191_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	191	0		29	10	S5768_191_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	191	0		29	10	S5768_191_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	191	0		29	10	S5768_191_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	192	0		29	10	S5768_192_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	192	0		29	10	S5768_192_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	192	0		29	10	S5768_192_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	192	0		29	10	S5768_192_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	192	0		29	10	S5768_192_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	193	0		29	10	S5768_193_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	193	0		29	10	S5768_193_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	193	0		29	10	S5768_193_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	193	0		29	10	S5768_193_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	193	0		29	10	S5768_193_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	194	0		29	10	S5768_194_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	194	0		29	10	S5768_194_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	194	0		29	10	S5768_194_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	194	0		29	10	S5768_194_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	194	0		29	10	S5768_194_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	195	0		29	10	S5768_195_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	195	0		29	10	S5768_195_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	195	0		29	10	S5768_195_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	195	0		29	10	S5768_195_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	195	0		29	10	S5768_195_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	196	0		29	10	S5768_196_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	196	0		29	10	S5768_196_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	196	0		29	10	S5768_196_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	196	0		29	10	S5768_196_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	196	0		29	10	S5768_196_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	197	0		29	10	S5768_197_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5768	197	0		29	10	S5768_197_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	197	0		29	10	S5768_197_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	197	0		29	10	S5768_197_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	197	0		29	10	S5768_197_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	198	0		29	10	S5768_198_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5768	198	0		29	10	S5768_198_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5768	198	0		29	10	S5768_198_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5768	198	0		29	10	S5768_198_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5768	198	0		29	10	S5768_198_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5795	002	0		29	10	S5795_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5795	002	0		29	10	S5795_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5795	002	0		29	10	S5795_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5795	002	0		29	10	S5795_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5795	002	0		29	10	S5795_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5795	003	0		29	10	S5795_003_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5795	003	0		29	10	S5795_003_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5795	003	0		29	10	S5795_003_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5795	003	0		29	10	S5795_003_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5795	003	0		29	10	S5795_003_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5805	001	0		29	10	S5805_001_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5805	001	0		29	10	S5805_001_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5805	001	0		29	10	S5805_001_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5805	001	0		29	10	S5805_001_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5805	001	0		29	10	S5805_001_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	035	0		29	10	S5810_035_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	035	0		29	10	S5810_035_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	035	0		29	10	S5810_035_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	035	0		29	10	S5810_035_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	035	0		29	10	S5810_035_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	036	0		29	10	S5810_036_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	036	0		29	10	S5810_036_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	036	0		29	10	S5810_036_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	036	0		29	10	S5810_036_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	036	0		29	10	S5810_036_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	037	0		29	10	S5810_037_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	037	0		29	10	S5810_037_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	037	0		29	10	S5810_037_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	037	0		29	10	S5810_037_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	037	0		29	10	S5810_037_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	038	0		29	10	S5810_038_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	038	0		29	10	S5810_038_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	038	0		29	10	S5810_038_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	038	0		29	10	S5810_038_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	038	0		29	10	S5810_038_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	039	0		29	10	S5810_039_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	039	0		29	10	S5810_039_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	039	0		29	10	S5810_039_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	039	0		29	10	S5810_039_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	039	0		29	10	S5810_039_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	040	0		29	10	S5810_040_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	040	0		29	10	S5810_040_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	040	0		29	10	S5810_040_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	040	0		29	10	S5810_040_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	040	0		29	10	S5810_040_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	041	0		29	10	S5810_041_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	041	0		29	10	S5810_041_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	041	0		29	10	S5810_041_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	041	0		29	10	S5810_041_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	041	0		29	10	S5810_041_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	042	0		29	10	S5810_042_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	042	0		29	10	S5810_042_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	042	0		29	10	S5810_042_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	042	0		29	10	S5810_042_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	042	0		29	10	S5810_042_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	043	0		29	10	S5810_043_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5810	043	0		29	10	S5810_043_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5810	043	0		29	10	S5810_043_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5810	043	0		29	10	S5810_043_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5810	043	0		29	10	S5810_043_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5810	044	0		29	10	S5810_044_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	044	0		29	10	S5810_044_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	044	0		29	10	S5810_044_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	044	0		29	10	S5810_044_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	044	0		29	10	S5810_044_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	045	0		29	10	S5810_045_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5810	045	0		29	10	S5810_045_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5810	045	0		29	10	S5810_045_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5810	045	0		29	10	S5810_045_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5810	045	0		29	10	S5810_045_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5810	046	0		29	10	S5810_046_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	046	0		29	10	S5810_046_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	046	0		29	10	S5810_046_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	046	0		29	10	S5810_046_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	046	0		29	10	S5810_046_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	047	0		29	10	S5810_047_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	047	0		29	10	S5810_047_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	047	0		29	10	S5810_047_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	047	0		29	10	S5810_047_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	047	0		29	10	S5810_047_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	048	0		29	10	S5810_048_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	048	0		29	10	S5810_048_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	048	0		29	10	S5810_048_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	048	0		29	10	S5810_048_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	048	0		29	10	S5810_048_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	049	0		29	10	S5810_049_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	049	0		29	10	S5810_049_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	049	0		29	10	S5810_049_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	049	0		29	10	S5810_049_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	049	0		29	10	S5810_049_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	050	0		29	10	S5810_050_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	050	0		29	10	S5810_050_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	050	0		29	10	S5810_050_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	050	0		29	10	S5810_050_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	050	0		29	10	S5810_050_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	051	0		29	10	S5810_051_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	051	0		29	10	S5810_051_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	051	0		29	10	S5810_051_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	051	0		29	10	S5810_051_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	051	0		29	10	S5810_051_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	052	0		29	10	S5810_052_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	052	0		29	10	S5810_052_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	052	0		29	10	S5810_052_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	052	0		29	10	S5810_052_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	052	0		29	10	S5810_052_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	053	0		29	10	S5810_053_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	053	0		29	10	S5810_053_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	053	0		29	10	S5810_053_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	053	0		29	10	S5810_053_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	053	0		29	10	S5810_053_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	054	0		29	10	S5810_054_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	054	0		29	10	S5810_054_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	054	0		29	10	S5810_054_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	054	0		29	10	S5810_054_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	054	0		29	10	S5810_054_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	055	0		29	10	S5810_055_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	055	0		29	10	S5810_055_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	055	0		29	10	S5810_055_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	055	0		29	10	S5810_055_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	055	0		29	10	S5810_055_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	056	0		29	10	S5810_056_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	056	0		29	10	S5810_056_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	056	0		29	10	S5810_056_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	056	0		29	10	S5810_056_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	056	0		29	10	S5810_056_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	057	0		29	10	S5810_057_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	057	0		29	10	S5810_057_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	057	0		29	10	S5810_057_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	057	0		29	10	S5810_057_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	057	0		29	10	S5810_057_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	058	0		29	10	S5810_058_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	058	0		29	10	S5810_058_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	058	0		29	10	S5810_058_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	058	0		29	10	S5810_058_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	058	0		29	10	S5810_058_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	059	0		29	10	S5810_059_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	059	0		29	10	S5810_059_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	059	0		29	10	S5810_059_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	059	0		29	10	S5810_059_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	059	0		29	10	S5810_059_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	060	0		29	10	S5810_060_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	060	0		29	10	S5810_060_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	060	0		29	10	S5810_060_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	060	0		29	10	S5810_060_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	060	0		29	10	S5810_060_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	061	0		29	10	S5810_061_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	061	0		29	10	S5810_061_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	061	0		29	10	S5810_061_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	061	0		29	10	S5810_061_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	061	0		29	10	S5810_061_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	062	0		29	10	S5810_062_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5810	062	0		29	10	S5810_062_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5810	062	0		29	10	S5810_062_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5810	062	0		29	10	S5810_062_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5810	062	0		29	10	S5810_062_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5810	063	0		29	10	S5810_063_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5810	063	0		29	10	S5810_063_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5810	063	0		29	10	S5810_063_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5810	063	0		29	10	S5810_063_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5810	063	0		29	10	S5810_063_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5810	064	0		29	10	S5810_064_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	064	0		29	10	S5810_064_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	064	0		29	10	S5810_064_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	064	0		29	10	S5810_064_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	064	0		29	10	S5810_064_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	065	0		29	10	S5810_065_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	065	0		29	10	S5810_065_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	065	0		29	10	S5810_065_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	065	0		29	10	S5810_065_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	065	0		29	10	S5810_065_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	066	0		29	10	S5810_066_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5810	066	0		29	10	S5810_066_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5810	066	0		29	10	S5810_066_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5810	066	0		29	10	S5810_066_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5810	066	0		29	10	S5810_066_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5810	067	0		29	10	S5810_067_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	067	0		29	10	S5810_067_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	067	0		29	10	S5810_067_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	067	0		29	10	S5810_067_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	067	0		29	10	S5810_067_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	068	0		29	10	S5810_068_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5810	068	0		29	10	S5810_068_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5810	068	0		29	10	S5810_068_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5810	068	0		29	10	S5810_068_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5810	068	0		29	10	S5810_068_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5810	172	0		29	10	S5810_172_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	172	0		29	10	S5810_172_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	172	0		29	10	S5810_172_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	172	0		29	10	S5810_172_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	172	0		29	10	S5810_172_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	174	0		29	10	S5810_174_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	174	0		29	10	S5810_174_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	174	0		29	10	S5810_174_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	174	0		29	10	S5810_174_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	174	0		29	10	S5810_174_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	175	0		29	10	S5810_175_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	175	0		29	10	S5810_175_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	175	0		29	10	S5810_175_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	175	0		29	10	S5810_175_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	175	0		29	10	S5810_175_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	176	0		29	10	S5810_176_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	176	0		29	10	S5810_176_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	176	0		29	10	S5810_176_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	176	0		29	10	S5810_176_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	176	0		29	10	S5810_176_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	177	0		29	10	S5810_177_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	177	0		29	10	S5810_177_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	177	0		29	10	S5810_177_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	177	0		29	10	S5810_177_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	177	0		29	10	S5810_177_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	178	0		29	10	S5810_178_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	178	0		29	10	S5810_178_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	178	0		29	10	S5810_178_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	178	0		29	10	S5810_178_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	178	0		29	10	S5810_178_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	179	0		29	10	S5810_179_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	179	0		29	10	S5810_179_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	179	0		29	10	S5810_179_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	179	0		29	10	S5810_179_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	179	0		29	10	S5810_179_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	180	0		29	10	S5810_180_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	180	0		29	10	S5810_180_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	180	0		29	10	S5810_180_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	180	0		29	10	S5810_180_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	180	0		29	10	S5810_180_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	182	0		29	10	S5810_182_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	182	0		29	10	S5810_182_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	182	0		29	10	S5810_182_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	182	0		29	10	S5810_182_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	182	0		29	10	S5810_182_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	183	0		29	10	S5810_183_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	183	0		29	10	S5810_183_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	183	0		29	10	S5810_183_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	183	0		29	10	S5810_183_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	183	0		29	10	S5810_183_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	184	0		29	10	S5810_184_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	184	0		29	10	S5810_184_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	184	0		29	10	S5810_184_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	184	0		29	10	S5810_184_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	184	0		29	10	S5810_184_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	185	0		29	10	S5810_185_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	185	0		29	10	S5810_185_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	185	0		29	10	S5810_185_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	185	0		29	10	S5810_185_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	185	0		29	10	S5810_185_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	186	0		29	10	S5810_186_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	186	0		29	10	S5810_186_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	186	0		29	10	S5810_186_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	186	0		29	10	S5810_186_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	186	0		29	10	S5810_186_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	187	0		29	10	S5810_187_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	187	0		29	10	S5810_187_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	187	0		29	10	S5810_187_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	187	0		29	10	S5810_187_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	187	0		29	10	S5810_187_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	188	0		29	10	S5810_188_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	188	0		29	10	S5810_188_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	188	0		29	10	S5810_188_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	188	0		29	10	S5810_188_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	188	0		29	10	S5810_188_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	189	0		29	10	S5810_189_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	189	0		29	10	S5810_189_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	189	0		29	10	S5810_189_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	189	0		29	10	S5810_189_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	189	0		29	10	S5810_189_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	190	0		29	10	S5810_190_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	190	0		29	10	S5810_190_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	190	0		29	10	S5810_190_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	190	0		29	10	S5810_190_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	190	0		29	10	S5810_190_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	191	0		29	10	S5810_191_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	191	0		29	10	S5810_191_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	191	0		29	10	S5810_191_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	191	0		29	10	S5810_191_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	191	0		29	10	S5810_191_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	192	0		29	10	S5810_192_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	192	0		29	10	S5810_192_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	192	0		29	10	S5810_192_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	192	0		29	10	S5810_192_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	192	0		29	10	S5810_192_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	193	0		29	10	S5810_193_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	193	0		29	10	S5810_193_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	193	0		29	10	S5810_193_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	193	0		29	10	S5810_193_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	193	0		29	10	S5810_193_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	194	0		29	10	S5810_194_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	194	0		29	10	S5810_194_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	194	0		29	10	S5810_194_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	194	0		29	10	S5810_194_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	194	0		29	10	S5810_194_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	195	0		29	10	S5810_195_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	195	0		29	10	S5810_195_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	195	0		29	10	S5810_195_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	195	0		29	10	S5810_195_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	195	0		29	10	S5810_195_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	197	0		29	10	S5810_197_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	197	0		29	10	S5810_197_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	197	0		29	10	S5810_197_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	197	0		29	10	S5810_197_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	197	0		29	10	S5810_197_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	198	0		29	10	S5810_198_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	198	0		29	10	S5810_198_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	198	0		29	10	S5810_198_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	198	0		29	10	S5810_198_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	198	0		29	10	S5810_198_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	199	0		29	10	S5810_199_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	199	0		29	10	S5810_199_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	199	0		29	10	S5810_199_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	199	0		29	10	S5810_199_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	199	0		29	10	S5810_199_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	200	0		29	10	S5810_200_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	200	0		29	10	S5810_200_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	200	0		29	10	S5810_200_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	200	0		29	10	S5810_200_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	200	0		29	10	S5810_200_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	201	0		29	10	S5810_201_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	201	0		29	10	S5810_201_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	201	0		29	10	S5810_201_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	201	0		29	10	S5810_201_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	201	0		29	10	S5810_201_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	202	0		29	10	S5810_202_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	202	0		29	10	S5810_202_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	202	0		29	10	S5810_202_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	202	0		29	10	S5810_202_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	202	0		29	10	S5810_202_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	204	0		29	10	S5810_204_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	204	0		29	10	S5810_204_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	204	0		29	10	S5810_204_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	204	0		29	10	S5810_204_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	204	0		29	10	S5810_204_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	239	0		29	10	S5810_239_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	239	0		29	10	S5810_239_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	239	0		29	10	S5810_239_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	239	0		29	10	S5810_239_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	239	0		29	10	S5810_239_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	240	0		29	10	S5810_240_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5810	240	0		29	10	S5810_240_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	240	0		29	10	S5810_240_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	240	0		29	10	S5810_240_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	240	0		29	10	S5810_240_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	241	0		29	10	S5810_241_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5810	241	0		29	10	S5810_241_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5810	241	0		29	10	S5810_241_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5810	241	0		29	10	S5810_241_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5810	241	0		29	10	S5810_241_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	001	0		29	10	S5820_001_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	001	0		29	10	S5820_001_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	001	0		29	10	S5820_001_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	001	0		29	10	S5820_001_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	001	0		29	10	S5820_001_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	002	0		29	10	S5820_002_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	002	0		29	10	S5820_002_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	002	0		29	10	S5820_002_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	002	0		29	10	S5820_002_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	002	0		29	10	S5820_002_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	003	0		29	10	S5820_003_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	003	0		29	10	S5820_003_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	003	0		29	10	S5820_003_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	003	0		29	10	S5820_003_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	003	0		29	10	S5820_003_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	004	0		29	10	S5820_004_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	004	0		29	10	S5820_004_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	004	0		29	10	S5820_004_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	004	0		29	10	S5820_004_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	004	0		29	10	S5820_004_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	005	0		29	10	S5820_005_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	005	0		29	10	S5820_005_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	005	0		29	10	S5820_005_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	005	0		29	10	S5820_005_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	005	0		29	10	S5820_005_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	006	0		29	10	S5820_006_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	006	0		29	10	S5820_006_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	006	0		29	10	S5820_006_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	006	0		29	10	S5820_006_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	006	0		29	10	S5820_006_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	007	0		29	10	S5820_007_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	007	0		29	10	S5820_007_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	007	0		29	10	S5820_007_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	007	0		29	10	S5820_007_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	007	0		29	10	S5820_007_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	008	0		29	10	S5820_008_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	008	0		29	10	S5820_008_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	008	0		29	10	S5820_008_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	008	0		29	10	S5820_008_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	008	0		29	10	S5820_008_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	009	0		29	10	S5820_009_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	009	0		29	10	S5820_009_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	009	0		29	10	S5820_009_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	009	0		29	10	S5820_009_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	009	0		29	10	S5820_009_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	010	0		29	10	S5820_010_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	010	0		29	10	S5820_010_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	010	0		29	10	S5820_010_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	010	0		29	10	S5820_010_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	010	0		29	10	S5820_010_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	011	0		29	10	S5820_011_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	011	0		29	10	S5820_011_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	011	0		29	10	S5820_011_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	011	0		29	10	S5820_011_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	011	0		29	10	S5820_011_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	012	0		29	10	S5820_012_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	012	0		29	10	S5820_012_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	012	0		29	10	S5820_012_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	012	0		29	10	S5820_012_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	012	0		29	10	S5820_012_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	013	0		29	10	S5820_013_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	013	0		29	10	S5820_013_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	013	0		29	10	S5820_013_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	013	0		29	10	S5820_013_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	013	0		29	10	S5820_013_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	014	0		29	10	S5820_014_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	014	0		29	10	S5820_014_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	014	0		29	10	S5820_014_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	014	0		29	10	S5820_014_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	014	0		29	10	S5820_014_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	015	0		29	10	S5820_015_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	015	0		29	10	S5820_015_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	015	0		29	10	S5820_015_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	015	0		29	10	S5820_015_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	015	0		29	10	S5820_015_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	016	0		29	10	S5820_016_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	016	0		29	10	S5820_016_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	016	0		29	10	S5820_016_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	016	0		29	10	S5820_016_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	016	0		29	10	S5820_016_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	017	0		29	10	S5820_017_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	017	0		29	10	S5820_017_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	017	0		29	10	S5820_017_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	017	0		29	10	S5820_017_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	017	0		29	10	S5820_017_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	018	0		29	10	S5820_018_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	018	0		29	10	S5820_018_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	018	0		29	10	S5820_018_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	018	0		29	10	S5820_018_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	018	0		29	10	S5820_018_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	019	0		29	10	S5820_019_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	019	0		29	10	S5820_019_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	019	0		29	10	S5820_019_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	019	0		29	10	S5820_019_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	019	0		29	10	S5820_019_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	020	0		29	10	S5820_020_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	020	0		29	10	S5820_020_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	020	0		29	10	S5820_020_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	020	0		29	10	S5820_020_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	020	0		29	10	S5820_020_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	021	0		29	10	S5820_021_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	021	0		29	10	S5820_021_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	021	0		29	10	S5820_021_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	021	0		29	10	S5820_021_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	021	0		29	10	S5820_021_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	022	0		29	10	S5820_022_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	022	0		29	10	S5820_022_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	022	0		29	10	S5820_022_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	022	0		29	10	S5820_022_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	022	0		29	10	S5820_022_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	023	0		29	10	S5820_023_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	023	0		29	10	S5820_023_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	023	0		29	10	S5820_023_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	023	0		29	10	S5820_023_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	023	0		29	10	S5820_023_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	024	0		29	10	S5820_024_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	024	0		29	10	S5820_024_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	024	0		29	10	S5820_024_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	024	0		29	10	S5820_024_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	024	0		29	10	S5820_024_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	025	0		29	10	S5820_025_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	025	0		29	10	S5820_025_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	025	0		29	10	S5820_025_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	025	0		29	10	S5820_025_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	025	0		29	10	S5820_025_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	026	0		29	10	S5820_026_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	026	0		29	10	S5820_026_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	026	0		29	10	S5820_026_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	026	0		29	10	S5820_026_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	026	0		29	10	S5820_026_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	027	0		29	10	S5820_027_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	027	0		29	10	S5820_027_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	027	0		29	10	S5820_027_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	027	0		29	10	S5820_027_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	027	0		29	10	S5820_027_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	028	0		29	10	S5820_028_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	028	0		29	10	S5820_028_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	028	0		29	10	S5820_028_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	028	0		29	10	S5820_028_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	028	0		29	10	S5820_028_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	029	0		29	10	S5820_029_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	029	0		29	10	S5820_029_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	029	0		29	10	S5820_029_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	029	0		29	10	S5820_029_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	029	0		29	10	S5820_029_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	030	0		29	10	S5820_030_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	030	0		29	10	S5820_030_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	030	0		29	10	S5820_030_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	030	0		29	10	S5820_030_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	030	0		29	10	S5820_030_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	031	0		29	10	S5820_031_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	031	0		29	10	S5820_031_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	031	0		29	10	S5820_031_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	031	0		29	10	S5820_031_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	031	0		29	10	S5820_031_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	032	0		29	10	S5820_032_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	032	0		29	10	S5820_032_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	032	0		29	10	S5820_032_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	032	0		29	10	S5820_032_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	032	0		29	10	S5820_032_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	033	0		29	10	S5820_033_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5820	033	0		29	10	S5820_033_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5820	033	0		29	10	S5820_033_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100100	1						
S5820	033	0		29	10	S5820_033_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5820	033	0		29	10	S5820_033_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5820	034	0		29	10	S5820_034_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5820	034	0		29	10	S5820_034_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5820	034	0		29	10	S5820_034_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	000010	1						
S5820	034	0		29	10	S5820_034_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5820	034	0		29	10	S5820_034_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5820	035	0		29	10	S5820_035_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5820	035	0		29	10	S5820_035_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5820	035	0		29	10	S5820_035_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5820	035	0		29	10	S5820_035_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5820	035	0		29	10	S5820_035_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5820	036	0		29	10	S5820_036_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5820	036	0		29	10	S5820_036_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5820	036	0		29	10	S5820_036_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	000010	1						
S5820	036	0		29	10	S5820_036_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5820	036	0		29	10	S5820_036_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5820	037	0		29	10	S5820_037_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5820	037	0		29	10	S5820_037_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5820	037	0		29	10	S5820_037_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5820	037	0		29	10	S5820_037_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5820	037	0		29	10	S5820_037_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5820	038	0		29	10	S5820_038_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5820	038	0		29	10	S5820_038_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5820	038	0		29	10	S5820_038_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5820	038	0		29	10	S5820_038_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100100	1						
S5820	038	0		29	10	S5820_038_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5877	004	0		29	10	S5877_004_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5877	004	0		29	10	S5877_004_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5877	004	0		29	10	S5877_004_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5877	004	0		29	10	S5877_004_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Specialty Tier	2	4	2	010010	1						
S5877	007	0		29	10	S5877_007_0	3	Generic	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	010000	1						
S5877	007	0		29	10	S5877_007_0	3	Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000001	1						
S5877	007	0		29	10	S5877_007_0	3	Non-Preferred Brand	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	100000	1						
S5877	007	0		29	10	S5877_007_0	3	Specialty Tier	Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	010010	1						
S5884	001	0		29	10	S5884_001_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	001	0		29	10	S5884_001_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	001	0		29	10	S5884_001_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	001	0		29	10	S5884_001_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	001	0		29	10	S5884_001_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	002	0		29	10	S5884_002_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	002	0		29	10	S5884_002_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	002	0		29	10	S5884_002_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	002	0		29	10	S5884_002_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	002	0		29	10	S5884_002_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	004	0		29	10	S5884_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	004	0		29	10	S5884_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	004	0		29	10	S5884_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	004	0		29	10	S5884_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	004	0		29	10	S5884_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	005	0		29	10	S5884_005_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	005	0		29	10	S5884_005_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	005	0		29	10	S5884_005_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	005	0		29	10	S5884_005_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	005	0		29	10	S5884_005_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	008	0		29	10	S5884_008_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	008	0		29	10	S5884_008_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	008	0		29	10	S5884_008_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	008	0		29	10	S5884_008_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	008	0		29	10	S5884_008_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	009	0		29	10	S5884_009_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	009	0		29	10	S5884_009_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	009	0		29	10	S5884_009_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	009	0		29	10	S5884_009_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	009	0		29	10	S5884_009_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	010	0		29	10	S5884_010_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	010	0		29	10	S5884_010_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	010	0		29	10	S5884_010_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	010	0		29	10	S5884_010_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	010	0		29	10	S5884_010_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	015	0		29	10	S5884_015_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	015	0		29	10	S5884_015_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	015	0		29	10	S5884_015_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	015	0		29	10	S5884_015_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	015	0		29	10	S5884_015_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	019	0		29	10	S5884_019_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	019	0		29	10	S5884_019_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	019	0		29	10	S5884_019_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	019	0		29	10	S5884_019_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	019	0		29	10	S5884_019_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	020	0		29	10	S5884_020_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	020	0		29	10	S5884_020_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	020	0		29	10	S5884_020_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	020	0		29	10	S5884_020_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	020	0		29	10	S5884_020_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	021	0		29	10	S5884_021_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	021	0		29	10	S5884_021_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	021	0		29	10	S5884_021_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	021	0		29	10	S5884_021_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	021	0		29	10	S5884_021_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	022	0		29	10	S5884_022_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	022	0		29	10	S5884_022_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	022	0		29	10	S5884_022_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	022	0		29	10	S5884_022_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	022	0		29	10	S5884_022_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	024	0		29	10	S5884_024_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	024	0		29	10	S5884_024_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	024	0		29	10	S5884_024_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	024	0		29	10	S5884_024_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	024	0		29	10	S5884_024_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	028	0		29	10	S5884_028_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	028	0		29	10	S5884_028_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	028	0		29	10	S5884_028_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	028	0		29	10	S5884_028_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	028	0		29	10	S5884_028_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	030	0		29	10	S5884_030_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	030	0		29	10	S5884_030_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	030	0		29	10	S5884_030_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	030	0		29	10	S5884_030_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	030	0		29	10	S5884_030_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	062	0		29	10	S5884_062_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	062	0		29	10	S5884_062_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	062	0		29	10	S5884_062_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	062	0		29	10	S5884_062_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	062	0		29	10	S5884_062_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	065	0		29	10	S5884_065_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	065	0		29	10	S5884_065_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	065	0		29	10	S5884_065_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	065	0		29	10	S5884_065_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	065	0		29	10	S5884_065_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	066	0		29	10	S5884_066_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	066	0		29	10	S5884_066_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	066	0		29	10	S5884_066_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	066	0		29	10	S5884_066_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	066	0		29	10	S5884_066_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	071	0		29	10	S5884_071_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	071	0		29	10	S5884_071_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	071	0		29	10	S5884_071_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	071	0		29	10	S5884_071_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	071	0		29	10	S5884_071_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	072	0		29	10	S5884_072_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	072	0		29	10	S5884_072_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	072	0		29	10	S5884_072_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	072	0		29	10	S5884_072_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	072	0		29	10	S5884_072_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	073	0		29	10	S5884_073_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	073	0		29	10	S5884_073_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	073	0		29	10	S5884_073_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	073	0		29	10	S5884_073_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	073	0		29	10	S5884_073_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	074	0		29	10	S5884_074_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	074	0		29	10	S5884_074_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	074	0		29	10	S5884_074_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	074	0		29	10	S5884_074_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	074	0		29	10	S5884_074_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	076	0		29	10	S5884_076_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	076	0		29	10	S5884_076_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	076	0		29	10	S5884_076_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	076	0		29	10	S5884_076_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	076	0		29	10	S5884_076_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	077	0		29	10	S5884_077_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	077	0		29	10	S5884_077_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	077	0		29	10	S5884_077_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	077	0		29	10	S5884_077_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	077	0		29	10	S5884_077_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	078	0		29	10	S5884_078_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	078	0		29	10	S5884_078_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	078	0		29	10	S5884_078_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	078	0		29	10	S5884_078_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	078	0		29	10	S5884_078_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	083	0		29	10	S5884_083_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	083	0		29	10	S5884_083_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	083	0		29	10	S5884_083_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	083	0		29	10	S5884_083_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	083	0		29	10	S5884_083_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	085	0		29	10	S5884_085_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	085	0		29	10	S5884_085_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	085	0		29	10	S5884_085_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	085	0		29	10	S5884_085_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	085	0		29	10	S5884_085_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	086	0		29	10	S5884_086_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	086	0		29	10	S5884_086_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	086	0		29	10	S5884_086_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	086	0		29	10	S5884_086_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	086	0		29	10	S5884_086_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	087	0		29	10	S5884_087_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	087	0		29	10	S5884_087_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	087	0		29	10	S5884_087_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	087	0		29	10	S5884_087_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	087	0		29	10	S5884_087_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	089	0		29	10	S5884_089_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	089	0		29	10	S5884_089_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	089	0		29	10	S5884_089_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	089	0		29	10	S5884_089_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	089	0		29	10	S5884_089_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	092	0		29	10	S5884_092_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	092	0		29	10	S5884_092_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	092	0		29	10	S5884_092_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	092	0		29	10	S5884_092_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	092	0		29	10	S5884_092_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	093	0		29	10	S5884_093_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	093	0		29	10	S5884_093_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	093	0		29	10	S5884_093_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	093	0		29	10	S5884_093_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	093	0		29	10	S5884_093_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	094	0		29	10	S5884_094_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	094	0		29	10	S5884_094_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	094	0		29	10	S5884_094_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	094	0		29	10	S5884_094_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	094	0		29	10	S5884_094_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	101	0		29	10	S5884_101_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	101	0		29	10	S5884_101_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	101	0		29	10	S5884_101_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	101	0		29	10	S5884_101_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	101	0		29	10	S5884_101_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	102	0		29	10	S5884_102_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	102	0		29	10	S5884_102_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	102	0		29	10	S5884_102_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	102	0		29	10	S5884_102_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	102	0		29	10	S5884_102_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	103	0		29	10	S5884_103_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	103	0		29	10	S5884_103_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	103	0		29	10	S5884_103_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	103	0		29	10	S5884_103_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	103	0		29	10	S5884_103_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	104	0		29	10	S5884_104_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	104	0		29	10	S5884_104_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	104	0		29	10	S5884_104_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	104	0		29	10	S5884_104_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	104	0		29	10	S5884_104_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	105	0		29	10	S5884_105_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	105	0		29	10	S5884_105_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	105	0		29	10	S5884_105_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	105	0		29	10	S5884_105_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	105	0		29	10	S5884_105_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	106	0		29	10	S5884_106_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	106	0		29	10	S5884_106_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	106	0		29	10	S5884_106_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	106	0		29	10	S5884_106_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	106	0		29	10	S5884_106_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	107	0		29	10	S5884_107_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	107	0		29	10	S5884_107_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	107	0		29	10	S5884_107_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	107	0		29	10	S5884_107_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	107	0		29	10	S5884_107_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	108	0		29	10	S5884_108_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	108	0		29	10	S5884_108_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	108	0		29	10	S5884_108_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	108	0		29	10	S5884_108_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	108	0		29	10	S5884_108_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	109	0		29	10	S5884_109_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	109	0		29	10	S5884_109_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	109	0		29	10	S5884_109_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	109	0		29	10	S5884_109_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	109	0		29	10	S5884_109_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	110	0		29	10	S5884_110_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	110	0		29	10	S5884_110_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	110	0		29	10	S5884_110_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	110	0		29	10	S5884_110_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	110	0		29	10	S5884_110_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	111	0		29	10	S5884_111_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	111	0		29	10	S5884_111_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	111	0		29	10	S5884_111_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	111	0		29	10	S5884_111_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	111	0		29	10	S5884_111_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	112	0		29	10	S5884_112_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	112	0		29	10	S5884_112_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	112	0		29	10	S5884_112_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	112	0		29	10	S5884_112_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	112	0		29	10	S5884_112_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	113	0		29	10	S5884_113_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	113	0		29	10	S5884_113_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	113	0		29	10	S5884_113_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	113	0		29	10	S5884_113_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	113	0		29	10	S5884_113_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	114	0		29	10	S5884_114_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	114	0		29	10	S5884_114_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	114	0		29	10	S5884_114_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	114	0		29	10	S5884_114_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	114	0		29	10	S5884_114_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	115	0		29	10	S5884_115_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	115	0		29	10	S5884_115_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	115	0		29	10	S5884_115_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	115	0		29	10	S5884_115_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	115	0		29	10	S5884_115_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	116	0		29	10	S5884_116_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	116	0		29	10	S5884_116_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	116	0		29	10	S5884_116_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	116	0		29	10	S5884_116_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	116	0		29	10	S5884_116_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	131	0		29	10	S5884_131_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	131	0		29	10	S5884_131_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	131	0		29	10	S5884_131_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	131	0		29	10	S5884_131_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	131	0		29	10	S5884_131_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	132	0		29	10	S5884_132_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	132	0		29	10	S5884_132_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	132	0		29	10	S5884_132_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	132	0		29	10	S5884_132_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	132	0		29	10	S5884_132_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	133	0		29	10	S5884_133_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	133	0		29	10	S5884_133_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	133	0		29	10	S5884_133_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	133	0		29	10	S5884_133_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	133	0		29	10	S5884_133_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	134	0		29	10	S5884_134_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	134	0		29	10	S5884_134_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	134	0		29	10	S5884_134_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	134	0		29	10	S5884_134_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	134	0		29	10	S5884_134_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	135	0		29	10	S5884_135_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	135	0		29	10	S5884_135_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	135	0		29	10	S5884_135_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	135	0		29	10	S5884_135_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	135	0		29	10	S5884_135_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	136	0		29	10	S5884_136_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	136	0		29	10	S5884_136_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	136	0		29	10	S5884_136_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	136	0		29	10	S5884_136_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	136	0		29	10	S5884_136_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	137	0		29	10	S5884_137_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	137	0		29	10	S5884_137_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	137	0		29	10	S5884_137_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	137	0		29	10	S5884_137_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	137	0		29	10	S5884_137_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	138	0		29	10	S5884_138_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	138	0		29	10	S5884_138_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	138	0		29	10	S5884_138_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	138	0		29	10	S5884_138_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	138	0		29	10	S5884_138_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	139	0		29	10	S5884_139_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	139	0		29	10	S5884_139_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	139	0		29	10	S5884_139_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	139	0		29	10	S5884_139_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	139	0		29	10	S5884_139_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	140	0		29	10	S5884_140_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	140	0		29	10	S5884_140_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	140	0		29	10	S5884_140_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	140	0		29	10	S5884_140_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	140	0		29	10	S5884_140_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	141	0		29	10	S5884_141_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	141	0		29	10	S5884_141_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	141	0		29	10	S5884_141_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	141	0		29	10	S5884_141_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	141	0		29	10	S5884_141_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	142	0		29	10	S5884_142_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	142	0		29	10	S5884_142_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	142	0		29	10	S5884_142_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	142	0		29	10	S5884_142_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	142	0		29	10	S5884_142_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	143	0		29	10	S5884_143_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	143	0		29	10	S5884_143_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	143	0		29	10	S5884_143_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	143	0		29	10	S5884_143_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	143	0		29	10	S5884_143_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	144	0		29	10	S5884_144_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	144	0		29	10	S5884_144_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	144	0		29	10	S5884_144_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	144	0		29	10	S5884_144_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	144	0		29	10	S5884_144_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	145	0		29	10	S5884_145_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	145	0		29	10	S5884_145_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	145	0		29	10	S5884_145_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	145	0		29	10	S5884_145_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	145	0		29	10	S5884_145_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	146	0		29	10	S5884_146_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	146	0		29	10	S5884_146_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	146	0		29	10	S5884_146_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	146	0		29	10	S5884_146_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	146	0		29	10	S5884_146_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	147	0		29	10	S5884_147_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5884	147	0		29	10	S5884_147_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5884	147	0		29	10	S5884_147_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000101	1						
S5884	147	0		29	10	S5884_147_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5884	147	0		29	10	S5884_147_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000101	1						
S5884	148	0		29	10	S5884_148_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	148	0		29	10	S5884_148_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	148	0		29	10	S5884_148_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	148	0		29	10	S5884_148_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	148	0		29	10	S5884_148_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	149	0		29	10	S5884_149_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	149	0		29	10	S5884_149_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	149	0		29	10	S5884_149_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	149	0		29	10	S5884_149_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	149	0		29	10	S5884_149_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	150	0		29	10	S5884_150_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	150	0		29	10	S5884_150_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	150	0		29	10	S5884_150_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	150	0		29	10	S5884_150_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	150	0		29	10	S5884_150_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	151	0		29	10	S5884_151_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	151	0		29	10	S5884_151_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	151	0		29	10	S5884_151_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	151	0		29	10	S5884_151_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	151	0		29	10	S5884_151_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	152	0		29	10	S5884_152_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	152	0		29	10	S5884_152_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	152	0		29	10	S5884_152_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	152	0		29	10	S5884_152_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	152	0		29	10	S5884_152_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	153	0		29	10	S5884_153_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	153	0		29	10	S5884_153_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	153	0		29	10	S5884_153_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	153	0		29	10	S5884_153_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	153	0		29	10	S5884_153_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	154	0		29	10	S5884_154_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	154	0		29	10	S5884_154_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	154	0		29	10	S5884_154_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	154	0		29	10	S5884_154_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	154	0		29	10	S5884_154_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	155	0		29	10	S5884_155_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	155	0		29	10	S5884_155_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	155	0		29	10	S5884_155_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	155	0		29	10	S5884_155_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	155	0		29	10	S5884_155_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	156	0		29	10	S5884_156_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	156	0		29	10	S5884_156_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	156	0		29	10	S5884_156_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	156	0		29	10	S5884_156_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	156	0		29	10	S5884_156_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	157	0		29	10	S5884_157_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	157	0		29	10	S5884_157_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	157	0		29	10	S5884_157_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	157	0		29	10	S5884_157_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	157	0		29	10	S5884_157_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	158	0		29	10	S5884_158_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	158	0		29	10	S5884_158_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	158	0		29	10	S5884_158_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	158	0		29	10	S5884_158_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	158	0		29	10	S5884_158_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	159	0		29	10	S5884_159_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	159	0		29	10	S5884_159_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	159	0		29	10	S5884_159_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	159	0		29	10	S5884_159_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	159	0		29	10	S5884_159_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	160	0		29	10	S5884_160_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	160	0		29	10	S5884_160_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	160	0		29	10	S5884_160_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	160	0		29	10	S5884_160_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	160	0		29	10	S5884_160_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	161	0		29	10	S5884_161_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	161	0		29	10	S5884_161_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	161	0		29	10	S5884_161_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	161	0		29	10	S5884_161_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	161	0		29	10	S5884_161_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	162	0		29	10	S5884_162_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	162	0		29	10	S5884_162_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	162	0		29	10	S5884_162_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	162	0		29	10	S5884_162_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	162	0		29	10	S5884_162_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	163	0		29	10	S5884_163_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	163	0		29	10	S5884_163_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	163	0		29	10	S5884_163_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	163	0		29	10	S5884_163_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	163	0		29	10	S5884_163_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	164	0		29	10	S5884_164_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	164	0		29	10	S5884_164_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	164	0		29	10	S5884_164_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	164	0		29	10	S5884_164_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	164	0		29	10	S5884_164_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	165	0		29	10	S5884_165_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	165	0		29	10	S5884_165_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	165	0		29	10	S5884_165_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	165	0		29	10	S5884_165_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	165	0		29	10	S5884_165_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	166	0		29	10	S5884_166_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	166	0		29	10	S5884_166_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	166	0		29	10	S5884_166_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	166	0		29	10	S5884_166_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	166	0		29	10	S5884_166_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	167	0		29	10	S5884_167_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	167	0		29	10	S5884_167_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	167	0		29	10	S5884_167_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	167	0		29	10	S5884_167_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	167	0		29	10	S5884_167_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	168	0		29	10	S5884_168_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	168	0		29	10	S5884_168_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	168	0		29	10	S5884_168_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	168	0		29	10	S5884_168_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	168	0		29	10	S5884_168_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	169	0		29	10	S5884_169_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	169	0		29	10	S5884_169_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	169	0		29	10	S5884_169_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	169	0		29	10	S5884_169_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	169	0		29	10	S5884_169_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	170	0		29	10	S5884_170_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	170	0		29	10	S5884_170_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	170	0		29	10	S5884_170_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	170	0		29	10	S5884_170_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	170	0		29	10	S5884_170_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	171	0		29	10	S5884_171_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	171	0		29	10	S5884_171_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	171	0		29	10	S5884_171_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	171	0		29	10	S5884_171_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	171	0		29	10	S5884_171_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	172	0		29	10	S5884_172_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	172	0		29	10	S5884_172_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	172	0		29	10	S5884_172_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	172	0		29	10	S5884_172_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	172	0		29	10	S5884_172_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	173	0		29	10	S5884_173_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	173	0		29	10	S5884_173_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	173	0		29	10	S5884_173_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	173	0		29	10	S5884_173_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	173	0		29	10	S5884_173_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	174	0		29	10	S5884_174_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	174	0		29	10	S5884_174_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	174	0		29	10	S5884_174_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	174	0		29	10	S5884_174_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	174	0		29	10	S5884_174_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	175	0		29	10	S5884_175_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	175	0		29	10	S5884_175_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	175	0		29	10	S5884_175_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	175	0		29	10	S5884_175_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	175	0		29	10	S5884_175_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	176	0		29	10	S5884_176_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	176	0		29	10	S5884_176_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	176	0		29	10	S5884_176_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	176	0		29	10	S5884_176_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	176	0		29	10	S5884_176_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	177	0		29	10	S5884_177_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	177	0		29	10	S5884_177_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	177	0		29	10	S5884_177_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	177	0		29	10	S5884_177_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	177	0		29	10	S5884_177_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	178	0		29	10	S5884_178_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	178	0		29	10	S5884_178_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	178	0		29	10	S5884_178_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	178	0		29	10	S5884_178_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	178	0		29	10	S5884_178_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	179	0		29	10	S5884_179_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	179	0		29	10	S5884_179_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	179	0		29	10	S5884_179_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	179	0		29	10	S5884_179_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5884	179	0		29	10	S5884_179_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	180	0		29	10	S5884_180_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5884	180	0		29	10	S5884_180_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5884	180	0		29	10	S5884_180_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000101	1						
S5884	180	0		29	10	S5884_180_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000101	1						
S5884	180	0		29	10	S5884_180_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5904	001	0		29	10	S5904_001_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5904	001	0		29	10	S5904_001_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5904	001	0		29	10	S5904_001_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5904	001	0		29	10	S5904_001_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5904	001	0		29	10	S5904_001_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	101101	1						
S5904	002	0		29	10	S5904_002_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5904	002	0		29	10	S5904_002_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5904	002	0		29	10	S5904_002_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5904	002	0		29	10	S5904_002_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5904	002	0		29	10	S5904_002_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	101101	1						
S5916	001	0		29	10	S5916_001_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5916	001	0		29	10	S5916_001_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5916	001	0		29	10	S5916_001_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5916	001	0		29	10	S5916_001_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
S5916	001	0		29	10	S5916_001_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5916	002	0		29	10	S5916_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5916	002	0		29	10	S5916_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5916	002	0		29	10	S5916_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5916	002	0		29	10	S5916_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5916	002	0		29	10	S5916_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5921	348	0		29	10	S5921_348_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	348	0		29	10	S5921_348_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	348	0		29	10	S5921_348_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	348	0		29	10	S5921_348_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	348	0		29	10	S5921_348_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	349	0		29	10	S5921_349_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	349	0		29	10	S5921_349_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	349	0		29	10	S5921_349_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	349	0		29	10	S5921_349_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	349	0		29	10	S5921_349_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	350	0		29	10	S5921_350_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	350	0		29	10	S5921_350_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	350	0		29	10	S5921_350_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	350	0		29	10	S5921_350_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	350	0		29	10	S5921_350_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	351	0		29	10	S5921_351_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	351	0		29	10	S5921_351_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	351	0		29	10	S5921_351_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	351	0		29	10	S5921_351_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	351	0		29	10	S5921_351_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	352	0		29	10	S5921_352_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	352	0		29	10	S5921_352_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	352	0		29	10	S5921_352_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	352	0		29	10	S5921_352_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	352	0		29	10	S5921_352_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	353	0		29	10	S5921_353_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	353	0		29	10	S5921_353_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	353	0		29	10	S5921_353_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	353	0		29	10	S5921_353_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	353	0		29	10	S5921_353_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	354	0		29	10	S5921_354_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	354	0		29	10	S5921_354_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	354	0		29	10	S5921_354_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	354	0		29	10	S5921_354_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	354	0		29	10	S5921_354_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	355	0		29	10	S5921_355_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	355	0		29	10	S5921_355_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	355	0		29	10	S5921_355_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	355	0		29	10	S5921_355_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	355	0		29	10	S5921_355_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	356	0		29	10	S5921_356_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	356	0		29	10	S5921_356_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	356	0		29	10	S5921_356_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	356	0		29	10	S5921_356_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	356	0		29	10	S5921_356_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	357	0		29	10	S5921_357_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	357	0		29	10	S5921_357_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	357	0		29	10	S5921_357_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	357	0		29	10	S5921_357_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	357	0		29	10	S5921_357_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	358	0		29	10	S5921_358_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	358	0		29	10	S5921_358_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	358	0		29	10	S5921_358_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	358	0		29	10	S5921_358_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	358	0		29	10	S5921_358_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	359	0		29	10	S5921_359_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	359	0		29	10	S5921_359_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	359	0		29	10	S5921_359_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	359	0		29	10	S5921_359_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	359	0		29	10	S5921_359_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	360	0		29	10	S5921_360_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	360	0		29	10	S5921_360_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	360	0		29	10	S5921_360_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	360	0		29	10	S5921_360_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	360	0		29	10	S5921_360_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	361	0		29	10	S5921_361_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	361	0		29	10	S5921_361_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	361	0		29	10	S5921_361_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	361	0		29	10	S5921_361_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	361	0		29	10	S5921_361_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	362	0		29	10	S5921_362_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	362	0		29	10	S5921_362_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	362	0		29	10	S5921_362_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	362	0		29	10	S5921_362_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	362	0		29	10	S5921_362_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	363	0		29	10	S5921_363_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	363	0		29	10	S5921_363_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	363	0		29	10	S5921_363_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	363	0		29	10	S5921_363_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	363	0		29	10	S5921_363_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	364	0		29	10	S5921_364_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	364	0		29	10	S5921_364_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	364	0		29	10	S5921_364_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	364	0		29	10	S5921_364_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	364	0		29	10	S5921_364_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	365	0		29	10	S5921_365_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	365	0		29	10	S5921_365_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	365	0		29	10	S5921_365_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	365	0		29	10	S5921_365_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	365	0		29	10	S5921_365_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	366	0		29	10	S5921_366_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	366	0		29	10	S5921_366_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	366	0		29	10	S5921_366_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	366	0		29	10	S5921_366_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	366	0		29	10	S5921_366_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	367	0		29	10	S5921_367_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	367	0		29	10	S5921_367_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	367	0		29	10	S5921_367_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	367	0		29	10	S5921_367_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	367	0		29	10	S5921_367_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	368	0		29	10	S5921_368_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	368	0		29	10	S5921_368_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	368	0		29	10	S5921_368_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	368	0		29	10	S5921_368_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	368	0		29	10	S5921_368_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	369	0		29	10	S5921_369_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	369	0		29	10	S5921_369_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	369	0		29	10	S5921_369_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	369	0		29	10	S5921_369_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	369	0		29	10	S5921_369_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	370	0		29	10	S5921_370_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	370	0		29	10	S5921_370_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	370	0		29	10	S5921_370_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	370	0		29	10	S5921_370_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	370	0		29	10	S5921_370_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	371	0		29	10	S5921_371_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	371	0		29	10	S5921_371_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	371	0		29	10	S5921_371_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	371	0		29	10	S5921_371_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	371	0		29	10	S5921_371_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	372	0		29	10	S5921_372_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	372	0		29	10	S5921_372_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	372	0		29	10	S5921_372_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	372	0		29	10	S5921_372_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	372	0		29	10	S5921_372_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	373	0		29	10	S5921_373_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	373	0		29	10	S5921_373_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	373	0		29	10	S5921_373_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	373	0		29	10	S5921_373_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	373	0		29	10	S5921_373_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	374	0		29	10	S5921_374_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	374	0		29	10	S5921_374_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	374	0		29	10	S5921_374_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	374	0		29	10	S5921_374_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	374	0		29	10	S5921_374_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	375	0		29	10	S5921_375_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	375	0		29	10	S5921_375_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	375	0		29	10	S5921_375_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	375	0		29	10	S5921_375_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	375	0		29	10	S5921_375_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	376	0		29	10	S5921_376_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	376	0		29	10	S5921_376_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	376	0		29	10	S5921_376_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	376	0		29	10	S5921_376_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	376	0		29	10	S5921_376_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	377	0		29	10	S5921_377_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	377	0		29	10	S5921_377_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	377	0		29	10	S5921_377_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	377	0		29	10	S5921_377_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	377	0		29	10	S5921_377_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	378	0		29	10	S5921_378_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	378	0		29	10	S5921_378_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	378	0		29	10	S5921_378_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	378	0		29	10	S5921_378_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	378	0		29	10	S5921_378_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	379	0		29	10	S5921_379_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	379	0		29	10	S5921_379_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	379	0		29	10	S5921_379_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	379	0		29	10	S5921_379_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	379	0		29	10	S5921_379_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	380	0		29	10	S5921_380_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	380	0		29	10	S5921_380_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	380	0		29	10	S5921_380_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	380	0		29	10	S5921_380_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	380	0		29	10	S5921_380_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5921	381	0		29	10	S5921_381_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5921	381	0		29	10	S5921_381_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5921	381	0		29	10	S5921_381_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5921	381	0		29	10	S5921_381_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100100	1						
S5921	381	0		29	10	S5921_381_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5953	001	0		29	10	S5953_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5953	001	0		29	10	S5953_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5953	001	0		29	10	S5953_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S5953	001	0		29	10	S5953_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5953	001	0		29	10	S5953_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5953	002	0		29	10	S5953_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5953	002	0		29	10	S5953_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5953	002	0		29	10	S5953_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5953	002	0		29	10	S5953_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5953	002	0		29	10	S5953_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	138	0		29	10	S5967_138_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	138	0		29	10	S5967_138_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	138	0		29	10	S5967_138_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	138	0		29	10	S5967_138_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	138	0		29	10	S5967_138_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	139	0		29	10	S5967_139_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	139	0		29	10	S5967_139_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	139	0		29	10	S5967_139_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	139	0		29	10	S5967_139_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	139	0		29	10	S5967_139_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	140	0		29	10	S5967_140_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	140	0		29	10	S5967_140_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	140	0		29	10	S5967_140_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	140	0		29	10	S5967_140_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	140	0		29	10	S5967_140_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	141	0		29	10	S5967_141_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	141	0		29	10	S5967_141_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	141	0		29	10	S5967_141_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	141	0		29	10	S5967_141_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	141	0		29	10	S5967_141_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	142	0		29	10	S5967_142_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	142	0		29	10	S5967_142_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	142	0		29	10	S5967_142_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	142	0		29	10	S5967_142_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	142	0		29	10	S5967_142_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	143	0		29	10	S5967_143_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	143	0		29	10	S5967_143_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	143	0		29	10	S5967_143_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	143	0		29	10	S5967_143_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	143	0		29	10	S5967_143_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	144	0		29	10	S5967_144_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	144	0		29	10	S5967_144_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	144	0		29	10	S5967_144_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	144	0		29	10	S5967_144_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	144	0		29	10	S5967_144_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	145	0		29	10	S5967_145_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	145	0		29	10	S5967_145_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	145	0		29	10	S5967_145_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	145	0		29	10	S5967_145_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	145	0		29	10	S5967_145_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	146	0		29	10	S5967_146_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	146	0		29	10	S5967_146_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	146	0		29	10	S5967_146_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	146	0		29	10	S5967_146_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	146	0		29	10	S5967_146_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	147	0		29	10	S5967_147_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	147	0		29	10	S5967_147_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	147	0		29	10	S5967_147_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	147	0		29	10	S5967_147_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	147	0		29	10	S5967_147_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	148	0		29	10	S5967_148_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	148	0		29	10	S5967_148_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	148	0		29	10	S5967_148_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	148	0		29	10	S5967_148_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	148	0		29	10	S5967_148_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	149	0		29	10	S5967_149_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	149	0		29	10	S5967_149_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	149	0		29	10	S5967_149_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	149	0		29	10	S5967_149_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	149	0		29	10	S5967_149_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	150	0		29	10	S5967_150_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	150	0		29	10	S5967_150_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	150	0		29	10	S5967_150_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	150	0		29	10	S5967_150_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	150	0		29	10	S5967_150_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	151	0		29	10	S5967_151_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	151	0		29	10	S5967_151_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	151	0		29	10	S5967_151_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	151	0		29	10	S5967_151_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	151	0		29	10	S5967_151_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	152	0		29	10	S5967_152_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	152	0		29	10	S5967_152_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	152	0		29	10	S5967_152_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	152	0		29	10	S5967_152_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	152	0		29	10	S5967_152_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	154	0		29	10	S5967_154_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	154	0		29	10	S5967_154_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	154	0		29	10	S5967_154_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	154	0		29	10	S5967_154_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	154	0		29	10	S5967_154_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	155	0		29	10	S5967_155_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	155	0		29	10	S5967_155_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	155	0		29	10	S5967_155_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	155	0		29	10	S5967_155_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	155	0		29	10	S5967_155_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	156	0		29	10	S5967_156_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	156	0		29	10	S5967_156_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	156	0		29	10	S5967_156_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	156	0		29	10	S5967_156_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	156	0		29	10	S5967_156_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	157	0		29	10	S5967_157_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	157	0		29	10	S5967_157_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	157	0		29	10	S5967_157_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	157	0		29	10	S5967_157_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	157	0		29	10	S5967_157_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	158	0		29	10	S5967_158_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	158	0		29	10	S5967_158_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	158	0		29	10	S5967_158_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	158	0		29	10	S5967_158_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	158	0		29	10	S5967_158_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	159	0		29	10	S5967_159_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	159	0		29	10	S5967_159_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	159	0		29	10	S5967_159_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	159	0		29	10	S5967_159_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	159	0		29	10	S5967_159_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	160	0		29	10	S5967_160_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	160	0		29	10	S5967_160_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	160	0		29	10	S5967_160_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	160	0		29	10	S5967_160_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	160	0		29	10	S5967_160_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	161	0		29	10	S5967_161_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	161	0		29	10	S5967_161_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	161	0		29	10	S5967_161_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	161	0		29	10	S5967_161_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	161	0		29	10	S5967_161_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	162	0		29	10	S5967_162_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	162	0		29	10	S5967_162_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	162	0		29	10	S5967_162_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	162	0		29	10	S5967_162_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	162	0		29	10	S5967_162_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	163	0		29	10	S5967_163_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	163	0		29	10	S5967_163_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	163	0		29	10	S5967_163_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	163	0		29	10	S5967_163_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	163	0		29	10	S5967_163_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	164	0		29	10	S5967_164_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	164	0		29	10	S5967_164_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	164	0		29	10	S5967_164_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	164	0		29	10	S5967_164_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	164	0		29	10	S5967_164_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	165	0		29	10	S5967_165_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	165	0		29	10	S5967_165_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	165	0		29	10	S5967_165_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	165	0		29	10	S5967_165_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	165	0		29	10	S5967_165_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	166	0		29	10	S5967_166_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	166	0		29	10	S5967_166_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	166	0		29	10	S5967_166_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	166	0		29	10	S5967_166_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	166	0		29	10	S5967_166_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	167	0		29	10	S5967_167_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	167	0		29	10	S5967_167_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	167	0		29	10	S5967_167_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	167	0		29	10	S5967_167_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	167	0		29	10	S5967_167_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	168	0		29	10	S5967_168_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	168	0		29	10	S5967_168_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	168	0		29	10	S5967_168_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	168	0		29	10	S5967_168_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	168	0		29	10	S5967_168_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	169	0		29	10	S5967_169_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	169	0		29	10	S5967_169_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	169	0		29	10	S5967_169_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	169	0		29	10	S5967_169_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	169	0		29	10	S5967_169_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	170	0		29	10	S5967_170_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	170	0		29	10	S5967_170_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	170	0		29	10	S5967_170_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	170	0		29	10	S5967_170_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	170	0		29	10	S5967_170_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	171	0		29	10	S5967_171_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	110000	1						
S5967	171	0		29	10	S5967_171_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S5967	171	0		29	10	S5967_171_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S5967	171	0		29	10	S5967_171_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S5967	171	0		29	10	S5967_171_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	010001	1						
S5967	173	0		29	10	S5967_173_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	173	0		29	10	S5967_173_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	173	0		29	10	S5967_173_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	173	0		29	10	S5967_173_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	173	0		29	10	S5967_173_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	174	0		29	10	S5967_174_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	174	0		29	10	S5967_174_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	174	0		29	10	S5967_174_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	174	0		29	10	S5967_174_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	174	0		29	10	S5967_174_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	175	0		29	10	S5967_175_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	175	0		29	10	S5967_175_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	175	0		29	10	S5967_175_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	175	0		29	10	S5967_175_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	175	0		29	10	S5967_175_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	176	0		29	10	S5967_176_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	176	0		29	10	S5967_176_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	176	0		29	10	S5967_176_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	176	0		29	10	S5967_176_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	176	0		29	10	S5967_176_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	177	0		29	10	S5967_177_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	177	0		29	10	S5967_177_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	177	0		29	10	S5967_177_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	177	0		29	10	S5967_177_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	177	0		29	10	S5967_177_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	178	0		29	10	S5967_178_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	178	0		29	10	S5967_178_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	178	0		29	10	S5967_178_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	178	0		29	10	S5967_178_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	178	0		29	10	S5967_178_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	179	0		29	10	S5967_179_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	179	0		29	10	S5967_179_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	179	0		29	10	S5967_179_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	179	0		29	10	S5967_179_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	179	0		29	10	S5967_179_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	180	0		29	10	S5967_180_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	180	0		29	10	S5967_180_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	180	0		29	10	S5967_180_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	180	0		29	10	S5967_180_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	180	0		29	10	S5967_180_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	181	0		29	10	S5967_181_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	181	0		29	10	S5967_181_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	181	0		29	10	S5967_181_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	181	0		29	10	S5967_181_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	181	0		29	10	S5967_181_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	182	0		29	10	S5967_182_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	182	0		29	10	S5967_182_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	182	0		29	10	S5967_182_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	182	0		29	10	S5967_182_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	182	0		29	10	S5967_182_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	183	0		29	10	S5967_183_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	183	0		29	10	S5967_183_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	183	0		29	10	S5967_183_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	183	0		29	10	S5967_183_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	183	0		29	10	S5967_183_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	184	0		29	10	S5967_184_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	184	0		29	10	S5967_184_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	184	0		29	10	S5967_184_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	184	0		29	10	S5967_184_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	184	0		29	10	S5967_184_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	185	0		29	10	S5967_185_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	185	0		29	10	S5967_185_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	185	0		29	10	S5967_185_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	185	0		29	10	S5967_185_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	185	0		29	10	S5967_185_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	186	0		29	10	S5967_186_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	186	0		29	10	S5967_186_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	186	0		29	10	S5967_186_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	186	0		29	10	S5967_186_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	186	0		29	10	S5967_186_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	187	0		29	10	S5967_187_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	187	0		29	10	S5967_187_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	187	0		29	10	S5967_187_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	187	0		29	10	S5967_187_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	187	0		29	10	S5967_187_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	188	0		29	10	S5967_188_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	188	0		29	10	S5967_188_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	188	0		29	10	S5967_188_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	188	0		29	10	S5967_188_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	188	0		29	10	S5967_188_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	189	0		29	10	S5967_189_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	189	0		29	10	S5967_189_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	189	0		29	10	S5967_189_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	189	0		29	10	S5967_189_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	189	0		29	10	S5967_189_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	190	0		29	10	S5967_190_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	190	0		29	10	S5967_190_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	190	0		29	10	S5967_190_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	190	0		29	10	S5967_190_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	190	0		29	10	S5967_190_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	191	0		29	10	S5967_191_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	191	0		29	10	S5967_191_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	191	0		29	10	S5967_191_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	191	0		29	10	S5967_191_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	191	0		29	10	S5967_191_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	192	0		29	10	S5967_192_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	192	0		29	10	S5967_192_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	192	0		29	10	S5967_192_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	192	0		29	10	S5967_192_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	192	0		29	10	S5967_192_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	193	0		29	10	S5967_193_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	193	0		29	10	S5967_193_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	193	0		29	10	S5967_193_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	193	0		29	10	S5967_193_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	193	0		29	10	S5967_193_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	194	0		29	10	S5967_194_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	194	0		29	10	S5967_194_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	194	0		29	10	S5967_194_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	194	0		29	10	S5967_194_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	194	0		29	10	S5967_194_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	195	0		29	10	S5967_195_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	195	0		29	10	S5967_195_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	195	0		29	10	S5967_195_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	195	0		29	10	S5967_195_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	195	0		29	10	S5967_195_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	196	0		29	10	S5967_196_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	196	0		29	10	S5967_196_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	196	0		29	10	S5967_196_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	196	0		29	10	S5967_196_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	196	0		29	10	S5967_196_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	197	0		29	10	S5967_197_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	197	0		29	10	S5967_197_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	197	0		29	10	S5967_197_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	197	0		29	10	S5967_197_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	197	0		29	10	S5967_197_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	198	0		29	10	S5967_198_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	198	0		29	10	S5967_198_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	198	0		29	10	S5967_198_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	198	0		29	10	S5967_198_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	198	0		29	10	S5967_198_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	199	0		29	10	S5967_199_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	199	0		29	10	S5967_199_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	199	0		29	10	S5967_199_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	199	0		29	10	S5967_199_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	199	0		29	10	S5967_199_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	200	0		29	10	S5967_200_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	200	0		29	10	S5967_200_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	200	0		29	10	S5967_200_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	200	0		29	10	S5967_200_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	200	0		29	10	S5967_200_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	201	0		29	10	S5967_201_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	201	0		29	10	S5967_201_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	201	0		29	10	S5967_201_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	201	0		29	10	S5967_201_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	201	0		29	10	S5967_201_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	202	0		29	10	S5967_202_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	202	0		29	10	S5967_202_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	202	0		29	10	S5967_202_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	202	0		29	10	S5967_202_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	202	0		29	10	S5967_202_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	203	0		29	10	S5967_203_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	203	0		29	10	S5967_203_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	203	0		29	10	S5967_203_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	203	0		29	10	S5967_203_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	203	0		29	10	S5967_203_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	204	0		29	10	S5967_204_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	204	0		29	10	S5967_204_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	204	0		29	10	S5967_204_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	204	0		29	10	S5967_204_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	204	0		29	10	S5967_204_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5967	205	0		29	10	S5967_205_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5967	205	0		29	10	S5967_205_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5967	205	0		29	10	S5967_205_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S5967	205	0		29	10	S5967_205_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5967	205	0		29	10	S5967_205_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5983	004	0		29	10	S5983_004_0	2	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S5983	004	0		29	10	S5983_004_0	2	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000110	1						
S5983	004	0		29	10	S5983_004_0	2	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S5983	004	0		29	10	S5983_004_0	2	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5983	004	0		29	10	S5983_004_0	2	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5983	006	0		29	10	S5983_006_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001010	1						
S5983	006	0		29	10	S5983_006_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000110	1						
S5983	006	0		29	10	S5983_006_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S5983	006	0		29	10	S5983_006_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S5983	006	0		29	10	S5983_006_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5993	001	0		29	10	S5993_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S5993	001	0		29	10	S5993_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S5993	001	0		29	10	S5993_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S5993	001	0		29	10	S5993_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S5993	001	0		29	10	S5993_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S5993	003	0		29	10	S5993_003_0	3	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S5993	003	0		29	10	S5993_003_0	3	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S5993	003	0		29	10	S5993_003_0	3	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S5993	003	0		29	10	S5993_003_0	3	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S5993	003	0		29	10	S5993_003_0	3	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S6506	001	0		29	10	S6506_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S6506	001	0		29	10	S6506_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S6506	001	0		29	10	S6506_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	010001	1						
S6506	001	0		29	10	S6506_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	110000	1						
S6506	001	0		29	10	S6506_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S6506	002	0		29	10	S6506_002_0	5	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S6506	002	0		29	10	S6506_002_0	5	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S6506	002	0		29	10	S6506_002_0	5	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S6506	002	0		29	10	S6506_002_0	5	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S6506	002	0		29	10	S6506_002_0	5	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7230	001	0		29	10	S7230_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S7230	001	0		29	10	S7230_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S7230	001	0		29	10	S7230_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S7230	001	0		29	10	S7230_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S7230	001	0		29	10	S7230_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S7230	002	0		29	10	S7230_002_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S7230	002	0		29	10	S7230_002_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S7230	002	0		29	10	S7230_002_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S7230	002	0		29	10	S7230_002_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S7230	002	0		29	10	S7230_002_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S7230	003	0		29	10	S7230_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S7230	003	0		29	10	S7230_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S7230	003	0		29	10	S7230_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S7230	003	0		29	10	S7230_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S7230	003	0		29	10	S7230_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S7610	001	0		29	10	S7610_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S7610	001	0		29	10	S7610_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S7610	001	0		29	10	S7610_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S7610	001	0		29	10	S7610_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S7610	001	0		29	10	S7610_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S7694	001	0		29	10	S7694_001_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	001	0		29	10	S7694_001_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	001	0		29	10	S7694_001_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	001	0		29	10	S7694_001_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	002	0		29	10	S7694_002_0	5	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	002	0		29	10	S7694_002_0	5	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	002	0		29	10	S7694_002_0	5	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	002	0		29	10	S7694_002_0	5	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	003	0		29	10	S7694_003_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	003	0		29	10	S7694_003_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	003	0		29	10	S7694_003_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	003	0		29	10	S7694_003_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	004	0		29	10	S7694_004_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	004	0		29	10	S7694_004_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	004	0		29	10	S7694_004_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	004	0		29	10	S7694_004_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	005	0		29	10	S7694_005_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	005	0		29	10	S7694_005_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	005	0		29	10	S7694_005_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	005	0		29	10	S7694_005_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	006	0		29	10	S7694_006_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	006	0		29	10	S7694_006_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	006	0		29	10	S7694_006_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	006	0		29	10	S7694_006_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	007	0		29	10	S7694_007_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	007	0		29	10	S7694_007_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	007	0		29	10	S7694_007_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	007	0		29	10	S7694_007_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	008	0		29	10	S7694_008_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	008	0		29	10	S7694_008_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	008	0		29	10	S7694_008_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	008	0		29	10	S7694_008_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	009	0		29	10	S7694_009_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	009	0		29	10	S7694_009_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	009	0		29	10	S7694_009_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	009	0		29	10	S7694_009_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	010	0		29	10	S7694_010_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	010	0		29	10	S7694_010_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	010	0		29	10	S7694_010_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	010	0		29	10	S7694_010_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	011	0		29	10	S7694_011_0	5	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	011	0		29	10	S7694_011_0	5	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	011	0		29	10	S7694_011_0	5	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	011	0		29	10	S7694_011_0	5	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	012	0		29	10	S7694_012_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	012	0		29	10	S7694_012_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	012	0		29	10	S7694_012_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	012	0		29	10	S7694_012_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	014	0		29	10	S7694_014_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	014	0		29	10	S7694_014_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	014	0		29	10	S7694_014_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	014	0		29	10	S7694_014_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	015	0		29	10	S7694_015_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	015	0		29	10	S7694_015_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	015	0		29	10	S7694_015_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	015	0		29	10	S7694_015_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	016	0		29	10	S7694_016_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	016	0		29	10	S7694_016_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	016	0		29	10	S7694_016_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	016	0		29	10	S7694_016_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	017	0		29	10	S7694_017_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	017	0		29	10	S7694_017_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	017	0		29	10	S7694_017_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	017	0		29	10	S7694_017_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	018	0		29	10	S7694_018_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	018	0		29	10	S7694_018_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	018	0		29	10	S7694_018_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	018	0		29	10	S7694_018_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	019	0		29	10	S7694_019_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	019	0		29	10	S7694_019_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	019	0		29	10	S7694_019_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	019	0		29	10	S7694_019_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	020	0		29	10	S7694_020_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	020	0		29	10	S7694_020_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	020	0		29	10	S7694_020_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	020	0		29	10	S7694_020_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	021	0		29	10	S7694_021_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	021	0		29	10	S7694_021_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	021	0		29	10	S7694_021_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	021	0		29	10	S7694_021_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	022	0		29	10	S7694_022_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	022	0		29	10	S7694_022_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	022	0		29	10	S7694_022_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	022	0		29	10	S7694_022_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	023	0		29	10	S7694_023_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	023	0		29	10	S7694_023_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	023	0		29	10	S7694_023_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	023	0		29	10	S7694_023_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	024	0		29	10	S7694_024_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	024	0		29	10	S7694_024_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	024	0		29	10	S7694_024_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	024	0		29	10	S7694_024_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	025	0		29	10	S7694_025_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	025	0		29	10	S7694_025_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	025	0		29	10	S7694_025_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	025	0		29	10	S7694_025_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	026	0		29	10	S7694_026_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	026	0		29	10	S7694_026_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	026	0		29	10	S7694_026_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	026	0		29	10	S7694_026_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	027	0		29	10	S7694_027_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	027	0		29	10	S7694_027_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	027	0		29	10	S7694_027_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	027	0		29	10	S7694_027_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	028	0		29	10	S7694_028_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	028	0		29	10	S7694_028_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	028	0		29	10	S7694_028_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	028	0		29	10	S7694_028_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	029	0		29	10	S7694_029_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	029	0		29	10	S7694_029_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	029	0		29	10	S7694_029_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	029	0		29	10	S7694_029_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	030	0		29	10	S7694_030_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	030	0		29	10	S7694_030_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	030	0		29	10	S7694_030_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	030	0		29	10	S7694_030_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	031	0		29	10	S7694_031_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	031	0		29	10	S7694_031_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	031	0		29	10	S7694_031_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	031	0		29	10	S7694_031_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	032	0		29	10	S7694_032_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	032	0		29	10	S7694_032_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	032	0		29	10	S7694_032_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	032	0		29	10	S7694_032_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	033	0		29	10	S7694_033_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	033	0		29	10	S7694_033_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	033	0		29	10	S7694_033_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	033	0		29	10	S7694_033_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	034	0		29	10	S7694_034_0	4	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	034	0		29	10	S7694_034_0	4	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	034	0		29	10	S7694_034_0	4	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	034	0		29	10	S7694_034_0	4	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	070	0		29	10	S7694_070_0	3	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	070	0		29	10	S7694_070_0	3	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	070	0		29	10	S7694_070_0	3	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	070	0		29	10	S7694_070_0	3	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	105	0		29	10	S7694_105_0	1	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	105	0		29	10	S7694_105_0	1	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	105	0		29	10	S7694_105_0	1	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	105	0		29	10	S7694_105_0	1	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	106	0		29	10	S7694_106_0	2	Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	010001	1						
S7694	106	0		29	10	S7694_106_0	2	Non-Preferred Brand	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	110000	1						
S7694	106	0		29	10	S7694_106_0	2	Specialty Tier	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	010010	1						
S7694	106	0		29	10	S7694_106_0	2	Preferred Generic	Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001010	1						
S7694	107	0		29	10	S7694_107_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S7694	107	0		29	10	S7694_107_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S7694	107	0		29	10	S7694_107_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S7694	107	0		29	10	S7694_107_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7694	107	0		29	10	S7694_107_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S7694	111	0		29	10	S7694_111_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7694	111	0		29	10	S7694_111_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S7694	111	0		29	10	S7694_111_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S7694	111	0		29	10	S7694_111_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S7694	111	0		29	10	S7694_111_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S7694	112	0		29	10	S7694_112_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S7694	112	0		29	10	S7694_112_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S7694	112	0		29	10	S7694_112_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S7694	112	0		29	10	S7694_112_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7694	112	0		29	10	S7694_112_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S7694	113	0		29	10	S7694_113_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7694	113	0		29	10	S7694_113_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S7694	113	0		29	10	S7694_113_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S7694	113	0		29	10	S7694_113_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S7694	113	0		29	10	S7694_113_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S7694	114	0		29	10	S7694_114_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S7694	114	0		29	10	S7694_114_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S7694	114	0		29	10	S7694_114_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S7694	114	0		29	10	S7694_114_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S7694	114	0		29	10	S7694_114_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7694	115	0		29	10	S7694_115_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S7694	115	0		29	10	S7694_115_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S7694	115	0		29	10	S7694_115_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	110000	1						
S7694	115	0		29	10	S7694_115_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	010001	1						
S7694	115	0		29	10	S7694_115_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S8067	001	0		29	10	S8067_001_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	1	2	001000	1						
S8067	001	0		29	10	S8067_001_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	2	2	000100	1						
S8067	001	0		29	10	S8067_001_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	3	2	000001	1						
S8067	001	0		29	10	S8067_001_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	4	2	100000	1						
S8067	001	0		29	10	S8067_001_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	3	5	2	010010	1						
S8067	003	0		29	10	S8067_003_0	4	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S8067	003	0		29	10	S8067_003_0	4	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S8067	003	0		29	10	S8067_003_0	4	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S8067	003	0		29	10	S8067_003_0	4	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S8067	003	0		29	10	S8067_003_0	4	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	001	0		29	10	S9579_001_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	001	0		29	10	S9579_001_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	001	0		29	10	S9579_001_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	001	0		29	10	S9579_001_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	001	0		29	10	S9579_001_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	002	0		29	10	S9579_002_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	002	0		29	10	S9579_002_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	002	0		29	10	S9579_002_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	002	0		29	10	S9579_002_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	002	0		29	10	S9579_002_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	003	0		29	10	S9579_003_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	003	0		29	10	S9579_003_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	003	0		29	10	S9579_003_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	003	0		29	10	S9579_003_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	003	0		29	10	S9579_003_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	004	0		29	10	S9579_004_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	004	0		29	10	S9579_004_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	004	0		29	10	S9579_004_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	004	0		29	10	S9579_004_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	004	0		29	10	S9579_004_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	005	0		29	10	S9579_005_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	005	0		29	10	S9579_005_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	005	0		29	10	S9579_005_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	005	0		29	10	S9579_005_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	005	0		29	10	S9579_005_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	006	0		29	10	S9579_006_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	006	0		29	10	S9579_006_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	006	0		29	10	S9579_006_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	006	0		29	10	S9579_006_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	006	0		29	10	S9579_006_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	007	0		29	10	S9579_007_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	007	0		29	10	S9579_007_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	007	0		29	10	S9579_007_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	007	0		29	10	S9579_007_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	007	0		29	10	S9579_007_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	008	0		29	10	S9579_008_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	008	0		29	10	S9579_008_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	008	0		29	10	S9579_008_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	008	0		29	10	S9579_008_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	008	0		29	10	S9579_008_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	009	0		29	10	S9579_009_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	009	0		29	10	S9579_009_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	009	0		29	10	S9579_009_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	009	0		29	10	S9579_009_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	009	0		29	10	S9579_009_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	010	0		29	10	S9579_010_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	010	0		29	10	S9579_010_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	010	0		29	10	S9579_010_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	010	0		29	10	S9579_010_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	010	0		29	10	S9579_010_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	011	0		29	10	S9579_011_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	011	0		29	10	S9579_011_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	011	0		29	10	S9579_011_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	011	0		29	10	S9579_011_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	011	0		29	10	S9579_011_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	012	0		29	10	S9579_012_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	012	0		29	10	S9579_012_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	012	0		29	10	S9579_012_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	012	0		29	10	S9579_012_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	012	0		29	10	S9579_012_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	013	0		29	10	S9579_013_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	013	0		29	10	S9579_013_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	013	0		29	10	S9579_013_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	013	0		29	10	S9579_013_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	013	0		29	10	S9579_013_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	014	0		29	10	S9579_014_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	014	0		29	10	S9579_014_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	014	0		29	10	S9579_014_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	014	0		29	10	S9579_014_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	014	0		29	10	S9579_014_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	015	0		29	10	S9579_015_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	015	0		29	10	S9579_015_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	015	0		29	10	S9579_015_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	015	0		29	10	S9579_015_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	015	0		29	10	S9579_015_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	016	0		29	10	S9579_016_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	016	0		29	10	S9579_016_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	016	0		29	10	S9579_016_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	016	0		29	10	S9579_016_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	016	0		29	10	S9579_016_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	017	0		29	10	S9579_017_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	017	0		29	10	S9579_017_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	017	0		29	10	S9579_017_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	017	0		29	10	S9579_017_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	017	0		29	10	S9579_017_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	018	0		29	10	S9579_018_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	018	0		29	10	S9579_018_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	018	0		29	10	S9579_018_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	018	0		29	10	S9579_018_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	018	0		29	10	S9579_018_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	019	0		29	10	S9579_019_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	019	0		29	10	S9579_019_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	019	0		29	10	S9579_019_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	019	0		29	10	S9579_019_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	019	0		29	10	S9579_019_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	020	0		29	10	S9579_020_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	020	0		29	10	S9579_020_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	020	0		29	10	S9579_020_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	020	0		29	10	S9579_020_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	020	0		29	10	S9579_020_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	021	0		29	10	S9579_021_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	021	0		29	10	S9579_021_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	021	0		29	10	S9579_021_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	021	0		29	10	S9579_021_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	021	0		29	10	S9579_021_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	022	0		29	10	S9579_022_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	022	0		29	10	S9579_022_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	022	0		29	10	S9579_022_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	022	0		29	10	S9579_022_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	022	0		29	10	S9579_022_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	023	0		29	10	S9579_023_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	023	0		29	10	S9579_023_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	023	0		29	10	S9579_023_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	023	0		29	10	S9579_023_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	023	0		29	10	S9579_023_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	024	0		29	10	S9579_024_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	024	0		29	10	S9579_024_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	024	0		29	10	S9579_024_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	024	0		29	10	S9579_024_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	024	0		29	10	S9579_024_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	025	0		29	10	S9579_025_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	025	0		29	10	S9579_025_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	025	0		29	10	S9579_025_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	025	0		29	10	S9579_025_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	025	0		29	10	S9579_025_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	026	0		29	10	S9579_026_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	026	0		29	10	S9579_026_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	026	0		29	10	S9579_026_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	026	0		29	10	S9579_026_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	026	0		29	10	S9579_026_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	027	0		29	10	S9579_027_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	027	0		29	10	S9579_027_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	027	0		29	10	S9579_027_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	027	0		29	10	S9579_027_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	027	0		29	10	S9579_027_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	028	0		29	10	S9579_028_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	028	0		29	10	S9579_028_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	028	0		29	10	S9579_028_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	028	0		29	10	S9579_028_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	028	0		29	10	S9579_028_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	029	0		29	10	S9579_029_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	029	0		29	10	S9579_029_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	029	0		29	10	S9579_029_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	029	0		29	10	S9579_029_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	029	0		29	10	S9579_029_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	030	0		29	10	S9579_030_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	030	0		29	10	S9579_030_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	030	0		29	10	S9579_030_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	030	0		29	10	S9579_030_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	030	0		29	10	S9579_030_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	031	0		29	10	S9579_031_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	031	0		29	10	S9579_031_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	031	0		29	10	S9579_031_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	031	0		29	10	S9579_031_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	031	0		29	10	S9579_031_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	032	0		29	10	S9579_032_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	032	0		29	10	S9579_032_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	032	0		29	10	S9579_032_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	032	0		29	10	S9579_032_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	032	0		29	10	S9579_032_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	033	0		29	10	S9579_033_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	1	2	001000	1						
S9579	033	0		29	10	S9579_033_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	2	2	000100	1						
S9579	033	0		29	10	S9579_033_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	3	2	000001	1						
S9579	033	0		29	10	S9579_033_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	4	2	100000	1						
S9579	033	0		29	10	S9579_033_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	2	5	2	010010	1						
S9579	034	0		29	10	S9579_034_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	034	0		29	10	S9579_034_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	034	0		29	10	S9579_034_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	034	0		29	10	S9579_034_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	034	0		29	10	S9579_034_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	035	0		29	10	S9579_035_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	035	0		29	10	S9579_035_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	035	0		29	10	S9579_035_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	035	0		29	10	S9579_035_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	035	0		29	10	S9579_035_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	036	0		29	10	S9579_036_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	036	0		29	10	S9579_036_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	036	0		29	10	S9579_036_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	036	0		29	10	S9579_036_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	036	0		29	10	S9579_036_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	037	0		29	10	S9579_037_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	037	0		29	10	S9579_037_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	037	0		29	10	S9579_037_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	037	0		29	10	S9579_037_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	037	0		29	10	S9579_037_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	038	0		29	10	S9579_038_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	038	0		29	10	S9579_038_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	038	0		29	10	S9579_038_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	038	0		29	10	S9579_038_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	038	0		29	10	S9579_038_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	039	0		29	10	S9579_039_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	039	0		29	10	S9579_039_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	039	0		29	10	S9579_039_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	039	0		29	10	S9579_039_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	039	0		29	10	S9579_039_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	040	0		29	10	S9579_040_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	040	0		29	10	S9579_040_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	040	0		29	10	S9579_040_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	040	0		29	10	S9579_040_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	040	0		29	10	S9579_040_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	041	0		29	10	S9579_041_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	041	0		29	10	S9579_041_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	041	0		29	10	S9579_041_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	041	0		29	10	S9579_041_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	041	0		29	10	S9579_041_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	042	0		29	10	S9579_042_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	042	0		29	10	S9579_042_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	042	0		29	10	S9579_042_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	042	0		29	10	S9579_042_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	042	0		29	10	S9579_042_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	043	0		29	10	S9579_043_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	043	0		29	10	S9579_043_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	043	0		29	10	S9579_043_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	043	0		29	10	S9579_043_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	043	0		29	10	S9579_043_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	044	0		29	10	S9579_044_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	044	0		29	10	S9579_044_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	044	0		29	10	S9579_044_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	044	0		29	10	S9579_044_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	044	0		29	10	S9579_044_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	045	0		29	10	S9579_045_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	045	0		29	10	S9579_045_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	045	0		29	10	S9579_045_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	045	0		29	10	S9579_045_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	045	0		29	10	S9579_045_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	046	0		29	10	S9579_046_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	046	0		29	10	S9579_046_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	046	0		29	10	S9579_046_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	046	0		29	10	S9579_046_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	046	0		29	10	S9579_046_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	047	0		29	10	S9579_047_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	047	0		29	10	S9579_047_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	047	0		29	10	S9579_047_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	047	0		29	10	S9579_047_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	047	0		29	10	S9579_047_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	048	0		29	10	S9579_048_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	048	0		29	10	S9579_048_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	048	0		29	10	S9579_048_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	048	0		29	10	S9579_048_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	048	0		29	10	S9579_048_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	049	0		29	10	S9579_049_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	049	0		29	10	S9579_049_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	049	0		29	10	S9579_049_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	049	0		29	10	S9579_049_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	049	0		29	10	S9579_049_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	050	0		29	10	S9579_050_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	050	0		29	10	S9579_050_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	050	0		29	10	S9579_050_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	050	0		29	10	S9579_050_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	050	0		29	10	S9579_050_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	051	0		29	10	S9579_051_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	051	0		29	10	S9579_051_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	051	0		29	10	S9579_051_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	051	0		29	10	S9579_051_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	051	0		29	10	S9579_051_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	052	0		29	10	S9579_052_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	052	0		29	10	S9579_052_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	052	0		29	10	S9579_052_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	052	0		29	10	S9579_052_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	052	0		29	10	S9579_052_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	053	0		29	10	S9579_053_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	053	0		29	10	S9579_053_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	053	0		29	10	S9579_053_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	053	0		29	10	S9579_053_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	053	0		29	10	S9579_053_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	054	0		29	10	S9579_054_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	054	0		29	10	S9579_054_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	054	0		29	10	S9579_054_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	054	0		29	10	S9579_054_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	054	0		29	10	S9579_054_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	055	0		29	10	S9579_055_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	055	0		29	10	S9579_055_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	055	0		29	10	S9579_055_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	055	0		29	10	S9579_055_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	055	0		29	10	S9579_055_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	056	0		29	10	S9579_056_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	056	0		29	10	S9579_056_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	056	0		29	10	S9579_056_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	056	0		29	10	S9579_056_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	056	0		29	10	S9579_056_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	057	0		29	10	S9579_057_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	057	0		29	10	S9579_057_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	057	0		29	10	S9579_057_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	057	0		29	10	S9579_057_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	057	0		29	10	S9579_057_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	058	0		29	10	S9579_058_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	058	0		29	10	S9579_058_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	058	0		29	10	S9579_058_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	058	0		29	10	S9579_058_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	058	0		29	10	S9579_058_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	059	0		29	10	S9579_059_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	059	0		29	10	S9579_059_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	059	0		29	10	S9579_059_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	059	0		29	10	S9579_059_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	059	0		29	10	S9579_059_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	060	0		29	10	S9579_060_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	060	0		29	10	S9579_060_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	060	0		29	10	S9579_060_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	060	0		29	10	S9579_060_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	060	0		29	10	S9579_060_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	061	0		29	10	S9579_061_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	061	0		29	10	S9579_061_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	061	0		29	10	S9579_061_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	061	0		29	10	S9579_061_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	061	0		29	10	S9579_061_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	062	0		29	10	S9579_062_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	062	0		29	10	S9579_062_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	062	0		29	10	S9579_062_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	062	0		29	10	S9579_062_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	062	0		29	10	S9579_062_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	063	0		29	10	S9579_063_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	063	0		29	10	S9579_063_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	063	0		29	10	S9579_063_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	063	0		29	10	S9579_063_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	063	0		29	10	S9579_063_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	064	0		29	10	S9579_064_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	064	0		29	10	S9579_064_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	064	0		29	10	S9579_064_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	064	0		29	10	S9579_064_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	064	0		29	10	S9579_064_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	065	0		29	10	S9579_065_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	065	0		29	10	S9579_065_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	065	0		29	10	S9579_065_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	065	0		29	10	S9579_065_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
S9579	065	0		29	10	S9579_065_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	066	0		29	10	S9579_066_0	1	Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	1	2	001000	1						
S9579	066	0		29	10	S9579_066_0	1	Non-Preferred Generic	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	2	2	000100	1						
S9579	066	0		29	10	S9579_066_0	1	Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	3	2	000001	1						
S9579	066	0		29	10	S9579_066_0	1	Non-Preferred Brand	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	4	2	100000	1						
S9579	066	0		29	10	S9579_066_0	1	Specialty Tier	Preferred Generic, Non-Preferred Generic, Preferred Brand, Non-Preferred Brand, Specialty Tier	4	5	2	010010	1						
