<rfs-pmbc:MedicationRequestedInformation>
                <rfs-pmbc:MedicationRequested>
                    <rfs-pmbc:DrugDescription>lisinopril 10 mg tablet</rfs-pmbc:DrugDescription>
                    <rfs-pmbc:DrugCoded>
                        <rfs-pmbc:ProductCode>
                            <datatypes:Code>00143126710</datatypes:Code>
                            <datatypes:Qualifier>ND</datatypes:Qualifier>
                        </rfs-pmbc:ProductCode>
                    </rfs-pmbc:DrugCoded>
                </rfs-pmbc:MedicationRequested>
                <rfs-pmbc:RepresentativeFormularyCoverage>
                    <rfs-pmbc:CopayIDStatusCode>Processed</rfs-pmbc:CopayIDStatusCode>
                    <rfs-pmbc:CoverageIDStatusCode>Processed</rfs-pmbc:CoverageIDStatusCode>
                    <rfs-pmbc:AlternativeIDStatusCode>NotSent</rfs-pmbc:AlternativeIDStatusCode>
                    <rfs-pmbc:FormularyAndCoverage>
                        <rfs-pmbc:CoverageFactors>
                            <rfs-pmbc:AgeLimit>
                                <rfs-pmbc:AgeLimitApplicable>Y</rfs-pmbc:AgeLimitApplicable>
                                <rfs-pmbc:MinimumAge>180</rfs-pmbc:MinimumAge>
                                <rfs-pmbc:MinimumAgeQualifier>D</rfs-pmbc:MinimumAgeQualifier>
                                <rfs-pmbc:MaximumAge>90</rfs-pmbc:MaximumAge>
                                <rfs-pmbc:MaximumAgeQualifier>Y</rfs-pmbc:MaximumAgeQualifier>
                            </rfs-pmbc:AgeLimit>
                            <rfs-pmbc:CoverageMessage>
                                <rfs-pmbc:ShortMessage>This is another short txt msg for lisinopril 10mg tab. There's no long version of the short txt msg.</rfs-pmbc:ShortMessage>
                                <rfs-pmbc:MessageType>GI</rfs-pmbc:MessageType>
                            </rfs-pmbc:CoverageMessage>
                            <rfs-pmbc:CoverageMessage>
                                <rfs-pmbc:LongMessage>THIS IS A LONG TEXT MSG FOR LISINOPRIL 10MG TAB. ENSURE THE PATIENT UNDERSTANDS THE POTENTIAL INTERACTIONS WITH OVER THE COUNTER MEDICATIONS. THE LONG MSG IS A 200 CHARS LONG VERSION OF THE SHORT MSG.</rfs-pmbc:LongMessage>
                                <rfs-pmbc:ShortMessage>SHORT TXT MSG FOR LISINOPRIL 10MG TAB. ENSURE PATIENT UNDERSTANDS POTENTIAL INTERACTIONS W/OTC MEDS.</rfs-pmbc:ShortMessage>
                                <rfs-pmbc:MessageType>GI</rfs-pmbc:MessageType>
                            </rfs-pmbc:CoverageMessage>
                            <rfs-pmbc:GenderLimit>M</rfs-pmbc:GenderLimit>
                            <rfs-pmbc:PriorAuthorizationRequired>Y</rfs-pmbc:PriorAuthorizationRequired>
                            <rfs-pmbc:QuantityLimit>
                                <rfs-pmbc:QuantityLimitApplicable>Y</rfs-pmbc:QuantityLimitApplicable>
                                <rfs-pmbc:MaximumAmount>30</rfs-pmbc:MaximumAmount>
                                <rfs-pmbc:MaximumAmountQualifier>DS</rfs-pmbc:MaximumAmountQualifier>
                                <rfs-pmbc:MaximumAmountTimePeriod>PD</rfs-pmbc:MaximumAmountTimePeriod>
                            </rfs-pmbc:QuantityLimit>
                            <rfs-pmbc:QuantityLimit>
                                <rfs-pmbc:QuantityLimitApplicable>Y</rfs-pmbc:QuantityLimitApplicable>
                                <rfs-pmbc:MaximumAmount>12</rfs-pmbc:MaximumAmount>
                                <rfs-pmbc:MaximumAmountQualifier>FL</rfs-pmbc:MaximumAmountQualifier>
                                <rfs-pmbc:MaximumAmountTimePeriod>DY</rfs-pmbc:MaximumAmountTimePeriod>
                                <rfs-pmbc:MaximumAmountTimePeriodUnits>360</rfs-pmbc:MaximumAmountTimePeriodUnits>
                            </rfs-pmbc:QuantityLimit>
                            <rfs-pmbc:ResourceLink>
                                <rfs-pmbc:ResourceLink>http://www.bbc.com/news/</rfs-pmbc:ResourceLink>
                                <rfs-pmbc:ResourceLinkMessageType>ST</rfs-pmbc:ResourceLinkMessageType>
                            </rfs-pmbc:ResourceLink>
                            <rfs-pmbc:ResourceLink>
                                <rfs-pmbc:ResourceLink>http://www.washingtonpost.com/regional/</rfs-pmbc:ResourceLink>
                                <rfs-pmbc:ResourceLinkMessageType>PA</rfs-pmbc:ResourceLinkMessageType>
                            </rfs-pmbc:ResourceLink>
                            <rfs-pmbc:StepTherapy>Y</rfs-pmbc:StepTherapy>
                        </rfs-pmbc:CoverageFactors>
                        <rfs-pmbc:CopayFactors>
                            <rfs-pmbc:PharmacyType>A</rfs-pmbc:PharmacyType>
                            <rfs-pmbc:CopayTier>2</rfs-pmbc:CopayTier>
                            <rfs-pmbc:MaximumCopayTier>3</rfs-pmbc:MaximumCopayTier>
                        </rfs-pmbc:CopayFactors>
                        <rfs-pmbc:FormularyStatus>2</rfs-pmbc:FormularyStatus>
                        <rfs-pmbc:FormularyStatusText>On-Formulary/Non-Preferred</rfs-pmbc:FormularyStatusText>
                    </rfs-pmbc:FormularyAndCoverage>
                    <rfs-pmbc:RelativeCostLimit>0</rfs-pmbc:RelativeCostLimit>
                    <rfs-pmbc:OTC>N</rfs-pmbc:OTC>
                    <rfs-pmbc:Supply>N</rfs-pmbc:Supply>
                    <rfs-pmbc:Generic>Y</rfs-pmbc:Generic>
                </rfs-pmbc:RepresentativeFormularyCoverage>
            </rfs-pmbc:MedicationRequestedInformation>