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- {
- "2": {
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- "health_plan_display_id": 885,
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- ]
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- "updated_at": "2015-12-28T20:56:57Z",
- "health_plan_display_id": 4607,
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- "formulary_id": 4607,
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- }
- },
- {
- "plan_product_formulary": {
- "lives": "18443",
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- "specialty_copay": false,
- "is_medicare": true,
- "restriction_comments": "",
- "drug_display_id": 2854,
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- "formulary_url": "http://apps.humana.com/marketing/documents.asp?file=2734160",
- "max_copay_value": null,
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- "is_generic_drug": false,
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- "tier_structure": "Closed",
- "formulary_entry_id": 10587654,
- "health_plan_name": "CarePlus (Tampa Area) MA",
- "reason_code_id": 0,
- "tier_name": "Not Covered",
- "health_plan_type_id": 5,
- "health_plan_type_name": "Medicare MA",
- "provider_id": 92,
- "drug_id": 2854,
- "is_multi_source_drug": 0,
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- "updated_at": "2015-12-28T20:56:57Z",
- "health_plan_display_id": 4613,
- "health_plan_webname": "CarePlus (Tampa Area) MA",
- "pbm_name": "In House",
- "formulary_id": 4613,
- "max_copay_percentage": null,
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- }
- },
- {
- "plan_product_formulary": {
- "lives": "9217",
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- "is_medicare": true,
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- "drug_display_id": 2854,
- "drug_name": "Bydureon",
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- "formulary_url": "http://apps.humana.com/marketing/documents.asp?file=2734108",
- "max_copay_value": null,
- "preferred_brand_tier_id": 3,
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- "is_generic_drug": false,
- "or": 0,
- "tier_structure": "Closed",
- "formulary_entry_id": 10587757,
- "health_plan_name": "CarePlus (Tampa Area) SN",
- "reason_code_id": 0,
- "tier_name": "Not Covered",
- "health_plan_type_id": 7,
- "health_plan_type_name": "Medicare SN",
- "provider_id": 92,
- "drug_id": 2854,
- "is_multi_source_drug": 0,
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- "health_plan_display_id": 4615,
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- },
- {
- "plan_product_formulary": {
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- "is_medicare": true,
- "restriction_comments": "",
- "drug_display_id": 2854,
- "drug_name": "Bydureon",
- "health_plan_id": 4035,
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- "formulary_url": "http://apps.humana.com/marketing/documents.asp?file=2734147",
- "max_copay_value": null,
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- "is_generic_drug": false,
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- "tier_structure": "Closed",
- "formulary_entry_id": 10587988,
- "health_plan_name": "CarePlus (Treasure & Space Coast) MA",
- "reason_code_id": 0,
- "tier_name": "Not Covered",
- "health_plan_type_id": 5,
- "health_plan_type_name": "Medicare MA",
- "provider_id": 92,
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- "is_multi_source_drug": 0,
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- "health_plan_display_id": 4035,
- "health_plan_webname": "CarePlus (Treasure & Space Coast) MA",
- "pbm_name": "In House",
- "formulary_id": 4035,
- "max_copay_percentage": null,
- "formulary_status": "not_covered"
- }
- }
- ],
- "coverage": [
- {
- "coverage_2854": "Not Covered"
- }
- ]
- },
- "93": {
- "name": "CareSource",
- "plan_product_formularies": [
- {
- "plan_product_formulary": {
- "lives": "775",
- "provider_name": "CareSource",
- "reason_code": null,
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- "specialty_copay": false,
- "is_medicare": true,
- "restriction_comments": "",
- "drug_display_id": 2854,
- "drug_name": "Bydureon",
- "health_plan_id": 8082,
- "min_copay_percentage": "0.0",
- "min_copay_value": "47.0",
- "tier_id": 3,
- "formulary_url": "https://www.caresource.com/documents/2016ma-in-comp-formulary-508/",
- "max_copay_value": "47.0",
- "preferred_brand_tier_id": 3,
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- "or": 0,
- "tier_structure": "Closed",
- "formulary_entry_id": 111275869,
- "health_plan_name": "CareSource Advantage/Advantage Plus (HMO)",
- "reason_code_id": 0,
- "tier_name": "Tier 3",
- "health_plan_type_id": 5,
- "health_plan_type_name": "Medicare MA",
- "provider_id": 93,
- "drug_id": 2854,
- "is_multi_source_drug": 0,
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- "ql": 1,
- "updated_at": "2016-05-25T13:25:09Z",
- "health_plan_display_id": 8082,
- "health_plan_webname": "CareSource Advantage/Advantage Plus (HMO)",
- "pbm_name": "Caremark",
- "formulary_id": 8082,
- "max_copay_percentage": "0.0",
- "formulary_status": "preferred"
- }
- },
- {
- "plan_product_formulary": {
- "lives": "16132",
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- "specialty_copay": false,
- "is_medicare": true,
- "restriction_comments": "",
- "drug_display_id": 2854,
- "drug_name": "Bydureon",
- "health_plan_id": 6184,
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- "min_copay_value": "0.0",
- "tier_id": 2,
- "formulary_url": "https://www.caresource.com/documents/2016-mycare-formulary-508/",
- "max_copay_value": "0.0",
- "preferred_brand_tier_id": null,
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- "is_generic_drug": false,
- "or": 0,
- "tier_structure": "Closed",
- "formulary_entry_id": 19991807,
- "health_plan_name": "CareSource MyCare Ohio",
- "reason_code_id": 0,
- "tier_name": "Tier 2",
- "health_plan_type_id": 17,
- "health_plan_type_name": "Medi-Medi",
- "provider_id": 93,
- "drug_id": 2854,
- "is_multi_source_drug": 0,
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- "ql": 1,
- "updated_at": "2015-12-28T20:56:57Z",
- "health_plan_display_id": 6184,
- "health_plan_webname": "CareSource MyCare Ohio",
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- "max_copay_percentage": "0.0",
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- }
- }
- ],
- "coverage": [
- {
- "coverage_2854": "100% Covered"
- }
- ]
- },
- "101": {
- "name": "Chinese Community Health",
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- {
- "plan_product_formulary": {
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- "drug_display_id": 2854,
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- "formulary_url": "https://cchphealthplan.com/sites/default/files/H0571_2016_11_FINAL_7_Senior_Formulary%20Approved.pdf",
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- "formulary_entry_id": 10588972,
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- "updated_at": "2015-12-28T20:56:57Z",
- "health_plan_display_id": 685,
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- },
- {
- "plan_product_formulary": {
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- "drug_display_id": 2854,
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- "tier_structure": "Closed",
- "formulary_entry_id": 10588227,
- "health_plan_name": "CCHP Senior Select Program",
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- "health_plan_type_id": 7,
- "health_plan_type_name": "Medicare SN",
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- }
- ],
- "coverage": [
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- "coverage_2854": "100% Covered"
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- ]
- },
- "104": {
- "name": "Alignment Health Plan",
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- "plan_product_formulary": {
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- "tier_id": 10,
- "formulary_url": "http://www.citizenschoicehealth.com/open_file.ashx?id=490&v=2014092900",
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- "formulary_entry_id": 10589199,
- "health_plan_name": "Alignment (Citizens Choice) Healthplan",
- "reason_code_id": 0,
- "tier_name": "Not Covered",
- "health_plan_type_id": 5,
- "health_plan_type_name": "Medicare MA",
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- "is_multi_source_drug": 0,
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- "updated_at": "2015-12-28T20:58:13Z",
- "health_plan_display_id": 1002,
- "health_plan_webname": "Alignment (Citizens Choice) Healthplan",
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- "formulary_status": "not_covered"
- }
- }
- ],
- "coverage": [
- {
- "coverage_2854": "Not Covered"
- }
- ]
- },
- "112": {
- "name": "CommunityCare (OK)",
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- {
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- "formulary_url": "http://www.ccok.com/pdf/Senior-Health-Plan/2016/H3755_2016_Comprehensive%20Formulary.pdf",
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- "formulary_entry_id": 10587559,
- "health_plan_name": "CommunityCare (Senior Health Plan)",
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- "ql": 0,
- "updated_at": "2015-02-13T10:22:24Z",
- "health_plan_display_id": 94,
- "health_plan_webname": "CommunityCare (Senior Health Plan)",
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- "max_copay_percentage": "33.0",
- "formulary_status": "specialty"
- }
- },
- ]
- }
- }
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